Effect Of Acupuncture Bladder Meridian Points On The Function Of Ankle Dorsiflexion In Stroke Patients With Hemiplegia

Objective:This paper observes acupuncture Meridian points and the rehabilitation medicine therapies effect the function of ankle dorsiflexion on stroke hemiplegia. To the objective indicators of the surface EMG assessment, through observation of acupuncture bladder Meridian points on the impact of stroke patients with hemiplegia ankle dorsiflexion function to provide an effective integrated rehabilitation therapy for clinical in order to reduce the sequelae of patients, and give full play to the paralyzed limb residual features to improve the quality of life.Methods:Sixty of stroke patients were randomly divided into two groups, treatment group and control group. The treatment group received acupuncture bladder Meridian points therapy. Through the acupuncture treatment, given rehabilitation training at the same time, the control group was given the same rehabilitation training. The two groups of patients in the Department of Neurology, General symptomatic and supportive treatment on the basis of rehabilitation training are useful. Treatments are six times a week, after six weeks of a course of treatment. Before and after, evaluation of a course is the motor function of patients with ankle and related muscle sEMG signal. Analysis and evaluation of results, the efficacy between the two groups were compared using statistical methods.Results:1.Motor function assessment:After a course of treatment, the treatment group and control group before and after treatment motor function score difference was statistically significant after treatment (P<0.001) between the two groups were significantly different (P <0.05), treatment group The rating scores improve even more.2.Surface iEMG (electromyography iEMG), synergistic contraction rate (CR) Before treatment, the position corresponding to surface electromyography indicators between the two groups showed no significant statistical difference (P>0.05), were comparable.(1) Comparison within each group after the treatment:1. Supine position:Treatment group, the contralateral anterior tibial muscle, the gastrocnemius iEMG value before treatment showed no significant difference (P>0.05). Ipsilateral tibialis anterior muscle, the gastrocnemius iEMG value before treatment there was significant difference (P<0.001). Ipsilateral tibialis anterior muscle iEMG with pre-treatment significant difference (P<0.05), ipsilateral gastrocnemius iEMG before treatment have a very significant statistical difference (P<0.001), ipsilateral synergistic shrinkage CR before treatment there was a significant difference (P<0.05)2. Sit-stand transfer position:Treatment groups:health, ipsilateral tibial anterior muscle contralateral gastrocnemius iEMG value before treatment was statistically significant (P<0.05), ipsilateral gastrocnemius iEMG value before treatment was significantly statistically difference (P<0.001) in the control group:health, the ipsilateral tibialis anterior muscle, contralateral gastrocnemius iEMG value before treatment was statistically. Ipsilateral gastrocnemius iEMG value before treatment is very significant statistically difference (P<0.001).3.At the position of standing balance:Treatment groups:contralateral tibialis anterior muscle, the gastrocnemius iEMG value before treatment compared with a significant difference (P<0.05), ipsilateral tibialis anterior, gastrocnemius iEMG value before treatment have a very significant difference (P<0.001). Control group:the contralateral contralateral tibialis anterior muscle, the gastrocnemius iEMG values and treatment before the more significant difference (P<0.05), ipsilateral tibialis anterior, gastrocnemius iEMG value before treatment is very significant difference (P<0.001).(2) The comparison between the two groups after treatment:1. Supine position:the treatment group and control group ipsilateral tibialis anterior muscle, the gastrocnemius iEMG value was statistically significant (P<0.05). Ipsilateral leg muscles co-contraction rate between the two groups was statistically significant (P<0.001).2. Sit-stand transfer position:treatment and control groups ipsilateral tibialis anterior muscle, the gastrocnemius iEMG value before treatment was statistically significant (P<0.05).3. The position of standing balance:the treatment group and control group ipsilateral anterior tibial muscle iEMG values compared very significant difference (P<0.001). Ipsilateral gastrocnemius iEMG value for the treatment and control groups showed no significant difference (P>0.05).Conclusion: Acupuncture the bladder Meridian points combined with rehabilitation training can inhibit gastrocnemius spasm, and enhance the tibialis anterior strength when ankle dorsiflexion, improve the function of ankle dorsiflexion, and then speed up the restore function in patients with walking, catching the high quality of life of patients.