摘要
目的比较拮抗肌运动点和腧穴电针刺激治疗脑卒中后踝内翻的临床疗效。方法 96例患者随机分为治疗组(n=48)和对照组(n=48),两组均予Bobath法康复治疗,治疗组予拮抗肌运动点电针治疗,对照组予以拮抗肌常规腧穴电针治疗,共4周。治疗前后采用Holden步行功能分类、改良Ashworth量表和踝关节自主背伸外翻分级法进行评定。结果两组患者治疗后,Holden步行功能分类、改良Ashworth量表、踝关节自主背伸外翻分级评分都有不同程度改善(P<0.05),治疗组优于对照组(P<0.05)。结论拮抗肌运动点电针缓解脑卒中患者痉挛性踝内翻疗效优于常规腧穴电针。
Objective To compare the clinical effects of electroacupuncture at antagonistic motor points and at acupoints on ankle varus post stroke.Methods 96 patients with ankle varus post stroke were randomly divided into treatment group（n=48） and control group（n=48）.All the patients accepted Bobath approach.The treatment group accepted electroacupuncture at antagonistic motor points,while the control group at antagonistic acupoints.They were assessed with Holden functional ambulation category,modified Ashworth scale and dorsiflexion-eversion grade of ankle before and after 4 weeks of treatment.Results The ambulation,spasticity of ankle,and dorsiflexion-eversion of ankle improved in both groups after treatment（P〈0.05）,and improved more in the treatment group than in the control group（P〈0.05）.Conclusion Electroacupuncture at antagonistic motor points may release spasticity of ankle post stroke more effective than at acpoints.
出处
《中国康复理论与实践》
CSCD
北大核心
2012年第9期813-815,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脑卒中
踝内翻
电针
拮抗肌运动点
stroke
ankle varus
electroacupuncture
antagonistic motor points
