Observation Effects Of Needle Warming Moxibustion To Muscle And Tendon Therapy In Treating Post-stroke Spastic Shoulder Pain

Background:Stoke is a kind of frequently-occurring disease with high morbidity and mortality. The results of epidemiological investigation showed that about 1.5 million new stroke cases occur each year in our country. About 50-80% of the survivals have motor disturbance. The common complication of Hemiplegia was shoulder pain and its incidence was 9-40% in all the patients. Clinically, the patient often presents with shoulder severe pain。Post-stroke shoulder pain not only delayed the rehabilitation of upper limb function, but also affect severely the process of convalescence. At present post-stroke shoulder pain was treated with drugs, physiotherapy and surgical therapy. However these treatments exist different degree of adverse reactions and side effects. The evidence from randomized controlled trials so far confirmed that acupuncture therapy was effective on treatment shoulder pain after stroke and benefits for limb motor recovery. But the low-quality mechanism reduce the conclusion reliability.Further detail studies strictly are required. Our study was designed to evaluate the clinical effectiveness and safety of the needle warming moxibustion of muscle and tendon (test group) compared with routine acupuncture (control group), in treatment of post-stroke spastic shoulder pain.Objective: This study was designed to evaluate the clinical effectiveness and safety of needle warming moxibustion of muscle and tendon in treatment of post-stroke spastic shoulder pain.Methods:In the prospective single blind clinical controlled study,60 patients with post-stroke shoulder pain were divided randomly into two groups, and there were 30 neonates in each group. The test group apply needle warming moxibustion of muscle and tendon, and the control group were given routine acupuncture therapy. Both group apply the conventional rehabilitation intervention and medicine for stroke prevention. Measure the range of shoulder motion, Ashworth and Barthel at different intervals before and after treatment. And evaluate VAS every day during the treatment. Rusults:The results showed that both groups improved after treatment. The VAS, range of shoulder motion and Barthel of test group and control group after treatment compared with before treatment were significantly different(P<0.01). The VAS, range of shoulder motion and Ashworth score of the test group is significant than that of the control group (P<0.01). During the treatment, no adverse reaction was occurred in all patients.Conclusion:the needle warming moxibustion of muscle and tendon therapy is a safe and effective method for treating post-stroke spastic shoulder pain.