Effects of Acupuncture Treatment on Lower Limb Spasticity in Patients Following Hemorrhagic Stroke: A Pilot Study

Wang, Hai-Qiao; Hou, Mei; Bao, Chun-Ling; Liang, Min; He, Liu

doi:10.1159/000499133

Cited by 14 publications

(15 citation statements)

References 29 publications

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“…Long-term potentiation is an essential cellular model of hippocampal synaptic transmission learning and memory formation. Camp/PKA-CREB is one of the most critical central molecular pathways of long-term memory formation [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

“…From the perspective of motor function, rehabilitation training enables patients to participate in limb movement and daily activities, which can strengthen muscle and joint activities, improve patients' muscle strength, and facilitate the recovery of related functions and daily activities [ 12 ]. Acupuncture, originated from traditional Chinese medicine, has a low cost, and the World Health Organization has recognized its effect in the rehabilitation of brain injury-related diseases [ 13 ]. It has been proved that acupuncture can dilate blood vessels, improve cerebral circulation, improve blood oxygen supply of damaged nerve tissue, and reduce the generation of free radicals [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Effects of Acupuncture for Stroke Patients Recovery

Guo

Cheng

2022

Journal of Healthcare Engineering

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Stroke is assumed as one of the common cerebrovascular diseases that endangers human health and life. Its incidence and mortality rates are high, while survivors (50% to 70%) suffer from different degrees of disability. Hemiplegia is a common disability after stroke, mainly manifested as muscle weakness of the affected side, limb spasm, and limited activity, which severely impacts a patient’s daily life. There are various rehabilitation methods for stroke hemiplegia, including modern rehabilitation medicine, motor therapy, acupuncture, and rehabilitation robot. The cost and effect of different rehabilitation methods are not the same. It is the focus to find an economical and effective rehabilitation method. In this paper, 128 stroke patients aged 41 to 73 hospitalized between January 2019 and January 2021 were analyzed. The intervention group used standard physical therapy and traditional acupuncture therapy, and the control group only used standard physical therapy. We used RStudio 1.1.419 (RStudio Corporation) for analysis. Experimental results show that the short-term efficacy of the intervention group is better than that of the control group. The intervention group was better than the control group in recovery from injury during rehabilitation, degree of muscle spasm, self-care ability in daily life, and overall degree of damage. In the long-term efficacy analysis, we can see that with the increase in the number of acupuncture, the efficacy of the intervention group is still better than that of the control group. Compared with physical rehabilitation alone, acupuncture has better short-term, and long-term clinical effects for stroke patients improves motor dysfunction and improves the quality of life and independence of stroke patients. With the increase in the number of acupuncture treatments, the patient’s rehabilitation effect will be better.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical Effects of Acupuncture for Stroke Patients Recovery

Guo

Cheng

2022

Journal of Healthcare Engineering

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“…In most of the studies, can be noticed that there were significant decreases in the MAS after the application of the following protocols in the patients under study. 24 , 26 , 29 , 32 , 34–36 , 39 One study also showed the improvement of pain in the spastic patient where it was shown that the pain decreases significantly 24 and 72 hours after applying a conventional physiotherapy session along with dry needling, in a patient with shoulder hemiplegia. 27 Finally, in four studies, no statistically significant changes were found between the control group and the intervention group, two of the studies matched the acupuncture modality 33 , 36 and two studies matched the electroacupuncture modality.…”

Section: Results Description and Analysismentioning

confidence: 98%

Invasive Physiotherapy as a Treatment of Spasticity: A Systematic Review

Javier-Ormazábal¹,

González-Platas²,

González-Sierra³

et al. 2022

DNND

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Introduction Nowadays, a set of novel physiotherapy techniques have emerged, in which the physical agent used to try to reduce spasticity is applied percutaneously, specifically, through the patient’s skin. The aim of this work is to encompass all the invasive techniques used in spasticity in a single article, updating the existing bibliography. Methodology A systematic review was carried out between December 2020 and April 2021 in the Web of Science, Scopus and PubMed databases, selecting the clinical trials that used acupuncture, electroacupuncture or dry needling as a treatment for spasticity. Sixteen clinical trials were included, summarizing all the study characteristics and the outcome measures, at last the evidence was described for their results. Results Most of the studies find a difference of significant decrease in spasticity between the subjects of the experimental groups. Only four studies found no significant changes in spasticity. All the studies are carried out together with the conventional physiotherapy treatment in spasticity. Conclusion Treatment with invasive physiotherapy, combined with conventional physiotherapy, seems to have positive effects in reducing spasticity, although more studies are needed to improve the heterogeneity of the interventions and to assess their long-term effectiveness.

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“…ACU, one of the most popular TCM therapies, has been widely used in the clinical management of stroke [ 112 ]. In accordance with the WHO, stroke is one of the most recommended diseases to be treated by ACU [ 113 ]. The analysis of the relationship between ACU and index network shows that Baihui (GV20), Sanyinjiao (SP6), and Neiguan (PC6) have an obvious effect on the NIHSS.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Clinical Efficacy of Traditional Chinese Medicine in Recovery Stage of Stroke: A Systematic Review and Meta-Analysis

Zhang

Wang

et al. 2020

Cardiovascular Therapeutics

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Background. We provide an updated meta-analysis with detailed information on a combination of TCM and routine treatment. Methods. Retrieve appropriate articles with no language restrictions on keywords until 8 July 2019 in an electronic database. All trajectories are screened according to certain criteria. The quality of certified research was also evaluated. We made a detailed record of the results of the measurement. Meta-analysis was carried out by using the Revman 5.3 software. Results. Sixty-seven RCTs were included, and 6594 subjects were analyzed. Compared with routine treatment, the total effective rate (TER) of TCM combined with routine treatment was improved, and the recovery of stroke was also significantly accelerated. Regulation of blood lipids by notably shrinking the contents of TC, TG, and LDL and enhancing the levels of HDL. The levels of serum hs-CRP, WHV, and WLV decreased significantly, indicating that the expression of thrombomodulin was decreased after the comprehensive treatment of traditional Chinese medicines (TCMs). The combination of TCM treatment could enhance the protection of neural function by decreasing the NIHSS scoring while increasing the BI scoring. Paeoniae Radix Rubra, Angeticae Sinensis Radix, etc., can effectively improve the clinical symptoms of stroke convalescent patients and promote the recovery of neurological function. ACU of Baihui, Renzhong, etc., can improve the clinical rehabilitation effect of patients. However, our findings must be handled with care because of the small sample size and low quality of clinic trials cited. Other rigorous and large-scale RCTs are in need to confirm these results. Conclusion. A combination of TCM and routine treatment in the treatment of stroke could improve TER, and it is beneficial to the rehabilitation of patients in the recovery period of apoplexy. These effects can be mediated by a combination of several mechanisms. Nevertheless, due to the limitations of this study, these results should be handled with caution.

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Effects of Acupuncture Treatment on Lower Limb Spasticity in Patients Following Hemorrhagic Stroke: A Pilot Study

Cited by 14 publications

References 29 publications

Clinical Effects of Acupuncture for Stroke Patients Recovery

Clinical Effects of Acupuncture for Stroke Patients Recovery

Invasive Physiotherapy as a Treatment of Spasticity: A Systematic Review

Analysis of Clinical Efficacy of Traditional Chinese Medicine in Recovery Stage of Stroke: A Systematic Review and Meta-Analysis

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