Skip to main content
SpringerLink
Log in

Effects of acupuncture combined with Brunnstrom staging on upper-limb motor function, cerebral arterial blood flow velocity, and brain function remodeling after stroke

针刺结合Brunnstrom分期对中风后上肢运动功能、 脑动脉血流速度及脑功能重塑的影响

  • Special Topic Study
  • Published:
Journal of Acupuncture and Tuina Science Aims and scope Submit manuscript

Abstract

Objective

To explore the effects of acupuncture combined with Brunnstrom staging on upper-limb motor function, cerebral arterial blood flow velocity, and brain function remodeling after stroke.

Methods

A total of 77 patients after stroke were selected between January 2017 and December 2019 to perform a prospective study. All cases were divided into an observation group and a control group by the random number table method. Both groups were treated with conventional symptomatic treatment for stroke and functional exercise according to the Brunnstrom staging. The observation group was treated with additional acupuncture treatment based on the Brunnstrom staging therapy. The therapeutic efficacy was evaluated after six-week treatment. The traditional Chinese medicine (TCM) symptom scores of dizziness, headache, limb numbness, and language disorders before and after the treatment in the two groups were compared. According to the Fugl-Meyer motor function assessment (FMA), the upper-limb motor function before and after the treatment was compared. And the average systolic blood flow velocity of the anterior cerebral artery (ACA), middle cerebral artery (MCA), and posterior cerebral artery (PCA) in the two groups before and after the treatment were compared. According to the modified Edinburgh-Scandinavia stroke scale (MESSS), the nerve function before and after the treatment was compared.

Results

The total effective rate of the observation group was 94.9%, significantly higher than 79.0% of the control group (P<0.05). After the treatment, the TCM symptom scores of dizziness, headache, limb numbness, and language disorders in both groups decreased, and the scores in the observation group were all significantly lower than those in the control group (P<0.05). The FMA score of upper limbs in both groups increased, and the score in the observation group was significantly higher than that in the control group (P<0.05). The average systolic blood flow velocities of the ACA, MCA and PCA in both groups increased, and were significantly higher in the observation group than in the control group (P<0.05). The MESSS score in both groups decreased, and the score in the observation group was significantly lower than that in the control group (P<0.05).

Conclusion

Acupuncture combined with Brunnstrom staging is effective for patients after stroke. It can effectively improve the upper-limb motor function and cerebral artery blood flow velocity, promote brain function remodeling, and restore nerve function.

摘要

目的

探讨针刺结合Brunnstrom分期对中风后上肢运动功能、 脑动脉血流速度及脑功能重塑的影响.

方法

选 择2017年1月至2019年12月就诊的77例中风患者进行前瞻性研究, 根据随机数字表法将纳入研究的病例分为观察组和对照组. 两组患者均行常规中风对症治疗并根据Brunnstrom分期进行功能锻炼. 观察组在Brunnstrom分期疗法的 基础上行针刺疗法, 治疗6周后统计疗效. 对比两组患者治疗前后头晕目眩、 头痛、 肢体麻木、 言语蹇涩的中医症状评分. 根据Fugl-Meyer运动功能评定量表(FMA)对比治疗前后上肢运动功能, 对比两组患者治疗前后大脑前动脉、 大脑中动脉以及大脑后动脉收缩期平均血液流速. 根据高级中枢损伤严重程度评分量表(MESSS)对比治疗前后神经功能.

结果

观察组总有效率为94.9%, 明显高于对照组的79.0% (P<0.05). 治疗后, 两组头晕目眩、 头痛、 肢体麻木、 言语蹇涩的中医症状评分均降低, 且观察组明显低于对照组(P<0.05). 两组上肢FMA评分均升高, 且观察组明显高于对照组(P<0.05). 两组大脑前动脉、 大脑中动脉以及大脑后动脉收缩期平均血液流速均升高, 且观察组明显高于对照组(P<0.05). 两组MESSS评分均降低, 且观察组明显低于对照组(P<0.05).

结论

针刺结合Brunnstrom分期对中风患者疗效较好, 可有效改善上肢运动功能, 提高脑动脉血液流速, 促进脑功能重塑及神经功能恢复.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. REN B B. Clinical observation on treatment of hemiplegia after stroke by lateral puncture on meridian sinew node combined with neuromuscular proprioception promotion technique. Shiyong Zhongyiyao Zazhi, 2020, 36(5): 655–656.

    Google Scholar 

  2. ZHANG X H, SUN H. Clinical effect of acupuncture combined with medicine on ischemic stroke. Zhongyi Linchuang Yanjiu, 2020, 12(17): 93–94.

    CAS  Google Scholar 

  3. SHI H F, LUO L J, QI B J, ZHANG P, ZHENG X H, ZHANG T F. Effect of acupuncture treatment based on Brunnstrom staging on limb motor function of stroke patients with hemiplegia. Zhonghua Wuli Yixue Yu Kangfu Zazhi, 2018, 40(4): 281–283.

    Google Scholar 

  4. Chinese Society of Neurology, Chinese Stroke Society. Chinese guidelines for diagnosis and treatment of acute ischemic stroke 2018. Zhonghua Shenjingke Zazhi, 2018, 51(9): 666–682.

    Google Scholar 

  5. Collaborative Group of Acute Encephalopathy of State Administration of Traditional Chinese Medicine. Standard for diagnosis and therapeutic effect evaluation of stroke (trial). Beijing Zhongyiyao Daxue Xuebao, 1996, 19(1): 55–56.

