Effect of TCM rehabilitation program on activities of daily living in patients with post-stroke limb spasticity: An observational study

Medicine (Baltimore). 2023 Nov 24;102(47):e36079. doi: 10.1097/MD.0000000000036079.

Abstract

Background: Stroke is a neurological disease with many common complications that reduce the activities of daily living and the quality of life of patients. Traditional Chinese medicine (TCM) rehabilitation techniques, scalp acupuncture, and TCM can relieve spasticity symptoms and recovery from physical obstacles is significant.

Methods: Three hundred twenty-one patients with post-stroke limb spasticity were randomly divided into trial and control groups, with 159 and 162 patients in the trial and control groups, respectively. The control group received basic treatment combined with modern rehabilitation techniques, whereas the trial group received basic treatment combined with TCM, Tuina, and scalp acupuncture with kinesiotherapy. The treatment course in both groups was 4 weeks. The Modified Ashworth Scale, magnetic resonance imaging, and Stroke Specific Quality of Life Scale were used to evaluate limb spasticity, activities of daily living, and quality of life, respectively. PASW 18.0 was used for statistical analysis.

Results: With a longer treatment period, the improvement in limb spasticity was greater in the trial group than in the control group (P < .05). Similarly, improvements in activities of daily living and quality of life were better in the trial group than in the control group (P < .05).

Conclusion: The TCM rehabilitation program using Tongjing Tiaoxing combined with scalp acupuncture and kinesiotherapy can effectively treat spasticity symptoms in stroke patients and improve their activities of daily living and quality of life.

Publication types

  • Randomized Controlled Trial
  • Observational Study

MeSH terms

  • Activities of Daily Living
  • Acupuncture Therapy* / methods
  • Humans
  • Medicine, Chinese Traditional / methods
  • Muscle Spasticity / etiology
  • Muscle Spasticity / rehabilitation
  • Quality of Life
  • Stroke Rehabilitation* / methods
  • Stroke* / therapy
  • Treatment Outcome