针康法结合低频电刺激治疗对脑卒中后足下垂患者下肢功能康复的影响OA

Objective To explore the effect of acupuncture rehabilitation therapy combined with low-fre-quency electrical stimulation treatment on the lower limb functional rehabilitation in the patients with post-stroke foot drop.Methods A total of 99 patients with post-stroke foot drop admitted and treated in the Sec-ond Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine from June 2021 to June 2024 were selected as the research subjects.The patients were divided into the combined group,low-frequency electrical stimulation group and acupuncture rehabilitation group according to the random number table meth-od,33 cases in each group.All patients received the conventional drug treatment.The low-frequency electrical stimulation group received the low-frequency electrical stimulation treatment on the basis of conventional drug treatment,the acupuncture rehabilitation group received the acupuncture rehabilitation treatment on the basis of conventional drug treatment,and the combined group simultaneously received both low-frequency electrical stimulation treatment and acupuncture rehabilitation treatment on the basis of conventional drug treatment.The three groups were persistently treated for 4 weeks.The improvement situation of foot drop after treat-ment,muscle tone[evaluated by the Modified Ashworth Scale(MAS)],lower limb motor function[assessed by the simplified Fugl-Meyer Motor Function Assessment Scale(FMA)],ankle joint range of motion(ROM,measured by goniometer),gait stability(step frequency,step length,swing phase of the affected side,support phase of the affected side),walking ability[assessed by the Functional Ambulation Category(FAC)scale],spasticity degree[assessed by the Clinical Spasticity Index(CSI)scale],and balance function[assessed by the Berg Balance Scale(BBS)scale]before and after treatment,as well as the occurrence of adverse reactions dur-ing treatment were compared among the three groups.Results After treatment,the excellent and good rates of improvement in foot drop in the combined group,low-frequency electrical stimulation group and acupunc-ture rehabilitation group were 96.97%,78.79%and 75.76%,respectively.The excellent and good rate of foot drop improvement in the combined group was higher than that in the low-frequency electrical stimulation group and acupuncture rehabilitation group(P<0.05),while there was no statistically significant difference in the excellent and good rates of foot drop improvement between the low-frequency electrical stimulation group and acupuncture rehabilitation group(P>0.05).After treatment,the MAS grade in the combined group was lower than that in the low-frequency electrical stimulation group and acupuncture rehabilitation group,and the FMA score and ROM were higher than those in the low-frequency electrical stimulation group and acupuncture rehabilitation group,with statistically significant differences(P<0.05),while there was no statistically significant difference in the MAS grade,FMA score and ROM after treatment between the low-frequency electrical stimulation group and acupuncture rehabilitation group(P>0.05).Compared with the low-frequency electrical stimulation group and acupuncture rehabilitation group,the step frequency after treat-ment in the combined group was accelerated,stride length was increased,swing phase of the affected side was prolonged and support phase of the affected side was shortened,and the differences were statistically signifi-cant(P<0.05),while there was no statistically significant difference in the step frequency,step length,swing phase of the affected side,and support phase of the affected side between the low-frequency electrical stimula-tion group and acupuncture rehabilitation group after treatment(P>0.05).After treatment,the CSI score in the combined group was lower than that in the low-frequency electrical stimulation group and acupuncture re-habilitation group,and the FAC and BBS scores were higher than those in the low-frequency electrical stimula-tion group and acupuncture rehabilitation group,with statistically significant differences(P<0.05),while there was no statistically significant difference in CSI,FAC,and BBS scores after treatment between the low-frequency electrical stimulation group and acupuncture rehabilitation group(P>0.05).During treatment,the total incidence rates of adverse reactions in the combined group,low-frequency electrical stimulation group and acupuncture rehabilitation group was 12.12%,9.09%and 6.06%,respectively,with no statistically significant differences(P>0.05).Conclusion The combination of acupuncture rehabilitation and low-frequency electri-cal stimulation could effectively increase the motion range of the ankle joint and gait stability,improve the lower limb motor function and reduce muscle tone level,reduce the ankle spasticity,regulate the balance func-tion,and promote the recovery of walking function in the patients with post-stroke foot drop with significant efficacy.