Evaluation of therapeutic effect of muscle region needling for post-stroke spasticity a randomized controlled trial / 中国组织工程研究

ABSTRACT

BACKGROUND: For spasticity and flaccidity after stroke are different between each other qualitatively,the treatments of them with acupuncture are various.OBJECTIVE: To probe into the effective therapeutic methods for limb spasticity after stroke.DESIGN: A randomized controlled observation based on patients.SETTING: Department of acupuncture and massage in a college of traditional Chinese medicine.PARTICIPANTS: All of the cases were originated from 57 in-patients collected from the ward of Department of Acupuncture and Moxibustion of First Affiliated Hospital of Hunan College of Traditional Chinese Medicine from January 2002 to December 2003.METHODS: According to the admission sequence of patients,two groups were divided by the random number table. Muscle-region acupuncture was formed on the basis of joint needling( guan ci),relaxing needling( hui ci)and fire needling(fanzhen jie ci) and was used to treat 24 cases of spasticity of stroke. In addition,the control of 24 cases was designed treated by the points only on yangming meridian. The comparative observation on therapeutic effects was carried on with Ashworth and SIAS,the relevant evaluation methods on spasticity in modern rehabilitation medicine,and with isodynamic time-measuring method as well.MAIN OUTCOME MEASURES: ① SIAS integrals; ② Ashworth grades of spasticity; ③ Isodynamic time-measuring method.RESULTS: SIAS integrals before and after treatment were 6.98 ± 3.52,12.59 ± 3.36 in muscle region group,and 7. 12 ± 3.38,8.75 ± 3.42 in yangming group,indicating significant difference( P ＜ 0. 01). The differences were also significant in Ashworth analysis and quantitative evaluation with isodynamic time-measuring method on spasticity in two groups ( P＜0.05 or P ＜ 0.01).CONCLUSION: Muscle region needling is a kind of method with definite therapeutic effect on spasticity after stroke in acupuncture and moxibustion.