The Effect Of Electro-acupuncture On Top Temporal Forward Slash In Improving Muscle Strength Of Paraplegia Lower Extremities

Objective:To verify the effect of electro-acupuncture on top temporal forward slash combines with rehabilitation training and explore a effective method for treating paraplegia through observing the strength improvement of tibialis anterior muscle and gastrocnemius after the combination treatment.Methods:This study is designed as a randomized controlled trial.There are in total44paraplegia patients and they are divided into treatment group and control group averagely and randomly. Besides the basic training, that is electro-acupuncture on yangming meridian acupoints combines rehabilitation training, the patients in the treatment group would accept electro-acupuncture on the upper1/5of top temporal forward slash, while the patients in the control group would take no other treatment. They accept the treatment once a day and a3-course treatment in total. Every course lasts30days. They would accept ASIA Motor function assessment, improved Barthel index and integrated electromyography (iEMG) measurement at the beginning of the research,30days after taking treatment,60days after taking treatment and the end of the treatment. Then we compare the two therapies of the improvement of tibialis anterior muscle and gastrocnemius strength through the test results.Results:1.The intragroup comparison:①The changes of ASIA Motor function assessment scores are of no statistical significance (P>0.05) at30days and60days after taking treatment in both groups while is of statistical significance^<0.05) at the end of the treatment.②The changes of improved Barthel index scores are of no statistical significance (P>0.05) at30days and60days after taking treatment in both, groups while is of statistical significance(P<0.05) at the end of the treatment.③The changes of bilateral tibialis anterior muscle iEMG at each time points in both groups are of statistical significance(P<0.05). The changes of the medial heads iEMG of bilateral tibialis anterior muscle after2months in treatment groups are of statistical significance(P<0.05), and so is the controlled group. The changes of the medial heads iEMG of bilateral tibialis anterior muscle after3months in both groups are of statistical significance(P<0.05). The changes of the lateral heads iEMG of right tibialis anterior muscle after1month in treatmnet groups are of statistical significance(P<0.05). The changes of the lateral heads iEMG of bilateral tibialis anterior muscle after2and3months in both groups are of statistical significance(P<0.05).2.The intergroup comparison:①the comparison of ASIA Motor function assessment scores at each time points is of no statistical significance (P>0.05).②the comparison of improved Barthel index scores at each time points is of no statistical significance (P>0.05).③the comparison of iEMG at each time points is of statistical significance(P<0.05).Conclusions:1.That electro-acupuncture on top temporal forward slash com-bines rehabilitation training could strengthen myodynamia.2.iEMG could measure the change of myodynamia at early stage.3.The mechanism of electro-acupuncture on top temporal forward slash might be that electro-acupuncture stimulates motor cortex reconstruction, which leads to intact descending neuron tracts play a compensatory role.