Kinematic improvement after the external-application herbs combine rehabilitation in upper-limb spasticity due to stroke

• 作者: Da-Wei Zhan Hu Zhang Wei-Hao Fang Xiao Ding Xin-wei Wang Zhen-Yao Wang
• 来源期刊: TMR非药物治疗
• 学科: 医学
• 关键词: EXTERNAL APPLICATION of Chinese HERBS TCM Anti-spastic Position UPPER LIMB
• 年，卷（期）: 2019,（2）
• 页码范围: 48-54
• 页数: 7页
• 分类号: R

摘要

Background: Spasm is one of the most serious physical impairment after stroke. the external-application herbs have showed some effects on the spasm. This study was conducted to evaluate the comparative effectiveness of the external-application herbs and physical therapy in upper limb spasticity after stroke. Methods: A total of 100 patients with upper limb spasm after stroke (stroke time less than 1 month), have been recruited in Shun-yi Hospital of Beijing Traditional Chinese Medicine Hospital. Patients will be randomly allotted to one of two groups (N = 50, respectively): the TCM external application group, and the usual rehab (conventional physical therapy and medication treatment) group. The two groups will be administered once a month for three months. The primary outcome will be Modified Athworth Scale (MAS) and the simplified scale (Fugl-Meyer assessment, FMA) for upper limb. Results: Muscle tension and motor function were evaluated before and 4 weeks after treatments. There was a significant improvement in muscle tension and motor function in patients with stroke after the external-application herbs and physical therapy (P < 0.05). Conclusion: There was a significant improvement in kinematics in patients with stroke.