Effect of Electroacupuncture on Hand Dysfunction after Stroke

  • ZHANG Ting-yu ,
  • JIA Jie
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  • 1. The First Rehabilitation Hospital of Shanghai, Shanghai 200090, China;
    2. Department of Rehabilitation, Huashan Hospital, Fudan University, Shanghai 200040, China;
    3. Jing'an District Centre Hospital of Shanghai, Shanghai 200040, China

Received date: 2016-09-04

  Online published: 2017-02-17

Abstract

Objective To observe the effect of electroacupuncture on hand dysfunction after stroke. Methods Forty hemiplegic patients after stroke were selected from a multi-center large-scale trail, belonged to rehabilitation group (n=20) and electroacupuncture group (n=20), who accepted routine rehabilitation and additional electroacupuncture, respectively, for six weeks. They were assessed with Brunnstrom Grade, Fugl-Meyer Assessment (FMA), Wolf Motor Function Test (WMFT) and modified Barthel index (MBI) before treatment, two, four and six weeks during treatment, and twelve weeks after treatment. Results There were differences between two groups in scores of FMA, WMFT and total time to complete WMFT twelve weeks after treatment (t>1.900, P<0.05). There was no difference between two groups in scores of MBI and Brunnstrom Grade (t=0.532, Z<1.79, P>0.05), but electroacupuncture group seemed to improve more. Conclusion Electroacupuncture may improve the muscle strength for patients in flaccid paralysis, and promote the recovery of hand function for patients after stroke.

Cite this article

ZHANG Ting-yu , JIA Jie . Effect of Electroacupuncture on Hand Dysfunction after Stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2017 , 23(1) : 14 -18 . DOI: 10.3969/j.issn.1006-9771.2017.01.004

References

[1] 逄锦熙,倪克锋. 脑卒中后手功能障碍的康复治疗进展[J]. 中国现代医生, 2015, 53(13): 143-146, 152.
[2] 贾杰. 脑卒中后手功能康复应评价和治疗并重[J]. 上海医药, 2014, 35(2): 6-9.
[3] Wang Y, Rudd AG, Wolfe CD. Age and ethnic disparities in incidence of stroke over time: the South London Stroke Register [J]. Stroke, 2013, 44(12): 3298-3304.
[4] 毛宪杰. 针灸对脑功能及中枢神经系统疾患的影响[J]. 大家健康(上旬版), 2016, 10(4): 38-39.
[5] Xu Q, Yang JW, Cao Y, et al. Acupuncture improves locomotor function by enhancing GABA receptor expression in transient focal cerebral ischemia rats [J]. Neurosci Lett, 2015, 588: 88-94.
[6] Zhang H, Kang T, Li L, et al. Electroacupuncture reduces hemiplegia following acute middle cerebral artery infarction with alteration of serum NSE, S-100B and endothelin [J]. Curr Neurovasc Res, 2013, 10(3): 216-221.
[7] 中华神经科学会,中华神经外科学会. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[8] 彭静,罗亮,徐丽,等. 电针治疗30例阿尔茨海默病的疗效评定[J]. 针灸临床杂志, 2015, 31(5): 39-41.
[9] 唐建国. 脑血管病的早期诊断和治疗对康复及预后的影响[J]. 中国基层医药, 2014, 21(9): 1384-1385.
[10] 徐友康,路微波,吴军发,等. 智能化手功能评定系统用于脑卒中患者手功能评定的可信性分析[J]. 中国康复医学杂志, 2015, 30(6): 572-575.
[11] 宋如敏,李和平. 脑卒中后手功能障碍针灸治疗的研究进展[J]. 光明中医, 2013, 28(5): 1078-1080.
[12] 尤阳. 电针不同波形联合康复训练治疗脑卒中迟缓期上肢功能障碍的疗效观察[J]. 中国疗养医学, 2015, 24(2): 168-170.
[13] 岳增辉,李良,常小荣,等. 电针与手针治疗脑卒中痉挛性瘫痪效应差异研究[J]. 中国针灸, 2012, 32(7): 582-586.
[14] 王红斌,彭小平,徐健,等. 针灸联合康复训练对脑卒中偏瘫患者肢体运动功能及日常生活能力的影响[J]. 陕西中医, 2015, 36(7): 914-916.
[15] 廖少钦,江征,卓丽萍,等. 针刺“曲池”“外关”穴位促进脑卒中手功能恢复临床研究[J]. 亚太传统医药, 2014, 10(22): 60-62.
[16] Zimmerli L, Krewer C, Gassert R, et al. Validation of a mechanism to balance exercise difficulty in robot-assisted upper-extremity rehabilitation after stroke [J]. J Neuroeng Rehabil, 2012, 9(3): 178-192.
[17] Fritz SL, Blanton S, Uswatte G, et al. Minimal detectable change scores for the Wolf Motor Function Test [J]. Neurorehabil Neural Repair, 2009, 23(7): 662-667.
[18] Platz T, Pinkowski C, van Wijck F, et al. Reliability and validity of arm function assessment with standardized guidelines for the Fugl-Meyer Test, Action Research Arm Test and Box and Block Test: a multicentre study [J]. Clin Rehabil, 2005, 19(4): 404-411.
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