低频经皮穴位电刺激对脑卒中后遗症期手和上肢功能障碍的疗效

doi:10.3969/j.issn.1006-9771.2018.12.002

Abstract

Abstract: Objective To explore the effects of transcutaneous electrical acupoint stimulation (TEAS) on upper limbs function in chronic stroke patients. Methods From March, 2016 to May, 2018, 53 patients were randomly divided into control group (n = 27) and research group (n = 26). All the patients received conventional rehabilitation, and the research group received additional intervention of TEAS, for six weeks. They were assessed with Manual Muscle Test (MMT) on upper limbs, modified Ashworth Scale (MAS), Fugl-Meyer Assessment-upper extremities (FMA-UE), Hand Motor Status Scale and modified Barthel Index (MBI) before, at the end of 6-week treatment and twelve weeks after treatment. Results There was no significant difference in all the scores between two groups at the end of 6-week treatment (t < 1.511, P > 0.05). The scores of MMT of wrist dorsal extension, FMA-UE and MBI were better in the research group than in the control group twelve weeks after end of treatment (t > 2.312, P < 0.05). Conclusion TEAS may promote the recovery of hands and upper limbs function in chronic stroke patients.

Key words: stroke, transcutaneous electric acupoint stimulation, hand dysfunction, upper extremity, chronic stage

CLC Number:

R743.3

CHEN Yao, WANG He-wei, XIANG Yu-zhi, WANG Xiao-wen, ZHAO Kun, DOU Xiao-yu, SUN Xiao-yi, WU Mei-fen, DONG Qing-liang, WANG Ying-ying, WANG Chuan-kai, JIA Jie. Effects of Low Frequency Transcutaneous Electric Acupoint Stimulation on Upper Limbs and Hands Function for Chronic Stroke Patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(12): 1371-1375.

References

[1] Wang W, Jiang B, Sun H, et al.Prevalence, incidence, and mortality of stroke in China[J]. Circulation, 2017, 135(8): 759-771.
[2] 贾杰. 脑卒中后手功能康复现状[J]. 老年医学与保健, 2015(3): 129-131.
[3] Fischer HC, Stubblefield K, Kline T, et al.Hand rehabilitation following stroke: a pilot study of assisted finger extension training in a virtual environment[J]. Top Stroke Rehabil, 2014, 14(1): 1-12.
[4] Lv Y, He H, Xie J, et al.Effects of transcutaneous acupoint electrical stimulation combined with low-dose sufentanil pretreatment on the incidence and severity of etomidate-induced myoclonus: a randomized controlled trial[J]. Medicine (Baltimore), 2018, 97(23): e10969.
[5] 丁丽君,荣积峰,王卫宁,等. 经皮穴位电刺激对脑卒中后手功能的康复效果[J]. 中国康复理论与实践, 2017, 23(1): 10-13.
[6] Au-Yeung SS, Hui-Chan CW.Electrical acupoint stimulation of the affected arm in acute stroke: a placebo-controlled randomized clinical trial[J]. Clin Rehabil, 2014, 28(2): 149-158.
[7] 陈瑶,田婧,谢蓓菁,等. 经皮穴位电刺激在脑卒中后手功能障碍康复中的应用[J]. 中国康复医学杂志, 2015, 30(5): 454-457.
[8] Maw J, Wong KY, Gillespie P. Hand anatomy [J]. Br J Hosp Med (Lond), 2016, 77(3): C33-C34, C38-C40.
[9] 铃木三央,陈晓梅,李晏龙. 脑卒中后遗症患者上肢、手的恢复[J]. 中国康复理论与实践, 2011, 17(9): 818-824.
[10] Bushnell C, Bettger JP, Cockroft KM, et al.Chronic stroke outcome measures for motor function intervention trials: expert panel recommendations[J]. Circ Cardiovasc Qual Outcomes, 2015, 8(6 Suppl 3): S163-S169.
[11] 田凌,谢家兴,张静,等. 社区综合康复管理对脑卒中后遗症患者生活质量的影响[J]. 中国康复理论与实践, 2016, 22(12): 1467-1470.
[12] Eraifej J, Clark W, France B, et al.Effectiveness of upper limb functional electrical stimulation after stroke for the improvement of activities of daily living and motor function: a systematic review and meta-analysis[J]. Syst Rev, 2017, 6(1): 40.
[13] Howlett OA, Lannin NA, Ada L, et al.Functional electrical stimulation improves activity after stroke: a systematic review with meta-analysis[J]. Arch Phys Med Rehabil, 2015, 96(5): 934-943.
[14] 张久亮,李英姿,杨海英,等. 脑卒中的中医传统病机分析[J]. 中国中西医结合杂志, 2012, 32(1): 107-110.
[15] 郑薏,柳维林,上官豪,等. 针灸治疗脑卒中患者肢体运动功能障碍疗效的Meta分析[J]. 中国康复医学杂志, 2016, 31(2): 217-221.
[16] Yan T, Hui-Chan CW.Transcutaneous electrical stimulation on acupuncture points improves muscle function in subjects after acute stroke: a randomized controlled trial[J]. J Rehabil Med, 2009, 41(5): 312-316.
[17] 唐朝正,李春燕,张晓莉,等. 低频经皮穴位电刺激对软瘫期脑卒中患者手和上肢功能的影响[J]. 中国康复理论与实践, 2015, 21(3): 252-255.
[18] 王东山,燕铁斌,陈月桂. 经皮穴位电刺激治疗脑卒中患者偏瘫肢体功能及体感诱发电位的对照研究[C].广东省康复医学会、广东社会学会健康研究专业委员会2007年学术年会论文汇编, 2007.
[19] Levin MF, Hui-Chan CW.Relief of hemiparetic spasticity by TENS is associated with improvement in reflex and voluntary motor functions[J]. Electroencephalogr Clin Neurophysiol, 1992, 85(2): 131-142.
[20] Ng SS, Hui-Chan CW.Transcutaneous electrical nerve stimulation combined with task-related training improves lower limb functions in subjects with chronic stroke[J]. Stroke, 2007, 38(11): 2953-2959.
[21] Sawaki L, Butler AJ, Leng X, et al.Differential patterns of cortical reorganization following constraint-induced movement therapy during early and late period after stroke: a preliminary study[J]. NeuroRehabilitation, 2014, 35(3): 415-426.
[22] Hosp JA, Luft AR.Cortical plasticity during motor learning and recovery after ischemic stroke[J]. Neural Plast, 2011, 2011: 871296.
[23] Sharififar S, Shuster JJ, Bishop MD.Adding electrical stimulation during standard rehabilitation after stroke to improve motor function. A systematic review and meta-analysis[J]. Ann Phys Rehabil Med, 2018, 61(5): 339-344.
[24] Dobkin BH.Do electrically stimulated sensory inputs and movements lead to long-term plasticity and rehabilitation gains?[J]. CurrOpin Neurol, 2003, 16(6): 685-691.
[25] Zhang Y, Jiang Y, Glielmi CB, et al.Long-duration transcutaneous electric acupoint stimulation alters small-world brain functional networks[J]. Magn Reson Imaging, 2013, 31(7): 1105-1111.
[26] Buonomano DV, Merzenich MM.Cortical plasticity: from synapses to maps[J]. Annu Rev Neurosci, 1998, 21: 149-186.

