Effects of Interactive Dynamic Scalp Acupuncture on Motor Function and Gait of Lower Limbs after Stroke: A Multicenter, Randomized, Controlled Clinical Trial / 中国结合医学杂志

OBJECTIVE@#To evaluate the effects of interactive dynamic scalp acupuncture (IDSA), simple combination therapy (SCT), and traditional scalp acupuncture (TSA) on motor function and gait of the lower limbs in post-stroke hemiplegia patients.@*METHODS@#A total of 231 patients with post-stroke hemiplegia was randomly divided into IDSA (78 cases), SCT (78 cases), and TSA (75 cases) groups by a random number table. Scalp acupuncture (SA) and lower-limb robot training (LLRT) were both performed in the IDSA and SCT groups. The patients in the TSA group underwent SA and did not receive LLRT. The treatment was administered once daily and 6 times weekly for 8 continuous weeks, each session lasted for 30 min. The primary outcome measures included Fugl-Meyer assessment of the lower extremity (FMA-LE), berg balance scale (BBS), modified barthel index (MBI), and 6-min walking test (6MWT). The secondary outcome measures included stride frequency (SF), stride length (SL), stride width (SW), affected side foot angle (ASFA), passive range of motion (PROM) of the affected hip (PROM-H), knee (PROM-K) and ankle (PROM-A) joints. The patients were evaluated before treatment, at 1- and 2-month treatment, and 1-, and 2-month follow-up visits, respectively. Adverse events during 2-month treatment were observed.@*RESULTS@#Nineteen patients withdrew from the trial, with 8 in the IDSA and 5 in the SCT groups, 6 in the TSA group. The FMA-LE, BBS, 6MWT and MBI scores in the IDSA group were significantly increased after 8-week treatment and 2 follow-up visits compared with the SCT and TSA groups (P<0.05 or P<0.01). Compared with pre-treatment, the grade distribution of BBS and MBI scores in the 3 groups were significantly improved at 1, 2-month treatment and 2 follow-up visits (P<0.05 or P<0.01). The SF, PROM-H, PROM-K and PROM-A in the IDSA group was significantly increased compared with the SCT and TSA groups after 8-week of treatment (P<0.05 or P<0.01). Compared with the SCT group, ASFA of the IDSA group was significantly reduced after 8-week of treatment (P<0.05). SF, SL, PROM-K and PROM-A were significantly increased at the 2nd follow-up visit whereas the ASFA was significantly reduced in the IDSA group compared with the SCT groups at 1st follow-up visit (P<0.05 or P<0.01). The SF was significantly increased in the SCT group compared with the TSA group after 8-week treatment (P<0.05). Compared with the TSA group, PROM-K, PROM-A were significantly increased at the 2nd follow-up visit (P<0.05).@*CONCLUSIONS@#The effects of IDSA on lower-limb motor function and walking ability of post-stroke patients were superior to SCT and TSA. The SCT was comparable to TSA treatment, and appeared to be superior in improving the motion range of the lower extremities. (Registration No. ChiCTR1900027206).

Influence of periodical health education on self-care capability and living quality of patients with connective tissue diseases complicated with interstitial lung disease / 中国实用护理杂志

Objective To explore the influence of periodical health education on self-care capability and living quality of patients with connective tissue diseases complicated with interstitial lung disease. Methods A total of 92 cases of patients with connective tissue diseases complicated with interstitial lung disease who were received and treated from January 2013 to October 2015 were selected as objects of study. The patients were divided into the observation group and the control group with 46 cases in each group according to the admission time. Both of the two groups were given conventional oxygen uptake therapy, non-steroidal anti infection therapy, expansion of blood vessels therapy and immune regulation therapy. The control group adopted usual care, while the observation group adopted periodical health education. The clinical efficacy, self-management ability, living quality and other indicators of the two groups were compared. Results The effective rate of observation group was 93.48%(43/46), and the effective rate of control group was 78.26%(36/46), The difference between the 2 groups was statistically significant (χ2=4.389, P < 0.05). The observation group related disease knowledge, self-care behavior, attitude adjustment, oxygen inhalation and respiratory function exercise with 5 self-care scores were higher than control group, the difference between the 2 groups was statistically significant (t=3.468-4.348, P<0.05). The observation group related physiological function, physiological rate function, physical pain, overall health, vitality, social function, emotional function, mental health 8 quality of life scores were higher than control group, the difference between the 2 groups was statistically significant (t= 2.261-5.456, P < 0.05). Conclusions Periodical health education is conductive to improving the self-care capability and living quality of patients with connective tissue diseases complicated with interstitial lung disease.