Xin yixue (Aug 2024)

Interventional study of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation in patients with upper limb motor dysfunction after stroke

  • ZHANG Yu, ZOU Jiali, LI Xiaojie, WANG Bing, LI Jie, SHI Guofeng, ZHOU Yixia

DOI
https://doi.org/10.3969/j.issn.0253-9802.2024.08.002
Journal volume & issue
Vol. 55, no. 8
pp. 594 – 600

Abstract

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Objective To evaluate the efficacy of repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation therapy in the recovery of patients with upper limb motor dysfunction after stroke. Methods Sixty-two patients with upper limb motor dysfunction after stroke were divided into the observation group （n =31） and control group （n =31）. Patients in the control group were treated with conventional rehabilitation training combined with low-frequency acupoint electrical stimulation in Department of Neurology， and those in the observation group were treated with repetitive facilitative exercise besides the interventions in the control group. The efficacy of the two groups was evaluated by Fugl-Meyer Motor Assessment （FMA） scale， Modified Ashworth scale （MAS） and Modified Barthel Index （MBI） scale before treatment and at 2 weeks after treatment， respectively. Results The FMA scores after treatment were significantly higher than pre-treatment scores in two groups， the FMA scores in the observation group were significantly higher than those in the control group， and the difference of the FMA scores between pre- and post-treatment in the observation group was significantly larger compared with that in the control group （all P <0.05）. After treatment， the MAS grade was decreased compared with that before treatment in two groups， and the degree of grade decrease in the observation group was greater than that in the control group （all P <0.05）. The MBI scores after treatment were higher than those before treatment in two groups， the MBI scores in the observation group were higher than those in the control group， and the difference of the MBI scores between pre- and post-treatment in the observation group was larger than that in the control group （all P <0.05）. Conclusion Repetitive facilitative exercise combined with low-frequency acupoint electrical stimulation therapy yields high efficacy in the recovery of upper limb motor function， mitigation of muscular spasm and improvement of daily living capability after stroke.

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