A Clinical Study Of Electroacupuncture Combined With Rehabilitation Training In The Treatment Of Shoulder-hand Syndrome Of Post-Stroke

Objective : Through clinical research, systematic observation effect of electroacupuncture combined with rehabilitation training on upper limb motor function,paining degree,palm swelling level,shoulder joint and metacarpophal angeal joint from mobility, activities of daily living in the patients with shoulder-hand syndrome of post-stroke. To study the therapeutic effects of electroacupuncture combined with rehabilitation training on shoulder hand syndrome of post-stroke.Method:Screening of clinical shoulder-hand syndrome of post-stroke 92 patients, 30 cases were randomly divided into electroacupuncture group, rehabilitation training group 31 cases of 31 patients with the electroacupuncture combined with rehabilitation training group. Three groups of patients were six times a week, four weeks of treatment for 1 of treatment. Patients in the electroacupuncture group were treated only with electroacupuncture, patients in the rehabilitation training group were treated only with rehabilitation training, and the patients in electroacupuncture combined with rehabilitation training group were treated with both acupuncture and rehabilitation training. The three groups were evaluated before treatment and after the whole treatment course. Upper 1imb motor function was evaluated by Simplified Fugl-Meyer Assessment(FMA),pain degree and palm swelling level was evaluated by VisualAnalogueSeale(VAS),Shoulder joint activity was measured by protractor, metacarpophalangeal joint from mobility was scored by thumb pointed with palm at a distance,activity of daily Iiving was evaluated by. improved Barthel index (MBI) . The comprehensive effect was evaluated after the treatment course. Result: The total effective rate is 93.55% in the electroacupuncture combined with rehabilitation group , 83.33 % in the electroacupuncture group and 67.74%in the rehabilitation group.Using electroacupuncture combined with rehabilitation training on total effective rate, upper limb motor function ,paining degree ,palm swelling level,shoulder joint and metacarpophalangeal joint from mobility is superior to electroacupuncture group and rehabilitation group, has a very significant difference (P<0.01). And in the improvement of shoulder pain and palm swelling level,the electroacupuncture group is better than rehabilitation group (P<0.01). Activities of daily living of the improved, three groups compared the non-significance difference (P>0.05). Conclusions: The E1ectroacupuncture and rehabilitation can relieve pain and swelling effectually on treating Shou1der-hand Syndrome of post-stroke.This method was able to improve range of motion effect, can alleviate cramps, increase in upper limb motor function, shoulder, finger joint activity to promote post-stroke function recovery.The electroacupuncture combined with rehabilitation is superior to electroacupuncture group and rehabilitation group。...