Flexor And Extensor Alternation Of Acupoint Stimulation In Improving Upper Limb Function Of Stroke Patient Spasm Stage

Objective:Based on the application of modified Ashworth spasticity scale objective evaluation of upper limb dysfunction after spasm stage of relatively low frequency flexion and extension muscle alternating effect of acupoint electric stimulation and intermediate frequency therapy to improve upper limb dysfunction after spasm stage of treatment optimization to provide new ideas for clinical.Method:We selected60cases of patients with upper motor dysfunction spasticity after stroke. They were divided into the treatment group and the control group,30cases in each group. They were routine treatment of stroke. Control group: the intermediate frequency therapy. Acupoints:Shousanli, Waiguan, Neiguan, Ximen, Daling, Yuji.1times a day, every time20minutes. For6days,1days of rest, a total of28days treatment. Treatment group:the flexion and extension muscle alternating electric acupoint stimulation therapy. Acupoints: Shousanli, Waiguan, Neiguan, Ximen, Daling, Yuji. Patients in the treatment group according to the modified Ashworth spasticity scale, the patients were divided into A, B, C, D four layer, A layer (flexor and extensor muscle stimulation time1:1) for spasticity I、 I+level, B layer (flexor and extensor muscle stimulation time1:2) for spasticity grade II, C layer (flexor and extensor muscle stimulation time1:3) for spasticity grade III, D layer (flexor and extensor muscle stimulation time1:1) for spasticity grade IV; A, B, C layer strength so that patients appear back extension, wrist flexor, gripping action is appropriate. The stimulus intensity D layer to the extensor appeared the dorsiflexion action is appropriate, of the current through, but does not have the corresponding action, in order to prevent the aggravation of spasticity. In7th days,14th days,21th days for patients with modified Ashworth spasticity scale, make corresponding adjustment layers within treatment groups according to the evaluation in patients with muscular tension.1times a day, every time20minutes. For6days,1days of rest, a total of28days treatment. Before and after the treatment, evaluation of the surface EMG signal acquisition, Lovett grading of muscle strength, the modified Ashworth spasticity scale, ROM measurement, Fugl-Meyer evaluation method and ADL index. Analysis of the application of the SPSS13.0statistics software, measurement data using test.Result:1before treatment, compared two groups of patients in terms of age, sex, course of disease, no significant difference, suggesting that the general data are basically the same, the two groups were comparable. Before treatment, the indexes including the surface EMG signal, Lovett score, Ashworth, ROM, Fugl-Meyer and ADL by comparison, no significant difference, comparable.2after treatment, two groups of patients with upper limb sEMG of MAX, IEMG were lower than before treatment, there were significant differences (P<0.05), the treatment group sEMG MAX, group IEMG had significant difference compared with the control (P<0.05), the treatment group than the control group.3after treatment, two groups of upper limb in patients with Lovett, Ashworth, ROM, Fugl-Meyer, ADL were lower than those before treatment, there were significant differences (P<0.05), and the treatment group the ipsilateral Lovett, Ashworth, ROM, Fugl-Meyer, ADL than in the control group were significantly different (P<0.05), the treatment group than the control group.4the total effective rate of treatment group was93.33%, the total effective rate of the contral group was66.67%, significantly higher than that of control group.Conclusion:1flexor and extensor muscle of alternating electric acupoint stimulation to improve stroke patients with upper limb muscle strength, improve motor function and the activity of daily living ability, so as to improve the quality of life of patients.2flexor and extensor muscle of alternating electric acupoint stimulation to improve stroke patients with upper limb muscle tension, prevent disuse atrophy shrink age.3flexor and extensor muscle alternating electric acupoint stimulation promote clinically individualized treatment for stroke in the motor dysfunction in patients with upper limb rehabilitation.