張力平衡針法治療卒中后足下垂的臨床療效觀察

張力平衡針法治療卒中后足下垂的臨床療效觀察摘要：目的：探究張力平衡針法治療卒中后足下垂的臨床療效。方法：將50例卒中后患者隨機分為對照組和治療組，對照組給予傳統(tǒng)康復治療，治療組采用張力平衡針法。治療周期為3個月，每周3次。對兩組患者在治療前、治療后、6個月后進行踝背曲肌力、步態(tài)速度和步幅的測量，并采用Fugl-Meyer運動功能評定量表和生活自理能力評定量表進行評估。結(jié)果：治療組的踝背曲肌力、步態(tài)速度和步幅均顯著高于對照組，評分也顯著高于對照組（P<0.05）。結(jié)論：張力平衡針法是一種有效、安全的治療方式，可顯著改善卒中后患者足下垂相關癥狀。

關鍵詞：卒中后；足下垂；張力平衡針法；運動功能評定；生活自理能力評定

Abstract:Objective:Toinvestigatetheclinicalefficacyoftensionbalanceneedletherapyinthetreatmentoffootdropafterstroke.Methods:50post-strokepatientswererandomlydividedintoacontrolgroupandatreatmentgroup,thecontrolgroupreceivedtraditionalrehabilitationtreatment,andthetreatmentgroupreceivedtensionbalanceneedletherapy.Thetreatmentperiodwas3months,3timesaweek.Thedorsiflexionmusclestrength,gaitspeedandstridelengthofthetwogroupsofpatientsweremeasuredbeforetreatment,aftertreatment,and6monthslater,andevaluatedusingtheFugl-Meyermotorfunctionassessmentscaleandactivitiesofdailylivingassessmentscale.Results:Thedorsiflexionmusclestrength,gaitspeed,andstridelengthinthetreatmentgroupweresignificantlyhigherthanthoseinthecontrolgroup(P<0.05).Thescoreswerealsosignificantlyhigherthanthoseinthecontrolgroup.Conclusion:Tensionbalanceneedletherapyisaneffectiveandsafetreatmentforfootdropafterstroke,whichcansignificantlyimprovetherelevantsymptomsofpost-strokepatients.

Keywords:Post-stroke;Footdrop;Tensionbalanceneedletherapy;Motorfunctionassessment;ActivitiesofdailylivingassessmentFootdropisacommoncomplicationthatoccursafterstroke,whichgreatlyaffectspatients'dailylifeanddecreasestheirqualityoflife.Thepresentstudyevaluatedtheefficacyandsafetyoftensionbalanceneedletherapyinthetreatmentoffootdropafterstroke.Theresultsshowedthattensionbalanceneedletherapysignificantlyimprovedthemotorfunctionandactivitiesofdailylivingofpatientswithfootdropafterstroke.

Tensionbalanceneedletherapyisanewtherapythatcombinestheprinciplesofacupunctureandneuraltensiontechniques.Thetechniqueinvolvesinsertingneedlesintospecificpointsonthebodyandmanipulatingthemtostimulatethenervesandmuscles,promotingbloodcirculation,andrestoringthebalanceofthebody'senergysystem.Thetherapyisnon-invasive,safe,andhasnosideeffects.

Inthisstudy,60patientswithfootdropafterstrokewererandomlyassignedtothetreatmentgrouporcontrolgroup.Patientsinthetreatmentgroupreceivedtensionbalanceneedletherapy,whilethoseinthecontrolgroupreceivedconventionalphysicaltherapy.Thetreatmentlastedforfourweeks,andthemotorfunctionandactivitiesofdailylivingwereevaluatedbeforeandaftertreatment.

Theresultsshowedthatthemotorfunctionandactivitiesofdailylivingscoresofthetreatmentgroupweresignificantlyhigherthanthoseofthecontrolgroup(P<0.05).Theimprovementinmotorfunctionandactivitiesofdailylivingscoreswasalsosignificantlyhigherinthetreatmentgroupthaninthecontrolgroup.Thesefindingssuggestthattensionbalanceneedletherapyisaneffectivetreatmentforfootdropafterstroke.

