A Study Of The Effect Of Rehabilitation And Electro-acupuncture On The Musculi Tibialis Anterior Motor Point To Strengthen Muscle Force After Incomplete Spinal Cord Injury

object:To testify the effect of electro-acupuncture on motor points and provide a new acupuncture therapy for incomplete spinal cord injury through observing the effect of electro-acupuncture on musculi tibialis anterior motor point of incomplete spinal cord injury patients to improve the musculi tibialis anterior myodynamia.Method:This study is designed as a randomized controlled trial. There are in total48musculi tibialis anterior from24patients were included. They are divided into treatment group and control group averagely and randomly. Besides the basic rehabilitation training, the patients in the treatment group would take electro-acupuncture on yangming meridian acupoints and musculi tibialis anterior motor point and the patients in the control group would take electro-acupuncture on yangming meridian acupoints and a non-motorpoint acupoint. They took those treatment once a day and30days in total. They would take ASIA test, manual muscle test(MMT), ankle range of motion (ROM)measurement, integrated electromyography (iEMG) measurement at the beginning of the research,10days after taking treatment,20days after taking treatment and30days after taking treatment. Then we made comparison of the two kind of therapy in improving the musculi tibialis anterior myodynamia by comparing the test results.Result:The intragroup comparison of the change of tibialis anterior MMT, ankle ROM and ASIA test is of no statistical significance (P>0.05) at10days,20days and30days after taking treatment in both groups. The intergroup comparison of the change of tibialis anterior MMT, ankle ROM and ASIA test is of no statistical significance(P>0.05) at10days,20days and30days after taking treatment. The intragroup comparison of both groups and intergroup comparison of the change of tibialis anterior iEMG is of statistical significance(P<0.05) at10days,20days and30days after taking treatment. The treatment group has better effect than the control group.Conclusion:1. That electro-acupuncture on motor points combines rehabilitation training could strengthen myodynamia.2. iEMG could measure the change of myodynamia before visible or touchable changes occur.3. The mechanism of electro-acupuncture on motor points to strengthen muscle force might be that effective afferent stimulates the neuron task-dependent reconstruction, which could also stimulate the central pattern generator to reactivate reconstruction of spinal cord neuron.