Clinical Research On Needling Antagonist Conbined With Rehabilitation Treatment For Post-stroke Patients With Spastic Hemiplegia

BackgroundStroke diseaseis currently is the most common diseases of acupuncture and rehabilitation in clinic. With the modern medical progress, about 78 percent to 88 percent of the stroke patients are survived and most of them are leaved the remaining functional impairment. Of which motor functional impairment caused by the muscular spasm is the main reason that the patients cannot regain the ability of independent life and going back to society. For a long time, the treatment for post-stroke patients with spastic hemiplegia is always the clinical difficult problem. ObjectivesAccording to modern medical principles of recovery,Across objectively observe the clinical efficacy on needling antagonist conbined with rehabilitation training for post-stroke patients with spastic hemiplegia, we assess its functionary mechanism, which can provide a new ideas and new methods for treating post-stroke patients with spastic hemiplegia.MethodsAccording to the simple random, we collectted 60 cases of the post-stroke patients with spastic hemiplegia consistent which were adapt to the inclusion standard and were divided into two groups. The treatment groud is used to the method of needling antagonist therapy and the comparison groud is used to the method of the traditional general acupuncture therapy.Two groups are used to rehabilitation training. The patients of the two groups are both treated by acupuncture therapy and rehabilitation training for a time everyday, five times of treatment a week, two days of test, four weeks for a course of treatment. After a course of treatment we use Meliorative Ashworth Standard (MAS), Simplified Fugl-Meyer Appraisement(SFMA) and Meliorative Barthel Index (MBI) asses the spasm state,the movement function and the daily life ability before and after treatment.ResultsThe clinical observation indicated that needling antagonist conbined with rehabilitation training and the traditional general acupuncture therapy combined with rehabilitation training both could noticeably heighten the spastic grade of Meliorative Ashworth Standard (MAS), the movement function grade of simplified Fugl-Meyer Appraisement(SFMA) and the grade of Ability of Daily Life(ADL) after the therapy. The comparison between bofore and after treatment is different observably inside the groud(P<0.05).There is no difference between two group before the therapy(p>0.05). There is difference between two group before the therapy (P<0.05). It shows that needling antagonist conbined with rehabilitation training is more superior to the traditional general acupuncture therapy combined with rehabilitation training in the part of improving muscular spasm,motion function and daily life ability. But according to the upper limb functionc index, the movement function of the two groups were improved, meanwhile, which of the treatment group was significantly improved than the comparison groud. The lower limbs function index of the two groups were improved after treatment, but there was no significant differences(P>0.05).In the part of improving spasm, in the treatment group,6 cases were cured basically,13 cases were remarkably improved,10 cases were effective, 1 case was ineffective; in the control group,2 cases were cured basically, 9 cases were remarkably improved,14 cases were effective,5 cases were ineffective. By rank sum test, there was significant difference of the statistical effects between the two groups (P<0.05), which indicated that the treatment group is superior to the control group in the curative effect.In the part of improving body motor function, in the treatment group, 10 cases were cured basically,14 cases were remarkably improved,2 cases were effective,4 case was ineffective; in the control group,5 cases were cured basically,11 cases were remarkably improved,6 cases were effective, 8 cases were ineffective. By rank sum test, there was significant difference of the statistical effects between the two groups (P<0.05), which indicated that the treatment group is superior to the control group in the curative effect.In the part of improving the activities of daily life, in the treatment group,23 cases were remarkably improved,6 cases were effective,1 cases were ineffective,0 case was worsened; in the control group,10 cases were remarkably improved,14 cases were effective,6 cases were ineffective,0 case was worsened. By rank sum test, there was significant difference of the statistical effects between the two groups (P<0.05), which indicated that the treatment group is superior to the control group in the curative effect.ConclusionsThe method of needling antagonist conbined with rehabilitation treatment can effectively relieve the muscular spasm, improve the recovery of suffering body motion and improve the ability of daily life.