|Title:||The effectiveness of acupuncture treatment on motor and functional recovery of chronic stroke patients|
|Subject:||Hong Kong Polytechnic University -- Dissertations|
Cerebrovascular disease -- Patients -- Rehabilitation
|Department:||Jockey Club Rehabilitation Engineering Centre|
|Pages:||xiv, 92 leaves : ill.(some col.) ; 30 cm|
|Abstract:||Acupuncture, as one of the main therapeutic measures in Traditional Chinese Medicine, is used to treat a great variety of diseases and symptoms. Since 1979, the World Health Organisation (WHO) has listed post-stroke paresis as impairment potentially treatable with acupuncture. Many researches conducted in China has demonstrated that acupuncture was an effective modality for stroke patients. Other studies conducted in Western countries also proved the effectiveness of acupuncture on stroke recovery. However, most of these research studies have focused on acute and subacute stroke case. Only few studies were conducted on chronic stroke patients. The purpose of this study was to evaluate the effectiveness of acupuncture treatment on improving motor and functional disability in chronic stroke patients. Twenty chronic stroke patients were recruited and assigned into the acupuncture treatment group and control group. The acupuncture treatment group received 15 sessions of 30 minutes acupuncture treatment three times a week in 5 weeks. Pre-test and post-test on lower limb spasticity, walking efficiency, physical impairment and functional disability were measured using Pendulum test, 10-meter walk test and stroke assessment score respectively. Relaxation index, walking speed, Physiological Cost Index and Chedoke-McMaster Stroke Assessment Score were used as outcome measurements. Repeated measures analysis of variance (ANOVA) was used to analyze the time effect on the outcomes. Paired-samples t-test was applied to analyze the outcome measurements of each group before and after the intervention. Results showed that acupuncture group improved with statistical significant in Relaxation Index (p=0.01), Physiological Cost Index (p=0.02) and walking speed (p = 0.01) while the control group had no significant change. For the Chedoke-McMaster Stroke Assessment Score, both acupuncture group (p=0.00) and control group (p = 0.01) showed statistical significant difference after the intervention. All the outcome measurements showed significant difference (p=0.00) in the time effect an flit outcomes. In conclusion, acupuncture had beneficial effects in the motor and functional recovery on chronic stroke.|
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