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OBJECTIVES@#To observe the effects of acupoint application with turmeric blistering moxibustion plaster on pain, shoulder range of motion (ROM) and upper limb motor function in the patients with post-stroke hemiplegic shoulder pain (PSHSP).@*METHODS@#Eighty-two patients with PSHSP were randomly divided into an observation group (41 cases, 1 case was eliminated, 4 cases dropped out) and a control group (41 cases, 2 cases were eliminated and 2 cases dropped out). The routine treatment, nursing care and rehabilitation training were performed in the control group. On the basis of the intervention as the control group, in the observation group, the turmeric blistering moxibustion plaster was applied to bilateral ashi points, Jianyu (LI 15), Jianliao (TE 14), Binao (LI 14), Shousanli (LI 10) and Hegu (LI 4), once a day, remained for 6 hours each time. This moxibustion therapy was operated 5 times weekly, one course of treatment consisted of 2 weeks and 2 courses were required. Separately, before treatment and after 2 and 4 weeks of treatment, the score of visual analogue scale (VAS), shoulder ROM and the score of upper limbs in Fugl-Meyer assessment (U-FMA) were observed in the two groups.@*RESULTS@#VAS scores were lower (P<0.05), ROM in shoulder flexion, abduction, internal rotation and external rotation was larger (P<0.05), and U-FMA scores were higher (P<0.05) after 2 and 4 weeks of treatment when compared with those before treatment in the two groups. After 4 weeks of treatment, VAS score decreased (P<0.05), and ROM in shoulder flexion, abduction, internal rotation, external rotation and U-FMA score increased (P<0.05) in comparison with those after 2 weeks of treatment in either group. In the observation group, VAS scores were dropped (P<0.05) after 2 and 4 weeks of treatment respectively, and ROM of shoulder flexion and abduction enlarged after 2 weeks of treatment (P<0.05) when compared with those in the control group. After 4 weeks of treatment, ROM in shoulder flexion, abduction, internal rotation and external rotation in the observation group was larger (P<0.05) and U-FMA score was higher (P<0.05) than those in the control group.@*CONCLUSIONS@#Acupoint application with turmeric blistering moxibustion plaster may effectively reduce the degree of shoulder pain and improve the shoulder range of motion and the upper limb motor function in the patients with post-stroke hemiplegic shoulder pain.
Subject(s)
Humans , Shoulder , Moxibustion , Shoulder Pain/therapy , Acupuncture Points , Curcuma , Hemiplegia/therapy , Treatment OutcomeABSTRACT
OBJECTIVE@#To observe the clinical efficacy on hemiplegic shoulder pain (HSP) after stroke treated with electroacupuncture (EA) under different frequencies.@*METHODS@#A total of 105 patients with HSP after stroke were randomly divided into a manual acupuncture group (35 cases, 2 cases dropped off), an EA continuous wave group (35 cases, 3 cases dropped off) and an EA disperse-dense wave group (35 cases). The conventional rehabilitation therapy was delivered in the three groups. Additionally, acupuncture was applied to Jianyu (LI 15), Jianzhen (SI 9), Jianliao (TE 14) and Jianqian (Extra) etc. on the affected side in the manual acupuncture group. In the EA continuous wave group and the EA disperse-dense wave group, besides the treatment as the manual acupuncture group, the electric stimulation was attached to two pairs of acupoints, i.e. Jianyu (LI 15) and Jianliao (TE 14), and Quchi (LI 11) and Shousanli (LI 10), with 15 Hz continuous wave, and 2 Hz/ 100 Hz disperse-dense wave, respectively. The treatment was given once daily, 5 times a week, for 4 weeks consecutively. The score of visual analogue scale (VAS) before treatment and after 2 and 4 weeks of treatment, as well as the passive range of motion (PROM) of shoulder forward flexion and PROM of shoulder abduction, muscle strength of the upper limb, the score of modified Barthel index (MBI) and the score of Fugl-Meyer assessment (FMA) before and after treatment were observed in each group.@*RESULTS@#Compared with before treatment, VAS scores were reduced after 2 and 4 weeks of treatment in each group (P<0.05); and VAS scores after 4 weeks of treatment were lower than those after 2 weeks of treatment (P<0.05). After 2 and 4 weeks of treatment, VAS score in either the EA continuous wave group or the EA disperse-dense wave group was lower compared with the manual acupuncture group (P<0.05). After 4 weeks of treatment, VAS score in the EA disperse-dense wave was lower than that of the EA continuous wave group (P<0.05). Compared with before treatment, PROM of the shoulder forward flexion and abduction on the affected side after treatment was enlarged (P<0.05), the muscle strength of the upper limb was increased (P<0.05), and the scores of MBI and FMA were increased (P<0.05) in the patients of each group. After treatment, in the EA continuous wave group and the EA disperse-dense wave group, PROM of the shoulder forward flexion on the affected side was higher (P<0.05), the muscle strength of the upper limb was stronger (P<0.05) when compared with the manual acupuncture group; and the scores of MBI and FMA in the EA disperse-dense wave group were higher than those of the manual acupuncture group (P<0.05).@*CONCLUSION@#Electroacupuncture is superior to manual acupuncture in the analgesic effect and comprehensive rehabilitation effect in the patients with HSP after stroke. The therapeutic effect obtained by electroacupuncture with 2 Hz/100 Hz disperse-dense wave is better than that with 15 Hz continuous wave.
