Clinical effect of acupotomy combined with neuromuscular electrical stimulation in the treatment of foot varus after stroke
ZHAO Xinxin1 XIAO Hongbo2 CHEN Ruiquan2 YONG Qizheng1 LI bo3 YANG Yonghui4 WANG Zongbao5
1.Acupuncture Rehabilitation Section One, the Third Affiliated Hospital of Anhui University of Chinses Medicine, Anhui Province, Hefei 230031, China;
2.Acupuncture Rehabilitation Section One, the First Affiliated Hospital of Anhui University of Chinses Medicine, Anhui Province, Hefei 230000, China;
3.Acupuncture Rehabilitation Section Two, the Third Affiliated Hospital of Anhui University of Chinses Medicine, Anhui Province, Hefei 230031, China;
4.Department of Acupuncture knife Rehabilitation, the Third Affiliated Hospital of Anhui University of Chinses Medicine, Anhui Province, Hefei 230031, China; 5.Clinical College of Acupuncture and Bone Fracture, Anhui University of Chinses Medicine, Anhui Province, Hefei 230000, China
Abstract：Objective To observe the clinical effect of acupotomy combined with neuromuscular electrical stimulation in the treatment of foot varus after stroke. Methods From June 2018 to December 2019, 60 stroke patients with foot varus who were admitted to the ward of Acupuncture Rehabilitation Section One, the Third Affiliated Hospital of Anhui University of Chinses Medicine were selected. According to the random number table method, they were divided into the treatment group and the control group, with 30 patients in each group. The control group was treated with neuromuscular electrical stimulation, while the treatment group was treated with acupotomy on the basis of the control group, Both groups received one course of treatment. The simplified Fugl-Meyer assessment scale for motor function, foot varus symptom score table and maximum walking speed of 10 meters (10MWS) were used to evaluate the improvement of foot varus. Results Before treatment, there were no statistically significant differences between the two groups in the scores of simplified Fugl-Meyer assessment scale for motor function, the score of foot varus symptom and 10MWS (all P ＞ 0.05). After treatment, the scores of simplified Fugl-Meyer assessment scale for motor function and 10MWS of the two groups were both increased compared with those before treatment, and the treatment group was higher than the control group, the differences were statistically significant (P ＜ 0.05 or P ＜ 0.01). After treatment, the score of foot varus symptom of two groups were both decreased compared with those before treatment, and the treatment group was lower than the control group, the differences were highly statistically significant (P ＜ 0.01). Conclusion Acupotomy combined with neuromuscular electrical stimulation can effectively improve the symptoms of foot varus in stroke patients and speed up the rehabilitation process of patients.
2020, Vol. 17 
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