Objective To explore the influences of along the hand yangming meridian copper moxibustion combined with exercise therapy on rehabilitation effect of upper limb hemiplegia after stroke. Methods According to random number table method, 68 patients with upper limb hemiplegia after stroke were divided into control group (routine drugs treatment and exercise therapy, 4 weeks) and observation group (along the hand yangming meridian copper moxibustion on basis of control group, 4 weeks), 34 cases in each group. The clinical curative effect, scores of traditional Chinese medcine (TCM) syndromes, upper limb motor function, activities of daily living, surface electromyographic signals and range of motion in the two groups were compared. Results The total response rate of treatment was significantly higher in observation group than control group [88.24% (30/34) vs 67.65% (23/34), P<0.05]. After treatment, scores of TCM syndromes (upper limb hemiplegia and weakness, limb numbness, dysphasia), integrated electromyogram (IEMG) of biceps under elbow extension state and co-contraction ratio (CR) of biceps/triceps were decreased, while scores of Fugl-Meyer Assessment-Upper Extremity (FMA-UE) and Barthel index (BI), IEMG of affected biceps under elbow flexion state, IEMG of biceps under elbow flexion/extension states and range of motion (shoulder, elbow, wrist and hand joints) were increased in both groups, and the above indexes were better in observation group than control group (P<0.05). Conclusion The along the hand yangming meridian copper moxibustion combined with exercise therapy can effectively improve upper limb motor function, regulate co-contraction pattern of muscles and improve activities of daily living in patients with upper limb hemiplegia after stroke.
Key words
upper limb hemiplegia after stroke /
along the hand yangming meridian copper moxibustion /
exercise therapy /
upper limb function /
activity of daily living
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