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[Clinical effect of plum-blossom needle tapping at three yin meridians of wrist on wrist joint contracture after stroke].

[梅花针叩腕三阴经治疗脑卒中后腕关节挛缩的临床疗效]。

  • 影响因子:0
  • DOI:10.13703/j.0255-2930.20190107-0008
  • 作者列表:"Wang YY","He L","Ye JB","Chen C","Kang GH","Gao XL","Chen SQ
  • 发表时间:2020-01-12
Abstract

OBJECTIVE:To compare the therapeutic effect of plum-blossom needle tapping at three yin meridians of wrist combined with rehabilitation training and simple rehabilitation training on wrist joint contracture after stroke. METHODS:A total of 72 patients with wrist joint contracture after stroke were randomized into an observation group and a control group, 36 cases in each one. In the control group, simple rehabilitation training was applied, 5 times a week, 3 weeks as one course and totally 3 courses were required. On the basis of the treatment in the control group, plum-blossom needle tapping at three yin meridians of wrist was adopted in the observation group. The tapping regions were wrist traveling parts of three yin meridians of hand, ranging from up 3 cun to below 1 cun of wrist crease, 3 times a week, 3 weeks as one course and totally 3 courses were required. The active range of motion (AROM) of active wrist extension, Fugl-Meyer score (FMA) and Barthel index (BI) score were observed before and after treatment in the two groups. RESULTS:The AROM, FMA scores and BI scores after treatment in the two groups were superior to before treatment (P<0.05), and the improvements of 3 indexes in the observation group were superior to the control group (P<0.05). CONCLUSION:The therapeutic effect of plum-blossom needle tapping at three yin meridians of wrist combined with rehabilitation training is superior to simple rehabilitation training on wrist joint contracture after stroke.

摘要

目的: 比较梅花针叩击腕三阴经结合康复训练与单纯康复训练治疗脑卒中后腕关节挛缩的疗效。 方法: 将 72 例脑卒中后腕关节挛缩患者随机分为观察组和对照组,每组 36 例。对照组应用单纯康复训练,每周 5 次,3 周为 1 个疗程,共 3 个疗程。在对照组治疗的基础上,观察组采用梅花针叩击腕三阴经。拍击部位为手部三条阴经的腕行部位,腕部皱褶处 3 寸以上至 1 寸以下,每周 3 次,3 周为一个疗程,共 3 个疗程。观察两组治疗前后主动伸腕活动度 (AROM) 、Fugl-Meyer评分 (FMA) 、Barthel指数 (BI) 评分。 结果: 两组治疗后AROM、FMA评分及BI评分均优于治疗前 (P<0.05),且观察组 3 项指标改善情况均优于对照组 (P<0.05)。 结论: 梅花针叩击腕三阴经结合康复训练治疗脑卒中后腕关节挛缩的疗效优于单纯康复训练。

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DOI:10.1002/acr.23824
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