Clinical Observation On Treatment Of Point-pressing Antagonist Combined With Rehabilitation Therapy On Patients With Upper Limb Spasticity After Stroke

Objective:To compare the therapeutic effect of point-pressing antagonistic muscle combined with rehabilitation treatment and simple rehabilitation treatment on upper limb spasm after stroke,to investigate the clinical effect of point-pressing antagonistic muscle of abdomen on Patients with upper limb spasm after stroke,and to find a more effective method for the treatment of upper limb spasm after stroke.Methods:According to inclusion and exclusion criteria,a total of 72 patients with upper limb spasm after stroke were included,The 72 patients were divided into two groups by random number method,Control group is rehabilitation treatment(n=36):Bobath + Task Oriented Training+Functional Electrical Stimulation.Treatment group(n=36): point-pressing antagonistic muscle of abdomen based control group.Holding for 6s and then release for 5s,toally 3minutes.Occupational rehabilitation training time is 25 minutes every time,Functional Electrical Stimulation is 15 minutes every time.training 5times every week,totally 4 weeks in this study,all patients were assessed before and after treatment period,the evaluating items included:modified Ashworth scale(MAS)for the level of the upper limb,Fugle-Meyer assessment(FMA)for the upper limb,Barthel index score,surface electromyography before and after treatment.Results:(1)MAS:There was no significant difference between the two groups before treatment of MAS(P >0.05),indicating that the two groups are comparable.There was a significant difference between the two groups when compared before treatment(P <0.05),indicating that all two groups were treated with upper limbs spasticity can be improved.Comparing the twogroups,there is no significant difference between treatment group and control group(P> 0.05).(2)Barthel:There was no significant difference between the two groups before treatment of Barthel(P >0.05),There were extremely significant difference of the treatment group before and after treatment(P < 0.01),There were significant difference of the control group before and after treatment(P< 0.01),There were significant difference of the treatment group and control group(P< 0.01).(3)FMA: There was no significant statistical difference in upper limb Fugl-Meyer score before treatment between the two groups(P>0.05).Movement function score after treatment,the two groups compared with before treatment has the extremely significant difference(P < 0.01),the treatment group had significant difference compared with control group(P <0.01).(4)sEMG:sEMG score before and after treatment,there was no significant difference in sEMG value in the two groups before treatment(P>0.05),the two groups biceps RMS compared with before treatment has the extremely significant difference(P < 0.01),Two groups of biceps RMS difference comparison,there were statistic difference in treatment group and control group(P < 0.01),Compared with the two groups of triceps RMS,the two groups triceps RMS compared with before treatment has the extremely significant difference(P < 0.01),there were extremely significant statistic difference between treatment group and control group(P<0.01).Compared with iEMG of BB in the two groups,the two groups biceps iEMG compared with before treatment has the extremely significant difference(P <0.01),Compared with the two groups of triceps iEMG,there were extremely significant difference between treatment group and control group(P<0.01).Conclusions:1.Pressing the points of antagonistic muscles can effectively improve the daily living ability of patients,improve the upper limb movement function of patients,enhance the muscle strength of antagonistic muscles,and reduce the muscle tension of spastic muscles.2.sEMG can be used to measure the myoelectric activity of the active and antagonistic muscles of the hemiplegic side and Provide a reference for the evaluation of spasm after stroke.