Abstract
Impacts of Qiao channel acupuncture combined with symmetrical weight-bearing training on muscle tension, foot varus angle, and sitting-standing transfer ability in patients with hemiplegia after stroke
  
DOI:
EN KeyWords: Qiao channel acupuncture  symmetrical weight bearing training  stroke  hemiplegia  muscle tension  station transfer capability
Fund Project:河南省中医药科学研究专项课题(2019ZY2105)
作者单位
巴焕 河南省中西医结合医院康复医学科郑州 450000 
李宁 河南省中西医结合医院康复医学科郑州 450000 
吴仪 河南省中西医结合医院康复医学科郑州 450000 
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EN Abstract:
  Objective: To explore the impacts of Qiao channel acupuncture combined with symmetrical weight bearing training on muscle tension, foot varus angle, and sitting-standing transfer ability in patients with hemiplegia after stroke. Methods: A total of 130 patients with spastic paralysis after stroke (SPAS) admitted to our hospital from March 2021 to April 2022 were selected and randomly grouped into training group (n=65) and research group (n=65) using a digital table method. The training group was given symmetrical weight bearing training, and the research group was subjected to Qiao channel acupuncture intervention on the basis of the training group. The lower limb muscle tone [modified Ashworth scale (MAS)], spasticity status [comprehensive spasticity scale (CSS)], gait parameters, foot varus angle, sitting and standing transfer ability [Five-Times-Sit-to-Stand Test (FTSST)], and lower limb function [Fugl-Meyer Assessment (FMA)] were compared between the two groups before and after 6 weeks of intervention. Results: After 6 weeks of intervention, the lower limb MAS grading in both groups was better than before intervention (P<0.05), and the lower limb MAS in the study group was better than that in the training group (P<0.05). The CSS scores and FTSST value in both groups were lower than those before intervention (P<0.05), and those in the research group were lower than those in the training group (P<0.05). The walking speed in both groups was faster than before intervention (P<0.05), and that in the research group was faster than in the training group (P<0.05). The stride width, gait cycle, support phase time, stride deviation, and foot varus angle in the two groups were significantly decreased as compared with those before intervention (P<0.05), and those in the research group were significantly reduced as compared with those in the training group (P<0.05). The lower limb FMA score in both groups was higher than before intervention (P<0.05), and that in the research group was higher than in the training group (P<0.05). Conclusion: Applying Qiao channel acupuncture combined with symmetrical weight bearing training to patients with SPAS can effectively improve the muscle tension and spasticity of the lower limbs, greatly improve the sitting-standing transfer ability and lowerlimb function.
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