Hongbin Dai
Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210000, Jiangsu, China.
Zhanwen Chen
JiMo People’s Hospital, Qingdao 266200, Shandong, China
Zongkai Xie
JiMo People’s Hospital, Qingdao 266200, Shandong, China
Yongjun Peng
Affiliated Hospital of Nanjing University of Chinese Medicine, Nanjing 210000, Jiangsu, China.

Abstract:

Background. Spasticity is a movement upset distinguishing feature by a velocity-dependent raising in muscle tone due to raising excitability of stretch reflexes accompanied by hypertensive tendon reflexes, usually due to decreased inhibition of the spinal reflex arc by the brain or spinal cord or damage. The increased muscle tone or spasticity of the paralyzed limb after stroke is a stage of the rehabilitation process of the paralyzed limb, but high spasticity is the biggest obstacle hindering the functional recovery of the paralyzed limb. There are many treatment methods for stroke spasticity. Modern rehabilitation medicine mainly focuses on drugs, Prevention, exercise therapy, physiotherapy, orthotics, surgery, etc.

Objectives. A randomized controlled trial was used to assess the efficacy and insurance of electroacupuncture (EA) for post-stroke spasms (PSS) in patients by collecting rudimentary data on the efficacy and insurance of EA for post-stroke spasms.

Methods. Participants who accord with the inclusion condition were casually appointed in a 1:1 ratio to the intervention group (EA plus standard treatment) or the control group (standard treatment only). Participants received EA for four weeks (3 times/week), subject to a four-week follow-up. Subject retention and adherence in the trial were evaluated to determine the utility of the trial design. Clinical result standards were Barthel index score, Fugl Meyer motor function, MAS score, and adverse events (AEs).

Results. A total of 100 individuals were eligible and screened for this study, of which 50 were recruited and casually appointed in a 1:1 ratio. Only 42 participants met the screening requirements and agreed to conduct the trial. We used an intention-to-treat approach for inclusion in the final data analysis. Scores of changes in MAS, FuglMeyer assessment, and Barthel index did not differ significantly between groups at the winding-up stage of therapy or the finish follow-up. Twenty-two contributors cover 40 AEs. However, void of these was considered EA-related.

Discussion. The EA regimen was well received by contributors and acupuncturists. Nobody withdrew from the period during the therapy period, and the degree of dropout during the follow-up period was 4.0%, mainly due to the violation of the new crown epidemic prevention and control measures. therapy periodicity (3 times a week) was conducted by two acupuncture practitioners. The standing and number of electrically stimulated acupuncture points in each session were also well-accepted and have not attracted acupuncture-related adverse reactions.

Conclusion. To accurately assess the efficacy and safety of EA for post-stroke spasticity, a comprehensive trial is feasible. Still, a longer therapy and follow-up period ought to be thought deeply in a comprehensive experiment.

Keywords:randomized controlled trial, stroke, spasticity, electroacupuncture