电针拮抗肌运动点加康复训练治疗脑卒中足内翻的临床研究

Clinical Study on Electroacupuncture at Motor Points of Antagonistic Muscles plus Rehabilitation for Post-stroke Strephenopodia

目的观察电针拮抗肌运动点配合康复训练治疗脑卒中足内翻的临床疗效。方法将70例脑卒中足内翻患者随机分为治疗组和对照组,每组35例。两组均采用常规药物治疗及Bobath康复训练,治疗组在此治疗基础上给予电针拮抗肌运动点治疗,对照组在此基础上给予常规针刺治疗。观察两组治疗前后改良Ashworth量表、踝关节自主外翻最大关节活动度和表面肌电测试RMS的变化。结果两组治疗后Ashworth量表分级与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后Ashworth量表分级与对照组比较,差异具有统计学意义(P<0.05)。两组治疗后足外翻关节活动度及表面肌电RMS值与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后足外翻关节活动度及表面肌电RMS值与对照组比较,差异均具有统计学意义(P<0.05)。结论电针拮抗肌运动点配合康复训练是一种治疗脑卒中足内翻的有效方法 ,能改善患者踝关节的痉挛度及活动度,提高患者步行能力。

Objective To observe the clinical efficacy of electroacupuncture at the motor points of antagonistic muscles plus rehabilitation training in treating post-stroke strephenopodia. Method Seventy patients with post-stroke strephenopodia were randomized into a treatment group and a control group, 35 in each group. The two groups both received conventional medication and Bobath rehabilitation; while the treatment group was additionally given electroacupuncture at the motor points of antagonistic muscles, and the control group was given regular acupuncture. The modified Ashworth scale （MAS）, the maximum eversion range of ankle joint, and the surface electromyography （the root-mean-square, RMS） were observed before and after intervention. Result The MAS scores were changed significantly after intervention in both groups （P 〈 0.05）. After intervention, there was a significant difference in comparing the MAS score between the two groups （P〈0.05）. In the two groups, the maximum eversion range of ankle joint and RMS were significantly changed after the intervention （P〈0.05）. After intervention, there were significant differences in comparing the eversion range and RMS between the two groups （P〈0.05）. Conclusion Electroacupuncture at the motor points of antagonistic muscles plus rehabilitation training is an effective approach in treating oost-stroke strephenooodia, and it can improve the spasm and motion of ankle joint, and promote the walk ability.