Subject(s)
Humans , Electroacupuncture , Shoulder Pain/therapy , Hemiplegia/therapy , Stroke/complications , Acupuncture Therapy , Treatment Outcome , Acupuncture PointsABSTRACT
Hemiplegic stroke is one of the major prevalent mortality in many countries including India. In hemiplegic stroke spasticity, and muscle atrophy results in the inability to move certain muscles. Most post-stroke complications like inability and shoulder pain are a major concern for therapeutic interventions. Recent advances have been made in the interdisciplinary approach of rehabilitation, artificial intelligence, brain-computer interface, and much more mainly targeting post-stroke complications. In the present case report study 55-year-old male addicted to tobacco, altered HBA1c, elevated neutrophils, erythrocyte sedimentation rate, and C-reactive protein and CT scan report of mild cerebral atrophy suggestive of hemiplegic stroke. The patient was admitted on a stretcher with no sensation in his left hand and Vaksanga (impaired speech). After receiving the patient and family member's consent the integrated treatment was initiated. After 15 days of integrated treatment including T-AYU-HM Premium, significant improvement in the patient’s condition was noticed. The patient recovered from the impaired mobility of the left hand and remarkable improvement in slurred speech. This confirms that the intervention of Ayurvedic medicine in post-stroke management and prevention of stroke might play a crucial role. More such kinds of interventional case studies or trials should be warranted to justify the same.
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The CACNA1A gene encodes a voltage-gated calcium channel of the pore-forming protein, which has important functions in the central nervous system.The CACNA1A gene mutation can lead to a variety of neurological diseases, including familial hemiplegic migraine 1, spinocerebellar ataxia 6, episodic ataxia 2 and early infantile epileptic encephalopathy 42.Overlapping phenotypes could be observed in a small number of patients.This review summarized the clinical and genetic characteristics of the CACNA1A gene mutation.
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Background:Hemiplegic Cerebral palsy (CP) impairs hand function leading to inability or difficulty to perform activities of daily living (ADLs). Beside traditional therapies several new techniques like mCIMT & HABIT are in practice which focuses on precise and appropriate targeted results. There is a need to include a treatment protocol which is effective, easy and can be done under parents’ guidance in home setting. Purpose of this study was to find and compare the effect of mCIMT & HABIT on the quality of upper extremity function in children with hemiplegic cerebral palsy.Objectives:To study the effects of mCIMT, HABIT and conventional therapy on quality of upper extremity function in hemiplegic cerebral palsy children and to compare the effects of mCIMT, HABIT & conventional therapy on quality of upper extremity function in hemiplegic cerebral palsy children. Material & Methods:The study included 20 children who were diagnosed cases of hemiplegic CP. The experimental groups were given mCIMT and HABIT with conventional therapy and the control group received only conventional therapy.Quality of upper extremity skills test (QUEST) was used as an outcome measure. All groups were evaluated with the QUEST before and after 4 weeks of treatment. Results: The results showed statistical difference in the final QUEST scores(p=0.001) between all the groups as well as difference in dissociated movement, grasp & weight bearing. There was however no difference in protective extension (p=0.704) domain. Also, there was statistically no significant improvement in weight bearing and protective extension within the group while dissociated movement, grasp and QUEST Score showed improvement. Conclusion:This study concluded that mCIMT is more effective than HABIT & CT alone in improving quality of upper extremity function in hemiplegic cerebral palsy children.
