Clinical Studies On Stroke Rehabilitation Spastic Hemiplegia Moxibustion Combined

Objective:To observe the effects of moxibustion combined with rehabilit-ation training on spasticity, motor function, activities of daily living (ADL), and the quality of life of spastic hemiplegia patients after stroke, to study the thera-peutic effects of moxibustion combined with rehabilitation training on spastic hemiplegia patients after stroke, to supply the evidence of effective therapy for its clinical application.Methods:1.Selection of subjects:68cases subjecting to inclusion criteria of spastic hem-iplegia after stroke were randomized into moxibustion combined with rehabi-litation training group (MRT group, N=36), and rehabilitation training group (RT group, N=32).2.Therapies:The basic treatment for the two groups including drugs for contro-lling blood pressure, blood sugar, and blood lipid, and the therapy for platelet agg-regation and neurotrophic. Based on this, give rehabilitation training for the pati-ents of two groups, and give moxibustion treatment for the patients of MRT group. The aupoint prescription is Jianyu(LI15),Quchi(LI11),ShouSanli(LI10),Wai-guan(TE5),Hegu(LI4),Yanglingquan(GB34),Zusanli(ST36),Xuanzhong(GB39), Sanyinjiao(SP6),and Zhongwan(CV12).Both the rehabilitation training and mox-ibustion treatment were given1times a day, the treatment were given5days a week,lasted for4weeks.3. Evaluation of therapeutic effect:Before treatment,2weeks and4weeks during the treatment,1month,3months,and6months after the treatment,impairment was evaluated by relevant scale function:impairment of spastic was evaluated with modified Ashworth scale (MAS) and Clinic spasticity index(CSI), motor function with Brunnstrom grade and simplified Fugl-Meyer Motor Scale(FMA),and the changes of the activities of daily living (ADL) with Barthel index(BI),the quality of life with Patient Reported Outcomes(PRO).Results:1. Compared to the baselineThere was no significant difference of age, course of disease, gender, ethn-icities, diagnosis(Western medicine), spasticity, motor function, activities of daily living (ADL), and the quality of life of spastic hemip-legia patients after stroke before the treatment(P>0.05).2. SpasticityThe results of CSI index and MAS (Modified Ashworth Scale) of the upper limbs, the hands, and the lower limbs were significantly improved at2weeks and4weeks during the treatment,1month,3months,and6months after the treatment(P <0.05).Comp-ared with the two groups the results of CSI index and MAS were significantly improved at each time points(P<0.05).3. Motor functionCompared with before, the results of Brunnstrom grade and simplified Fugl-Meyer Motor Scale(FMA) of the upper limbs, the hands, and the lower limbs were significantly improved at2weeks and4weeks during the treatment,1month,3months,and6months after the treatment(P<0.05). Compared with the two groups, the results of FMA were significantly improved at each time points(P<0.05); for the Brunnstrom grade of the upper limbs and the hands, there were significant differences at4weeks during the treatment,1month,3months after the trea-tment(P<0.05), and no differences2weeks during the treatment and6months after the treatment(P>0.05); there were significant differences of the the lower limbs at1month and3months after the treatment(P<0.05), and no differences at other time points(P>0.05).4. Activities of daily living (ADL) and the quality of lifeCompared with before treatment, there were significant differe-nces of BI index and PRO score at each time points (P<0.05). Compared with the two groups, the results of MRT group significantly better than the RT group at each time points (P<0.05)Conclusion:1. Both of the moxibustion and moxibustion combined with rehabilitation training treatments can relieve spasticity, promote the motion model recovery, improve the motor function, the activities of daily living, and the quality of life.2. Compared with the single rehabilitation treatment, to select the treatment of moxibustion combined with rehabilitation training can help the spastic hemiplegia patients after stroke reconstruct the normal movement model earlier. There is a synergetic effect of moxibustion and rehabilitation training in the therapy of spastic hemiplegia patients after stroke.