Title : Clinical study of needle knife therapy combined with electromyographic biofeedback on upper extremity motor function and pain relief in patients with shoulder-Hand syndrome after stroke
Abstract:
Objective: To investigate the efficacy of needle knife therapy combined with EMG biofeedback in the treatment of patients with post-stroke shoulder-hand syndrome.
Methods: 128 patients with post-stroke shoulder-hand syndrome who were admitted to our hospital from July 2022 to January 2024 were selected for the study, and were divided into the control group (n=64) and the observation group (n=64) by using the method of randomized numerical table. The patients in the control group were treated with needle knife, and the patients in the observation group were treated with needle knife combined with electromyographic biofeedback for 4 weeks. The clinical efficacy, pain level, upper limb motor function and self-care ability of the two groups were compared.
Results: He clinical efficacy of the observation group was better than that of the control group, and the difference between the data of the two groups was statistically significant (P<0.05). Before treatment, the Fugl-Meyer Assessment method (FMA), joint mobility, modified Bach's Index (BI), and Visual Analog Scale (VAS) scores of the patients in the two groups were compared, and the difference between the data of the two groups was not statistically significant (P>0.05); after the treatment, the FMA [(59.58±4.64) points], joint mobility [(91.22±10.21)°], and BI [(85.18±8.97) points] were higher than those of the control group [(50.01±4.55) points, (80.23±9.89)°, and (64.86±9.11) points], and the VAS scores of the observation group [(1.18±0.18) points] were lower than those of the control group[(2.88±0.25) points], and there was a statistically significant difference in the comparison of the data between the two groups (P<0.05).
Conclusion: Acupuncture treatment combined with myoelectric biofeedback can effectively relieve the upper limb motor function and relieve pain in the affected limbs of patients with shoulder-hand syndrome after stroke and reduce swelling, which is conducive to improving the upper limb motor function of patients and promoting the improvement of patients' self-care ability.
Keywords: Needle Knife Therapy Combined with Electromyographic Biofeedback, Patients with Shoulder.
