Skip to main content

Advertisement

SpringerLink
Log in

Clinical observation of acupuncture plus Frenkel exercises for ataxia after cerebral stroke

针刺加Frenkel 训练法治疗脑卒中后共济失调的临床观察

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

Abstract

Objective

To observe the clinical efficacy of mind-refreshing and balance-restoring needling method combined with Frenkel exercises in treating ataxia after cerebral stroke.

Methods

The recruited 120 patients were randomized into an observation group and a control group, with 60 cases in each group. The control group was intervened by mind-refreshing and balance-restoring needling method, while the observation group was given additional lower-limb Frenkel exercises. Before and after treatment and at the follow-up, the ataxic lower-limb function was scored using Berg balance scale (BBS) and international cooperative ataxia rating scale (ICARS), and Barthel index (BI) was adopted to score the activities of daily living (ADL).

Results

After treatment, the markedly effective rate was 70.2% and the total effective rate was 96.5% in the observation group, versus 39.7% and 87.9% in the control group, and the differences in the markedly effective rate and the total effective rate were statistically significant (P<0.01, P<0.05). The intra-group comparisons showed that the BBS, ICARS and BI scores after treatment and at the follow-up were significantly different from those before treatment in both groups (all P<0.01). There were significant differences in the BBS score between the two groups after treatment and at the follow-up (P<0.05, P<0.01); the between-group differences in the ICARS and BI scores were statistically insignificant after treatment (both P>0.05), while the between-group differences in the ICARS and BI scores were statistically significant at the follow-up (both P<0.05). The interaction effects between the scoring time of BBS and BI and the group factor were statistically significant (P<0.01, P<0.05).

Conclusion

Mind-refreshing and balance-restoring needling can effectively improve the lower-limb ataxic symptoms and ADL after stroke; when combined with Fenkel exercises, this needling method can produce more significant efficacy.

摘要

目的

观察“醒神调衡法”针刺结合Frenkel训练法治疗脑卒中后共济失调的临床疗效.

方法

将纳入的120 例患者随机分为观察组和对照组, 每组60例。对照组采用“醒神调衡法”针刺治疗, 观察组在对照组的基础上配合 下肢Frenkel训练。治疗前后及随访时均采用Berg平衡量表(BBS)、世界神经病联合会国际合作共济失调量表(ICARS) 进行共济失调下肢功能评分; 采用Barthel指数(BI)进行日常生活能力(ADL)评分.

结果

治疗后, 观察组显效率为 70.2%, 总有效率为96.5%, 对照组分别为39.7%和87.9%, 两组显效率和总有效率差异均有统计学意义 (P<0.01, P<0.05)。两组组内比较, 治疗后及随访时BBS、ICARS和BI评分均与本组治疗前有统计学差异(均 P<0.01) 。治疗后 和随访时两组BBS评分差异均有统计学意义(P<0.05, P<0.01); 治疗后两组ICARS和BI评分差异均无统计学意义(均 P>0.05); 随访时两组ICARS和BI评分差异均有统计学意义(均P<0.05)。两组BBS和BI评分时间和组别交互作用有统 计学意义(P<0.01, P<0.05).

结论

“醒神调衡法”针刺可有效改善中风后下肢共济失调症状和ADL; 且“醒神调衡 法”针刺结合Frenkel训练有一定的增效作用.

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. Jiang N, Cao M. Clinical study of Xingqi Huoxue Huatan prescription for posterior circulation ischemic vertigo. Guangzhou Zhongyiyao Daxue Xuebao, 2019, 36(4): 462–465.

    Google Scholar 

  2. Wei Y, Long WL, Ling JW, He H, Ban ZJ, Jiang H, Huang J, Liang LJ, Liu XH. Zhen Gan Xi Feng decoction combined with western medicine and rehabilitation training for lower-limb dysfunction due to ataxia after stroke. Guangxi Yike Daxue Xuebao, 2018, 35(2): 201–204.

