Efficacy of traditional Chinese medicine fumigation combined with constraint-induced movement therapy treating spastic hemiplegia

Wang Yue; Zhang Penglin

doi:10.3760/cma.j.issn.1673-4777.2016.11.013

Abstract：Objective To observe the clinical efficacy of Chinese herb fumigation combined with constraint-induced movement therapy(CIMT) in the treatment of spastic hemiplegia.Methods Totally 66 cases of spastic hemiplegia from January to October 2015 in Generel Hospital of Ningxia Medical University were randomly divided into fumigation group,movement therapy group and combined therapy group,with 22 cases in each group.On the basis of routine rehabilitation therapy,the fumigation group was treated with traditional Chinese medicine fumigation;the movement therapy group was treated with CIMT;the combined therapy group was treated with CIMT after traditional Chinese medicine fumigation.After 4 weeks of treatment,muscle tension (Modified Ashworth Scale),clinical neurologic impairment score,lower limb motor function (Simplified Fugl-Meyer Motor Scale) and balance function(Berg Balance Scale) were analyzed.Results After 4 weeks of treatment,results of Modified Ashworth Scale and clinical neurologic impairment score in combined therapy group were significantly better than those in movement therapy group and fumigation group[Clinical neurologic impairment score:(9 ± 4)scores vs (14 ± 11),(19 ± 9) scores] (P ＜ 0.05);scores of Simplified Fugl-Meyer Motor Scale and Berg Balance Scale were significantly higher than those in movement therapy group and fumigation group[(49 ± 12)scores vs (42 ± 12),(35 ± 12)scores;(41 ± 10)scores vs (39 ±7),(34 ± 1O)scores] (P ＜0.05).Conclusion Chinese herb funigation combined with CIMT can reduce muscle tension and improve neuroIogic function and motor function in spastic hemiplegia patients.