针刺肌筋膜疼痛触发点对脑卒中痉挛型足下垂和足内翻的疗效  

Effects of Acupuncture at Myofascial Trigger Points on Spastic Foot Drop and Inversion after Stroke

作　　者：荣积峰 黄强民[2] 刘琳[2] 王卫宁 朱慧雯 石伟 RONG Ji-fen HUANG Qiang-min LIU Lin WANG Wei-ning ZHU Hui-wen SHI Wei(The First Rehabilitation Hospital of Shanghai, Shanghai 200090, China Shanghai University of Sport, Shanghai 200438, China)

机构地区：[1]上海市第一康复医院,上海市200090 [2]上海体育学院,上海市200438

出　　处：《中国康复理论与实践》2017年第5期591-594,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察针刺肌筋膜疼痛触发点对改善脑卒中患者痉挛型足下垂和足内翻的疗效。方法 2014年5月至2016年5月,脑卒中偏瘫患者50例随机分为对照组(n=25)和观察组(n=25)。对照组采用常规康复训练,观察组在对照组的基础上加用针刺肌筋膜触发点。治疗前及治疗6周后,分别采用疼痛视觉模拟评分(VAS)、改良Ashworth量表(MAS)、踝关节活动度、简式Fugl-Meyer评定量表(FMA)下肢部分、10米最大步行速度(MWS)进行评估。结果治疗后,两组患者VAS、MAS评分,踝关节活动度(足下垂、足内翻),FMA评分,MWS均显著改善(t>6.845,P<0.001),观察组显著优于对照组(t>5.586,P<0.001)。结论针刺肌筋膜触发点可以改善脑卒中患者痉挛型足下垂和足内翻。Objective To study the effects of acupuncture at myofascial trigger points on spastic foot drop and inversion after stroke. Methods From May, 2014 to May, 2016, 50 stroke patients were randomly divided into control group （n=25） and observation group （n=25）. Both groups accepted routine rehabilitation, while the observation group accepted acupuncture at myofascial trigger points per day in addition. They were assessed with Visual Analogue Scale （VAS） of pain, modified Ashworth Scale （MAS）, range of motion （ROM） of ankle, simplified Fugl-Meyer Assessment （FMA） for lower limbs and maximum walking speed （MWS） in ten metres before and six weeks after treatment. Results The scores of VAS, MAS, and FMA, the ROM of ankle, and MWS improved after treatment （t〉6.845, P〈0.001）, and improved more in the observation group than in the control group （t〉5.586, P〈0.001）. Conclusion Acupuncture at myofascial trigger points can release spasm to reduce foot drop and inversion in patients with stroke.

关 键 词：脑卒中 痉挛 足下垂 足内翻 针刺 肌筋膜疼痛触发点 

分 类 号：R743.3[医药卫生—神经病学与精神病学]