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外文期刊>Evidence-based complementary and alternative medicine: eCAM
>Evoking the Withdrawal Reflex via Successive Needle-Pricking on the Plantar and Dorsal Aspect of the Foot Increases the FMA of the Lower Limb for Poststroke Patients in Brunnstrom Stage III: A Preliminary Study
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Evoking the Withdrawal Reflex via Successive Needle-Pricking on the Plantar and Dorsal Aspect of the Foot Increases the FMA of the Lower Limb for Poststroke Patients in Brunnstrom Stage III: A Preliminary Study
The withdrawal reflex is a defensive reaction to nociceptive stimuli and can be used to regulate locomotor gait during rehabilitation. We investigated the effect of successive needle-pricking of the plantar and dorsal foot surfaces on poststroke lower limb function. Thirty-five hemiplegic patients, within one month after primary stroke, with an affected lower limb (Brunnstrom stage III) were randomly divided into intervention and control groups. Both groups received routine drug treatment, rehabilitation training, and upper limb acupuncture treatment on the hemiplegic side. The control group also received routine acupuncture on the hemiplegic side of the lower limb, while the intervention group received successive needle-pricking on the sole and instep of both the unaffected and affected side feet. Outcomes were assessed before inception (D0) and after three (D3) and six (D6) treatment days, using Brunnstrom stage (Ueda assessment), total Fugl–Meyer lower extremity assessment (FMA-LE) and its subscores (FMA-LE-ss), active lower limb range of motion (AROM-LL), Modified Ashworth Scale Score (MAS-LL), and manual muscle testing (MMT-LL). The Brunnstrom stage was better in the intervention group than in the control group at both D3 and D6 P0.01. The total FMA-LE score and sections B, C, D, and G FMA-LE-ss were significantly better in the intervention group than in the control group at D3 and D6 P0.05. The AROM-LL hip and knee flexion and hip extension improved more in the intervention group than in the control group P0.05. In the intervention group, MAS-LL hip flexion significantly improved at D6 P0.01. Improvement in lower limb joints on the MMT-LL in the intervention group exceeded that in the control group at D6 P0.01. Successive needle-pricking on the plantar and dorsal foot aspects of Brunnstrom stage III in poststroke patients contributed to rapid lower limb motor function improvement via the withdrawal reflex. This trial is registered with ChiCTR1900020633.
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机译：戒断反射是对伤害刺激的防守反应，可用于调节康复期间的运动步态。我们调查了在前行程下肢功能上的跖刺和背侧脚表面的连续针刺效果。在初级中风后一个月内，三十五名偏瘫患者，受影响的下肢（Brunnstrom Stage III）随机分为干预和对照组。两组均接受了常规药物治疗，康复训练和偏瘫侧上肢针灸治疗。对照组还接受了下肢的偏瘫侧的常规针灸，而干预组在不受影响和受影响的侧脚的唯一和脚背上接受连续针刺。在初始（D0）和三次（D3）和六（D6）治疗日之前评估结果，使用Brunnstrom阶段（UEDA评估），总Fugl-Meyer下肢评估（FMA-Le）及其亚数（FMA-Le- SS），主动下肢运动（AROM-LL），改进的Ashworth Score（Mas-L1）和手动肌肉测试（MMT-LL）。干预组的Brunnstrom阶段比D3和D6 P <0.01的对照组更好。干预组的总FMA-le得分和部分B，C，D和G FMA-LE-SS在D3和D6 P <0.05的对照组中显着更好。芳香-11髋关节和膝关节屈曲和髋部伸展在干预组中更加良好，而不是对照组P <0.05。在干预组中，MAS-LL髋关节屈曲在D6 P <0.01时显着改善。干预组中MMT-L1上的下肢关节的改善超过了D6 P <0.01的对照组。在初步患者中，Brunnstrom Stage III的Portharar和背部脚方面的连续针刺有助于通过戒断反射快速降低肢体电机功能。此试验在CHICTR1900020633中注册。
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