Impacts of the combined treatment of Tongdu Tiaoshen moxibustion and rehabilitation training on the motor function recovery of the upper limbs in the patients with apoplectic hemiplegia  

通督调神灸结合康复训练对中风偏瘫患者上肢运动功能恢复的影响

作　　者：Si-fang Chen Wei Han Shan-bin Sun 陈四芳;韩为;孙善斌(安徽中医药大学第二附属医院康复科,中国安徽合肥230061)

机构地区：[1]Department of Rehabilitation of the Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,Anhui Province,China

出　　处：《World Journal of Acupuncture-Moxibustion》2020年第2期97-101,共5页世界针灸杂志（英文版）

基　　金：Supported by Research Program of Anhui University of Traditional Chinese Medicine:2019zryb21。

摘　　要：Objective:To observe the impacts of the combined treatment of Tongdu Tiaoshen moxibustion(moxibustion for promoting the circulation of the governor vessel and regulating the spirit)and rehabilitation training on the motor function recovery in the patients with apoplectic hemiplegia.Methods:A total of 50 patients with apoplectic hemiplegia and qualified in the trial recruitment criteria were divided into two groups according to random number table,25 cases in each group.In the control group,the simple rehabilitation training was provided.In the observation group,on the base of the treatment as the control group,Tongdu Tiaoshen moxibustion was given.Main acupoints:Baihul(百会GV20),Fengfu(风府GV16)and Dazhui(大椎GV14).The treatment was given once a day,6 treatments a week,4 weeks as one course and two courses of treatment were required.Before and after treatment,the scores of Fugle-Meyer assessment(FMA),the modified Barthel index(MBI)and action research arm test(ARAT)were detected before and after treatment in the two groups separately.Results:After 4 and 8 weeks of treatment,the scores of FMA,MBI and ARAT were all improved obviously as compared with those before treatment respectively in patients of the two groups(all P<0.01).After8 weeks of treatment,the score of each scale in the observation group was more obviously improved as compared with the control group(all P<0.05).The difference in the clinical therapeutic effect was significant statistically between the two groups(P=0.005).Conclusion:The combined treatment of Tongdu Tiaoshen moxibustion and rehabilitation training promotes the recovery of the upper limb motor function and improves the self-ability of living activities in the patients with apoplectic hemiplegia.The long-term effect of this combined therapy is superior to that of simple rehabilitation training.

关 键 词：Tongdu Tiaoshen moxibustion Rehabilitation Apoplexy/Stroke Motor function of the upper limb 

分 类 号：R246.6[医药卫生—针灸推拿学]