| OBJECTIVE:To observe the clinical effects of electroacupuncture on Tendon junctions and electroacupuncture on conventional acupoints in patients with spastic paralysis of the upper extremity in the spastic stage after stroke,comparing the differences between the two.METHODS:The 64 patients with spastic paralysis after stroke who met the inclusion criteria were randomly divided into treatment group(electroacupuncture Tendon junctions group)(32 cases,Fall off 1 case)and control group(electroacupuncture conventional acupoints group)(32 cases,Fall off 2 cases).While both groups received basic acupuncture and conventional symptomatic support treatment,the treatment group received the extensor muscle on the side of electroacupuncture paralysis(Choose points: shoulder fixation joint,elbow extension node 1,elbow extension node 2,wrist extension finger node,thumb extension node and finger extension node),the control group was treated with conventional acupoints on the upper limb side of electroacupuncture paralysis(Choose points: Jianyu,Quchi,Quze,Shou Sanli,Hegu and Wangu).Treatment was given twice daily,6 days a week,at 1course for 1 week for 4 sessions.Before treatment,day 7,day 14,day 21,day28,symptom improvement was assessed by modified Ashworth Spasm Scale(MAS),simplified Fugl-Meyer Motor Function Scale(FMA)(upper extremity),shoulder and elbow Range of Motion(ROM),and modified Barthel Index Scale(MBI),the overall effectiveness of clinical therapy before and after intervention were compared with the change of MAS overall rating.RESULT:1.Intra-group comparison: There was no significant difference in the upper limb MAS rating between the two groups on the 7th day of treatment(p >0.05),and on the 14 th,21st and 28 th day of treatment,the patient’s upper limb MAS rating was lower than before treatment(p <0.05).FMA,MBI and ROM of shoulder and elbow joints of patients at 7,14,21 and 28 days of treatment were lower than before(p <0.05),and the improvement of each index between different observation points and the previous observation point was statistically significant(p <0.05).2.Comparison between the two groups: There were no differences in MAS and FMA between the treatment group and the control group at 7 and 14 days of intervention(p >0.05),and the improvement in MAS and FMA at 21 and 28 days was better than that in the control group at the same observation point(p <0.05).There was no difference in MBI and elbow ROM between the treatment group and the control group at 7 days of intervention(p >0.05),and the improvement of MBI and elbow ROM at 14,21 and 28 days was better than that of the control group at the same observation point(p <0.05).The improvement of shoulder ROM in the treatment group was better than that of the control group at the same observation point at 7 days of intervention and later(p <0.05).3.After 28 days of treatment,there were 5 cases of marked effect,18 cases of improvement,6 cases of effective and 2 cases of ineffective in the treatment group,and 2 cases of marked effect,8 cases of improvement,15 cases of effective and 5 cases of ineffective in the control group.The effective rate in the treatment group was 93.55% and 83.33% in the control group,and the difference between the two groups was statistically significant(p <0.05).CONCLUSION:1.Electroacupuncture via tendon junction therapy and electroacupuncture routine acupoint therapy have good effects on spasmodic paralysis of upper limbs in spastic period after stroke,and the former overall clinical effect is better..2.Electroacupuncture via tendon junction therapy and electroacupuncture conventional acupoint therapy for spasmodic paralysis of upper limbs spasmodic period after stroke,spasmodic state changes significantly in 14 days and later,in the treatment of 21 days and later,the former spasmodic state changes more significantly than the latter. |
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