Objective： To evaluate the effects of core stability exercise （CST） on rehabilitation in stroke patients with hemiplegia. Methods： Randomly controlled trials about the effects of CST on rehabilitation in stroke pa...Objective： To evaluate the effects of core stability exercise （CST） on rehabilitation in stroke patients with hemiplegia. Methods： Randomly controlled trials about the effects of CST on rehabilitation in stroke patients with hemiplegia were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM and VIP. Search terms include “core stability training / core stability exercise / core stabilization training / core stabilization exercise/ core strength training / core strength exercise” and “stroke / brain ischemia / cerebral infarction / cerebral hemorrhage / intracranial thrombosis / brain hemorrhage / cerebrovascular disorder /cerebrovascular accident, cerebrovascular disease / hemiplegia / hemiparesis/ stroke rehabilitation”. Study screening, data extraction and quality assessment were conducted by two researchers independently. Data was analyzed using RevMan 5.3 software. Results： Totally 11 studies and 704 patients were included with 352 patients in experiment group and 352 in control group. Results of meta-analysis showed that combination of CST and conventional rehabilitation had better effects on trunk control [MD = 10.44, 95% CI （8.83-12.04）, P 〈 0.001], banlace [MD = 5.6, 95% CI （4.81-6.39）, P 〈 0.001], activities of daily living [MD = 12.06, 95% CI （7.65-16.46）, P 〈 0.001], ambulation functional [MD = 0.72, 95% CI （0.32-1.12）, P 〈 0.001] and walking speed [MD = 3.39, 95% CI （2.03-4.76）, P 〈 0.001] than conventional rehabilitation, but there is no clear difference on walking stride [MD = 2.52, 95% CI （-0.25-5.29）, P = 0.07] between two groups. Conclusion： CST together with conventional rehabilitation can better improve trunk control, banlace, activities of daily living, ambulation functional and walking speed in stroke patients compared with conventional rehabilitation, but can not make the walking stride better significantly. However, since the conclusion of this meta-analysis was drawn based on middle quality RCTs, future high quality researchs should be conducted to confirm its positive intervention effects.展开更多
Objective： To observe the therapeutic effect of acupuncture plus rehabilitation on hemiplegia following stroke. Methods： Ninety-six patients with hemiplegia due to stroke were randomly allocated into two groups. The...Objective： To observe the therapeutic effect of acupuncture plus rehabilitation on hemiplegia following stroke. Methods： Ninety-six patients with hemiplegia due to stroke were randomly allocated into two groups. The treatment group （50 cases） was treated with acupuncture plus rehabilitation, and the control group （46 cases） was treated with rehabilitation. Results： The total effective rate was 92.0% in the treatment group and 76.1% in the control group. There was a statistical difference in the effects between the two groups （P〈0.05）. Conclusion： Acupuncture plus rehabilitation is a perfect method for hemiplegia following stroke. It is especially effective in improving the function of limbs, relieving the spasm and improving the activity of daily life.展开更多
Objective： To investigate the rehabilitating effect of acupuncture plus kinetotherapy for early hemiplegia due to cerebral apoplexy. Methods： Fifty cases of apoplectic hemiplegia were treated by acupuncture plus kin...Objective： To investigate the rehabilitating effect of acupuncture plus kinetotherapy for early hemiplegia due to cerebral apoplexy. Methods： Fifty cases of apoplectic hemiplegia were treated by acupuncture plus kinetotherapy and were compared with another fifty cases treated by single medications, in the therapeutic effect and for follow-up observation. Results： After the treatment for one month on average, the remarkable effective rate was 82% in the rehabilitation group and 54% in the control group, in a significant difference （P〈0.05）. After the treatment, the scores in the motor function of the limbs and daily life ability were obviously increased in the rehabilitation group, and there was a significant difference in comparison with the control group （P〈0.05）. Moreover, there was a good regulatory effect on blood theology and blood lipid in the rehabilitation group. Conclusion： A combination of acupuncture and kinetotherapy has a better effect on apoplectic hemiplegia than single medications.展开更多
Objective： To investigate the acupuncture effect for post-apoplectic spasticity. Methods： Modified Ashworth spasticity rating, Brunnstrom grades, Barthel ADL （Activity of Daily Living） indexes were employed to ass...Objective： To investigate the acupuncture effect for post-apoplectic spasticity. Methods： Modified Ashworth spasticity rating, Brunnstrom grades, Barthel ADL （Activity of Daily Living） indexes were employed to assess the spasticity, motor function and activities of daily living （ADL）, and thus observe the effect of combined scalp and body acupuncture for post-apoplectic hemiplegic patients. Results： Combined scalp and body acupuncture can obtain significantly better effects than body acupuncture alone in relieving spasticity and improving the patients＇ motor function and ADL （P〈0.01）. Conclusion： Combined scalp and body acupuncture has a distinct advantage in relieving spasticity and can improve the patients＇ motor function and ADL.展开更多
Objective:To observe the clinical effect of contralateral needling plus rehabilitation for post-stroke spastic hemiplegia. Methods:Thirty-six patients with post-stroke spastic hemiplegia were randomly divided into a t...Objective:To observe the clinical effect of contralateral needling plus rehabilitation for post-stroke spastic hemiplegia. Methods:Thirty-six patients with post-stroke spastic hemiplegia were randomly divided into a treatment group and a control group, 18 cases in each group. The two groups were all given rehabilitation training. The contralateral needling was adopted in the treatment group on the acupoints group of brain-refreshing and orifice-opening needling method. The routine acupuncture was applied in the control group on the same acupoints. Respectively before and after the treatment, the modified Ashworth scale (MAS) and clinical spasticity index (CSI) were used to assess the therapeutic effects. Results:The total effective rate was 94.4% in the treatment group and 67.7% in the control group, with a statistical difference in comparison of the two groups (P<0.05). In comparison of MAS and CSI scores after the treatment between the treatment group and control group, the differences were statistically significant (P<0.05). Conclusion:The contralateral needling plus rehabilitation training is an effective method for the treatment of post-stroke spastic hemiplegia.展开更多
