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      Effect of Acupuncture and Rehabilitation Therapy on the Recovery of Neurological Function and Prognosis of Stroke Patients

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          Abstract

          Background

          Stroke is a common cerebrovascular disease among the middle-aged and elderly, which can lead to a series of neurological disorders. Acupuncture is an important part of traditional Chinese medicine, with great value in improving the neurological deficits of stroke patients. In addition, rehabilitation therapy is also of great significance for alleviating the neurological deficits of patients and improving their activities of daily living.

          Objective

          To explore the effect of acupuncture and moxibustion combined with rehabilitation therapy on the recovery of neurological function and prognosis of stroke patients.

          Methods

          The case data of 100 stroke patients treated in the Wuhan Hospital of Traditional Chinese Medicine from January 2019 to July 2021 were analyzed retrospectively. According to the treatment plan patients received, they were divided into the following two groups: an observation group ( n = 52) treated with acupuncture combined with rehabilitation therapy and a control group ( n = 48) treated with rehabilitation therapy alone. The two groups were compared in terms of the following items: therapeutic efficacy, plasma levels of cortisol (Cor) and neuropeptide Y (NPY), nerve function, motor function, balance ability, self-care ability, swallowing function, negative emotions, and quality of life.

          Results

          The therapeutic effect of the observation group was significantly higher than that of the control group ( P < 0.05). The levels of Cor and NPY, as well as the neurological function, motor function, balance ability, self-care ability, swallowing function, and negative emotions, were not significantly different between the two groups before treatment ( P > 0.05). While after intervention, all the above indexes improved in both groups, with better improvements in the observation group compared with the control group ( P < 0.05). And the various dimensions concerning the quality of life of patients were also significantly better in the observation group when compared with the control group.

          Conclusion

          Acupuncture of traditional Chinese medicine combined with rehabilitation therapy has outstanding effects in stroke treatment and can effectively improve the neurological function, prognosis, and quality of life of patients, which is worthy of clinical promotion.

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          Usefulness of the Berg Balance Scale in stroke rehabilitation: a systematic review.

          Lisa M. Blum, Nicol Korner-Bitensky (2008)
          In a recent study of 655 physical therapists working with a stroke population, the Berg Balance Scale (BBS) was identified as the most commonly used assessment tool across the continuum of stroke rehabilitation. Given the widespread popularity of the BBS, it is important to critically appraise the BBS for its use with a stroke population. The purposes of this study were to conduct a systematic review of the psychometric properties of the BBS specific to stroke and to identify strengths and weaknesses in its usefulness for stroke rehabilitation. Twenty-one studies examining the psychometric properties of the BBS with a stroke population were retrieved. Internal consistency was excellent (Cronbach alpha=.92-.98) as was interrater reliability (intraclass correlation coefficients [ICCs]=.95-.98), intrarater reliability (ICC=.97), and test-retest reliability (ICC=.98). Sixteen studies focused on validity and generally found excellent correlations with the Barthel Index, the Postural Assessment Scale for Stroke Patients, Functional Reach Test, the balance subscale of Fugl-Meyer Assessment, the Functional Independence Measure, the Rivermead Mobility Index (except for weight shift and step-up items), and gait speed. Berg Balance Scale scores predicted length of stay, discharge destination, motor ability at 180 days poststroke, and disability level at 90 days, but these scores were not predictive of falls. Eight studies focused on responsiveness; all reported moderate to excellent sensitivity. Three studies found floor or ceiling effects. The BBS is a psychometrically sound measure of balance impairment for use in poststroke assessment. Given the floor and ceiling effects, clinicians may want to use the BBS in conjunction with other balance measures.
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            Secondary stroke prevention.

