Motor dysfunction in the flaccid paralysis stage of stroke
Conditions
Interventions
Visualization Needle Knife Group:Conventional acupuncture + Visualization needle knife therapy
Basic Acupuncture Group:Traditional acupuncture
Sponsors
Guangdong Second Traditional Chinese Medicine Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Meets the diagnosis criteria for stroke according to both traditional Chinese medicine (TCM) and Western medicine, with CT or MRI scans supporting the diagnosis. - TCM diagnostic criteria: Refer to the "Diagnosis and Efficacy Evaluation Criteria for Stroke" (Trial Version) issued by the National Administration of Traditional Chinese Medicine in 1996. - Major symptoms: Hemiplegia, impaired consciousness, dysarthria or aphasia, sensory abnormalities on one side of the body, and facial deviation. - Minor symptoms: Headache, dizziness, changes in pupil size, difficulty swallowing, and inability to close one eye. - Acute onset, often preceded by precipitating factors, and frequently accompanied by prodromal symptoms. Onset typically occurs in individuals aged 4 years or older. - Diagnosis is confirmed if two or more major symptoms, or one major symptom and two minor symptoms, are present, along with acute onset, precipitating factors, prodromal symptoms, and appropriate age. - Western diagnostic criteria: Refer to the "Diagnostic Points for Various Cerebrovascular Diseases" from 2019. Confirmed as newly diagnosed cerebral infarction or hemorrhage, with all cases confirmed via cranial imaging (MRI or CT). 2. Meets the criteria for soft paralysis-related functional impairment in stroke patients, classified as Stage I of the Brunnstrom six-stage standard: muscles on the affected side are in a flaccid state, with absent muscle tone and no voluntary movement. 3. First-time onset, with onset time within 7 days to 3 months; age between 40 and 80 years, with no gender restrictions. 4. Conscious and alert, with stable vital signs, good compliance, no significant decline in comprehension, and no obvious language dysfunction. 5. No severe complications or underlying diseases. 6. Voluntarily participates in this study and signs the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Does not meet the diagnostic criteria for stroke in traditional Chinese medicine or Western medicine; 2. Transient ischemic attack, reversible neurological deficits, and impaired consciousness, with unstable vital signs; 3. Neurological deficits caused by subarachnoid hemorrhage, brain tumors, brain trauma, brain parasitic diseases, heart disease, metabolic disorders, etc.; 4. Brunnstrom staging is in stages II–VI: - Stage II: The beginning of muscle tone, spasticity, and associated reactions; patients attempt active movement but exhibit weak muscle contractions without joint movement. - Stage III: Patients can voluntarily initiate varying degrees of common movement or its components; spasticity is significant, reaching the peak of the disease course. - Stage IV: The common movement pattern begins to break down, with the emergence of isolated movements outside the common movement pattern; spasticity decreases. - Stage V: Isolated movements improve further, enabling more difficult functional activities; spasticity significantly decreases. - Stage VI: The common movement pattern is completely eliminated; spasticity is almost absent or barely visible; coordinated movements and movement speed are nearly normal. 5. Combined with severe complications, severe underlying diseases, or mental disorders; 6. Pregnant or breastfeeding women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Clinical Myokinematic Grading; | — |
Secondary
| Measure | Time frame |
|---|---|
| Muscle Tone Assessment;Limb Functional Assessment;Neurological Deficit Assessment;Activities of Daily Living Scale; | — |
Countries
China
Contacts
Public ContactHongju Ma
Guangdong Second Traditional Chinese Medicine Hospital
Outcome results
None listed