    Google Scholar 

  3. Belas Dos Santos M, Barros de Oliveira C, Dos Santos A, Garabello Pires C, Dylewski V, Arida RM. A comparative study of conventional physiotherapy versus robot-assisted gait training associated to physiotherapy in individuals with ataxia after stroke. Behav Neurol, 2018, 2018: 2892065.

    Article  Google Scholar 

  4. Kong J, Cai D. Clinical therapeutic effects on post-stroke cerebellar ataxia treated with the cluster needling technique at subcutaneous area. Shijie Zhongxiyi Jiehe Zazhi, 2018, 13(1): 52–54, 58.

    Google Scholar 

  5. Zhang ZW. Clinical observation of electrical nape acupuncture plus scalp acupuncture for post-stroke cerebellar ataxia. Zhongguo Yejin Gongye Yixue Zazhi, 2018, 35(2): 164–165.

    Google Scholar 

  6. Zhou B, Jin Y, Cao L. Ten cases of cerebellar ataxia treated with scalp acupuncture plus abdominal acupuncture. Shiyong Zhongyiyao Zazhi, 2017, 33(11): 1315–1316.

    Google Scholar 

  7. Bonni S, Ponzo V, Caltagirone C, Koch G. Cerebellar theta burst stimulation in stroke patients with ataxia. Funct Neurol, 2014, 29(1): 41–45.

    PubMed  PubMed Central  Google Scholar 

  8. Teixeira MJ, Cury RG, Galhardoni R, Barboza VR, Brunoni AR, Alho E, Lepski G, Andrade DC. Deep brain stimulation of the dentate nucleus improves cerebellar ataxia after cerebellar stroke. Neurology, 2015, 85(23): 2075–2076.

    Article  Google Scholar 

  9. Benussi A, Koch G, Cotelli M, Padovani A, Borroni B. Cerebellar transcranial direct current stimulation in patients with ataxia: a double-blind, randomized, sham-controlled study. Mov Disord, 2015, 30(12): 1701–1705.

    Article  Google Scholar 

  10. Lu ZY, Wang ZY. Therapeutic efficacy of functional electrical stimulation plus occupational therapy for cerebellar ataxia after acute cerebellar infarction. Zhongguo Yiyao Zhinan, 2016, 14(1): 151.

    Google Scholar 

  11. Bultmann U, Pierscianek D, Gizewski ER, Schoch B, Fritsche N, Timmann D, Maschke M, Frings M. Functional recovery and rehabilitation of postural impairment and gait ataxia in patients with acute cerebellar stroke. Gait Posture, 2014, 39(1): 563–569.

    Article  Google Scholar 

  12. Ji RX, Chen WH, Qi Q. Study of proprioceptive training in motor function rehabilitation. Kangfu Xuebao, 2017, 27(2): 53–58.

    Google Scholar 

  13. Liu M, He ML. Chinese guidelines on the diagnosis and treatment of acute ischemic stroke 2014. Zhonghua Shenjingke Zazhi, 2015, 48(4): 246–257.

    Google Scholar 

  14. China Association of Chinese Medicine. Guidelines on Diagnosis and Treatment of Common Diseases in Internal Medicine of Traditional Chinese Medicine. Beijing: China Press of Traditional Chinese Medicine, 2008: 56–62.

    Google Scholar 

  15. Farias da Guarda SN, Cohen LG, da Cunha Pinho M, Yamamoto FI, Marchiori PE, Scaff M, Conforto AB. Interhemispheric asymmetry of corticomotor excitability after chronic cerebellar infarcts. Cerebellum, 2010, 9(3): 398–404.

    Article  Google Scholar 

  16. Kim WS, Jung SH, Oh MK, Min YS, Lim JY, Paik NJ. Effect of repetitive transcranial magnetic stimulation over the cerebellum on patients with ataxia after posterior circulation stroke: a pilot study. J Rehabil Med, 2014, 46(5): 418–423.

