뇌졸중 환자의 상지 경직에 대한 전침의 치료 효과

Abstract

Objectives : This study was executed in order to evaluate the effects of electroacupuncture on upper-extremity spasticity control in stroke patients.Methods : Eighteen patients with stroke were enrolled and classified into two groups, the study and control group. The control group did not receive any oriental medical treatment. In the study group, the electroacupuncture points were applied to Kokt'aek (PC3) and Ch'ch'n (PC2), Naegwan (PC6) and Ch'kt'aek(LU5) of the affected limb. H-reflex/ M-response ratio(H/M ratio), modified Ashworth scale (MAS) and Fugl-Meyer motor function assessment (FMA) were used for evaluation of spasticity control before electroacupuncture, within two hours after electroacupuncture, and at two weeks.Results : In MAS, the study group declined more than the control group, but there was no statisticallysignificant consideration. In H/M ratio, the study group was more efficient than the control group, and spasticity decreased successively during the series in the study group. In FMA, motor function in the study group improved more than in the control group and motor function in the study group increased successively during the series.Conclusions : These results showed that electroacupuncture was a useful method to decrease upper-extremity spasticity in patients with stroke. Further studies are needed to explore more cases and the long-lasting carryover effects on upper-extremity spasticity in electroacupuncture.