文摘Objective： To evaluate the effects of core stability exercise （CST） on rehabilitation in stroke patients with hemiplegia. Methods： Randomly controlled trials about the effects of CST on rehabilitation in stroke patients with hemiplegia were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM and VIP. Search terms include “core stability training / core stability exercise / core stabilization training / core stabilization exercise/ core strength training / core strength exercise” and “stroke / brain ischemia / cerebral infarction / cerebral hemorrhage / intracranial thrombosis / brain hemorrhage / cerebrovascular disorder /cerebrovascular accident, cerebrovascular disease / hemiplegia / hemiparesis/ stroke rehabilitation”. Study screening, data extraction and quality assessment were conducted by two researchers independently. Data was analyzed using RevMan 5.3 software. Results： Totally 11 studies and 704 patients were included with 352 patients in experiment group and 352 in control group. Results of meta-analysis showed that combination of CST and conventional rehabilitation had better effects on trunk control [MD = 10.44, 95% CI （8.83-12.04）, P 〈 0.001], banlace [MD = 5.6, 95% CI （4.81-6.39）, P 〈 0.001], activities of daily living [MD = 12.06, 95% CI （7.65-16.46）, P 〈 0.001], ambulation functional [MD = 0.72, 95% CI （0.32-1.12）, P 〈 0.001] and walking speed [MD = 3.39, 95% CI （2.03-4.76）, P 〈 0.001] than conventional rehabilitation, but there is no clear difference on walking stride [MD = 2.52, 95% CI （-0.25-5.29）, P = 0.07] between two groups. Conclusion： CST together with conventional rehabilitation can better improve trunk control, banlace, activities of daily living, ambulation functional and walking speed in stroke patients compared with conventional rehabilitation, but can not make the walking stride better significantly. However, since the conclusion of this meta-analysis was drawn based on middle quality RCTs, future high quality researchs should be conducted to confirm its positive intervention effects.
文摘Objective： To observe the therapeutic effect of acupuncture plus rehabilitation on hemiplegia following stroke. Methods： Ninety-six patients with hemiplegia due to stroke were randomly allocated into two groups. The treatment group （50 cases） was treated with acupuncture plus rehabilitation, and the control group （46 cases） was treated with rehabilitation. Results： The total effective rate was 92.0% in the treatment group and 76.1% in the control group. There was a statistical difference in the effects between the two groups （P〈0.05）. Conclusion： Acupuncture plus rehabilitation is a perfect method for hemiplegia following stroke. It is especially effective in improving the function of limbs, relieving the spasm and improving the activity of daily life.
文摘Objective： To investigate the rehabilitating effect of acupuncture plus kinetotherapy for early hemiplegia due to cerebral apoplexy. Methods： Fifty cases of apoplectic hemiplegia were treated by acupuncture plus kinetotherapy and were compared with another fifty cases treated by single medications, in the therapeutic effect and for follow-up observation. Results： After the treatment for one month on average, the remarkable effective rate was 82% in the rehabilitation group and 54% in the control group, in a significant difference （P〈0.05）. After the treatment, the scores in the motor function of the limbs and daily life ability were obviously increased in the rehabilitation group, and there was a significant difference in comparison with the control group （P〈0.05）. Moreover, there was a good regulatory effect on blood theology and blood lipid in the rehabilitation group. Conclusion： A combination of acupuncture and kinetotherapy has a better effect on apoplectic hemiplegia than single medications.
文摘Objective： To investigate the acupuncture effect for post-apoplectic spasticity. Methods： Modified Ashworth spasticity rating, Brunnstrom grades, Barthel ADL （Activity of Daily Living） indexes were employed to assess the spasticity, motor function and activities of daily living （ADL）, and thus observe the effect of combined scalp and body acupuncture for post-apoplectic hemiplegic patients. Results： Combined scalp and body acupuncture can obtain significantly better effects than body acupuncture alone in relieving spasticity and improving the patients＇ motor function and ADL （P〈0.01）. Conclusion： Combined scalp and body acupuncture has a distinct advantage in relieving spasticity and can improve the patients＇ motor function and ADL.
基金supported by Project of Natural Sciences of Guangxi College of Traditional Chinese Medicine(P2010079)
文摘Objective:To observe the clinical effect of contralateral needling plus rehabilitation for post-stroke spastic hemiplegia. Methods:Thirty-six patients with post-stroke spastic hemiplegia were randomly divided into a treatment group and a control group, 18 cases in each group. The two groups were all given rehabilitation training. The contralateral needling was adopted in the treatment group on the acupoints group of brain-refreshing and orifice-opening needling method. The routine acupuncture was applied in the control group on the same acupoints. Respectively before and after the treatment, the modified Ashworth scale (MAS) and clinical spasticity index (CSI) were used to assess the therapeutic effects. Results:The total effective rate was 94.4% in the treatment group and 67.7% in the control group, with a statistical difference in comparison of the two groups (P<0.05). In comparison of MAS and CSI scores after the treatment between the treatment group and control group, the differences were statistically significant (P<0.05). Conclusion:The contralateral needling plus rehabilitation training is an effective method for the treatment of post-stroke spastic hemiplegia.
