Tuina along the meridians combined with Chinese medicine for motor functions and activities of daily living in patients with post-stroke upper limb spasticity  

循经推拿加中药对脑卒中后上肢痉挛患者运动功能和日常生活活动能力的影响(英文)

作　　者：韩淑凯 马志伟 张娜 陈彩平 任占昌 韩丑萍 

机构地区：[1]Wangdu County Hospital of Chinese Medicine [2]Wangdu County Hospital

出　　处：《Journal of Acupuncture and Tuina Science》2015年第5期295-299,共5页针灸推拿医学（英文版）

基　　金：supported by Scientific Research Fund Project of Hebei Provincial Administration Bureau of Traditional Chinese Medicine~~

摘　　要：Objective： To observe the effect of combining Chinese medicine and tuina along the meridians on motor function and activities of daily living （ADL） in patient with post-stroke upper limb spasticity. Methods： A total of 220 patients with post-stroke upper limb spasticity were randomly allocated into a treatment group （n=120） and a control group （n=110）. Patients in the treatment group received tuina along the meridians combined with spasticity-alleviating and collateral-unblocking Chinese medicine, whereas patients in the control group received routine rehabilitation therapy. Patients in both groups were treated for 3 weeks. Then the patients＇ motor function, ADL and muscle tone were evaluated before and after treatment using the FugI-Meyer assessment scale （FMA）, modified Barthel index （MBI） and modified Ashworth scale （MAS）. Results： After treatment, the FMA scores, MBI scores, and muscle （shoulder intortor, elbow flexors and wrist flexors） tones were significantly improved （P〈0.05）, but the improvement was more significant in the treatment group than that in the control group （P〈0.05）. Conclusion： Tuina along the meridians combined with spasticity-alleviating and collateral-unblocking Chinese medicine can substantially alleviate muscle tone on the affected side and remarkably improve the patients＇ motor function and ADL.目的:观察循经推拿结合中药对脑卒中后上肢痉挛患者运动功能和日常生活活动能力(activities of daily living,ADL)的影响。方法:将220例脑卒中后上肢痉挛患者采用随机数字表法随机分为治疗组和对照组,每组110例,治疗组给予循经推拿结合止痉通络中药口服治疗,对照组给予常规康复治疗,共治疗3星期。于治疗前后分别采用简式F ugl-Meyer量表(Fugl-Meyer assessment scale,FMA)、改良B arthel指数(modified Barthel index,MBI)和改良A shworth痉挛量表(modified Ashworth scale,MAS)评定患者的运动功能、A DL和肌张力。结果:治疗组患者FMA评分、M BI评分、肩内旋肌、屈肘肌及腕屈肌肌张力评分及对照组均较治疗前明显改善(P<0.05),并且上述指标均以治疗组患者的改善程度较显著,与对照组间差异均具有统计学意义(P<0.05)。结论:循经推拿法结合止痉通络方能明显缓解患侧屈肌肌张力,从而显著提高患者的运动功能和日常生活活动能力。

关 键 词：TUINA MASSAGE Drugs  Chinese Herbal SPASM Post-stroke Syndrome Activities of Daily Living Rehabilitation 

分 类 号：R244.1[医药卫生—针灸推拿学]