Evaluation of therapeutic effect of acupoint therapy on stroke spasticity guided by myofascial chain theory
基于肌筋膜链理论指导下点穴疗法治疗脑卒中痉挛的疗效评估

摘要

目的 研究脑卒中后偏瘫肌痉挛患者在康复过程中采用基于肌筋膜链理论指导下点穴疗法治疗的临床应用效果。方法 本次所选取的患者均来自我院2023年1月至2023年12月期间接诊的脑卒中后出现的偏瘫肌痉挛患者。从中筛选60例作为研究对象，30例患者作为对照组，采用常规运动疗法，治疗组30例患者，则实施“基于肌筋膜链理论指导下点穴疗法+常规运动疗法”，对比两组治疗后的临床效果。结果 对比两组患者治疗前后的生活质量评分，以及改良Ashworth痉挛评定评分，治疗组患者经治疗后情况明显优于对照组患者，差距显著具有统计学含义（P<0.05）。对比两组患者的治疗有效率，治疗组患者的治疗有效率为96.67%，对照组患者的治疗有效率为70.00%，对照组患者明显低于治疗组患者，差异具有统计学含义（P<0.05）。结论 脑卒中后偏瘫肌痉挛患者采取基于肌筋膜链理论指导下点穴疗法+常规运动疗法，能够有效改善患者偏瘫肌痉挛情况，并且提高治疗有效率，在临床上值得推广和应用。

Abstract

Objective To study the clinical effect of acupoint therapy based on myofascial chain theory in rehabilitation of hemiplegic muscle spasm patients after stroke.
Methods The patients selected in this study were all patients with hemiplegic muscle spasm after stroke who were admitted to a hospital from January 2023 to December 2023. 60 patients were selected as the study subjects, 30 patients were selected as the control group, conventional exercise therapy was adopted, and 30 patients in the treatment group were implemented, and the clinical effects of the treatment were compared between the two groups after the implementation of "acupoint therapy guided by the myofascial chain theory + conventional exercise therapy".
Results Compared with the quality of life score before and after treatment and the modified Ashworth spasm assessment score, the treatment group was significantly better than the control group after treatment, and the difference was statistically significant (P<0.05). The treatment effective rate was 96.67% in the treatment group and 70.00% in the control group, which was significantly lower than that in the treatment group, with statistical significance (P<0.05).
Conclusion   For patients with hemiplegic muscle spasm after stroke, taking acupoint therapy guided by myofascial chain theory and conventional exercise therapy can effectively improve the condition of hemiplegic muscle spasm and improve the treatment efficiency, which is worthy of promotion and application in clinical practice.