    Article  Google Scholar 

  17. Wang Y, Shi XM. Study on treatment on ataxia applying acupuncture on posterior cranial fossa and Neiguan (PC 6) and Shuigou (GV 26) as the main points. Shijie Zhongyiyao, 2014, 9(5): 632–633.

    Google Scholar 

  18. Holdefer RN, Miller LE, Chen LL, Houk JC. Functional connectivity between cerebellum and primary motor cortex in the awake monkey. J Neurophysiol, 2000, 84(1): 585–590.

    Article  CAS  Google Scholar 

  19. Wang SY, Qian HL, Du R, Zhang XL, Zhou ZB, Jiang X. Therapeutic observation of acupuncture in treating vertebrobasilar ischemia. Shanghai Zhenjiu Zazhi, 2015, 34(9): 818–821.

    Google Scholar 

  20. Afrasiabifar A, Karami F, Najafi Doulatabad S. Comparing the effect of Cawthorne-Cooksey and Frenkel exercises on balance in patients with multiple sclerosis: a randomized controlled trial. Clin Rehabil, 2018, 32(1): 57–65.

    Article  Google Scholar 

Download references

Acknowledgments

This work was supported by Special Research Project for National Clinical Research of Traditional Chinese Medicine, National Administration of Traditional Chinese Medicine (国家中医药管理局国家中医临床研究基地业务建设科研专项, No. JDZX2012135).

Author information

Authors and Affiliations

  1. First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, China

    Hai Lu  (鲁海), Chun-hong Zhang  (张春红), Wei-jing Bai  (白玮婧), Xue-song Ren  (任雪松), Bo Zhang  (张博), Li Wang  (王丽), Zhen-zhen Wang  (王珍珍) & Lian-zhong Wu  (武连仲)

  2. Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China

    Hai Lu  (鲁海) & Zhen-zhen Wang  (王珍珍)

  3. Academic Experience Inheritance Studio of National Famous Chinese Medicine Practitioners Wu Lian-zhong, Tianjin, 300381, China

    Chun-hong Zhang  (张春红) & Lian-zhong Wu  (武连仲)

  4. Academic Experience Inheritance Studio of Master of Traditional Chinese Medicine Shi Xue-min, Tianjin, 300381, China

    Chun-hong Zhang  (张春红) & Xue-song Ren  (任雪松)

  5. National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin, 300381, China

    Chun-hong Zhang  (张春红), Wei-jing Bai  (白玮婧), Xue-song Ren  (任雪松), Bo Zhang  (张博), Li Wang  (王丽) & Lian-zhong Wu  (武连仲)

  6. Tianjin Academy of Traditional Chinese Medicine Affiliated Hospital, Tianjin, 300120, China

    Zhi-long Zhang  (张智龙)

  7. Tianjin Hospital of Integrated Traditional Chinese and Western Medicine, Nankai Hospital, Tianjin, 300100, China

    Fan-zheng Meng  (孟凡征)

Authors
  1. Hai Lu  (鲁海)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chun-hong Zhang  (张春红)
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Wei-jing Bai  (白玮婧)
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Xue-song Ren  (任雪松)
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Bo Zhang  (张博)
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Zhi-long Zhang  (张智龙)
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Fan-zheng Meng  (孟凡征)
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Li Wang  (王丽)
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Zhen-zhen Wang  (王珍珍)
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Lian-zhong Wu  (武连仲)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chun-hong Zhang  (张春红).

Additional information

Conflict of Interest

The authors declare that there is no conflict of interest.

Statement of Informed Consent

Informed consent was obtained from all individual participants.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lu, H., Zhang, Ch., Bai, Wj. et al. Clinical observation of acupuncture plus Frenkel exercises for ataxia after cerebral stroke. J. Acupunct. Tuina. Sci. 18, 359–366 (2020). https://doi.org/10.1007/s11726-020-1202-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11726-020-1202-z

Keywords

关键词

中图分类号

文献标志码

Search

Navigation