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[The effect of floating-needle therapy combined with rehabilitation training for the hand function recovery of post-stroke patients].

AbstractOBJECTIVE:
To explore the improvement of hand motion function,spasm and self-care ability of daily life for stroke patients treated with floating-needle combined with rehabilitation training.
METHODS:
Eighty hand spasm patients of post-stroke within one year after stroke were randomly divided into an observation group and a control group, 40 cases in each one. In the two groups, rehabilitation was adopted for eight weeks,once a day,40 min one time. In the observation group, based on the above treatment and according to muscle fascia trigger point, 2~3 points in both the internal and external sides of forearm were treated with floating-needle. The positive or passive flexion and extension of wrist and knuckle till the relief of spasm hand was combined. The floating-needle therapy was given for eight weeks, on the first three days once a day and later once every other day. Modified Ashworth Scale(MAS), activity of daily life(ADL, Barthel index) scores and Fugl-Meyer(FMA) scores were used to assess the spasm hand degree,activity of daily life and hand motion function before and after 7-day, 14-day and 8-week treatment.
RESULTS:
After 7-day, 14-day and 8-week treatment, MAS scores were apparently lower than those before treatment in the two groups(all P<0. 05), and Barthel scores and FMA scores were obviously higher than those before-treatment(all P<0. 05). After 14-day and 8-week treatment, FMA scores in the observation group were markedly higher than those in the control group(both P<0. 05).
CONCLUSION:
Floating-needle therapy combined with rehabilitation training and simple rehabilitation training could both improve hand spasm degree, hand function and activity of daily life of post-stroke patients, but floating-needle therapy combined with rehabilitation training is superior to simple rehabilitation training for the improvement of hand function.
AuthorsJiangxia Yang, Hong Xiao
JournalZhongguo zhen jiu = Chinese acupuncture & moxibustion (Zhongguo Zhen Jiu) Vol. 35 Issue 8 Pg. 758-62 (Aug 2015) ISSN: 0255-2930 [Print] China
PMID26571885 (Publication Type: English Abstract, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Topics
  • Acupuncture Therapy (instrumentation, methods)
  • Adult
  • Aged
  • Combined Modality Therapy
  • Female
  • Hand (physiopathology)
  • Humans
  • Male
  • Middle Aged
  • Needles
  • Range of Motion, Articular
  • Recovery of Function
  • Stroke (rehabilitation, therapy)
  • Treatment Outcome

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