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Rehabilitation Practice and Science

Translated Title

電針炙治療慢性腦中風之初步報告

Abstract

Spastic equinovarus foot, a major cause of gait disturbance in stroke patients, impairs patients' safety and interferes with the activities of daily living. Even after rehabilitation training, equinovarus foot is not uncommon in stroke patients with disease duration more than 6 months, we use electroacupuncture to improve gait performance.This report is a discussion of the changes and correlation among various factors that may influence gait performance, such as ankle spasticity, range of motion of ankle, walking velocity, gait cycle duration, stride length and stride width. 24 patients began, but only 14 patients completed the 4-week therapeutic schedule (9 males and 5 females, 38 to 71 years old, time after onset 6 to 28 months). Electric stimulation was performed over GB34 and midperoneal muscle of affected limb for 25 minutes, 5 times per week. We assessed the patients before therapy, 2 weeks after therapy, at the end of therapy and one month after the end of therapy respectively. Modified Ash-worth scale was used for evaluating ankle spasticity, Cybex EDI 320 electronic inclinometer for range of motion of ankle, blue carbon paper method for stride length, and 30 meters walking for walking velocity and gait cycle duration. The results revealed that ankle spasticity significantly decreased during period of therapy, but most patients returned to initial state at follow-up; range of motion of ankle, walking velocity, gait cycle duration, stride width and stride length were also significantly improved at the end of therapy but with varying degree of improvement loss at follow-up. In summary, electroacupuncture could act as a valuable assistive tool of rehabilitation in stroke patient with disease duration more than 6 months.

Language

Traditional Chinese

First Page

61

Last Page

67

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