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Background:Cerebral palsy children have limitations in motor function resulting in diminished selective motor control. Selective motor control (SMC) is essential for independent control of joint motion. Impaired SMC is interrelated to neuromuscular deficits in CP. In this study PNFapproach was used with different patterns and techniques which help to evoke motor responses and improve neuromuscular control and function.Objectives: To assess the effect of PNF along with conventional treatment ,To assess the effect of Conventional treatment and To compare the effect of PNF along with conventional treatment and conventional treatment on selective motor control of lower extremity in children with hemiplegic cerebral palsy. Material and Method:Study included 22 hemiplegic cerebral palsychildren which were divided into two groups. Experimental group received PNF and conventional treatment and control group received conventional treatment. SMC of lower extremity was assessed using SCALE. Pre and post treatment scores were measured.Results: There was statistically significant difference noted within group and between groups on Total SCALE score. Differencewas seen greater in experimental group than control group.Conclusion:This study suggests that PNF have an effect on selective motor control of lower extremity in children with hemiplegic cerebral palsy.
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Objective:To explore the effect of situational simulation interactive training on rehabilitation compliance and motor function of stroke patients with hemiplegia.Methods:A total of 140 hemiplegic patients with stroke from July 2017 to October 2019 in Beijing Rehabilitation Hospital Affiliated to Capital Medical University were selected and divided into control group and observation group, 70 cases in each group. Routine treatment and rehabilitation nursing were used in the control group, and situational simulation interactive training were used in the observation group on the basis of the control group. Both groups were followed up for 6 months. Fugl-Meyer Assessment (FMA), World Health Organization Quality of Life Scale Brief (WHOQOL-BREF), Fugl-Meyer Assessment (FMA), self-made rehabilitation training compliance questionnaire and self-made nursing satisfaction questionnaire were used to evaluate the quality of life, motor ability, cognitive ability before intervention and after follow-up, rehabilitation compliance and nursing satisfaction after follow-up of the two groups.Results:There was no significant difference in FMA, WHOQOL-BREF and MMSE scores between the two groups before intervention ( P>0.05). After follow-up, the scores of FMA, WHOQOL-BREF and MMSE in the observation group were 62.57±6.52, 80.65±9.25, 25.30±3.24, significantly higher than 52.68±7.23, 66.68±8.34, 20.36±3.12 in the control group, the difference was statistically significant ( t value was 8.499, 9.385,9.189, P<0.05). After follow-up, the total compliance rate and satisfaction rate of the observation group were 92.86% (65/70) and 94.29% (66/70), respectively, while those of the control group were 78.57% (55/70) and 80.00% (56/70), respectively, the difference between the two groups was statistically significant (Fisher's exact test, P<0.05). Conclusions:The situation simulation rehabilitation training can effectively improve the motor function, rehabilitation compliance and nursing satisfaction of stroke patients with hemiplegia.
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Objectives: Virtual reality (VR) has been shown to facilitate rehabilitation at hospitals by distracting patients’ attention from pain and by providing a virtual environment favorable for motivating the patients to continue rehabilitation. However, the application of VR in a home-visit rehabilitation remains to be validated. Here, we report a case in which home-visit rehabilitation using immersive VR was effective for post-stroke hemiplegic shoulder pain.Case presentation: After treatment, at a general hospital, for the hypertensive hemorrhage in the right brain capsule that resulted in the residual attention deficit disorder and left hemiplegia, a 63-year-old woman was cared for with a home-visit rehabilitation in a rural area. The patient had persistent pain in her left shoulder, which increased during activities of daily living and during rehabilitation, and the pain precluded rehabilitation. A VR relaxation program was delivered to the patient to alleviate pain during rehabilitation. Her shoulder pain was successfully alleviated using VR during training for muscle stretching and passive joint mobilization.Conclusion: The application of VR to home rehabilitation in rural areas may augment the effectiveness of home rehabilitation by alleviating pain during the procedure and sustaining the motivation for home rehabilitation.
