Clinical Study on Wentong Scraping Therapy Combined with Rehabilitation Training on Upper Limb Spasticity in Patients with Cerebral Infarction in Convalescence
Abstract: Objective: To observe the curative effect of Wentong scraping therapy combined with rehabilitation training on upper limb spasticity in patients with cerebral infarction in convalescence. Methods:A total of 56 cases of patients with upper limb spasticity with cerebral infarction in convalescence were selected and divided into the control group and the observation group according to the random number table method, with 28 cases in each group. The control group was given routine intervention and rehabilitation training, and the observation group was additionally treated with Wentong scraping therapy based on the treatment of the control group. Both groups were treated for 4 weeks. Before and after treatment, the degree of upper limb muscle spasticity [Modified Ashworth Scale (MAS) scores and root mean square (RMS)], upper extremity motor function [The Fugl- Meyer Assessment (FMA) scores], Barthel Index (BI) scores,and pain in Visual Analogue Scale (VAS) scores were compared between the two groups. The clinical effects were compared between the two groups. Results: Three months after treatment, the total effective rate was 92.86% in the observation group , and 71.43% in the control group, the difference being significant (P<0.05). At the end of the 4-week treatment and 1 month and 3 months after treatment, the scores of MAS, VAS and RMS in the two groups were decreased when compared with those before treatment (P<0.05),the 3 values in the observation group were lower than those in the control group at the same time period (P<0.05). The FMA scores and BI scores in the two groups were increased when compared with those before treatment (P<0.05),and the two indexes in the observation group were higher than those in the control group at the same time period (P<0.05). Conclusion:Wentong scraping therapy combined with rehabilitation training can effectively improve clinical effects of patients with upper limb spasticity with cerebral infarction in convalescence,reduce the muscle tension of the affected limb,relieve limb spasticity,improve the motor ability and self-care ability of the upper limb,reduce pain,and thus promote rehabilitation.