Objective

2

To observe the clinical efficacy of ultrasound-guided acupotomy release combined with

Tongdu Tiaoshen

acupuncture in the treatment of post-stroke talipes varus.

Methods

2

Eighty-four patients with post-stroke talipes varus were randomly divided into a combination group (42 cases

1 case dropped out) and an acupuncture group (42 cases

1 case dropped out and 1 case was discontinued). The acupuncture group received

Tongdu Tiaoshen

acupuncture treatment. On the basis of the acupuncture group

the combination group additionally received ultrasound-guided acupotomy release treatment. The release sites included the tibialis anterior muscle

tibialis posterior muscle

gastrocnemius muscle

achilles tendon

deltoid ligament

calcaneofibular ligament

and anterior talofibular ligament on the affected side. Acupuncture treatment was administered once daily

5 times per week

and ultrasound-guided acupotomy treatment was administered once weekly. Both groups were treated continuously for 4 weeks.

Before and after treatment

the Fugl-Meyer assessment (FMA) score

talipes varus angle

modified Ashworth scale (MAS) grade

Berg balance scale (BBS) score

modified Barthel index (MBI) score

and gait parameters (walking speed and cadence) were observed in both groups. Clinical efficacy was evaluated after treatment.

Results

2

After treatment

FMA scores

BBS scores

and MBI scores were increased compared with those before treatment in both groups (

P

<

0.05)

and all three scores in the combination group were higher than those in the acupuncture group (

P

<

0.05). After treatment

the talipes varus angle was decreased compared with that before treatment in both groups (

P

<

0.05)

and the talipes varus angle in the combination group was lower than that in the acupuncture group (

P

<

0.05). After treatment

MAS grades were improved compared with those before treatment in both groups (

P

<

0.05)

and the improvement in the combination group was superior to that in the acupuncture group (

P

<

0.05). After treatment

walking speed and cadence were increased compared with those before treatment in both groups (

P

<

0.05)

and walking speed and cadence in the combination group were faster than those in the acupuncture group (

P

<

0.05). The total effective rate in the combination group was 85.4% (35/41)

higher than 75.0% (30/40) in the acupuncture group (

P

<

0.05).

Conclusion

2

Ultrasound-guided acupotomy release combined with

Tongdu Tiaoshen

acupuncture could reduce the talipes varus angle in patients with post-stroke talipes varus

improve lower limb motor function

and enhance activities of daily living.