Objective:To observe the effects of Tuina(Chinese therapeutic massage)combined with graded motor imagery(GMI)on the upper-limb motor function and quality of life(QOL)in patients with poststroke hemiplegia.Methods:A to...Objective:To observe the effects of Tuina(Chinese therapeutic massage)combined with graded motor imagery(GMI)on the upper-limb motor function and quality of life(QOL)in patients with poststroke hemiplegia.Methods:A total of 216 patients with hemiplegia caused by stroke were randomized into two groups by tossing a coin,with 108 cases in each group.The control group was treated with GMI,and the observation group was given additional Tuina treatment for four weeks in total.Before and after the treatment,the Fugl-Meyer assessment for upper extremity(FMA-UE),supper-limb/hand Brunnstrom staging,box and block test(BBT)for hand,co-contraction ratio(CR)of the upper-limb muscles,visual analog scale(VAS)for shoulder pain,modified Ashworth scale(MAS),modified Barthel index(MBI),and short-form 36-item health survey(SF-36)were adopted for observation of the two groups.Results:After the treatment,the scores of FMA-UE,upper-limb/hand Brunnstrom staging,hand BBT,MBI,and SF-36 increased(P<0.05),and the CR of biceps brachii at flexion,the CR of triceps brachii at extension,and the scores of VAS and MAS decreased in both groups(P<0.05).The scores of FMA-UE,upper-limb/hand Brunnstrom staging,and hand BBT were higher in the observation group than in the control group after the intervention(P<0.05);the CR of biceps brachii at flexion and the CR of triceps brachii at extension were lower in the observation group than in the control group(P<0.05).After the treatment,the scores of MBI and SF-36 were higher in the observation group than in the control group(P<0.05),and the scores of VAS and MAS were lower in the observation group than in the control group(P<0.05).Conclusion:Tuina combined with GMI can produce more significant effects in improving the upper-limb motor function and QOL in patients with hemiplegia after stroke.展开更多
文摘Objective:To observe the effects of Tuina(Chinese therapeutic massage)combined with graded motor imagery(GMI)on the upper-limb motor function and quality of life(QOL)in patients with poststroke hemiplegia.Methods:A total of 216 patients with hemiplegia caused by stroke were randomized into two groups by tossing a coin,with 108 cases in each group.The control group was treated with GMI,and the observation group was given additional Tuina treatment for four weeks in total.Before and after the treatment,the Fugl-Meyer assessment for upper extremity(FMA-UE),supper-limb/hand Brunnstrom staging,box and block test(BBT)for hand,co-contraction ratio(CR)of the upper-limb muscles,visual analog scale(VAS)for shoulder pain,modified Ashworth scale(MAS),modified Barthel index(MBI),and short-form 36-item health survey(SF-36)were adopted for observation of the two groups.Results:After the treatment,the scores of FMA-UE,upper-limb/hand Brunnstrom staging,hand BBT,MBI,and SF-36 increased(P<0.05),and the CR of biceps brachii at flexion,the CR of triceps brachii at extension,and the scores of VAS and MAS decreased in both groups(P<0.05).The scores of FMA-UE,upper-limb/hand Brunnstrom staging,and hand BBT were higher in the observation group than in the control group after the intervention(P<0.05);the CR of biceps brachii at flexion and the CR of triceps brachii at extension were lower in the observation group than in the control group(P<0.05).After the treatment,the scores of MBI and SF-36 were higher in the observation group than in the control group(P<0.05),and the scores of VAS and MAS were lower in the observation group than in the control group(P<0.05).Conclusion:Tuina combined with GMI can produce more significant effects in improving the upper-limb motor function and QOL in patients with hemiplegia after stroke.
