Acupuncture combined with rehabilitation for stroke recovery

Mao Zhongna He Tianyou Zhang Zhiming Gansu college of traditional Chinese medicine hospital in stroke rehabilitation

China's traditional Chinese medicine to

        Stroke rehabilitation period syndrome are the real and virtual table with liver and kidney deficiency, qi failure for the less, the wind, fire, phlegm, qi and blood stasis as the standard. However, stroke rehabilitation is a long complex process, different stage of clinical manifestations, pathogenesis, even in the same stage, different body parts have different clinical manifestations, meridian syndrome differentiation also should have corresponding change.

        If acupuncture doctors can skillfully use modern rehabilitation evaluation accurate judgment of stroke patients in different stage, the main obstacles of analysis, combined with modern rehabilitation training method, targeted for acupuncture treatment, will significantly improve the curative effect of rehabilitation.

        "Stroke" modern medicine called a stroke. Because of its high morbidity, the serious influence the patient's quality of life. How to help stroke patients accelerate rehabilitation process, improve the ability to care for life, as far as possible, shorten the return to family, society, even to return to work time, has become an important part of the stroke rehabilitation. Based on years of clinical practice, the author thinks that stroke rehabilitation need acupuncture combined with modern rehabilitation.

        The advantages of acupuncture combined with modern rehabilitation

        Reference to modern rehabilitation theory to guide the acupuncture treatment

        From huangdi neijing, the acupuncture by party a and party b to the acupuncture dacheng, all previous dynasties medical books were associated with acupuncture therapy for stroke. Due to historical limitations, however, had no system of rehabilitation theory in the literature. Such as loss of voluntary movement function in patients with stroke caused by only describe with hemiplegia, eye mouth askew, cannot accurately reflect the extent of the loss of motor function in patients with, there is no accurate description patients in the recovery process how to roll over in bed and how to sitting up, standing, walking and different conditions of the gait, nor reflect the different phase of the main obstacle factors.

        Modern rehabilitation theory, both out the theory, and theory of Bobath, in different recovery stages, rehabilitation training method also has the difference, but has a complete rehabilitation evaluation system and scale, to compare a clear analysis of the main obstacle in stages, put forward the corresponding training methods, through the clinical rehabilitation practice verify the curative effect is distinct. The author thinks that, you can refer to the modern understanding of hemiplegia rehabilitation theory to guide the acupuncture treatment, improve curative effect.

        Periodical theory in reference to local shih syndrome

        Stroke rehabilitation period syndrome are the real and virtual table with liver and kidney deficiency, qi failure for the less, the wind, fire, phlegm, qi and blood stasis as the standard. However, stroke rehabilitation is a long complex process, different stage of clinical manifestations, pathogenesis, even in the same stage, different body parts have different clinical manifestations, meridian syndrome differentiation also should have corresponding change.

        Movement function is lost, for example: flaccid paralysis period the whole side lower limb muscle tension and tendon reflex is abate, voluntary movement, meridian syndrome differentiation should be Yin and acupuncture treatment should have strong stimulation in order to improve the limb muscle strength and muscle tone. Spasm stage with the improvement of muscle tension and muscle tendon appeared hyperreflexia and abnormal movement pattern, the distribution of abnormal muscle tone, cause movement coordination, and even local muscle spasms, affect the formation of normal movement patterns, the meridian syndrome differentiation should be in whole on the basis of syndrome differentiation for local muscle tone change again for meridian syndrome differentiation to guide the acupuncture treatment, achieve the goal of lower abnormal muscle tone.

        Such as hemiplegia, upper limb often give priority to with flexor muscle tension increases, meridian syndrome differentiation should be Yang slow and Yin urgent, take Yang meridians when acupuncture acupoints is given priority to, technique should be fill Yang xie Yin; Lower limb often give priority to with extensor muscle tension increases, meridian syndrome differentiation should be Yin slow and Yang hurry, acupuncture Yin meridians acupoints is given priority to, technique should be or Yin and Yang.

        Recovery with the improvement of muscle strength, muscle tone, tend to be normal and appear different sequela, meridian syndrome differentiation should be in whole on the basis of syndrome differentiation according to the specific situation and lasting damage to the local meridian syndrome differentiation. Such as lower limbs is given priority to with extensor muscle tension increases, meridian syndrome differentiation should be Yin slow and Yang, but foot drop performance for foot plantar flexor muscle tension increases, meridian syndrome differentiation should be Yang slow and Yin urgent, acupuncture treatment of foot drop should choose Yang meridians meridians.

        Rich treatment, improve the stroke rehabilitation efficacy

        Rehabilitation evaluation of modern rehabilitation medicine, sport therapy, homework therapy, speech and correcting, rehabilitation medicine engineering characteristic, but its treatment has yet to be added. Flaccid paralysis period such as stroke, modern rehabilitation has not been particularly effective method to improve muscle tension, shorten the period of flaccid paralysis, as the traditional "treat impotent alone take Yang Ming" or of the Chinese academy of engineering professor Shi Xuemin "awake brain begin to understand law" strong stimulation can obviously accelerate the improvement of strength and muscle tension.

        A large number of clinical practice prove that acupuncture and moxibustion methods such as head, body acupuncture, moxibustion, thorn blood therapy, per cutem method, acupuncture point injection, electric acupuncture, etc in the different stages of stroke rehabilitation, is effective for many symptoms. If acupuncture doctors can skillfully use modern rehabilitation evaluation accurate judgment of stroke patients in different stage, the main obstacles of analysis, combined with modern rehabilitation training method, targeted for acupuncture treatment, will significantly improve the curative effect of rehabilitation.

        For example: stroke patients with hemiplegia in motor dysfunction and mostly associated with sensory dysfunction, modern rehabilitation training has not been effective training method for sensory difficulties, the acupuncture needle head sensory area and the side of the body, is beneficial to enhance the recovery of function of feeling, so as to speed up the restoration of sensory input pathway, improve the accuracy of the movement.

        Modern rehabilitation that rehabilitation exercise training is a learning process, patients understand and cooperate with has the vital role. For patients with stroke with part is bad, some scholars observe in chooses the focus for the patient with head acupuncture, actively cooperate with the doctor exercise consciousness distinct enhancement.

        The clinical treatment of stroke swallowing disorder, use of endoscopy (VE) or TV fluorescent endoscopy rating method (VF) diagnosis of local muscle relaxation, at the same time of swallowing training with local acupuncture to increase muscle tension, speeding up the recovery of swallowing function relatively simple training; For future trouble side stroke well function is reduced, cough cough up phlegm, clip ridge point acupuncture can significantly improve patients well function, to reduce and prevent pulmonary infection effect is obvious.

        The clinical practice, there are a lot of acupuncture combined with rehabilitation training, and can improve the stroke rehabilitation curative effect, of modern rehabilitation medicine is a good supplement.

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