Study on the Therapeutic Effect of Floating Needle Combined with Reperfusion Activity in Treatment of Biceps Spasm After Ischemic Stroke

PAN Xing'an; YAN Qi; WEN Weihong; CHEN Jing

doi:10.16295/j.cnki.0257-358x.2025.07.012

Abstract：Objective:To explore the clinical efficacy of floating needle combined with reperfusion activity in the treatment of biceps spasm after ischemic stroke(IS).Methods:A total of 140 patients with biceps spasm after IS were included.The patients were divided into observation group and control group,with 70 cases in each group,according to the random number table method.The control group received traditional acupuncture combined with modern rehabilitation treatment,while the observation group was treated with floating needle combined with reperfusion activities on the basis of modern rehabilitation treatment.The spasticity conditions[Modified Ashworth Scale(MAS)grade and Clinic Spasticity Index(CSI)]and motor conditions[Fugl-Meyer Assessment(FMA)score]were compared between the two groups after 1 week of treatment and 4 weeks of treatment.The clinical efficacy of the two groups of patients was compared,and the occurrence of adverse reactions in the two groups was recorded.Results:Compared with those before treatment,the MAS grades of the two groups of patients showed a downward trend after 1 week and 4 weeks of treatment(P＜0.05),and the MAS grade of the observation group was lower than that of the control group(P＜0.05).The differences in CSI and FMA scores between groups,time points and interactions between the two groups of patients were statistically significant(P＜0.05).One week after treatment and four weeks after treatment,the CSI scores of both groups were lower than those before treatment,and the scores of the observation group were lower than those of the control group(P＜0.05).One week after treatment and four weeks after treatment,the FMA scores of both groups were higher than those before treatment,and the scores of the observation group were higher than those of the control group(P＜0.05).The total effective rate of treatment in the observation group was 88.57％,which was higher than 68.57％in the control group.Comparison of the clinical efficacy between the two groups showed a statistically significant difference(P＜0.05).Conclusion:Floating needle combined with reperfusion activity has a good therapeutic effect and it can effectively relieve the limb spastic state and improve the limb movement degree of patients in the treatment of biceps spasm after ischemic stroke(IS).