Skip to main content
SpringerLink
Log in

Effect of warm joint needling plus rehabilitation on the balance function and quality of life of patients with spastic hemiplegia after ischemic cerebral stroke

关刺温针结合康复对缺血性脑卒中痉挛性偏瘫患者平衡功能及生活质量的影响

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

Abstract

Objective

To observe the effect of warm joint needling plus rehabilitation techniques on the balance function and quality of life (QOL) of patients with spastic hemiplegia after ischemic cerebral stroke.

Methods

Ninety patients with spastic hemiplegia after ischemic cerebral stroke were randomized into a rehabilitation group, a warm joint needling group and an observation group, with 30 cases in each group. The rehabilitation group was intervened by Bobath therapy, the warm joint needling group was treated with joint needling on the affected side plus warm needling, and the observation group was given the same rehabilitation treatment as the rehabilitation group together with the same warm joint needling as the warm joint needling group. The three groups were treated once another day, 1 month as a treatment course for 6 months. Before the treatment, and respectively after 2-week, 1-month, 3-month, and 6-month treatment, the modified Ashworth scale (MAS) was used to measure the anti-spasm ability of the lower limb, the Berg balance scale (BBS) was adopted to evaluate the balance function, and the stroke-specific quality of life scale (SS-QOL) was employed to estimate the QOL.

Results

After 3-month and 6-month treatment, the lower-limb MAS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group (all P<0.05). After 1-month, 3-month and 6-month treatment, the BBS scores in the observation group were significantly better than those in the rehabilitation group and the warm joint needling group (all P<0.05). After 2-week, 1-month, 3-month and 6-month treatment, the SS-QOL scores in the observation group were markedly better than those in the rehabilitation group and the warm joint needling group (all P<0.05).

Conclusion

Warm joint needling plus rehabilitation can effectively improve the lower‐limb spasticity state, balance function and QOL in patients with spastic hemiplegia after ischemic cerebral stroke.

摘要

目的

观察关刺温针结合康复技术对缺血性脑卒中后痉挛性偏瘫患者平衡功能和生活质量(QOL)的影响。

方法

将90例缺血性脑卒中痉挛性偏瘫患者, 随机分为康复组和关刺温针组和观察组, 每组30例。康复组采用Bobath康复技术治疗, 关刺温针组采用关刺患侧加温针灸治疗, 观察组采用与康复组相同的康复治疗, 同时采用与关刺温针组相同的关刺及温针灸治疗。3组均隔日治疗1次, 1个月为1个疗程, 共干预6个月。治疗前、治疗2周,及治疗1、3、6个月后用改良Ashworth痉挛量表(MAS)评估下肢抗痉挛情况, 用Berg平衡量表(BBS)评估平衡能力,用卒中专用生存质量量表(SS‐QOL)评估QOL。

结果

治疗3个月和6个月后, 观察组下肢MAS评分优于康复组和关刺温针组, 差异具有统计学意义(均P<0.05)。治疗1个月、3个月和6个月后, 观察组BBS评分优于康复组和关刺温针组, 差异有统计学意义(均P<0.05)。治疗2周、1个月、3个月和6个月后, 观察组SS‐QOL评分优于康复组和关刺温针组, 差异有统计学意义(均P<0.05)。

结论

关刺温针结合康复治疗可有效改善缺血性脑卒中后痉挛性偏瘫患者的下肢痉挛状态, 改善患者的平衡功能, 提高患者的QOL。

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. Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, Moran AE, Sacco RL, Anderson L, Truelsen T, O'Donnell M, Venketasubramanian N, Barker-Collo S, Lawes CMM, Wang W, Shinohara Y, Witt E, Ezzati M, Naghavi M, Murray C. Global and regional burden of stroke during 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet, 2014, 383(9913): 245–254.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Deng SY, Hu N, Lu X, Xi SY, Liu C, Bi S. Research on the effects of ankle stretch training on spasticity in patients with stroke: a randomized clinical trial. Zhongguo Kangfu Yixue Zazhi, 2015, 30(12): 1228–1233.

    Google Scholar 

  3. Zorowitz RD, Gillard PJ, Brainin M. Poststroke spasticity: sequelae and burden on stroke survivors and caregivers. Neurology, 2013, 80(Suppl 3): S45–S52.

    Article  PubMed  Google Scholar 

  4. Sommerfeld DK, Eek EU, Svensson AK, Holmqvist LW,von Arbin MH.Spasticity after stroke: its occurrence and association with motor impairments and activity limitations. Stroke, 2004, 35(1): 134–139.

    Article  PubMed  Google Scholar 

  5. Li S. Spasticity, motor recovery, and neural plasticity after stroke. Front Neurol, 2017, 8: 120.

    PubMed  PubMed Central  Google Scholar 

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

    Google Scholar 

  7. General Administration of Quality Supervision, Inspection and Quarantine of the People’s Republic of China, Standardization Administration of the People’s Republic of China. Nomenclature and Location of Acupuncture Points (GB/T 12346-2006). Beijing: Standards Press of China, 2006.

  8. Zhou JG, Fan JZ.Analysis of the effectiveness of Morse fall scale and Berg balance scale applied in the fall risk prediction for senile patients. Zhongguo Kangfu Yixue Zazhi, 2012, 27(2): 130–133.

    Google Scholar 

  9. Hui JR, Pei J, Song Y, Fu QH, Hui JP.Overview of research and application of patient-reported outcomes in stroke. Shanghai Zhongyiyao Daxue Xuebao, 2009, 23(4): 85–88.

    Google Scholar 

  10. Hui JR, Pei J, Wang YC, Hui JP, Fu QH, Song Y, Li HY, Liu ZD.Research analysis on stroke-specific quality of life (SS-QOL) scale of acupuncture intervention on stroke. Zhongguo Zhen Jiu, 2013, 33(4): 363–366.

