Abstract
Effects of vestibular rehabilitation combined with scalp acupuncture on balance function and balance confidence in stroke patients
  
DOI:10.3870/zgkf.2024.12.003
EN KeyWords: stroke  vestibular rehabilitation  scalp acupuncture  balance function  balance confidence
Fund Project:湖南省卫生健康委科研计划项目(202103101709)
作者单位
符文君 1.湖南中医药大学针灸推拿与康复学院长沙 4102082.湖南省人民医院(湖南师范大学附属第一医院)康复医学科长沙 410005 
许明 湖南中医药大学针灸推拿与康复学院长沙 410208 
陈爱连 湖南省人民医院(湖南师范大学附属第一医院)康复医学科长沙 410005 
李琛 湖南省人民医院(湖南师范大学附属第一医院)康复医学科长沙 410005 
艾坤 湖南中医药大学针灸推拿与康复学院长沙 410208 
刘乔夫 湖南省人民医院(湖南师范大学附属第一医院)康复医学科长沙 410005 
刘英姣 湖南省人民医院(湖南师范大学附属第一医院)康复医学科长沙 410005 
张泓 湖南中医药大学针灸推拿与康复学院长沙 410208 
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EN Abstract:
  Objective: To observe the effects of vestibular rehabilitation combined with scalp acupuncture therapy on balance function and activity balance confidence in stroke patients. Methods: A total of 80 stroke patients were randomly divided into a control group and an observation group, with 40 patients in each group. The control group received scalp acupuncture treatment, while the observation group received vestibular rehabilitation training on the basis of scalp acupuncture treatment. The treatments lasted for 3 weeks. Before and after treatment, the Berg balance scale (BBS) was used to assess the balance function of the patients, the Prokin balance test system was used to statically assess the patients’ moving area (S) and movement length (L) under open and closed eyes, and the patients’ average trajectory error (ATE) and the test completion time (TTE) were dynamically assessed, the Barthel index (BI) was used to assess the ability of patients’ daily living activities, and the specific activity balance confidence scale (ABC) was used to assess the balance confidence of the patients. Results: After treatment, the scores of BBS, BI and ABC in two groups were significantly improved as compared with those before treatment (P<0.01), and the moving area (S) and length (L) of static assessment under open and closed eyes, the average trajectory error (ATE) and the time to complete the test (TTE) in dynamic assessment were significantly lower than before treatment (P<0.01). After treatment, the BBS, BI and ABC scores in the observation group were significantly higher than those in the control group (P<0.05), and the moving area (S) and length (L) of static assessment under open and closed eyes, ATE and TTE of dynamic assessment in the observation group were significantly lower than those in the control group (P<0.05). Conclusion: Vestibular rehabilitation combined with scalp acupuncture therapy can improve the balance stability function under open and closed eyes and the static and dynamic control ability of lower limbs in stroke patients, and improve the balance function of patients and strengthen their confidence in activity balance.
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