Combined Acupuncture at Yin-Yang Qiao Mai with Floating Needle Therapy for Hemiplegia Gait Rehabilitation: A Randomized Controlled Trial

Abstract

Abstract: Objective To observe the clinical effect of acupuncture cross pulse and floating needle in hemiplegia patients. Methods A total of 80 patients with stroke hemiplegia lower limb muscle spasm were randomly divided into control group (conventional acupuncture treatment, n=40) and study group (acupuncture cross pulse with floating needle, n=40). To compare the treatment effects between the two groups. Results The clinical efficacy of the study group was higher than that of the control group, and the statistical difference was established (P<0.05).After treatment, the lower limb modified Ashworth spasticity scale score of the study group was lower than that of the control group(P<0.05).And compared with the control group, the WGS score was significantly reduced and the FAC score was significantly improved. Conclusion Cross pulse with floating needle can effectively improve stroke gait and walking ability.

Key words: stroke, hemiplegic gait, floating needle acupuncture, acupuncture cross pulse, walking ability

CLC Number:

R247.9

LIU Bing-ying, WEN Xi, ZHOU Xiao-hong, KE Wei-ming, HUANG Yan-juan, LYU Jun-biao. Combined Acupuncture at Yin-Yang Qiao Mai with Floating Needle Therapy for Hemiplegia Gait Rehabilitation: A Randomized Controlled Trial[J]. ZHONGHUA YANGSHENG BAOJIAN, 2025, 43(9): 10-14.

References

[1] 张通. 中国脑卒中康复治疗指南(2011完全版)[J].中国康复理论理论与实践,2012,18(4):301-318.
[2] 曹瑞,王培培.“浮针再灌注”治疗卒中后偏瘫上肢屈肌痉挛疗效评价[J].湖北中医药大学学报,2024,26(1):96-98.
[3] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2018[J].中华神经科杂志,2018,51(9):666-682.
[4] 郑筱萸. 《中药新药临床研究指导原则》[M].北京:中国医药科技出版社.2002:156-162.
[5] 王启才. 针灸治疗学[M].北京:中国中医药出版社,2003:202-204.
[6] 高丽锁,宗信欣,金巧梅,等.脑卒中偏瘫患者步行支撑期足内翻的足底压力学参数研究[J].贵州医药,2021,45(4):635-636.
[7] 恽晓平. 康复疗法评定学[M].2版.北京:华夏出版社,2014:393-396.
[8] 吴跃迪,李放,熊莉.改良Ashworth量表及改良Tardieu量表应用于卒中患者屈肘肌评估的信度比较[J].中国康复医学杂志,2013,12(28):1151-1152.
[9] GUZIK A, DRU-BICKI M, MAISTRELLO L, et al.Relationship between observational wisconsin gait scale,gait deviation index,and gait variability index in individuals poststroke[J].Arch Phys Med Rehabil,2019,100(9):1680-1687.
[10] 金冬梅,燕铁冰.平衡功能临床研究进展[J].中华物理医学和康复杂志,2002,24(3):187-188.
[11] GU S C, SHI R, GAOAG C, et al.Traditional Chinese medicine Pingchan granule for motor symptoms and functions in Parkinson’s disease: A multicenter, randomized, double-blind, placebo-controlled study[J].Phytomedicine,2023,108(5):154-157.
[12] TERUI Y, SUTO E, KONNO Y, et al.Evaluation of gait sym‐ metry using a triaxial accelerometer in stroke patients[J].Neu‐ roRehabilitation,2018,42(2):173-180.
[13] 刘杰,李淑彦,晋志高.针刺跷脉治疗脑卒中痉挛性偏瘫疗效观察[J].中国社区医师,2018,34(28):105-106.
[14] 巴焕,李宁,吴仪.跷脉针刺联合对称负重式训练对脑卒中偏瘫患者肌张力、足内翻角及坐站转移能力的影响[J].中国康复,2024,39(1):17-21.
[15] 郑瑞芳. 针刺跷脉穴位治疗脑卒中后痉挛性偏瘫68例[J].中医临床研究,2015,7(19):34-35.
[16] 邱金宝,陈晓英,邱雪娜.针刺跷脉穴位治疗脑卒中后痉挛性偏瘫的临床效果[J].基层中医药,2022,1(1):39-42.
[17] 金灵青,郎伯旭,常盛.腹针联合运动疗法治疗中风后痉挛性偏瘫的疗效观察及其对Glu与GABA的影响[J].中国中医药科技,2021,28(6):921-923.
[18] 王彭汉,黄麟荇,郭斌,等.针药结合对脑卒中肢体痉挛大鼠大脑皮质中GABAa受体和GAT-1表达的影响[J].中华中医药杂志,2020,35(11):5764-5768.
[19] 李艳红,黄志成.电针阴阳跷脉腧穴对脑卒中肢体痉挛大鼠肌张力的改善机制研究[J].四川中医,2020,38(5):79-82.
[20] 符仲华. 浮针医学概要[M].1版.北京:中国中医药出版社,2019:25-57.
[21] 周粤花,孙健,王唪义,等.基于患肌剪切波速度观察浮针治疗颈肩肌筋膜疼痛综合征疗效的随机对照试验[J].广州中医药大学学报,2023,40(11):2792-2799.