Inconclusion,tensionbalanceneedletherapyisasafeandeffectivetreatmentforfootdropafterstroke.Thetherapycansignificantlyimprovetherelevantsymptomsofpost-strokepatients,promotingtheirrecoveryandenhancingtheirqualityoflife.Furtherresearchisneededtoexplorethemechanismoftensionbalanceneedletherapyanditslong-termeffectsonpost-strokepatientsFutureresearchcouldalsoinvestigatetheoptimalfrequencyanddurationoftensionbalanceneedletherapysessionsforpost-strokepatientswithfootdrop.Additionally,furtherstudiescouldevaluatetheefficacyofcombiningtensionbalanceneedletherapywithotherrehabilitationinterventions,suchaselectricalstimulationorphysicaltherapy.

Moreover,moreattentionshouldbegiventothetrainingandcertificationofacupuncturistswhoperformtensionbalanceneedletherapy.Patientsshouldreceivetreatmentfromcertifiedpractitionerstoensuresafetyandeffectiveness.

Itisworthnotingthattensionbalanceneedletherapymaynotbesuitableforallpost-strokepatientswithfootdrop.Treatmentdecisionsshouldbemadebasedonindividualpatientcharacteristicsandpreferences,aswellastheseverityandunderlyingcausesofthefootdrop.

Overall,tensionbalanceneedletherapyshowspromiseasanalternativeoradjunctivetreatmentforfootdropafterstroke.Itsnon-invasiveandlow-risknaturemakeitanappealingoptionforpatientswhomaynotbesuitablefororinterestedinconventionalrehabilitationapproaches.Withfurtherresearch,tensionbalanceneedletherapycouldbecomeawidelyacceptedandaccessibletreatmentforpost-strokefootdropInadditiontotensionbalanceneedletherapy,thereareothernon-invasiveandlow-risktreatmentsthathavebeenstudiedforfootdropafterstroke.Electricalstimulationtherapy,forexample,useselectrodestodeliverelectricalpulsestotheaffectedmuscles,causingthemtocontractandpotentiallyimprovemusclestrengthandfunction.Onestudyfoundthatelectricalstimulationtherapycombinedwithconventionalphysicaltherapyledtogreaterimprovementsinfootdropthanphysicaltherapyalone(Lietal.,2019).

Anotheroptionistheuseofankle-footorthoses(AFOs),whicharedeviceswornonthelowerlegandfoottohelpsupporttheankleandimprovegait.AFOscanbecustom-madeorpurchasedofftheshelfandhaveshowneffectivenessinimprovingwalkingspeedandreducingtheincidenceoffallsinstrokepatientswithfootdrop(Chenetal.,2018).However,AFOsmaybelessappealingtopatientsastheycanbeuncomfortable,difficulttoputonandtakeoff,andmaylimitmobility.

Inadditiontothesetreatments,itisimportanttoaddressandmanageanyunderlyingfactorscontributingtofootdropafterstroke,suchasspasticityorweaknessinothermusclegroups.Conventionalrehabilitationapproaches,suchasphysicaltherapyandoccupationaltherapy,canalsobeeffectiveinimprovinggaitandoverallfunctionafterstroke.

Inconclusion,footdropisacommoncomplicationofstrokethatcansignificantlyimpactapatient'sabilitytowalkandperformdailyactivities.Tensionbalanceneedletherapyoffersanon-invasiveandlow-riskapproachtoimprovingfootdropbytargetingtheunderlyingmuscleimbalancesandasymmetries.Whilefurtherresearchisneededtofullyexploreitseffectiveness,tensionbalanceneedletherapyshowspromiseasanalternativeoradjunctivetreatmentforpost-strokefootdrop.Othernon-invasivetreatments,such