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Flunarizine, a potent calcium channel blocker has been used for more than three decades for the prophylactic management of migraine. Theories suggest that flunarizine may act through multiple mechanisms such as inhibition of cortical spreading depression, neurogenic inflammation and channelopathy. Flunarizine is efficacious in the management of various types of migraines such as common, classical, vestibular, abdominal, hemiplegic and pediatric migraine. It has a manageable safety profile with weight gain and drowsiness being commonly reported.
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Background: Patients with hemiplegia often suffer from malnutrition and security threat due to disabilities and inadequate supports. This study aims to explore nursing perceptions regarding problems, necessary nursing supports, and nursing competencies required for the provision of oral feeding assistance to hospitalized hemiplegic patients.Methods: A qualitative study was conducted in Taian City, China in 2016. A purposive sampling method was used, and data were gathered using semi-structured interviews. Totally, 5 faculty members and 10 ward nurses in China were interviewed. In relation to the nursing status regarding oral feeding assistance in the case of hemiplegic patients, background and improvement measures in nursing practice were assessed. Data were analyzed using the content analysis method.Results: Four problems in providing oral feeding assistance to hemiplegic patients were identified: 1) insufficient cognition of nursing roles, 2) insufficient consideration of psychological aspects of the patients, 3) lack of related theoretical and practical education, 4) lack of nutritional support during hospitalization. Twenty-five items of nursing competencies, the knowledge and skills required for oral feeding assistance to hospitalized hemiplegic patients were identified.Conclusions: The nursing competency identified by this study can provide evidence for reviewing the related nursing practice and continuous education in China.
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Objetivo: Avaliar os efeitos do treino com realidade virtual no movimento de alcance manual em crianças com Paralisia Cerebral, do tipo hemiparesia espástica. Material e métodos: Participaram deste estudo de caso 3 crianças, de ambos os sexos, com idades de 9 a 12 anos. O protocolo do estudo consistiu em 3 dias de procedimentos, as crianças foram submetidas a uma avaliação inicial de tônus muscular, amplitude de movimento, força de preensão manual, incapacidades e análise cinemática dos membros superiores, realizada pelo Qualisys Motion Capture System®. As crianças participaram de duas sessões de treinos A (realidade virtual) e B (Convencional), que ocorreu com intervalo de uma semana entre os treinos. Assim, o primeiro treino foi iniciado no dia da avaliação, o segundo treino ocorreu após uma semana, a cinemática foi realizada antes e após os treinos e depois de uma semana do treino. Os dados das variáveis cinemáticas foram analisados de acordo com médias e desvio padrão. Resultados: Foi observado que as crianças apresentaram alterações nas variáveis analisadas do membro superior parético, após ambos os treinos, sobretudo depois do treino com realidade virtual. Conclusão: Os treinos utilizando jogos do software Nintendo Wii® e convencional foram capazes de alterar as variáveis angulares e espaço temporais, o que sugere uma melhora do movimento de alcance manual das 3 crianças. (AU)
Objective: To evaluate the effects of training with virtual reality in the upper arm reaching of children with cerebral palsy, type spastic hemiplegic. Methods: The participants of this case study three children of both sexes, aged 9-12 years. The study protocol consisted of three days of proceedings; the children performed an initial assessment of muscle tone, range of motion, grip strength, kinematics analysis and disabilities of the upper limbs, performed by Qualisys Motion Capture System®. Children participated randomly in two practice sessions A (virtual reality) and B (Conventional), which occurred with an interval of one week between workouts. Thus, the first training was initiated on the assessment day, the second training took place after a week, kinematics was performed before and after training and after a week of training. The data of the kinematic variables were analyzed according to means and standard deviations. Results: It was observed that children show significant changes in angular variables of the paretic upper limb after both workouts, especially after training with virtual reality. Conclusion:The training games using the Nintendo Wii® software and conventional were able to change the angular variables and temporal space, suggesting an improvement in the upper arm reaching of the 3 children. (AU)
Subject(s)
Humans , Male , Female , Child , Cerebral Palsy , Paresis , Physical Therapy Specialty , Rehabilitation , Virtual RealityABSTRACT
Stroke survivors with gait disturbances may use ankle foot orthoses (AFOs). However, most AFOs come in one-piece styles, which make it difficult for spasticity-affected stroke survivors to don. AFOs are also limited since they do not properly prevent ankle joint for foot drop by itself. Therefore, the present study developed a novel hinged AFO by adding a locking device to a hinged joint. We then tested its feasibility in 9 hemiplegic stroke survivors by investigating temporal–spatial gait parameters using the GAITRite in the following 3 conditions: no AFO, traditional AFO, and novel hinged AFO. There was no significant difference in spatiotemporal gait parameters among the different conditions. There were greater decreases in gait velocity, cadence, step length, and stride length in the novel hinged AFO group than in the no AFO and traditional AFO groups. This novel hinged AFO was developed to prevent foot drop. However, the AFO did not show significant differences in gait parameters because it consists of metal with extra weight and volume. Functionally, it prevented foot drop. It also improved convenience by its releasable design. Thus, further studies are needed to develop an AFO that improves gait and is convenient to use for hemiplegic stroke survivors.
