Objective: To explore the effect of scalp acupuncture combined with suspension training on balance ability and motor function in stroke patients with balance dysfunction.
Methods: A total of 105 stroke patients with balance dysfunction were randomly divided into a combined group (35 cases, 2 cases dropped off), a scalp acupuncture group (35 cases, 3 cases dropped off) and a suspension training group (35 cases, 2 cases dropped off). The scalp acupuncture group was treated with scalp acupuncture at bilateral suboccipital lateral line, parietal midline, upper 1/5 line of anterior oblique line of parietal and temporal and line 1 of the parietal lateral line on the opposite side of hemiplegia. The suspension training group was treated with suspension training. The combined group was treated with suspension training at the same time of scalp acupuncture. All the treatment was given once a day, 30 min each time, 5 days a week, for a total of 6 weeks. The Berg balance scale (BBS) score, balance tester and Fugl-Meyer assessment (FMA) score were used to evaluate the motor function and balance ability before treatment, 3 and 6 weeks into treatment. The clinical efficacy was evaluated in the 3 groups.
Results: The scores of BBS and FMA in each group at 3 and 6 weeks into treatment were higher than those before treatment (P<0.05); the scores of BBS and FMA in the combined group were higher than those in the scalp acupuncture group and the suspension training group (P<0.05). At 3 and 6 weeks into treatment, the length and area of centroid locus of balance tester in each group were lower than those before treatment (P<0.05); the length and area of centroid locus of balance tester in the combined group were lower than those in the scalp acupuncture group and the suspension training group (P<0.05). The total effective rate of the combined group was 97.0% (32/33), which was higher than 87.5% (28/32) in the scalp acupuncture group and 90.9% (30/33) in the suspension training group (P<0.05).
Conclusion: Scalp acupuncture combined with suspension training could improve the balance ability and motor function in stroke patients with balance dysfunction, and the curative effect is better than simple scalp acupuncture and simple suspension training.
目的：探讨头针结合悬吊训练对脑卒中平衡功能障碍患者平衡能力和运动功能的影响。方法：将105例脑卒中平衡功能障碍患者随机分为头针悬吊训练组（35例，脱落2例）、头针组（35例，脱落3例）、悬吊训练组（35例，脱落2例）。头针组采用单纯的头针治疗，穴取双侧枕下旁线、顶中线、偏瘫对侧的顶颞前斜线上1/5及顶旁1线；悬吊训练组采用单纯的悬吊训练；头针悬吊训练组在头针治疗同时采用悬吊训练，每日治疗1次，每次30 min，每周治疗5 d，共治疗6周。分别于治疗前，治疗3、6周时采用Berg平衡量表（BBS）评分、平衡测试仪、Fugl-Meyer（FMA）评分进行评价，并评定各组的临床疗效。结果：治疗3、6周时，各组BBS评分、FMA评分均较治疗前升高（P<0.05）；头针悬吊训练组BBS评分、FMA评分均高于头针组和悬吊训练组（P<0.05）。治疗3、6周时，各组平衡测试仪质心轨迹长度、质心轨迹面积均较治疗前降低（P<0.05）；头针悬吊训练组平衡测试仪质心轨迹长度、质心轨迹面积均低于头针组和悬吊训练组（P<0.05）。头针悬吊训练组的总有效率为97.0%(32/33)，高于头针组的87.5%（28/32）和悬吊训练组的90.9%（30/33，P<0.05）。结论：头针结合悬吊训练可改善脑卒中平衡功能障碍患者的平衡能力和运动功能，疗效优于单纯头针和单纯悬吊训练。.
Keywords: balance dysfunction; randomized controlled trial (RCT); scalp acupuncture; stroke; suspension training.