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Effects of Interactive Dynamic Scalp Acupuncture on motor Function and Gait of lower Limbs after Stroke:A Multicenter,Randomized,Controlled Clinical Trial

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Chinese Journal of Integrative Medicine 2022年第6期28卷 483-491页

作者： ZHANG Shao-hua WANG Yu-long ZHANG Chun-xia ZHANG Chun-ping XIAO Peng LI Qian-feng LIANG Wei-rong PAN Xiao-hua ZHOU Ming-chao Department of Rehabilitation Dapeng New District Nan’ao People’s HospitalShenzhenGuangdong Province518121China Department of Rehabilitation Medicine Shenzhen Second People’s HospitalShenzhenGuangdong Province518037China Department of Rehabilitation Medicine Shenzhen Hospital of Guangzhou University of Chinese MedicineShenzhenGuangdong Province518034China

Objective:To evaluate the effects of interactive dynamic scalp acupuncture(IDSA),simple combination therapy(SCT),and traditional scalp acupuncture(TSA)on motor function and gait of the lower limbs in post-stroke hemiplegia ***:A total of 231 patients with post-stroke hemiplegia was randomly divided into IDSA(78 cases),SCT(78 cases),and TSA(75 cases)groups by a random number *** acupuncture(SA)and lower-limb robot training(LLRT)were both performed in the IDSA and SCT *** patients in the TSA group underwent SA and did not receive *** treatment was administered once daily and 6 times weekly for 8 continuous weeks,each session lasted for 30 *** primary outcome measures included Fugl-Meyer Assessment of the lower extremity(FMA-LE),Berg Balance Scale(BBS),Modified Barthel Index(MBI),and 6-min walking test(6 MWT).The secondary outcome measures included stride frequency(SF),stride length(SL),stride width(SW),affected side foot angle(ASFA),passive range of motion(PROM)of the affected hip(PROM-H),knee(PROM-K)and ankle(PROM-A)*** patients were evaluated before treatment,at 1-and 2-month treatment,and 1-,and 2-month follow-up visits,*** events during 2-month treatment were ***:Nineteen patients withdrew from the trial,with 8 in the IDSA group,5 in the SCT group,and 6 in the TSA *** FMA-LE,BBS,6 MWT and MBI scores in the IDSA group were significantly increased after 8-week treatment and2 follow-up visits compared with the SCT and TSA groups(P<0.05 or P<0.01).Compared with pre-treatment,the grade distribution of BBS and MBI scores in the 3 groups were significantly improved at 1,2-month treatment and 2 follow-up visits(P<0.05 or P<0.01).The SF,PROM-H,PFOM-K and PROM-A in the IDSA group was significantly increased compared with the SCT and TSA groups after 8-week of treatment(P<0.05 or P<0.01).Compared with the SCT group,ASFA of the IDSA group was significantly reduced after 8-week of treatment(P<0.05)

关键词： interactive dynamic scalp acupuncture stroke dyskinesia lower extremity motor ability gait self-care capability randomized controlled clinical trial

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