Subject(s)
Humans , Ankle Joint , Ankle , Feasibility Studies , Foot Orthoses , Foot , Gait , Joints , Stroke , SurvivorsABSTRACT
Se realizó un estudio descriptivo y transversal de 45 cuidadores de adultos mayores hemipléjicos a causa de enfermedad cerebrovascular, atendidos en la Sala de Rehabilitación Integral del Policlínico Universitario Luis Augusto Turcios Lima del municipio y provincia de Pinar del Río, desde julio hasta diciembre de 2015, con vistas a caracterizar a dichos cuidadores según variables de interés para la investigación. En la serie prevalecieron los cuidadores de 50-59 años de edad (53,3 por ciento), del sexo femenino (44,4 por ciento), con nivel educacional preuniversitario (37,8 por ciento), con lazos de parentesco (71,1 por ciento) y con un tiempo en esta labor entre 7-9 meses (40,0 por ciento). El parentesco existente entre el cuidador y la persona cuidada es un factor importante que influye en gran medida en la experiencia del cuidado
A descriptive and cross-sectional study of 45 caregivers of aged hemiplegic adults with cerebrovascular disease, assisted in the Comprehensive Rehabilitation room of Luis Augusto Turcios Lima University Polyclinic in Pinar del Río municipality and province, was carried out from July to December of 2015, with the aim of characterizing this caretakers, according to variables of interest for the investigation. In the series the caregivers of 50-59 years of age (53,3 percent), the female sex (44,4 percent), preuniversity educational level (37,8 percent), family relationship (71,1 percent) and with a period in this activity among 7-9 months (40,0 percent) prevailed. The existent family relationship between the caregiver and the sick elderly is an important factor that influences greatly in the experience of the care
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Humans , Male , Female , Adult , Middle Aged , Aged , Aged , Caregivers , Stroke , Hemiplegia , Primary Health Care , Epidemiology, Descriptive , Cross-Sectional Studies , Frail ElderlyABSTRACT
Encephalic Vascular Accident is a clinical sign of brain dysfunction and it might result in permanent and irreversible lesions. Objective: defined the characteristics such as age, sex and date of the first treatment at a Santa Catarina States Rehabilitation Center. Methods: This is a quantitative cross-sectional descriptive study.The Ethnics in Human Research (CEPSH), the Pro Rector for Research and Extension Federal University of Santa Catarina, number 1024 reviewed this study. Results: Stroke affected 25,11% of women between 71-80 years old and 34,09% of the men aged between 61-70 years old. The most common consequence due to stroke was hemiplegia and the study observed that many patients only looked for proper treatment after several years post stroke. Conclusions: The physical therapy is important, so patients can relearn daily tasks and furthermore reintegrate their social life.
