Effects of Interactive Dynamic Scalp Acupuncture on Motor Function and Gait of Lower Limbs after Stroke:A Multicenter,Randomized,Controlled Clinical Trial  

作　　者：ZHANG Shao-hua WANG Yu-long ZHANG Chun-xia ZHANG Chun-ping XIAO Peng LI Qian-feng LIANG Wei-rong PAN Xiao-hua ZHOU Ming-chao 

机构地区：[1]Department of Rehabilitation,Dapeng New District Nan’ao People’s Hospital,Shenzhen,Guangdong Province,518121,China [2]Department of Rehabilitation Medicine,Shenzhen Second People’s Hospital,Shenzhen,Guangdong Province,518037,China [3]Department of Rehabilitation Medicine,Shenzhen Hospital of Guangzhou University of Chinese Medicine,Shenzhen,Guangdong Province,518034,China

出　　处：《Chinese Journal of Integrative Medicine》2022年第6期483-491,共9页中国结合医学杂志（英文版）

基　　金：Supported by Medical Research Fund of Guangdong,China(No.A2020448);Special Fund Support Project for Industrial Development in Dapeng New District,Shenzhen of Guangdong Province,China(No.YL202001-16);Medical and Health Research Fund Project of Medical and Health Group in Dapeng New District,Shenzhen,Guangdong Province,China(No.2019JTYM003,2019JTYM004)。

摘　　要：Objective:To evaluate the effects of interactive dynamic scalp acupuncture(IDSA),simple combination therapy(SCT),and traditional scalp acupuncture(TSA)on motor function and gait of the lower limbs in post-stroke hemiplegia patients.Methods:A total of 231 patients with post-stroke hemiplegia was randomly divided into IDSA(78 cases),SCT(78 cases),and TSA(75 cases)groups by a random number table.Scalp acupuncture(SA)and lower-limb robot training(LLRT)were both performed in the IDSA and SCT groups.The patients in the TSA group underwent SA and did not receive LLRT.The treatment was administered once daily and 6 times weekly for 8 continuous weeks,each session lasted for 30 min.The primary outcome measures included Fugl-Meyer Assessment of the Lower Extremity(FMA-LE),Berg Balance Scale(BBS),Modified Barthel Index(MBI),and 6-min walking test(6 MWT).The secondary outcome measures included stride frequency(SF),stride length(SL),stride width(SW),affected side foot angle(ASFA),passive range of motion(PROM)of the affected hip(PROM-H),knee(PROM-K)and ankle(PROM-A)joints.The patients were evaluated before treatment,at 1-and 2-month treatment,and 1-,and 2-month follow-up visits,respectively.Adverse events during 2-month treatment were observed.Results:Nineteen patients withdrew from the trial,with 8 in the IDSA group,5 in the SCT group,and 6 in the TSA group.The FMA-LE,BBS,6 MWT and MBI scores in the IDSA group were significantly increased after 8-week treatment and2 follow-up visits compared with the SCT and TSA groups(P<0.05 or P<0.01).Compared with pre-treatment,the grade distribution of BBS and MBI scores in the 3 groups were significantly improved at 1,2-month treatment and 2 follow-up visits(P<0.05 or P<0.01).The SF,PROM-H,PFOM-K and PROM-A in the IDSA group was significantly increased compared with the SCT and TSA groups after 8-week of treatment(P<0.05 or P<0.01).Compared with the SCT group,ASFA of the IDSA group was significantly reduced after 8-week of treatment(P<0.05).SF,SL,PROM-K and PROM-A were significantly incr

关 键 词：interactive dynamic scalp acupuncture STROKE DYSKINESIA lower extremity motor ability GAIT self-care capability randomized controlled clinical trial 

分 类 号：R743.3[医药卫生—神经病学与精神病学]