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Clinical observation of tuina plus rehabilitation therapy for lower limb extensor spasticity in recovery stage of stroke

推拿结合康复治疗脑卒中恢复期下肢伸肌痉挛的临床观察

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Abstract

Objective

To observe the clinical efficacy of traditional tuina plus modern rehabilitation in the treatment of lower limb extensor spasticity during stroke recovery.

Methods

A total of 93 stroke patients who met the inclusion criteria were randomly divided into an observation group and a control group. Forty-four patients in the observation group were treated with traditional tuina plus modern rehabilitation, and 49 patients in the control group were treated with modern rehabilitation. The modified Ashworth scale (MAS), the Fugl-Meyer assessment scale (FMA) and the modified Barthel index (MBI) were used to evaluate the knee extensors state, lower limb motor function and activities of daily living (ADL) of the two groups.

Results

After treatment, the overall efficacy of the observation group was better than that of the control group, and the difference was statistically significant (P<0.05). After treatment, the MAS scores of both groups were significantly lower, FMA and MBI scores were significantly higher, and the differences were statistically significant in each group (P<0.01). After treatment, the MAS score of the observation group was lower than that of the control group, and the difference between the groups was statistically significant (P<0.01). The MBI score of the observation group was higher than that of the control group, and the difference between the two groups was statistically significant (P<0.05). There were significant differences in the post-treatment changes in MAS, FMA and MBI scores between the two groups (all P<0.05).

Conclusion

Traditional tuina plus modern rehabilitation therapy can effectively alleviate or prevent lower limb extensor spasticity after stroke, and improve limb mobility and ADL. Hence, it is worthy of clinical promotion.

概要

目的

观察传统推拿结合现代康复治疗脑卒中恢复期下肢伸肌痉挛的临床疗效。

方法

将符合纳入标准 的93例脑卒中患者随机分为观察组和对照组, 观察组44例采用传统推拿结合现代康复治疗, 对照组49例采用现 代康复治疗, 并采用改良Ashworth量表(MAS)、简式Fugl-Meyer量表(FMA)和改良Barthel指数(MBI)评价两组患者下 肢膝关节伸肌痉挛状态、下肢运动功能及日常生活活动能力(ADL)。

结果

治疗后, 观察组整体疗效优于对照组, 差异有统计学意义(P<0.05)。治疗后, 两组患者的MAS评分均明显降低, FMA及MBI评分均明显升高, 组内治疗前 后差异均有统计学意义(均P<0.01)。治疗后, 观察组患者MAS评分低于对照组, 组间差异有统计学意义(P<0.01); 观察组MBI评分高于对照组, 组间差异有统计学意义(P<0.05); 两组患者治疗前后MAS、FMA及MBI评分差值均有 统计学差异(均P<0.05)。

结论

传统推拿结合现代康复技术可以有效缓解或阻止脑卒中后下肢伸肌痉挛, 改善患 者肢体运动能力及ADL, 值得临床推广。

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Authors and Affiliations

  1. Traditional Chinese Orthopedic and Traumatology Hospital of Zhoushan, Zhejiang Province, Zhoushan, 316001, China

    Cun Xie  (谢存)

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  1. Cun Xie  (谢存)
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Correspondence to Cun Xie  (谢存).

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Xie, C. Clinical observation of tuina plus rehabilitation therapy for lower limb extensor spasticity in recovery stage of stroke. J. Acupunct. Tuina. Sci. 17, 44–48 (2019). https://doi.org/10.1007/s11726-019-1091-1

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  • DOI: https://doi.org/10.1007/s11726-019-1091-1

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