Objective： To observe the clinical efficacy of acupuncture plus motor therapy for postapoplectic spastic hemiplegia and provide reference for rehabilitation care of patients with spastic hemiplegia after stroke. Meth...Objective： To observe the clinical efficacy of acupuncture plus motor therapy for postapoplectic spastic hemiplegia and provide reference for rehabilitation care of patients with spastic hemiplegia after stroke. Methods： A total of 87 cases with postapoplectic spastic hemiplegia were randomly allocated into a treatment group and a control group. Patients in both groups received basic treatments to control blood pressure, blood sugar, blood fat and improve circulation. The 43 cases in the treatment group received acupuncture combined with motor therapy, whereas the 44 cases in the control group received motor therapy alone（same as the treatment group）. The treatment was conducted once a day, for a total of 3 sessions. One session consisted of 10 times and there was a 1-day interval between two sessions. Then the changes in modified Ashworth scale（MAS） score and Fugl-Meyer assessment scale（FMA） score and clinical efficacy were observed. Results： After treatment, the MAS scores were significantly decreased in both groups, showing intra-group statistical differences（P〈0.01）. The MAS score in the treatment group was significantly lower than that in the control group, showing a between-group statistical difference（P〈0.01）. The total effective rate was 69.8% in the treatment group, versus 45.5% in the control group, showing a between-group statistical difference（P〈0.05）. After treatment, the FMA scores were significantly increased in both groups, showing intra-group statistical differences（P〈0.01）; and the FMA score in the treatment group was significantly higher than that in the control group, showing a between-group statistical difference（P〈0.05）. Conclusion： Acupuncture combined with motor therapy is better than motor therapy alone in alleviating postapoplectic limb spasticity, improving the limb motor function and increasing the activities of daily living（ADL）.展开更多
Objective:To compare the effect of scalp acupuncture and scalp acupuncture plus acupuncture exercise therapy(AET)on walking ability in children with spastic cerebral palsy(CP).Methods:A total of 60 spastic CP children...Objective:To compare the effect of scalp acupuncture and scalp acupuncture plus acupuncture exercise therapy(AET)on walking ability in children with spastic cerebral palsy(CP).Methods:A total of 60 spastic CP children with gross motor function classification system(GMFCS)gradesⅠ-Ⅲwere divided into a control group and an observation group by the random number table method,with 30 cases in each group.Both groups were treated with the same conventional rehabilitation and scalp acupuncture therapy for CP.The control group received conventional rehabilitation first and then scalp acupuncture.The observation group received AET,which was to receive the conventional rehabilitation and scalp acupuncture simultaneously.Before and after treatment,the clinical efficacy was evaluated by the modified Ashworth scale(MAS)score,scores of dimensions D and E of the gross motor function measure(GMFM)scale,walking speed,and walking distance.Results:During treatment,there were 2 dropouts in the observation group.After 3 courses of treatment,the MAS scores in both the control group and observation group decreased compared with the same group before treatment(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance were increased(P<0.05);the between-group comparison showed that the MAS score in the observation group was lower than that in the control group(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance in the observation group were higher or longer than those in the control group(P<0.05).Conclusion:W ith the same treatments,scalp acupuncture combined with AET is superior to the conventional scalp acupuncture method in reducing lower-limb muscle tone,improving standing balance ability,and walking stability in children with spastic CP.展开更多
Objective： To observe the effect of Governor Vessel-unblocking and mind-refreshing acupuncture plus functional training on neural development in infants with brain damage and seek an effective method for early interv...Objective： To observe the effect of Governor Vessel-unblocking and mind-refreshing acupuncture plus functional training on neural development in infants with brain damage and seek an effective method for early intervention of infantile brain damage. Methods： Eighty infants with brain injury were recruited and allocated to a treatment group and a control group by their visiting sequence, with 40 cases in each group. The control group received exercise training, 40 min each session and 6 sessions a week, and tuina treatment, 30 min each time and 6 times a week. Based on the treatment protocol for the control group, the treatment group additionally received Governor Vessel-unblocking and mind-refreshing acupuncture, 3 times a week and 10 sessions as a course at a 2-week interval. Before the treatment and after 14-week treatment, the gross motor function measure （GMFM） and developmental quotient （DQ） of Bejing Gesell developmental scale were used to evaluate the development of the infants. Results： After the treatment, the GMFM score and DOs of Gesell scale all increased by different levels in the two groups, and the intra-group differences were statistically significant （all P〈0.05）; the scores of the treatment group were superior to those of the control group, and the between-group differences were statistically significant （all P〈0.05）. Conclusion： Governor Vessel-unblocking and mind-refreshing acupuncture plus functional training can significantly promote the development of gross motor and cognitive functions in infants with brain damage, and it is an early and effective intervention for infantile brain damage.展开更多
