Efficacy evaluation of acupuncture combined with Lokohelp robot rehabilitation for hemiplegia following acute ischemic stroke

摘要

Objective To observe the clinical advantages of acupuncture combined with Lokohelp robot rehabilitation in the treatment of lower limb hemiplegia following acute ischemic stroke. Methods From June 2017 to May 2018, 117 patients with acute ischemic stroke hemiplegia were selected in the Traditional Chinese Medicine Hospital of Taihe County.The patients were divided into control group and observation group by random digital table method.There were 58 cases in the control group and 59 cases in the observation group.The patients of the two groups were all treated with rehabilitation and essential drugs.The control group received routine rehabilitation training, and the observation group received acupuncture combined with Lokohelp robot gait rehabilitation on the basis of routine rehabilitation training.Thirty days was set as the end time of the test. Results After treatment, the FMA-B score of the control group was (9.15±2.58)points, which of the observation group was (12.85±2.69)points.The FMA-L score of the control group was (23.78±5.33)points, which of the observation group was (29.79±6.45)points.The levels of FMA-B and FMA-L in the two groups were higher than those before treatment, and the levels in the observation group were higher than those in the control group, the differences were statistically significant(t=3.731, 11.441, 7.213, 11.318, 7.591, 5.489, all P<0.01). After treatment, the BaRthel index score of the control group was (56.11±17.12), which of the observation group was (79.59±21.31). The BaRthel index score of the two groups was higher than those before treatment, and the score in the observation group was higher than that in the control group, the difference was statistically significant(t=12.355, 18.279, 6.563, all P<0.01). Conclusion Acupuncture combined with Lokohelp robot rehabilitation for hemiplegic patients with acute ischemic stroke can significantly improve the degree of neurological impairment, reduce the score of neurological impairment, and synergetically improve the patients' walking ability, balance function, motor function and daily life activity ability. Key words: Stroke; Brain ischemia; Hemiplegia; Acupuncture therapy; Acupuncture points; Lokohelp robot; Moxibustion; Rehabilitation; Walking; Postural balance; Activities of daily living