Dissertation
Dissertation > Medicine, health > Chinese Medicine > Chinese medicine clinic > Acupuncture, acupuncture therapy > Clinical applications of acupuncture

The Acupuncture Combined with Flexion Alternately the Low Frequency Electricity Treatment to Promote Stroke the Upper Limb Function Restore Clinical Research

Author ZhangRan
Tutor WangDongYan
School Heilongjiang University of Traditional Chinese Medicine
Course Rehabilitation Medicine and Physical Therapy
Keywords Stroke Upper limb Surface EMG Electro-acupuncture Low frequency electrical stimulation
CLC R246
Type Master's thesis
Year 2011
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Objective: To objectively evaluate and compare the electro-acupuncture therapy and acupuncture combined with flexion and extension of alternating low-frequency electrical treatment of the recovery of the two methods of post-stroke upper limb function, to improve the clinical efficacy. Methods: 60 cases of patients with stroke, were randomly divided into two groups. ① control group: give scalp acupuncture and body acupuncture treatment of scalp under Yu's head acupoints seven districts divided Act, select the top area and the top front area to stay the needle six hours / day, according to Cong needling; take body acupuncture shoulder Yu arm Er, hand three years, foreign relations, and other points. Electroacupuncture scalp acupuncture and body acupuncture connected at the same time, the choice of continuous wave frequency of 2Hz, every 30 minutes, 2 times a day. (2) the experimental group: acupoints and EA methods with the control group, and give flexion and extension of alternating low-frequency electrical treatment, selection of intermittent wave frequency is 50Hz, every 20 minutes, once a day. Respectively before treatment, after collecting the patient's wrist, elbow activities corresponding surface EMG (sEMG) agonist extract eigenvalues ??IEMG values ??(The concentric IEMG), maximum (MAX); records joint activity ( ROM), upper limb motor function (Fugl-Meyer) ratings, ratings of activities of daily living (Barthel ADL), a comprehensive evaluation of the electrophysiological function of the muscle, upper limb motor function and activities of daily living. And application of the neurologic deficit score (CSS) to determine the clinical efficacy of different treatment methods. Results: 1 elbow extension, the ipsilateral triceps MAX, The concentric IEMG, respectively, lower than the contralateral 23.79% and 22.29%, respectively; elbow when the ipsilateral biceps MAX, The concentric IEMG respectively, compared with the contralateral decreased by 23.77% and 32.48 %; risk of contralateral compared, a significant difference (P lt; 0.05). Wrist dorsiflexion the ipsilateral radial side of the wrist extensor MAX, IEMG respectively, compared with the contralateral decreased by 24.54% and 39.06%; wrist palmar flexion, the ipsilateral flexor carpi radialis MAX, IEMG respectively, compared with the contralateral reduce 27.09 % and 27.21%; compared to the risk of contralateral have a significant difference (P lt; 0.05). After treatment, the movement agonist MAX, The concentric IEMG compared with spa ago to improve. Groups before and after treatment, a significant difference (P lt; 0.05). The comparison between to MAX, IEMG difference before and after treatment group, the experimental group than the control group, a significant difference (P lt; 0.05). 4 after treatment in both groups Fugl-Meyer scores were improved. The two groups before and after treatment, a significant difference (P lt; 0.05). Comparison Fugl-Meyer score before and after treatment, the difference between the two groups, the experimental group than the control group, with a significant difference (P lt; 0.05). After treatment, the two groups Barthel ADL index score improved. The two groups before and after treatment, a significant difference (P lt; 0.05). Barthel ADL Index score before and after treatment of brain difference between the two groups, the experimental group than the control group, with a significant difference (P lt; 0.05). By neurological deficit scores (upper extremity), the experimental group, the total effective rate was 86.67%, significantly higher than that in the control group. Conclusion: sEMG can objectively evaluate stroke patients with upper limb muscle strength. Electro-acupuncture therapy can promote the recovery of post-stroke upper limb function. 3. Electroacupuncture combined flexion alternating low-frequency electric therapy can improve upper limb muscle strength, increased upper limb range of motion, improve upper limb motor function and activities of daily living, clinically superior pure electric needle treatment. Generation of efficacy and improve active muscle electrophysiological function

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