Acidente Vascular Encefálico (AVE) é uma disfunção cerebral que causa lesões permanentes e irreversíveis. Objetivo: Avaliar as idades, os sexos e a data do primeiro atendimento das pessoas com AVE atendidas no centro de reabilitação do Estado de Santa Catarina. Métodos: É um estudo quantitativo, descritivo e transversal, sendo a coleta de dados realizada com base documental nos prontuários. O presente estudo foi avaliado pelo Comitê de Ética em Pesquisa com Seres Humanos (CEPSH), Reitoria de Pesquisa e Extensão da Universidade Federal de Santa Catarina de número 1024. Resultados: O AVE afeta 25,11% de mulheres entre 71-80 anos e 34,09% de homens entre 61-70 anos. Observou-se que a sequela mais comum é a hemiplegia e que muitos somente procuravam tratamento após muitos anos de sequelas. Conclusão: Os dados encontrados mostram a importância da terapia física para que os pacientes reaprendam tarefas diárias e auxilia na reintegração social.
El Accidente Cerebrovascular (ACV) es un signo clínico de disfunción cerebral e ocasiona lesiones cerebrales permanentes e irreversibles. Objetivo: Evaluar las edades, sexos y la fecha del tratamiento inicial de los pacientes con accidente cerebrovascular tratados en el centro de rehabilitación en el estado de Santa Catarina. Métodos: El estudio cuantitativo, descriptivo y transversal. Este estudio fue revisado por el Pro Rector de Investigación y Extensión de la Universidad Federal de Santa Catarina para la Investigación Humana (CESPH). La recolección de datos se basó en registros documentales de las personas atendidas en el Centro de Rehabilitación del Estado de Santa Catarina, entre 2000-2009. Resultados: El AVC afecta 25.11% de las mujeres de 71-80 años y el 34,09% de los varones de 61-70 años. La hemiplejia es secuela más común. El estudio destaca que muchos pacientes buscan tratamiento sólo después de muchos años de secuela. Conclusión: Nuestros datos muestran la importancia de la terapia física, ya que permite que los pacientes pueden volver a aprender las tareas cotidianas.
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Humans , Stroke/complications , Stroke/rehabilitation , Physical Therapy Specialty , Hemiplegia/rehabilitation , Brazil , RehabilitationABSTRACT
Objective To study the intrinsic relationship between hemiplegic gait features and abnormal muscle strength of lower limbs,so as to elucidate the muscle strength causes of hemiplegic gait and provide recommendations for its clinical treatment.Methods Models of hemiplegic gait and normal gait were established for simulation,and the validity of the models was verified by comparing the simulation model with measured data of the normal gait.The differences in kinetic data,ground reaction force (GRF) and muscle force between the two models were analyzed to explore the different dynamic characteristic of hemiplegic gait and normal gait.Results The complex correlation coefficient between LifeMOD simulation results and measured data was 0.922,indicating that the established dynamic model was reasonable and effective.Hemiplegic patient with low tibialis anterior muscle strength led to ankle dorsiflexion inadequacy during initial ground period,and low gastrocnemius muscle could not achieve the promoting effect from ground during preswing period.Conclusions The strength weakness of tibialis anterior muscle and gastrocnemius are the main reasons for foot drooping and other hemiplegic gait characteristics.LifeMOD modeling and simulation can assist the diagnosis of abnormal muscle strength in hemiplegia patients.
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Objective To study the intrinsic relationship between hemiplegic gait features and abnormal muscle strength of lower limbs, so as to elucidate the muscle strength causes of hemiplegic gait and provide recommendations for its clinical treatment. Methods Models of hemiplegic gait and normal gait were established for simulation, and the validity of the models was verified by comparing the simulation model with measured data of the normal gait. The differences in kinetic data, ground reaction force (GRF) and muscle force between the two models were analyzed to explore the different dynamic characteristic of hemiplegic gait and normal gait. Results The complex correlation coefficient between LifeMOD simulation results and measured data was 0.922, indicating that the established dynamic model was reasonable and effective. Hemiplegic patient with low tibialis anterior muscle strength led to ankle dorsiflexion inadequacy during initial ground period, and low gastrocnemius muscle could not achieve the promoting effect from ground during preswing period. Conclusions The strength weakness of tibialis anterior muscle and gastrocnemius are the main reasons for foot drooping and other hemiplegic gait characteristics. LifeMOD modeling and simulation can assist the diagnosis of abnormal muscle strength in hemiplegia patients.