Effects of Low Frequency Transcutaneous Electric Acupoint Stimulation on Upper Limbs and Hands Function for Chronic Stroke Patients

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References

Related Articles 15

Metrics

Comments

Recommended 0

[1]	LIN Na, GAO Hanlu, LU Huiping, CHEN Yanqing, ZHENG Junfan, CHEN Shurong. Effect of virtual reality on upper limb function after stroke: a study of diffusion tensor imaging [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 61-67.
[2]	WANG Haoyi, SHI Yawei, LU Jun, XU Guangxu. Impact of subjective vertical perception impairment on function in stroke patients: a retrospective study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 68-73.
[3]	CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.
[4]	HU Yonglin, MA Ying, DOU Chao, LU Anmin, JIANG Xiaoge, SONG Xinjian, XIAO Yuhua. Effect of neural mobilization based on shoulder control training on shoulder pain and upper limb function in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 81-86.
[5]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[6]	SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881.
[7]	WANG Ya'nan, LIU Xihua. Correlation and predictive effect of subjective and objective balance function measurements in stroke patients with hemiplegia [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 890-895.
[8]	WANG Haiyun, WANG Yin, ZHOU Xinjie, HE Aiqun. Effect of transcranial direct current stimulation combined with acupuncture on central and upper limb function in stroke patients based on central-peripheral-central theory [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 919-925.
[9]	CHEN Yiting, WANG Qian, CUI Shenhong, LI Yingcai, ZHANG Siyu, WEI Yanxu, REN Hui, LENG Jun, CHEN Bin. Effect of bilateral sequential repetitive transcranial magnetic stimulation on motor function of upper limbs in stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 926-932.
[10]	LI Zhenya, SUN Jie, GUO Pengfei, WANG Guangming. Correlation between changes of swallowing function in oral and pharyngeal phases, and aspiration in stroke patients based on videofluroscopic swallowing study [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 933-939.
[11]	HUA Ling, ZHANG Yi'nan, ZHENG Yu, SUN Qiaoyi, FANG Hui, SONG Da. Effect of hand controlled rhythm music therapy on unilateral spatial neglect after stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 833-838.
[12]	JIANG Xiaocui, LIU Zhen, SU Qinglun, ZHAO Qin, XIA Xiaomei, LU Fei. Effect of intermittent theta burst transcranial magnetic stimulation on non-fluent aphasia after stroke [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 839-843.
[13]	XU Miaomiao, LI Nan, YING Ying, YANG Kaixiang, YANG Jingrui, LI Jie, QIU Yanqun. Effect of repetitive peripheral magnetic stimulation on upper limb motor function of stroke patients after contralateral seventh cervical nerve transfer [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 686-690.
[14]	ZHENG Li, BAO Zhicheng, ZHANG Qi, REN Xuyan, SU Min. Effect of transcutaneous auricular vagus nerve stimulation combined with robot-assisted therapy on upper limb function of stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 691-696.
[15]	GU Bin, ZHANG Jinqin, XIA Yuanhao, HU Jingran, NAOKI Morohashi, HUANG Fubiao. Effect of repetitive facilitative exercise on hand function of stroke patients with hemiplegic during recovery period [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(6): 697-702.