Spasmodic muscle tone elevation in upper limbs after ischemic stroke
Conditions
Interventions
Needle-knife combined rehabilitation training group:Needle-knife treatment + routine rehabilitation
Rehabilitation training group:Routine rehabilitation
Sponsors
The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine
Eligibility
Sex/Gender
All
Age
30 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1. Those who meet the diagnostic criteria for spastic muscle tone elevation in the upper limbs after ischemic stroke; 2. Left unilateral upper limb hemiplegia, right-handed; 3. National Institutes of Health Stroke Scale (NIHSS) score 1-15 points; 4. The modified Ashworth Scale (MAS) scores the muscle tone of the affected upper limb in grades I-IV; 5. Age range of 30 to 70 years old, gender not limited; 6. The course of the disease lasts from 2 weeks to 6 months, with stable condition, clear consciousness, and the ability to complete all scale assessments; 7. Voluntarily participate and sign an informed consent form.
Exclusion criteria
Exclusion criteria: 1. Increased muscle tone caused by other reasons; 2. Accompanied by serious internal medicine diseases such as heart, liver, kidney, tumors and other malignant diseases, infectious diseases, and mental illnesses; 3. Contraindications for using electrical stimulators and needle-knife: wearing pacemakers, intracranial metal implants, and other metal implants in the body; Having a history of epilepsy or currently taking antiepileptic drugs to prevent epileptic seizures; Has had head trauma or undergone head or spinal cord surgery, or has skull defects; Patients with coagulation dysfunction and thrombosis; Sensory disorders, electrical stimulation allergies, or intolerance to needle-knife; Damage, inflammation, scars, etc. on the skin of acupoints; Being pregnant or breastfeeding, or planning to become pregnant within the next 6 months; 4. Patients who have received treatment measures for muscle tone disorders such as surgery and antispasmodic drugs in the past month, including needle-knife and electrical stimulators, as well as patients undergoing routine rehabilitation training; 5. Patients who participate in other clinical studies at the same time and may affect the research results; 6. Those who cannot cooperate with treatment, record observation indicators, and follow up in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| modified Ashworth scale(MAS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Clinic Spastcity Index(CSI);Simplified Fugl-Meyer Assessment;Brunnstrom Stages of Motor Recovery;Modified Barthel Index;Surface Electromyography;Oxyhemoglobin concentration;Functional connectivity; | — |
Countries
China
Contacts
Public ContactYanguo Wang
The Second Affiliated Hospital of Tianjin University of Traditional Chinese Medicine
Outcome results
None listed