[Impact of abdominal moxibustion in a period of day from 7 am to 9 am on improvement in post-stroke lower limb spasticity and muscle architecture parameter].

艾灸 痉挛 物理医学与康复 医学 冲程(发动机) 肌肉结构 物理疗法 解剖 针灸科 工程类 替代医学 病理 机械工程
出处
期刊:Chinese acupuncture & moxibustion 卷期号:40 (10): 1042-6 被引量:1
标识
DOI:10.13703/j.0255-2930.20190904-k0001
摘要

To compare the therapeutic effect on post-stroke lower limb spasticity between the combined treatment of abdominal moxibustion from 7 am to 9 am and rehabilitation training and the simple rehabilitation training.A total of 100 patients with post-stroke lower limb spasticity were randomized into an observation group (50 cases, 3 cases dropped off) and a control group (50 cases, 4 cases dropped off ). In the control group, the basic treatment of internal medicine and rehabilitation training of the limbs were adopted. In the observation group, on the basis of the treatment in the control group, at the time zone from 7 am to 9 am, moxibustion on the abdomen with "eight-trigram" moxa box [the central moxa box accurately facing Shenque (CV 8)] was given, lasting for 2 h, once every two days. Both groups were treated for 6 weeks. Separately, before and after treatment, the score of Fugl-Meyer assessment of the lower extremity (FMA-LE) and the grade of modified Ashworth scale (MAS) of ankle joint were evaluated on the affected side in patients of the two groups. Muscle skeleton ultrasound (MSUS) was adopted to determine the first layer muscle thickness (MT) anterior to the tibia, the number of pennation angle (PA) and the length of muscle fibers in the medial head of gastrocnemius muscle on the affected side. Besides, after treatment, the therapeutic effect was evaluated in the two groups.After treatment, the score of FMA-LE and the grade of MAS of ankle joint on the affected side were both improved as compared with those before treatment in patients of the two groups (P<0.01, P<0.05). The improvements in the observation group were better than those in the control group (P<0.01, P<0.05). After treatment, MT anterior to the tibia, the number of PA and the length of muscle fibers in the medial head of gastrocnemius muscle on the affected side were all increased as compared with before treatment in patients of the two groups (P<0.01). The increase degree in the observation group was larger than that in the control group (P<0.01). The total effective rate was 93.6% (44/47) in the observation group, better than 80.4% (37/46) in the control group (P<0.05).The combined treatment of abdominal moxibustion from 7 am to 9 am and rehabilitation training effectively relieves post-stroke lower limb spasticity and improves the limb functions and muscle structure. The total effective rate of this combined treatment is better than that of simple rehabilitation training.目的:比较辰时腹部艾灸联合康复训练与单纯康复训练治疗中风后下肢痉挛的疗效。方法:将100例中风后下肢痉挛患者随机分为观察组(50例,脱落3例)和对照组(50例,脱落4例)。对照组予内科基础治疗及肢体康复训练;观察组在对照组的基础上于辰时(7:00-9:00)采用八卦灸盒行腹部艾灸(中央灸盒对准神阙穴),持续2 h,隔日1次,两组均治疗6周。分别于治疗前后评定两组患者患侧Fugl-Meyer下肢运动功能评分及踝关节改良Ashworth痉挛量表评级,采用肌骨超声检测两组患者患侧胫骨前肌第一层厚度、羽状角度数及腓肠肌内侧头的肌纤维长度,并于治疗后评定两组疗效。结果:治疗后两组患者患侧Fugl-Meyer下肢运动功能评分、患侧踝关节改良Ashworth痉挛量表评级均较治疗前改善(P<0.01,P<0.05),且观察组Fugl-Meyer下肢运动功能评分改善程度及改良Ashworth痉挛量表评级优于对照组(P<0.01,P<0.05)。治疗后两组患者胫骨前肌第一层厚度、羽状角度数及腓肠肌内侧头的肌纤维长度均较治疗前增加(P<0.01),且观察组增加幅度大于对照组(P<0.01)。观察组临床总有效率为93.6%(44/47),高于对照组的80.4%(37/46,P<0.05)。结论:辰时腹部艾灸联合康复训练能有效改善中风后下肢痉挛程度,改善肢体功能与肌肉结构,总体疗效优于单纯康复训练。.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
oblivious完成签到,获得积分10
1秒前
mkb完成签到,获得积分10
1秒前
1秒前
向秋发布了新的文献求助10
2秒前
王云骢完成签到,获得积分20
3秒前
甜蜜鹭洋完成签到 ,获得积分10
3秒前
xuxuxuuxuxux完成签到,获得积分10
3秒前
4秒前
月光族完成签到,获得积分10
4秒前
树下发布了新的文献求助10
4秒前
滴滴完成签到,获得积分20
6秒前
7秒前
七安发布了新的文献求助30
7秒前
LeePsy完成签到,获得积分10
7秒前
8秒前
深情安青应助hbutsj采纳,获得10
8秒前
小璐璐呀完成签到,获得积分10
9秒前
明亮安双完成签到,获得积分20
10秒前
Lemon完成签到,获得积分10
10秒前
sci一区作者完成签到,获得积分20
11秒前
包容柜子发布了新的文献求助10
11秒前
hhllhh发布了新的文献求助10
12秒前
河丫应助阳洋洋采纳,获得10
12秒前
12秒前
落霞与孤鹜齐飞完成签到,获得积分10
13秒前
13秒前
13秒前
hbuhfl完成签到,获得积分10
14秒前
小瑜完成签到,获得积分10
15秒前
小蘑菇应助Lemon采纳,获得10
15秒前
betty2009完成签到,获得积分10
15秒前
星星完成签到,获得积分10
15秒前
乐观如松关注了科研通微信公众号
15秒前
16秒前
Leo发布了新的文献求助20
17秒前
17秒前
幸运星完成签到,获得积分10
17秒前
包容柜子完成签到,获得积分10
18秒前
马某发布了新的文献求助10
18秒前
123完成签到,获得积分10
18秒前
高分求助中
【提示信息,请勿应助】关于scihub 10000
Les Mantodea de Guyane: Insecta, Polyneoptera [The Mantids of French Guiana] 3000
徐淮辽南地区新元古代叠层石及生物地层 3000
The Mother of All Tableaux: Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 3000
Global Eyelash Assessment scale (GEA) 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 550
Research on Disturbance Rejection Control Algorithm for Aerial Operation Robots 500
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 4038426
求助须知:如何正确求助?哪些是违规求助? 3576119
关于积分的说明 11374556
捐赠科研通 3305834
什么是DOI,文献DOI怎么找? 1819339
邀请新用户注册赠送积分活动 892678
科研通“疑难数据库(出版商)”最低求助积分说明 815029