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| Randomized controlled study on effects of acupoints in nape-abdomen on spasticity after stroke |
| Hits 2353 Download times 3108 Received:June 20, 2013 |
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| DOI
10.11656/j.issn.1672-1519.2014.01.03 |
| Key Words
spasticity after stroke;acupuncture;acupoint in nape-abdomen |
| Author Name | Affiliation | | ZHANG Zhi-long | Department of Acupuncture and Moxibustion, The Affiliated Hospital of Tianjin Academy of TCM, Tianjin 300120, China | | ZHAO Shu-hua | The Second Affiliated Hospital of Tianjin University of TCM, Tianjin 300150, China | | JI Xue-qun | Department of Acupuncture and Moxibustion, The Affiliated Hospital of Tianjin Academy of TCM, Tianjin 300120, China | | XUE Li | Department of Acupuncture and Moxibustion, The Affiliated Hospital of Tianjin Academy of TCM, Tianjin 300120, China | | CHEN Guo-hua | Tianjin Beichen Hospital of TCM, Tianjin 300400, China | | YANG Yuan-qing | Department of Acupuncture and Moxibustion, The Affiliated Hospital of Tianjin Academy of TCM, Tianjin 300120, China | | CHEN Hong | Department of Acupuncture and Moxibustion, The Affiliated Hospital of Tianjin Academy of TCM, Tianjin 300120, China | | YANG Xiu-juan | Department of Acupuncture and Moxibustion, The Affiliated Hospital of Tianjin Academy of TCM, Tianjin 300120, China |
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| Abstract
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| [Objective] To explore the clinical therapeutic effect of acupoints in nape-abdomen on spasticity after stroke. [Methods] Using multi-central, randomized, controlled and blind methods, we divided 300 patients with spasticity after stroke into observation group and controlled group. In control group, acupoints on Jianyu, Binao, Quchi, Shousanli, Waiguan, Hegu, Huantiao, Futu, Yanglingquan, Zusanli, Chengshan, Juegu and Taichong were acupunctured by referencing Chinese medicine planning material of new contrary national advanced institution acupuncture stroke and in the observation group the patients were treated by acupuncturing the next acupoints in nape-abdomen, including Fengfu, Dazhui, Fengchi, Tianzhu, Bailao, Huaroumen, Tianshu, Wailing, Zhongwan, Guanyuan in addition to the acupoints used in the control group. The treatment was given twice a day for 6 weeks totally. The clinical therapeutic effects were assessed according to modified Ashworth scale, clinic spasm index, Fugl-Meyer assessment, clinic evaluation of nervous functional deficiency, electromyogram. [Results] The acupuncturing on acupoints in nape-abdomen could not only improve the scores of ill limb, decline the clinic spasm index and deficiency degree of the nerve function but also possesses some good regulating effect on the pathological nerve activity. The observation group had significant or very significant difference(P<0.05～0.01)compared with controlled group. [Conclusion] Acupuncture on acupoints at nape-abdomen is an effective therapeutic method in treating hemiplegia and spasticity after stroke, which can effectively relive the muscular hypertonia, hyperactivity and accentuation of the muscular reflex in order to improve the functional activity of ill limb. It can also inhibit the excitability of anterior born cells of myelon, having excellent regulating effect on the pathologic nerve movement. |
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