Effect of electroacupuncture combined with suspension exercise therapy on lower limb motor function in elderly patients with post-stroke spastic hemiplegia

WANG Fang; CHEN Zhiqin; WAN Qi

doi:10.13703/j.0255-2930.20250715-k0001

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Effect of electroacupuncture combined with suspension exercise therapy on lower limb motor function in elderly patients with post-stroke spastic hemiplegia

Clinical Research | 更新时间：2026-09-15

- Effect of electroacupuncture combined with suspension exercise therapy on lower limb motor function in elderly patients with post-stroke spastic hemiplegia
- Chinese Acupuncture & Moxibustion Vol. 46, Issue 9, Pages: 1405-1414(2026)
- 作者机构：
  
  盐城市第三人民医院康复医学科，江苏　盐城　224008
- 作者简介：
- 基金信息：
- DOI：10.13703/j.0255-2930.20250715-k0001
  CLC：
- Received：15 July 2025，
  
  Online First：01 July 2026，
  
  Published：12 September 2026
- 稿件说明：
移动端阅览
WANG Fang, CHEN Zhiqin, WAN Qi. Effect of electroacupuncture combined with suspension exercise therapy on lower limb motor function in elderly patients with post-stroke spastic hemiplegia[J]. Chinese Acupuncture & Moxibustion, 2026, 46(9): 1405-1414.
DOI：

WANG Fang, CHEN Zhiqin, WAN Qi. Effect of electroacupuncture combined with suspension exercise therapy on lower limb motor function in elderly patients with post-stroke spastic hemiplegia[J]. Chinese Acupuncture & Moxibustion, 2026, 46(9): 1405-1414. DOI： 10.13703/j.0255-2930.20250715-k0001.

摘要

目的：

观察电针联合悬吊运动疗法治疗老年脑卒中后痉挛性偏瘫患者的疗效及对下肢运动功能的影响。

方法：

120例老年脑卒中后痉挛性偏瘫患者，采用2×2析因设计分为A组（常规治疗）、B组（常规治疗联合悬吊运动疗法治疗）、C组（常规治疗联合电针夹脊穴及肢体穴位治疗）、D组（常规治疗、悬吊运动疗法联合电针夹脊穴及肢体穴位治疗），每组30例。针刺主穴取双侧夹脊穴（C

-C

、T

-T

、L

-L

和S

节段），配穴取患侧肩髃、臂臑、环跳、承扶等，采用100 Hz连续波电

针治疗，电流1.5~3.0 mA，留针30 min，每日1次，共治疗4周。于治疗前及治疗2、4周后，观察各组改良Ashworth痉挛量表（MAS）、Fugl-Meyer运动功能评定量表（FMA）、Berg平衡量表（BBS）、Barthel指数评分，检测各组患侧竖脊肌、腹直肌表面肌电图（sEMG）的均方根值（RMS）及平衡功能指标[平均压力对称指数（SI）、接触面积SI、椭圆面积和身体重心前后向（AP）、内外向（ML）的位移距离

]

；比较各组临床疗效。

结果：

治疗2、4周后，各组MAS评分较治疗前降低（

0.05），FMA评分、BBS评分、Barthel指数评分较治疗前升高（

0.05）；治疗4周后，各组MAS评分低于治疗2周后（

0.05），FMA评分、BBS评分、Barthel指数评分高于治疗2周后（

0.05）；治疗2、4周后，D组MAS评分低于其余3组（

0.05），FMA评分、BBS评分、Barthel指数评分高于其余3组（

0.05）。治疗2、4周后，各组前屈45°和后伸30°患侧竖脊肌、腹直肌sEMG的RMS较治疗前升高（

0.05），治疗4周后各指标高于治疗2周后（

0.05）；治疗2、4周后，D组各指标高于其余3组（

0.05）。治疗2、4周后，各组患者平均压力SI、接触面积SI及椭圆面积均较治疗前降低（

0.05）；治疗4周后，各组患者平均压力SI、接触面积SI及椭圆面积均较治疗2周后降低（

0.05）。治疗2、4周后，A组、C组、D组的AP位移距离均较治疗前降低（

0.05）；治疗4周后，A组、C组、D组的AP位移距离均较治疗2周后降低（

0.05）；治疗2周后，B组AP位移距离与治疗前比较差异无统计学意义（

0.05），治疗4周后，B组AP位移距离较治疗前降低（

0.05）。治疗2周后，A组ML位移距离与治疗前比较，差异无统计学意义（

0.05），治疗4周后，A组ML位移距离低于治疗前（

0.05）；治疗2、4周后，B组ML位移距离与治疗前比较差异均无统计学意义（

0.05）；治疗2、4周后，C组、D组ML位移距离均较治疗前降低（

0.05），治疗4周后，C组、D组ML位移距离较治疗2周后降低（

0.05）。治疗2、4周后，D组平均压力SI、接触面积SI、椭圆面积和AP、ML的位移距离低于其余3组（

0.05）。析因设计方差分析显示，电针治疗在FMA评分中的主效应最强（

=6.243，

0.05），悬吊运动疗法在BBS评分中的主效应最强（

=6.292，

0.05），交互作用在MAS评分中表现最显著（

=5.941，

0.05），提示联合治疗对肌张力改善的协同效应优于其他指标。D组总有效率为93.3%（28/30），高于其余3组[A组53.3%（16/30）、B组56.7%（17/30）、C组66.7%（20/30），

0.05

]

。

结论：

电针联合悬吊运动疗法能有效促进老年脑卒中后痉挛性偏瘫患者下肢功能恢复，改善运动功能与平衡功能，提高日常生活活动能力。

Abstract

Objective

To observe the efficacy of electroacupuncture (EA) combined with suspension exercise therapy in elderly patients with post-stroke spastic hemiplegia and its effect on lower limb motor function.

