Effect of acupuncture on functional reconstruction of the wrist following cerebral apoplexy

摘要

目的

观察不同针刺法对脑卒中患者腕手功能重建的影响。

方法

选择符合纳入标准的脑卒中患者40 例, 随机分为4 组, 每组10 例。 A组给予伸肌运动点针刺, B组给予伸-屈肌交替运动点针刺, C组针刺肩髃、 臂臑、 手三里、 外关, D组针刺肩髃、 臂臑、 手三里、 外关、 尺泽、 内关。 以上肢表面肌电信号(Surface Electromyography, SEMG)特征值、 Fugl-Meyer 功能评定表及Barthel日常生活活动能力 (Activities of Daily Living, ADL) 指数评价各组治疗前后的患侧上肢运动功能。

结果

伸-屈肌交替运动点针刺可以使上肢SEMG的峰值(MAX)、 积分肌电值(Integrated Electromyogram, IEMG)、 Fugl-Meyer 运动功能分值、 Barthel ADL 指数明显提高。

结论

不同针刺部位治疗脑卒中后腕手运动功能疗效的影响不同。 伸-屈肌交替运动点针刺在临床治疗中疗效确切。

Abstract

Objective

To observe the effect of needling different points on functional reconstruction of wrist following cerebral apoplexy.

Methods

Forty apoplexy cases were randomly allocated into four groups, 10 in each. Cases in group A were treated by needling the extensor muscle motor points. Cases in group B were treated by needling alternating extensor-flexor muscle motor points. Cases in group C were treated by needling Jianyu (LI 15), Binao (LI 14), Shousanli (LI 10) and Waiguan (TE 5). Cases in group D were treated by needling Jianyu (LI 15), Binao (LI 14), Shousanli (LI 10), Waiguan (TE 5), Chize (LU 5) and Neiguan (PC 6). The motor functions of affected upper limbs were evaluated on the surface electromyography (SEMG), Fugl-Meyer function scale and Barthel ADL (Activities of Daily Living) indexes.

Results

Needling alternating extensor-flexor muscle motor points can significantly increase the peak value (MAX) of the upper limb SEMG, integrated electromyogram (IEMG), Fugl-Meyer motor function value and Barthel ADL indexes.

Conclusion

Needling different points may produce different effects on wrist function following cerebral apoplexy. Needling alternating extensor-flexor muscle motor points can obtain an exact treatment effect.