            Graeme Hankey (2014)
            Survivors of stroke and transient ischaemic attacks are at risk of a recurrent stroke, which is often more severe and disabling than the index event. Optimum secondary prevention of recurrent stroke needs rapid diagnosis and treatment and prompt identification of the underlying cardiovascular cause. Effective treatments include organised acute assessment and intervention with antithrombotic therapy, carotid revascularisation, and control of causal risk factors, as appropriate. However, effective treatments are not implemented optimally in clinical practice. Recurrent strokes continue to account for 25-30% of all strokes and represent unsuccessful secondary prevention. Immediate and sustained implementation of effective and appropriate secondary prevention strategies in patients with first-ever stroke or transient ischaemic attack has the potential to reduce the burden of stroke by up to a quarter.
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              Comparison of Hospital Anxiety and Depression Scale (HADS) and Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in Evaluating Anxiety and Depression in Patients with Psoriatic Arthritis

              Tao Yue, Qiting Li, Rongsheng Wang … (2020)
              Background: This study aimed to compare the Hospital Anxiety and Depression Scale (HADS) and the Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in evaluating anxiety and depression in psoriatic arthritis (PsA) patients. Methods: A total of 70 PsA patients were enrolled. Demographic and clinical characteristics were collected after enrollment. HADS-A and SAS were used to evaluate the anxiety of PsA patients, while HADS-D and SDS were used to evaluate the depression of PsA patients. Results: Similar results were observed in detecting the rate of anxiety by HADS-A and SAS (27.1 vs. 21.4%, p = 0.424), and there was no difference in classifying the severity of anxiety by HADS-A and SAS ( p = 0.347). The Spearman test also disclosed that HADS-A score was positively associated with SAS score ( p < 0.001). The rates of depression were similar by HADS-D and SDS (27.1 vs. 40.0%; p = 0.108). However, different results were observed in grading the severity of anxiety by HADS-D and SDS ( p = 0.009), and no correlation was observed between HADS-D and SDS scores ( p = 0.138). The consumption of time for HADS assessment was shorter than that for SAS/SDS assessment ( p < 0.001). In addition, a positive correlation of HADS-A score with patients’ global assessment (PGA) ( p = 0.022) and fatigue scores ( p = 0.028) was discovered, and HADS-D score was positively associated with PGA score ( p = 0.019). SAS or SDS score presented less correlation with clinical features of PsA patients, which illuminated that only SAS score was positively associated with duration of psoriasis ( p = 0.030). Conclusion: HADS seems to be a better option for anxiety and depression assessment than SAS/SDS in PsA patients.
              Article 0 comments Cited 75 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Le Wang:
                ORCID: https://orcid.org/0000-0003-4854-6160
                Journal
                Journal ID (nlm-ta): Comput Math Methods Med
                Journal ID (iso-abbrev): Comput Math Methods Med
                Journal ID (publisher-id): cmmm
                Title: Computational and Mathematical Methods in Medicine
                Publisher: Hindawi
                ISSN (Print): 1748-670X
                ISSN (Electronic): 1748-6718
                Publication date Collection: 2022
                Publication date (Electronic): 22 February 2022
                Volume: 2022
                Electronic Location Identifier: 4581248
                Affiliations
                1Department of Acupuncture and Moxibustion, Wuhan Hospital of Traditional Chinese Medicine, Wuhan, 430000 Hubei Province, China
                2Stroke Department of Wuhan Hospital of Traditional Chinese Medicine, Wuhan, 430000 Hubei Province, China
                3Department of Rheumatology, Wuhan Hospital of Traditional Chinese Medicine, Wuhan, 430000 Hubei Province, China
                4Department of Orthopedics, Wuhan Hospital of Traditional Chinese Medicine, Wuhan, 430000 Hubei Province, China
                5Department of Internal Medicine, Wuhan Hospital of Traditional Chinese Medicine, Wuhan, 430000 Hubei Province, China
                Author notes

                Academic Editor: Min Tang

                Author information
                https://orcid.org/0000-0003-4854-6160
                Article
                DOI: 10.1155/2022/4581248
                PMC ID: 8888046
                SO-VID: 1f4e345d-079c-41f0-a519-c46f73c6059f
                Copyright © Copyright © 2022 Lanping Fu et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 2 December 2021
                Date revision received : 30 December 2021
                Date accepted : 8 January 2022
                Categories
                Subject: Research Article

                ScienceOpen disciplines: Applied mathematics
                Data availability:
                ScienceOpen disciplines: Applied mathematics

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