Methods

A total of 120 elderly patients with post-stroke spastic hemiplegia were enrolled. Using a 2×2 factorial design

all the patients were assigned to a group A (conventional treatment)

a group B (conventional treatment combined with suspension exercise therapy)

a group C (conventional treatment combined with EA at Jiaji [EX-B2

]

and limb acupoints)

and a group D(conventional treatment combined with suspension exercise therapy and EA at Jiaji [EX-B2

]

and limb acupoints)

with 30 patients in each group. The main acupoints were bilateral Jiaji (EX-B2) points at the C

-C

-T

-L

and S

segments. The adjunct acupoints included Jianyu (LI15)

Binao (LI14)

Huantiao (GB30)

Chengfu (BL36)

etc. on the affected side.Continuous wave was applied at a frequency of 100 Hz with a current intensity of 1.5-3.0 mA

and needles were retained for 30 min

once daily for 4 weeks. Before treatment and after 2 and 4 weeks of treatment

the modified Ashworth scale (MAS)

Fugl-Meyer assessment (FMA)

Berg balance scale (BBS)

and Barthel index scores were evaluated in the four groups. Root mean square (RMS) values of surface electromyography (sEMG) of the erector spinae and rectus abdominis muscles on the affected side

as well as balance function indexes

including the mean pressure symmetry index (SI)

contact area SI

ellipse area

and displacement distances of the center of pressure in the anteroposterior (AP) and mediolateral (ML) directions

were measured. Clinical efficacy was also compared among the four groups.

Results

After 2 and 4 weeks of treatment

MAS scores in all groups were lower than those before treatment (

0.05)

whereas FMA

BBS

and Barthel index scores were higher than those before treatmen

t (

0.05). After 4 weeks of treatment

MAS scores were lower than those after 2 weeks of treatment (

0.05)

whereas FMA

BBS

and Barthel index scores were higher than those after 2 weeks of treatment (

0.05) in the four groups. At both 2 and 4 weeks after treatment

group D had lower MAS scores (

0.05) and higher FMA

BBS

and Barthel index scores (

0.05) than the other three groups. After 2 and 4 weeks of treatment

RMS values of sEMG of the erector spinae and rectus abdominis muscles on the affected side at all tested angles were higher than those before treatment in all groups (

0.05)

and the values after 4 weeks of treatment were higher than those after 2 weeks of treatment(

0.05). At both 2 and 4 weeks after treatment

all these indexes in the group D were higher than those in the other three groups (

0.05). After 2 and 4 weeks of treatment

the mean pressure SI

contact area SI and ellipse area of each group were lower than those before treatment (

0.05). After 4 weeks of treatment

the mean pressure SI

contact area SI and ellipse area of each group were lower than those after 2 weeks of treatment (

0.05). After 2 and 4 weeks of treatment

the AP displacement distances of groups A

C and D were lower than those before treatment (

0.05)

and after 4 weeks of treatment

the AP displacement distances of groups A

C and D were lower than those after 2 weeks of treatment (

0.05);after 2 weeks of treatment

there was no statistically significant difference in AP displacement distance in the group B compared with before treatment (

0.05)

and after 4 weeks of treatment

the AP displacement distance of group B was lower than that before treatment (

0.05). After 2 weeks of treatment

there was no statistically significant dif

ference in ML displacement distance in group A compared with before treatment (

0.05); after 4 weeks of treatment

the ML displacement distance of group A was lower than that before treatment (

0.05). After 2 and 4 weeks of treatment

there was no statistically significant difference in ML displacement distance in the group B compared with that before treatment (

0.05).After 2 and 4 weeks of treatment

the ML displacement distances of groups C and D were lower than those before treatment(

0.05)

and after 4 weeks of treatment

the ML displacement distances of groups C and D were lower than those after 2 weeks of treatment (

0.05). At both 2 and 4 weeks after treatment

mean pressure SI

contact area SI

ellipse area

and AP and ML displacement distances in the group D were lower than those in the other three groups (

0.05). Factorial analysis of variance showed that EA had the strongest main effect on FMA score (

=6.243

0.05)

suspension exercise therapy had the strongest main effect on BBS score (

=6.292

0.05)

and the interaction effect was most significant for MAS score (

=5.941

0.05)

indicating that the combined therapy produced a greater synergistic effect on reducing muscle tone than on the other outcome measures. The total effective rate in the group D was 93.3% (28/30)

which was higher than those in the group A (53.3% [16/30

]

)

group B (56.7% [17/30

]

)

and group C (66.7% [20/30

]

0.05).

Conclusion

EA combined with suspension exercise therapy could effectively promote the recovery of lower limb function in elderly patients with post-stroke spastic hemiplegia

improve motor and balance functions

and enhance activities of daily living.

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