    Google Scholar 

  6. SUN D J. Guidance of Brunnstrom staging theory on acupuncture treatment for post-stroke hemiplegia. Zhenjiu Linchuang Zazhi, 2019, 35(9): 81–83.

    Google Scholar 

  7. Ministry of Health of the People’s Republic of China. Guiding Principles for Clinical Study of New Chinese Medicines. Beijing: China Medico-Pharmaceutical Science & Technology Publishing House, 2002: 99–102.

    Google Scholar 

  8. Chinese Neuroscience Society, Chinese Neurosurgical Society. Key diagnostic points for cerebrovascular diseases. Zhonghua Shenjingke Zazhi, 1996, 29(6): 379–380.

    Google Scholar 

  9. LI Z K, CHEN C R, YU X J, CHEN Y L. A clinical observation on JIN’s three-needle therapy combined with physical exercise reduction therapy for post-stroke spastic hemiplegia. Liaoning Zhongyiyao Daxue Xuebao, 2019, 21(11): 196–199.

    CAS  Google Scholar 

  10. WANG Y, HE R X, PAN R. Clinical observation on treating hemiplegia after stroke by muscle tension staging acupuncture. Guangming Zhongyi, 2020, 35(2): 234–235.

    Google Scholar 

  11. YANG P. Effect of Xing Nao Kai Qiao acupuncture therapy on spastic hemiplegia after stroke. Shiyong Zhongxiyi Jiehe Linchuang, 2020, 20(3): 151–153.

    Google Scholar 

  12. YAN Y B, LI C L, LIU S L. Clinical study of scalp acupuncture plus synchronous exercise therapy on spastic hemiplegia after stroke. Sichuan Zhongyi, 2019, 37(12): 208–212.

    Google Scholar 

  13. XIE J J, LI J X, SUN Q, MA Y J. Therapeutic observation of acupuncture plus mirror therapy for upper-limb dysfunction of poststroke hemiplegia. Shanghai Zhenjiu Zazhi, 2018, 37(5): 494–498.

    Google Scholar 

  14. SUN P P, QI R, MA Y X, SHI J Y. Therapeutic observation of acupuncture plus herb-partitioned moxibustion at meridian sinew joints for post-stroke upper-limb spastic palsy. Shanghai Zhenjiu Zazhi, 2019, 38(1): 50–54.

    Google Scholar 

  15. XIE X N, JI J. Status of scalp acupuncture for hemiplegia after stroke. Shanghai Zhenjiu Zazhi, 2019, 38(2): 234–239.

    Google Scholar 

  16. JIANG P J, QIAO G Y, HU Y H, ZHANG L L, HUI Y F, HUANG Y Y, LI Z Z. Therapeutic effect of Brunnstrom staging on limb dysfunction after stroke. Zhongguo Laonian Baojian Yixue, 2019, 17(6): 27–29.

    Google Scholar 

  17. SUN G H, ZHOU J, ZHOU G J, LONG L P, OUYANG Y, WANG T T, NI Z Y, LI K, FENG W B. Acupuncture and physical therapy on 580 stroke patients with dyskinesia: a retrospective study. Liaoning Zhongyi Zazhi, 2019, 46(10): 2039–2042.

    Google Scholar 

  18. HE L M, LI Q F, LIANG W R, WANG Y L. Effect of early rehabilitation nursing based on Brunnstrom staging on neurological function recovery and quality of life in patients with stroke. Huli Shiyan Yu Yanjiu, 2019, 16(13): 46–47.

    Google Scholar 

  19. BAO Y H, CHEN F Y, LIU X P, CHU J M, SHI H L, WANG Y W, XU S S. The influence of long-term scalp acupuncture combined with different acupoints with electroacupuncture in different Brunnstrom stage on the lower extremity motor function and balance function after stroke. Zhonghua Quanke Yixue, 2019, 17(2): 280–283.

    Google Scholar 

  20. ZHU W Z, NI J X, TANG Q, DONG G R, LI H Y. Study on the effect of cluster needling of scalp acupuncture on the plasticity protein MAP-2 in rats with focal cerebral infarction. Zhongguo Zhen Jiu, 2010, 30(1): 46–50.

    PubMed  Google Scholar 

Download references

Acknowledgments

This work was supported by Key Science and Technology Project of Traditional Chinese Medicine of Liaoning Provincial Department of Health (辽宁省卫生厅中医重点科技项目, No. 2018NS00238).

Author information

Authors and Affiliations

  1. Department of Rehabilitation Medicine, Shenyang 242 Hospital, Liaoning, 110034, China

    Yanhui Wang  (王延辉)

Authors
  1. Yanhui Wang  (王延辉)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Yanhui Wang  (王延辉).

Ethics declarations

The authors declare that there is no potential conflict of interest in this article.

Additional information

Statement of Informed Consent

This work was approved by the Ethics Committee of Shenyang 242 Hospital (Approval No. 2018-00154). Informed consent was obtained from all individual participants.

Author: WANG Yanhui, bachelor, associate chief physician.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Wang, Y. Effects of acupuncture combined with Brunnstrom staging on upper-limb motor function, cerebral arterial blood flow velocity, and brain function remodeling after stroke. J. Acupunct. Tuina. Sci. 20, 49–57 (2022). https://doi.org/10.1007/s11726-022-1291-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11726-022-1291-y

Keywords

关键词

中图分类号

文献标志码

Search

Navigation