头针疗法结合核心稳定训练对脑卒中后上肢运动功能恢复的影响

Effect of Scalp Acupuncture Combined with Core Stability Training on the Recovery of Motor Function of Upper Limb after Stroke

目的:探讨头针疗法结合核心稳定训练对脑卒中后上肢运动功能恢复的效果。方法:选择2014年3月至2016年7月期间浙江省人民医院康复医学科收治的58例典型脑卒中后上肢功能障碍患者为观察对象。随机分为治疗组(n=29)和对照组(n=29)。对照组在常规康复训练的基础上进行头针治疗;治疗组在常规训练的基础上,留针下进行核心稳定训练,治疗8周。治疗前后采用Fugl-Meyer评价法(FMA)的上肢部分和Barthel(BI)指数进行对比评定。结果:与治疗前比较,2组患者的FMA和BI指数均较治疗前有明显改善(P<0.05),且治疗组疗效均优于对照组(P<0.05)。结论:头针疗法结合核心稳定训练可以有效改善脑卒中后上肢运动功能障碍,且疗效优于单纯的头针疗法。

[Objective] To explore the effect of scalp acupuncture combined with core stability training on the recovery of upper limb motor function after stroke. [Metbod] During the period of March 2014 to July 2016, 60 patients with upper limb dys-function after stroke were selected as the objects of observation in the rehabilitation medicine department of Zhejiang Province People＇ s Hospital. They were randomly divided into the treatment group （ n = 29） and the control group （ n = 29）. The control group was received routine rehabilitation training combined with scalp acuptmctttre treatment; while, the treatment group was re- ceived routine training, core stability training for 8 weeks. Before and after treatment, the upper extremity active motor function score and Barthel （BI） index were compared and evaluated by Fugl- Meyer evaluation method. [Result] Alter treatment, the FMA and BI index of the two groups were significantly improved （ P 〈 0.05）, and the curative effect of the treatment group was better than that of the control group （ P 〈 0.05）. [Conclusion] Head acupuncture combined with core stability training can effectively improve the upper limb movement dysfunction after stroke, and the curative effect is better than the simple scalp acuptmcture therapy.