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Post-stroke speech disorder treated with acupuncture and psychological intervention combined with rehabilitation training: a randomized controlled trial / 中国针灸
Chinese Acupuncture & Moxibustion ; (12): 481-486, 2011.
Artigo em Chinês | WPRIM | ID: wpr-271117
ABSTRACT
<p><b>OBJECTIVE</b>To assess the clinical efficacy on post-stroke speech disorder treated with acupuncture and psychological intervention combined with rehabilitation training.</p><p><b>METHODS</b>The multi-central randomized controlled study was adopted. One hundred and twenty cases of brain stroke were divided into a speech rehabilitation group (control group), a speech rehabilitation plus acupuncture group (observation group 1) and a speech rehabilitation plus acupuncture combined with psychotherapy group (observation group 2), 40 cases in each one. The rehabilitation training was conducted by a professional speech trainer. In acupuncture treatment, speech function area in scalp acupuncture, Jinjin (EX-HN 12) and Yuye (EX-HN 13) in tongue acupuncture and Lianquan (CV 23) were the basic points. The supplementary points were selected according to syndrome differentiation. Bloodletting method was used in combination with acupuncture. Psychotherapy was applied by the physician in psychiatric department of the hospital. The corresponding programs were used in each group. Examination of Aphasia of Chinese of Beijing Hospital was adopted to observe the oral speech expression, listening comprehension and reading and writing ability.</p><p><b>RESULTS</b>After 21-day treatment, the total effective rate was 92.5% (37/40) in observation group 1, 97.5% (39/40) in observation group 2 and 87.5% (35/40) in control group. The efficacies were similar in comparison among 3 groups. The remarkable effective rate was 15.0% (6/40) in observation group 1, 50.0% (20/40) in observation group 2 and 2.5% (1/40) in control group. The result in observation group 2 was superior to the other two groups (P<0.01, P<0.001). In comparison of the improvements of oral expression, listening comprehension, reading and writing ability, all of the 3 groups had achieved the improvements to different extents after treatment (P<0.01, P<0.001). The results in observation group 2 were better than those in observation group 1 and control group.</p><p><b>CONCLUSION</b>Acupuncture and psychological intervention combined with rehabilitation training is obviously advantageous in the treatment of post-stroke speech disorder.</p>
Assuntos
Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Psicologia / Reabilitação / Distúrbios da Fala / Fonoterapia / Terapêutica / Terapia por Acupuntura / Terapia Combinada / Acidente Vascular Cerebral Tipo de estudo: Ensaio Clínico Controlado Limite: Idoso / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Acupuncture & Moxibustion Ano de publicação: 2011 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Psicologia / Reabilitação / Distúrbios da Fala / Fonoterapia / Terapêutica / Terapia por Acupuntura / Terapia Combinada / Acidente Vascular Cerebral Tipo de estudo: Ensaio Clínico Controlado Limite: Idoso / Feminino / Humanos / Masculino Idioma: Chinês Revista: Chinese Acupuncture & Moxibustion Ano de publicação: 2011 Tipo de documento: Artigo