针刺肌筋膜疼痛触发点对脑卒中痉挛型足下垂和足内翻的疗效

摘要

Objective To study the effects of acupuncture at myofascial trigger points on spastic foot drop and inversion after stroke. Methods From May, 2014 to May, 2016, 50 stroke patients were randomly divided into control group (n=25) and observation group (n=25). Both groups accepted routine rehabilitation, while the observation group accepted acupuncture at myofascial trigger points per day in addi-tion. They were assessed with Visual Analogue Scale (VAS) of pain, modified Ashworth Scale (MAS), range of motion (ROM) of ankle, sim-plified Fugl-Meyer Assessment (FMA) for lower limbs and maximum walking speed (MWS) in ten metres before and six weeks after treat-ment. Results The scores of VAS, MAS, and FMA, the ROM of ankle, and MWS improved after treatment (t>6.845, P<0.001), and im-proved more in the observation group than in the control group (t>5.586, P<0.001). Conclusion Acupuncture at myofascial trigger points can release spasm to reduce foot drop and inversion in patients with stroke.%目的 观察针刺肌筋膜疼痛触发点对改善脑卒中患者痉挛型足下垂和足内翻的疗效.方法 2014年5月至2016年5月,脑卒中偏瘫患者50例随机分为对照组(n=25)和观察组(n=25).对照组采用常规康复训练,观察组在对照组的基础上加用针刺肌筋膜触发点.治疗前及治疗6周后,分别采用疼痛视觉模拟评分(VAS)、改良Ashworth量表(MAS)、踝关节活动度、简式Fugl-Meyer评定量表(FMA)下肢部分、10米最大步行速度(MWS)进行评估.结果 治疗后,两组患者VAS、MAS评分,踝关节活动度(足下垂、足内翻),FMA评分,MWS均显著改善(t>6.845,P<0.001),观察组显著优于对照组(t>5.586,P<0.001).结论 针刺肌筋膜触发点可以改善脑卒中患者痉挛型足下垂和足内翻.