Clinical observation of tuina plus rehabilitation therapy for lower limb extensor spasticity in recovery stage of stroke / 针灸推拿医学（英文版）

ABSTRACT

Objective:To observe the clinical efficacy of traditional tuina plus modern rehabilitation in the treatment of lower limb extensor spasticity during stroke recovery.Methods:A total of 93 stroke patients who met the inclusion criteria were randomly divided into an observation group and a control group.Forty-four patients in the observation group were treated with traditional tuina plus modern rehabilitation,and 49 patients in the control group were treated with modern rehabilitation.The modified Ashworth scale (MAS),the Fugl-Meyer assessment scale (FMA) and the modified Barthel index (MBI) were used to evaluate the knee extensors state,lower limb motor function and activities of daily living (ADL) of the two groups.Results:After treatment,the overall efficacy of the observation group was better than that of the control group,and the difference was statistically significant (P＜0.05).After treatment,the MAS scores of both groups were significantly lower,FMA and MBI scores were significantly higher,and the differences were statistically significant in each group (P＜0.01).After treatment,the MAS score of the observation group was lower than that of the control group,and the difference between the groups was statistically significant (P＜0.01).The MBI score of the observation group was higher than that of the control group,and the difference between the two groups was statistically significant (P＜0.05).There were significant differences in the post-treatment changes in MAS,FMA and MBI scores between the two groups (all P＜0.05).Conclusion:Traditional tuina plus modern rehabilitation therapy can effectively alleviate or prevent lower limb extensor spasticity after stroke,and improve limb mobility and ADL.Hence,it is worthy of clinical promotion.