Keywords
Tuina
Rehabilitation therapy
Stroke
Hemiplegia
Submitted : 2024-09-24
Accepted : 2024-10-09
Published : 2024-10-24
Abstract
Objective: To explore the effects of acupuncture and tuina combined with rehabilitation therapy on oxidative stress response and motor function in stroke hemiplegia patients. Methods: Sixty stroke hemiplegia patients were randomly divided into observation and control groups, with 30 cases each. The control group received conventional rehabilitation therapy, while the observation group also underwent acupuncture and tuina. After 8 weeks of treatment, oxidative stress indicators [malondialdehyde (MDA), superoxide dismutase (SOD), glutathione peroxidase (GSH-Px)], neurological deficit scores (NIHSS), Fugl-Meyer motor function scores (FMA), and activities of daily living (Barthel Index) were compared between the two groups. Results: Before treatment, there were no significant differences in MDA, NIHSS scores, FMA scores, and Barthel Index between the two groups (P > 0.05). After 8 weeks, the observation group had lower MDA and NIHSS scores, but higher SOD, GSH-Px, FMA scores, and Barthel Index compared to the control group, with statistically significant differences (P < 0.05). Conclusion: Acupuncture and tuina combined with rehabilitation therapy can effectively improve oxidative stress levels, promote neurological recovery, enhance motor function, and improve daily living activities in stroke hemiplegia patients. This combined therapy is recommended for clinical application.
References
Tang Q, Wang X, Li B, et al., 2022, Study on the Effect of Modified Tai Chi on Gait Balance and Fall Efficacy in Stroke Patients with Hemiplegia During Recovery Period. Chinese General Practice, 25(15): 1857–1862.
Yang C, Zhao J, Xie H, et al., 2021, Effects of Early Rehabilitation Nursing Intervention on Nerve Function and Daily Living in Patients with Stroke Hemiplegia. Am J Transl Res, 13(10): 11842–11850.
Xu H, Zhang H, 2021, Study on the Effect of Medium-Frequency Electrotherapy Combined with Vertical Vibration Training on Lower Limb Motor Dysfunction in Stroke Patients with Hemiplegia. Journal of Logistics University of PAP (Medical Edition), 30(7): 88–90.
Yu Y, Liu D, Zhao J, 2021, Clinical Effect of Acupuncture Combined with Massage in the Treatment of Stroke Patients with Hemiplegia, Limb Motor Function, and Quality of Life. Journal of PLA Medicine, 33(12): 105–108.
Rao M, 2010, Chinese Guidelines for Prevention and Treatment of Cerebrovascular Diseases. People’s Medical Publishing House, Beijing, 30–33.
Yu X, Wei M, Zou W, et al., 2021, Clinical Observation of Acupuncture at “Yaotongxue” for Finger Spasticity After Stroke. Journal of Traditional Chinese Medicine, 49(1): 27–30.
Duan YJ, Hua XY, Zheng MX, et al., 2022, Corticocortical Paired Associative Stimulation for Treating Motor Dysfunction After Stroke: Study Protocol for A Randomised Sham-Controlled Double-Blind Clinical Trial. BMJ Open, 12(1): e053991. https://doi.org/10.1136/bmjopen-2021-053991
Fan L, Ji W, 2021, Clinical Study on Acupuncture Combined with Isokinetic Muscle Strength Training in the Recovery Period of Stroke Hemiplegia. Journal of Integrated Traditional Chinese and Western Cardiovascular Diseases, 19(16): 2826–2829.
Qu Y, 2021, The Effect of Characteristic Rehabilitation Nursing in Traditional Chinese Medicine on Spasticity Rehabilitation in Hemiplegic Patients After Stroke. Chinese Drugs and Clinical, 21(2): 356–358.
Fan X, Li C, Zhao W, 2021, The Effect of Comprehensive Traditional Chinese Medicine Nursing on Walking Ability and Limb Function of Hemiplegic Patients After Stroke. Sichuan Journal of Traditional Chinese Medicine, 39(9): 220–222.