Effect of Acupuncture and Moxibustion Combined with Rehabilitation Training on Motor Function and Quality of Life of Affected Limbs in Pa-tients with Post-Stroke Hemiplegia and Lumbar Disc Herniation

LIANG Yunbiao; SHEN Mei; HAN Wei

doi:10.3969/j.issn.1002-3429.2024.15.013

Abstract：Objective To explore the effect of acupuncture and moxibustion combined with comprehensive training of hemiplegic limbs on motor function of affected limbs and quality of life in patients with post-stroke hemiplegia complicated with lumbar disc herniation(LDH).Methods A total of 68 patients with post-stroke hemiplegia and LDH treated from June 2019 to June 2021 were selected and divided into observation group(n=34)and control group(n=34)by random number table method.The two groups were given conventional treatment and comprehensive training of hemiplegic limbs,and the observa-tion group was treated with acupuncture and moxibustion before comprehensive training of hemiplegic limbs.The motor func-tion[stroke rehabilitation assessment of movement(STREAM)],spasticity degree[modified ashworth scale(MAS)],nerve function deficit[National Institutes of Health Stroke Scale(NIHSS)],self-care ability[activity of daily living(ADL)]and pain degree[visual analogue scale(VAS)],lumbar function[Japanese Orthopaedic Association(JOA)Scores],lumbar and dorsal myodynamics[flexural relaxation ratio(FRR),muscle tone,tenderness threshold],plantar pressure,quality of life[stroke-specific quality of life scale(SS-QOL)]were compared between the two groups before and after treatment.Results After treatment,the scores of items of STREAM,scores of items of JOA,tenderness threshold,proportion of static pressure of affected foot,peak dynamic pressure in the middle of affected foot and SS-QOL score of the two groups were signifi-cantly increased compared with those before treatment,and the above indexes were significantly higher in the observation group than in the control group(P＜0.05).After treatment,the MAS score,NHISS score,scores of items of ADL,VAS score,FRR,muscle tension and peak dynamic pressure in the middle of healthy foot in the two groups were significantly decreased compared with those before treatment,and the above indexes were significantly lower in the observation group than in the control group(P＜0.05).Conclusion Acupuncture and moxibustion combined with comprehensive training of hemiplegic limbs for patients with post-stroke hemiplegia complicated with LDH can significantly improve the motor function of affected limbs,relieve the spasm,pain and neurological deficits,and can also improve the lumbar function and the relevant indicators of lumbar back myodynamics and plantar pressure,promote the recovery of self-care ability and enhance the quality of life.