文摘Objective： To observe the clinical efficacy of acupuncture plus motor therapy for postapoplectic spastic hemiplegia and provide reference for rehabilitation care of patients with spastic hemiplegia after stroke. Methods： A total of 87 cases with postapoplectic spastic hemiplegia were randomly allocated into a treatment group and a control group. Patients in both groups received basic treatments to control blood pressure, blood sugar, blood fat and improve circulation. The 43 cases in the treatment group received acupuncture combined with motor therapy, whereas the 44 cases in the control group received motor therapy alone（same as the treatment group）. The treatment was conducted once a day, for a total of 3 sessions. One session consisted of 10 times and there was a 1-day interval between two sessions. Then the changes in modified Ashworth scale（MAS） score and Fugl-Meyer assessment scale（FMA） score and clinical efficacy were observed. Results： After treatment, the MAS scores were significantly decreased in both groups, showing intra-group statistical differences（P〈0.01）. The MAS score in the treatment group was significantly lower than that in the control group, showing a between-group statistical difference（P〈0.01）. The total effective rate was 69.8% in the treatment group, versus 45.5% in the control group, showing a between-group statistical difference（P〈0.05）. After treatment, the FMA scores were significantly increased in both groups, showing intra-group statistical differences（P〈0.01）; and the FMA score in the treatment group was significantly higher than that in the control group, showing a between-group statistical difference（P〈0.05）. Conclusion： Acupuncture combined with motor therapy is better than motor therapy alone in alleviating postapoplectic limb spasticity, improving the limb motor function and increasing the activities of daily living（ADL）.
文摘Objective:To compare the effect of scalp acupuncture and scalp acupuncture plus acupuncture exercise therapy(AET)on walking ability in children with spastic cerebral palsy(CP).Methods:A total of 60 spastic CP children with gross motor function classification system(GMFCS)gradesⅠ-Ⅲwere divided into a control group and an observation group by the random number table method,with 30 cases in each group.Both groups were treated with the same conventional rehabilitation and scalp acupuncture therapy for CP.The control group received conventional rehabilitation first and then scalp acupuncture.The observation group received AET,which was to receive the conventional rehabilitation and scalp acupuncture simultaneously.Before and after treatment,the clinical efficacy was evaluated by the modified Ashworth scale(MAS)score,scores of dimensions D and E of the gross motor function measure(GMFM)scale,walking speed,and walking distance.Results:During treatment,there were 2 dropouts in the observation group.After 3 courses of treatment,the MAS scores in both the control group and observation group decreased compared with the same group before treatment(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance were increased(P<0.05);the between-group comparison showed that the MAS score in the observation group was lower than that in the control group(P<0.05),and the scores of dimensions D and E of the GMFM,walking speed,and walking distance in the observation group were higher or longer than those in the control group(P<0.05).Conclusion:W ith the same treatments,scalp acupuncture combined with AET is superior to the conventional scalp acupuncture method in reducing lower-limb muscle tone,improving standing balance ability,and walking stability in children with spastic CP.
文摘Objective： To observe the effect of Governor Vessel-unblocking and mind-refreshing acupuncture plus functional training on neural development in infants with brain damage and seek an effective method for early intervention of infantile brain damage. Methods： Eighty infants with brain injury were recruited and allocated to a treatment group and a control group by their visiting sequence, with 40 cases in each group. The control group received exercise training, 40 min each session and 6 sessions a week, and tuina treatment, 30 min each time and 6 times a week. Based on the treatment protocol for the control group, the treatment group additionally received Governor Vessel-unblocking and mind-refreshing acupuncture, 3 times a week and 10 sessions as a course at a 2-week interval. Before the treatment and after 14-week treatment, the gross motor function measure （GMFM） and developmental quotient （DQ） of Bejing Gesell developmental scale were used to evaluate the development of the infants. Results： After the treatment, the GMFM score and DOs of Gesell scale all increased by different levels in the two groups, and the intra-group differences were statistically significant （all P〈0.05）; the scores of the treatment group were superior to those of the control group, and the between-group differences were statistically significant （all P〈0.05）. Conclusion： Governor Vessel-unblocking and mind-refreshing acupuncture plus functional training can significantly promote the development of gross motor and cognitive functions in infants with brain damage, and it is an early and effective intervention for infantile brain damage.
