冯氏筋膜点缓解脑卒中后手痉挛的临床疗效初步观察
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摘要
目的观察针刺冯氏筋膜点缓解脑卒中后手痉挛的临床疗效。方法对16例脑卒中后手痉挛患者行冯氏筋膜点针刺治疗。疗程为4周,观察治疗前、首次治疗后和疗程结束时改良Ashworth量表评分的变化情况。结果患者改良Ashworth量表评分在首次治疗后和疗程结束时均较治疗前降低(P<0.05),且疗程结束时降低更为显著(P<0.05)。结论针刺冯氏筋膜点能有效即时缓解脑卒中后手痉挛,且随着干预时间的延长,效果更加明显。
Objective To observe the clinical efficacy of acupuncture at Feng's fascia point on relieving hand spasm after stroke. Methods 16 patients with hand spasm after stroke were treated with acupuncture at Feng's fascia point,with a course of 4 weeks. The changes on the modified Ashworth scale score were observed before the treatment,after the first treatment and at the end of treatment. Results Compared with treatment before,the modified Ashworth scale score of patients was decreased after the first treatment and at the end of treatment( P<0.05). And the modified Ashworth scale score at the end of treatment was significantly lower than that after the first treatment( P<0.05). Conclusion Acupuncture at Feng's fascia point can effectively and immediately relieve the hand spasm after stroke,and the effects are more obvious as the increasing intervention time.
Objective To observe the clinical efficacy of acupuncture at Feng's fascia point on relieving hand spasm after stroke. Methods 16 patients with hand spasm after stroke were treated with acupuncture at Feng's fascia point,with a course of 4 weeks. The changes on the modified Ashworth scale score were observed before the treatment,after the first treatment and at the end of treatment. Results Compared with treatment before,the modified Ashworth scale score of patients was decreased after the first treatment and at the end of treatment( P<0.05). And the modified Ashworth scale score at the end of treatment was significantly lower than that after the first treatment( P<0.05). Conclusion Acupuncture at Feng's fascia point can effectively and immediately relieve the hand spasm after stroke,and the effects are more obvious as the increasing intervention time.
引文
[1]KREWER C,HARTL S,MLLER F,et al.Effects of repetitive peripheral magnetic stimulation on upper-limb spasticity and impairment in patients with spastic hemiparesis:a randomized,doubleblind,sham-controlled study[J].Arch Phys Med Rehabil,2014,95(6):1039-1047.
[2]吴长鸿,刘斌.第四届全国脑血管病学术会议[J].中华医学信息导报,1996(6):4.
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[4]王利春,刘海燕,王庆海,等.针刺内关穴联合康复训练治疗中风后手部痉挛临床研究[J].中西医结合心脑血管病杂志,2011,9(6):689-690.
[5]尹姣姣,王敏华.脑卒中患者偏瘫肢体痉挛的治疗进展[J].中华全科医学,2015,13(10):1696-1698.
[6]SANTAMATO A,PANZA F,RANIERI M,et al.Efficacy and safety of higher doses of botulinum toxin type A NT 201 free from complexing proteins in the upper and lower limb spasticity after stroke[J].J Neural Transm,2013,120(3):469-476.
[7]中国康复医学会.肉毒毒素治疗成人肢体肌痉挛中国指南(2010)[J].中国康复医学杂志,2010,25(6):595-620.
[8]MYERS T W.Anatomy trains:Myofascial meridians for manual and movement therapists[M].New York:Churchill Livingstone,2016.
[9]SIMONS D G.Familial fibromyalgia and/or myofascial pain syndrome?[J].Arch Phys Med Rehabil,1990,71(3):258-259.
[2]吴长鸿,刘斌.第四届全国脑血管病学术会议[J].中华医学信息导报,1996(6):4.
[3]BOHANNON R W,SMITH M B.Interrater reliability of a modified Ashworth scale of muscle spasticity[J].Phys Ther,1987,67(2):206-207.
[4]王利春,刘海燕,王庆海,等.针刺内关穴联合康复训练治疗中风后手部痉挛临床研究[J].中西医结合心脑血管病杂志,2011,9(6):689-690.
[5]尹姣姣,王敏华.脑卒中患者偏瘫肢体痉挛的治疗进展[J].中华全科医学,2015,13(10):1696-1698.
[6]SANTAMATO A,PANZA F,RANIERI M,et al.Efficacy and safety of higher doses of botulinum toxin type A NT 201 free from complexing proteins in the upper and lower limb spasticity after stroke[J].J Neural Transm,2013,120(3):469-476.
[7]中国康复医学会.肉毒毒素治疗成人肢体肌痉挛中国指南(2010)[J].中国康复医学杂志,2010,25(6):595-620.
[8]MYERS T W.Anatomy trains:Myofascial meridians for manual and movement therapists[M].New York:Churchill Livingstone,2016.
[9]SIMONS D G.Familial fibromyalgia and/or myofascial pain syndrome?[J].Arch Phys Med Rehabil,1990,71(3):258-259.