Background Limb motor disorders after stroke are very common, and the clinical related factors of improving limb motor function are still unclear. As a part of comprehensive rehabilitation strategy, acupuncture has been widely used in rehabilitation after stroke in China. But more evidence is needed for the influence of acupuncture and some other clinical factors on post-stroke motor disorders. Patients and Methods A retrospective study was conducted using the database of patients with post-stroke motor disorders admitted to the Neurological Rehabilitation Unit of the First Teaching Hospital of Tianjin University of Traditional Chinese Medicine. The included patients were grouped according to whether NIHSS improved or muscle strength improved. The positive logistic regression was used to analyze the influencing factors of possible NIHSS improvement. Combined with the influencing factors of NIHSS improvement and muscle strength improvement, the influencing factors of limb motor function recovery after stroke were obtained. Results When analyzing the baseline of the included patients, it was found that patients with NIHSS improvement had earlier acupuncture intervention time (M, (IQR):13.5 (14), OR=0.716, 95% CI [0.591–0.869], p=0.001), more cumulative acupuncture treatment times (M,(IQR):29 (12), OR=0.744, 95% CI [0.608–0.910], p=0.004), and less hypertension history (OR=0.256, 95% CI [0.082–0.801], p=0.019). Smoking history only has positive significance in univariate and multivariate analysis of NIHSS, not muscle strength (OR=0.274, 95% CI [0.097–0.779], p=0.015). Conclusion The earlier acupuncture intervention and the more cumulative acupuncture treatment times are, the more beneficial the limb function of stroke patients with motor disorders will be. The previous history of hypertension is the influencing factor of limb motor function not improving in patients with limb motor disorder after a stroke. The effect of smoking history on limb movement function of patients with limb motor disorder after stroke needs further study.
Background: About 75% of patients with cerebral infarction suffer from sensory impairment in varying degrees. It prolongs the time for patients to resume normal life and work. The aim of this study was to retrospectively investigate the clinical characteristics affecting the recovery of sensory impairment. Materials and Methods: This was a retrospective case-control study. Data of inpatients at the First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine were investigated. We collected information on the patients with sensory disturbances after cerebral infarction. Cases were defined according to whether the National Institutes of Health Stroke Scale (NIHSS) and visual analogue scale (VAS) scores improved. A total of 1078 inpatients from January 1, 2019, to December 31, 2021, were screened. Among those, 187 cases included in this study were divided into no improvement and improvement groups. We compared the clinical characteristics affecting the rehabilitation of these patients. Results: The number of patients aged between 63 and 73 years in the no improvement group were significantly higher (P<0.05). The incidence of coronary heart disease and thalamus infarction was significantly higher in patients in the no improvement cohort (P<0.05). Furthermore, coronary heart disease [odds ratio=0.466, 95% confidence interval (0.252, 0.863), P=0.015] and thalamic infarction [odds ratio=0.457, 95% confidence interval (0.230, 0.908), P=0.025] were the independent risk factors against the recovery of sensory disturbance after cerebral infarction. Conclusions: Patients with thalamus infarction and coronary heart disease may be more inclined to recover poorly from somatosensory deficits.
Somatosensory disorders are common symptoms of clinical, evidence-based guidelines can not provide valid evidence for the treatment of somatic sensory dysfunction acupuncture, because no prior s y s t e m a t i c re v i e w t o e v a l u a t e t h e somatosensory disorders acupuncture treatment. Therefore, we conducted a systematic review and meta-analysis of randomized controlled trials to evaluate the effects of acupuncture in the treatment of somatosensory disorders. Condition being studied: Somatosensory Disorders are disorders of sensory information received from superficial and d e e p r e g i o n s o f t h e b o d y . T h e INPLASY 1
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