Comprehensive Rehabilitation Therapy of Traditional Chinese Medicine Combined with Modern Rehabilitation Training Improves the Spasticity and Motor Function of Hemiplegia after Stroke
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Keywords

Stroke
Walking function
Hemiplegia
Comprehensive rehabilitation therapy of traditional chinese medicine
Spasticity
Modern rehabilitation therapy

DOI

10.26689/jcnr.v8i3.6368

Submitted : 2024-02-23
Accepted : 2024-03-09
Published : 2024-03-24

Abstract

Objective: To analyze the impact of comprehensive rehabilitation therapy of traditional Chinese medicine (TCM) (based on modern rehabilitation training) on the spasticity and motor function in stroke patients with hemiplegia. Methods: Seventy-nine stroke and hemiplegia patients admitted to the hospital from June 2021 to June 2023 were selected and randomly divided into a control group (39 cases) using modern rehabilitation training, and an observation group combined with comprehensive TCM rehabilitation therapy (40 cases), over 1 month. The clinical index data of the two groups were compared. Results: There were differences in the clinical index data between the two groups. The total effective rate after treatment in the observation group (92.50%) was higher than that of the control group (74.36%) (χ2 = 4.727, P < 0.05). All central sensitization inventory (CSI) and stroke quality of life (PRO) scores in both groups were lower after treatment, with the observation group having lower scores as compared to the control group (P < 0.05). The scores of FMA (upper limbs, lower limbs), Barthel index scores, and Functional Ambulation Categories (FAC) scores of both groups increased after treatment, with the observation group having higher scores as compared to the control group (P < 0.05). Conclusion: Comprehensive TCM rehabilitation therapy had a significant therapeutic effect on patients with hemiplegia after stroke. It improved the patient’s spasticity, limb movement, and walking function. Their daily living abilities and quality of life were also enhanced.

References

Yuan Y, 2021, Application of Comprehensive Traditional Chinese Medicine Therapy in The Rehabilitation of Patients in The Recovery Period of Cerebral Infarction. Chinese Modern Distance Education of Traditional Chinese Medicine, 19(16): 115–117.

Zhang T, 2011, Guidelines for Stroke Rehabilitation Treatment in China. Beijing: People’s Medical Publishing House, 2011: 56–57.

Li P, Wu Z, Zhang Y, et al., 1996, Stroke Diagnosis and Efficacy Evaluation Standards (Trial). Journal of Beijing University of Chinese Medicine, 19(1): 55–56.

Zheng X, 2002, Guiding Principles for Clinical Research of New Traditional Chinese Medicines. Beijing: China Medical Science and Technology Press, 2002: 125–126.

Liu Q, Yang Q, 2021, Effect of Huatan Tongluo Decoction Combined with Vertebrae Acupuncture to Unblock the Governor’s Meridian on Limb Spasticity in Stroke Patients. Journal of Modern Integrated Traditional Chinese and Western Medicine, 30(16): 1796–1800.

Zhang W, Liu C, Hao C, et al., 2021, Clinical Observation on The Treatment of Hemiplegic Spasticity in Stroke with Comprehensive Rehabilitation Therapy of Traditional Chinese Medicine. Guangming Traditional Chinese Medicine, 36(4): 560–562.

Wang S, Liu Z, Yan L, 2023, Clinical Observation on Zhengan Xifeng Decoction Combined with Traditional Chinese Medicine Comprehensive Rehabilitation Program in The Treatment of Ischemic Stroke. Chinese Modern Distance Education of Traditional Chinese Medicine, 21(11): 112–114.

Fan X, Li C, Zhao W. Effect of Comprehensive Traditional Chinese Medicine Nursing on walking Ability and Limb Function of patients with post-stroke Hemiplegia [J]. Sichuan Traditional Chinese Medicine, 2021, 39(9): 220–222.

Ju L, 2019, Clinical Observation on The Treatment of Post-Stroke Hemiplegic Spasticity with Comprehensive Rehabilitation Therapy of Traditional Chinese Medicine. Chinese Modern Distance Education of Traditional Chinese Medicine, 19(8): 128–130.