Clinical Study on Scalp-Body Acupuncture and Contralateral Meridian Needling Method Combined with Proprioceptive Neuromuscular Facilitation Technique for Hemiplegia After Stroke
Abstract: Objective: To observe the effects of scalp- body acupuncture and contralateral meridian needling method combined with proprioceptive neuromuscular facilitation technique (PNF) on limb function and somatosensory evoked potential in patients with hemiplegia after stroke. Methods:A total of 150 cases of patients with hemiplegia after stroke were selected as the study objects and divided into three groups according to the random number table method, with 50 cases in each group. The control group 1 was treated with PNF,the control group 2 was treated with scalp-body acupuncture and contralateral meridian needling method,and the observation group was treated with PNF combined with scalp-body acupuncture and contralateral meridian needling method. The clinical effects were compared among the three groups; the scores of Neurological Function Defect (NFD),Modified Barthel Index (MBI),Fugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), somatoceptive evoked potential in median nerve and Stroke- specific Quality of Life (SS- QOL) were compared among the three groups. Results: After treatment, the total effective rate was 92.00% in the observation group,higher than that of 70.00% in the control group 1 and 72.00% in the control group 2 (P<0.05). After 1 month and 3 months of treatment,the NFD scores in the three groups were gradually decreased (P<0.05),and the scores of MBI indexes were gradually increased (P<0.05);the NFD score in the observation group was lower than that in the control group 1 and that in the control group 2 at the same period (P<0.05),and the MBI score was higher than those in the control group 1 and the control group 2 at the same period (P<0.05). After 1 month and 3 months of treatment,the FMA scores of upper and lower limbs in the three groups were gradually increased (P<0.05), and the FMA scores of upper and lower limbs in the observation group were higher than those in the control group 1 and the control group 2 at the same period (P<0.05). After 1 month and 3 months of treatment,the BBS scores in the three groups were gradually increased (P<0.05),and the BBS score in the observation group was higher than those in the control group 1 and the control group 2 (P<0.05). After 1 month and 3 months of treatment,the N20 latency of median nerve in the three groups were gradually shortened (P<0.05),and the N20 latency in the observation group was shorter than those in the control group 1 and the control group 2 (P<0.05);the peak amplitude of N20-P25 in median nerve in the three groups was gradually increased (P<0.05),and the peak amplitude in the observation group was larger than those in the control group 1 and the control group 2 (P<0.05). After 1 month and 3 months of treatment, SS- QOL scores in the three groups were gradually increased (P<0.05),and the score in the observation group was higher than those in the control group 1 and the control group 2 at the same period (P<0.05). Conclusion: Scalp- body acupuncture and contralateral meridian needling method combined with PNF technique has a definite curative effect in the treatment of hemiplegia after stroke, which can improve the nerve function and balance ability of patients, reduce the degree of limb disorder, promote the recovery of somatosensory evoked potential of median nerve,and enhance the ability of daily life and the quality of life of patients.