Background: Fire-needle acupuncture, an important kind of acupuncture therapy, has been clinically used to treat upper limb spastic paralysis(ULSP) after stroke. Clinical experience has indicated that fire-needle acup...Background: Fire-needle acupuncture, an important kind of acupuncture therapy, has been clinically used to treat upper limb spastic paralysis(ULSP) after stroke. Clinical experience has indicated that fire-needle acupuncture treatment takes less time, requires fewer visits, and has more rapid results and fewer side effects compared to chemical medicine alternatives. This study will evaluate the effects of fire-needle acupuncture for ULSP in the context of standardized clinical research and provide high-quality data to inform clinical procedures and future study design.Methods/Design: A randomized controlled trial will be carried out to evaluate the effects of fire-needle acupuncture therapy in patients with ULSP from stroke. ULSP patients(n = 120) will be recruited at Changhai Hospital in Shanghai, China. Patients will be randomly divided into three groups, including fire-needle acupuncture group(FAG), filiform-needle acupuncture group(FFAG) and rehabilitation treatment group(RTG). During the 3-week treatment, the FAG will be treated every two days, while FFAG and RTG will be treated 5 d in a row and then rest for 2 d. The Simplified Fugl-Meyer Motor Function Scale and Modified Ashworth Scale will be used as the primary outcome measures. Statistical analysis will be conducted by an independent statistician.Discussion: Through this study, the utility of fire-needle acupuncture in treating ULSP after stroke will be tested, and some specific claims of fire-needle acupuncture therapy will be evaluated, such as relieving spasm and muscular tension, improving activities of daily living, rapidity of response and less frequency of treatment compared with other treatments.展开更多
目的观察针刺联合应象刺血治疗脑卒中后上肢痉挛性瘫痪的临床疗效。方法将40例脑卒中后上肢痉挛性瘫痪患者随机分为两组,治疗组22例,对照组18例。治疗组采用应象刺血和常规针刺治疗,对照组采用巴氯芬治疗,1个月为1个疗程。观察治疗前后...目的观察针刺联合应象刺血治疗脑卒中后上肢痉挛性瘫痪的临床疗效。方法将40例脑卒中后上肢痉挛性瘫痪患者随机分为两组,治疗组22例,对照组18例。治疗组采用应象刺血和常规针刺治疗,对照组采用巴氯芬治疗,1个月为1个疗程。观察治疗前后上肢肌张力的变化、运动功能的变化和日常生活活动能力的变化,1个疗程后观察临床疗效。结果与治疗前比较,两组治疗后Fugl-Meyer量表(Fugl-Meyer assessment,FMA)、日常生活活动能力(activities of daily living,ADL)评分均显著升高(P<0.05);治疗组治疗后FMA、ADL评分改善程度明显优于对照组(P<0.05)。与治疗前比较,两组治疗后肌张力均有所改善,但差异均无统计学意义(P>0.05)。两组治疗后肌张力变化比较,差异无统计学意义(P>0.05)。结论针刺联合应象刺血可缓解脑卒中后上肢痉挛性瘫痪状态,不良反应小。展开更多
基金funded by Science and Technology Commission of Shanghai Municipality(No.17401933900)
文摘Background: Fire-needle acupuncture, an important kind of acupuncture therapy, has been clinically used to treat upper limb spastic paralysis(ULSP) after stroke. Clinical experience has indicated that fire-needle acupuncture treatment takes less time, requires fewer visits, and has more rapid results and fewer side effects compared to chemical medicine alternatives. This study will evaluate the effects of fire-needle acupuncture for ULSP in the context of standardized clinical research and provide high-quality data to inform clinical procedures and future study design.Methods/Design: A randomized controlled trial will be carried out to evaluate the effects of fire-needle acupuncture therapy in patients with ULSP from stroke. ULSP patients(n = 120) will be recruited at Changhai Hospital in Shanghai, China. Patients will be randomly divided into three groups, including fire-needle acupuncture group(FAG), filiform-needle acupuncture group(FFAG) and rehabilitation treatment group(RTG). During the 3-week treatment, the FAG will be treated every two days, while FFAG and RTG will be treated 5 d in a row and then rest for 2 d. The Simplified Fugl-Meyer Motor Function Scale and Modified Ashworth Scale will be used as the primary outcome measures. Statistical analysis will be conducted by an independent statistician.Discussion: Through this study, the utility of fire-needle acupuncture in treating ULSP after stroke will be tested, and some specific claims of fire-needle acupuncture therapy will be evaluated, such as relieving spasm and muscular tension, improving activities of daily living, rapidity of response and less frequency of treatment compared with other treatments.
文摘目的观察针刺联合应象刺血治疗脑卒中后上肢痉挛性瘫痪的临床疗效。方法将40例脑卒中后上肢痉挛性瘫痪患者随机分为两组,治疗组22例,对照组18例。治疗组采用应象刺血和常规针刺治疗,对照组采用巴氯芬治疗,1个月为1个疗程。观察治疗前后上肢肌张力的变化、运动功能的变化和日常生活活动能力的变化,1个疗程后观察临床疗效。结果与治疗前比较,两组治疗后Fugl-Meyer量表(Fugl-Meyer assessment,FMA)、日常生活活动能力(activities of daily living,ADL)评分均显著升高(P<0.05);治疗组治疗后FMA、ADL评分改善程度明显优于对照组(P<0.05)。与治疗前比较,两组治疗后肌张力均有所改善,但差异均无统计学意义(P>0.05)。两组治疗后肌张力变化比较,差异无统计学意义(P>0.05)。结论针刺联合应象刺血可缓解脑卒中后上肢痉挛性瘫痪状态,不良反应小。