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Previously,hand-surgeons made great advancements and pioneering surgeries such as thumb reconstruction,flap transplantation surgery.Under the leadership of professor Yu-dong GU,we put forward several surgical strategies to treat the brachial plexus injury including the widely-used contralateral cervical 7 (CC7) nerve root transfer surgery.Now our department is one of the leading centers in treating peripheral nerve injury disease worldwide.During the past 10 years,we focused on the brain plasticity research in brachial plexus injury patients and revealed the reorganization pattern of sensorimotor cortex after the CC7 nerve root transfer surgery.Our study indicated the potential of one hemisphere in controlling bilateral upper limb and we further applied this conclusion in treating hemiplegic paralysis patients.In the past 10 years,we applied basic research findings in clinical practice and expanded the indication of CC7 nerve transfer surgery.By making innovations we keep making progress.
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<p><b>OBJECTIVE</b>To explore the effects of electroacupuncture (EA) combined with motor imagery therapy on motor function and activity of daily living in patients with hemiplegic cerebral infarction.</p><p><b>METHODS</b>Ninety patients with hemiplegic cerebral infarction were randomly divided into a rehabilitation group, an EA group and a comprehensive group, 30 patients in each one. The patients in the rehabilitation group were treated with regular care, medication and rehabilitation training; based on the rehabilitation group, the patients in the EA group were treated mainly with electroacupuncture at Baihui (GV 20), Dingnieqianxiexian (MS 6), Dingniehouxiexian (MS 7), Jianyu (LI 15), Waiguan (TE 5), Fengshi (GB 31) and Sanyinjiao (SP 6); with the arrival of. EA device was connected for 30 min. The patients in the comprehensive group were treated with EA as the EA group and motor imagery therapy, 20 min per treatment. The treatment was given once a day, five treatments per week, and totally 4-week treatment was performed. The Barthel index and Brunnstrom score before and after treatment were observed in the three groups.</p><p><b>RESULTS</b>Three cases did not finish the trial and finally 87 cases were included into analysis, including 30 cases in the rehabilitation group, 29 cases in the EA group and 28 cases in the comprehensive group. Compared before treatment, the Barthel index and Brunnstrom score were significantly improved after treatment in the three groups (all<0.01); after treatment, the Barthel index in the EA group and comprehensive group was significantly higher than that in the rehabilitation group (both<0.01); the lower extremity score of Brunnstrom score in the comprehensive group was better than those in the EA group and rehabilitation group (both<0.05).</p><p><b>CONCLUSION</b>EA combined with motor imagery therapy and rehabilitation can significantly improve the motor function and activity of daily living in patients with hemiplegic cerebral infarction, which is superior to rehabilitation alone or EA alone.</p>
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The article reviewed three aspects of hemiplegic shoulder pain after stroke-introduction, rehabilitation nursing and prospect, in order to provide references for developing effective nursing interventions in the future. We obtained literature from the Cochrane Library, JBI Evidence-based Nursing, PubMed, Wanfang and CNKI Databases between January 2000 and May 2016. According to the principle of three relevant aspects, priority to latest five years and critical appraisal, 39 studies were included. Literature analysis showed that rehabilitation nursing mainly consists of position nursing, supportive devices using, manipulative care and psychological support. Also, it put forward that comprehensive rehabilitation nursing measures have become major means, the combination of Chinese traditional and Western medicine is characteristic therapy in our nation, and nursing practice based on evidence should be set up early to relieve the symptom of hemiplegic shoulder pain and promote quality of life for stroke patients.
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Objective:To explore the relationship between resilience and self-efficacy or social support in elderly hemiplegic patients after stroke. Methods:A total of 106 elderly hemiplegic patients after stroke were investigated by a self-designed demographic questionnaire, Connor-Davidson Resilience Scale (CD-RISC), self-efficacy scale for chronic (SSC) and Social Support Rating Scale (SSRS) . Results:The total score of CD-RISC was (56.52 ± 10.61), the SSC was (4.82 ± 1.63), and the SSRS was (34.69±6.11) . Pearson correlation analysis showed that resilience was positively related to self-efficacy and social support (r=0.441, 0.429, P<0.01) . Conclusion:Resilience of elderly hemiplegic patients after stroke is low, nurses can improve it by enhancing the patients’self-efficacy and social support.