    PubMed  Google Scholar 

  11. Liu J, Chen LF, Zhou J, Wang CY, Fang JQ.Efficacy on the range of motion of the lower limbs in patients of poststroke spasmodic paralysis regulated with multi-directional stimulation technique. Zhongguo Zhen Jiu, 2016, 36(10): 1013–1017.

    PubMed  Google Scholar 

  12. Liu ZM, Wei D. Research progress of acupuncturemoxibustion in treating spastic hemiplegia. Guangxi Zhongyiyao, 2015, 38(4): 12–14.

    CAS  Google Scholar 

  13. Burke D, Wissel J, Donnan GA.Pathophysiology of spasticity in stroke. Neurology, 2013, 80(Suppl 2): S20–S26.

    Article  PubMed  Google Scholar 

  14. Ellis MD, Schut I, Dewald JP.Flexion synergy overshadows flexor spasticity during reaching in chronic moderate to severe hemiparetic stroke. Clin Neurophysiol, 2017, 128(7): 1308–1314.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Zhang Y, Guo CQ.Study on joint needling. Shanghai Zhenjiu Zazhi, 2013, 32(7): 580.

    Google Scholar 

  16. He XH, Hu YH, Ke SH, Yang LF.Effect of Hui and Guan puncture and routine acupuncture method on cases with upper limb spasticity after stroke. Ningxia Yike Daxue Xuebao, 2013, 35(11): 1247–1249.

    Google Scholar 

  17. Wang N, Li ZF.Life quality improvement of spastic hemiplegia of stroke treated with fire needle: a randomized controlled trial. Zhongguo Zhen Jiu, 2015, 35(11): 1105–1109.

    PubMed  CAS  Google Scholar 

  18. Fang XH, Zhou WH, Chen LH, Zhou P. Effect of warming needle on the excitability of spinal motor neuron of patients with spastic hemiplegia due to stroke. Shanxi Zhongyi, 2014, 30(7): 34–35.

    CAS  Google Scholar 

  19. Fang XH, Zhou P, Zhou WH, Chen LH.Warm acupuncture in the treatment of spastic hemiplegia after stroke. Zhenjiu Linchuang Zazhi, 2011, 27(4): 50–51.

    Google Scholar 

  20. Yang AG, Yan XH, Zhao Y. Clinical observation of acupuncture plus Bobath therapy for motor dysfunction of core muscles in patients with post-stroke hemiplegia. Shanghai Zhenjiu Zazhi, 2015, 34(2): 105–108.

    CAS  Google Scholar 

  21. Yan RJ, Cheng B, Chen LS, Shen XY, Zong L. Clinical observation of relaxing needling plus joint needling from the Internal Medicine for post-stroke spastic hemiplegia. Shanghai Zhenjiu Zazhi, 2016, 35(8): 930–934.

    Google Scholar 

  22. Cai YF, Jia Z, He CX, You JS, Bai XX, Guo JW, Ou AH, Liang WX, Pei J, Huang Y, Huang PX.Multi-centered study of SS-QOL of Chinese version. Zhongguo Zhongyi Jichu Yixue Zazhi, 2007, 13(7): 551–553.

    Google Scholar 

Download references

Acknowledgments

This work was supported by Program of Health Commission of Pudong New Area, Shanghai (上海市浦东新区卫计委项目No. PW2014B-15); Shanghai New Star in Medical Field (上海市杏林新星, No. ZY3-RCPY-2-2077); Shanghai Academic Community of Leading Talents in Chinese Medicine (上海市中医药领军人才建设项目学术共同体, No. ZY3-RCPY-1-1001); Program of Chinese Medicine Development Office of Shanghai Health Commission ( 上海市卫计委中发办项目, No. 2014LQ030A); Program of Distinguished Young Scholars in Rehabilitation System of Shanghai Disabled Person’s Federation (上海市残联康复系统优青人才项目); Key Discipline (Stroke) Construction Program of Shanghai Pudong New Area [上海市浦东新区重点专科(中风专科)建设项目, No. PDZYXK-1-2014001]; Highland Discipline Construction Program of Shanghai University of Traditional Chinese Medicine (上海中医药大学高原学科建设项目); Chinese Medicine Inheritor Program of No.7 People’s Hospital Affiliated to Shanghai University of Traditional Chinese Medicine (上海中医药大学附属第七人民医院中医继承人项目).

Author information

Authors and Affiliations

  1. Shanghai No.7 People’s Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 200137, China

    Zhen-xiang Han  (韩振翔), Yi-xin Zhou  (周一心), Wen-jie Xu  (许文杰), Hong-lin Wang  (王宏林) & Jun Ling  (凌隽)

  2. Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437, China

    Li-li Qi  (祁丽丽) & Hong Zhang  (张宏)

  3. Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China

    Li-xi Chu  (褚立希)

Authors
  1. Zhen-xiang Han  (韩振翔)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Li-li Qi  (祁丽丽)
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yi-xin Zhou  (周一心)
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hong Zhang  (张宏)
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Li-xi Chu  (褚立希)
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Wen-jie Xu  (许文杰)
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Hong-lin Wang  (王宏林)
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Jun Ling  (凌隽)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Zhen-xiang Han  (韩振翔).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Han, Zx., Qi, Ll., Zhou, Yx. et al. Effect of warm joint needling plus rehabilitation on the balance function and quality of life of patients with spastic hemiplegia after ischemic cerebral stroke. J. Acupunct. Tuina. Sci. 16, 150–155 (2018). https://doi.org/10.1007/s11726-018-1041-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11726-018-1041-3

Keywords

关键词

中图分类号

文献标志码

Search

Navigation