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. 2019 Dec 6;7(23):3964-3970.
doi: 10.12998/wjcc.v7.i23.3964.

Therapeutic efficacy of acupuncture combined with neuromuscular joint facilitation in treatment of hemiplegic shoulder pain

Yan-Hui Wei  1 , De-Chao Du  2 , Ke Jiang  3
Affiliations

Therapeutic efficacy of acupuncture combined with neuromuscular joint facilitation in treatment of hemiplegic shoulder pain

Yan-Hui Wei et al. World J Clin Cases. .

Abstract

Background: Stroke is a type of cerebrovascular disease with high prevalence, mortality, and onset of disability. As a neurodevelopmental therapy, neuromuscular joint facilitation (NJF) is widely used in the treatment of orthopedic and neurological disorders in the clinical practice. It is mainly used for central nervous system diseases or orthopedic diseases, movement disorders, and pain rehabilitation. According to related studies, NJF can also be used as a rehabilitation treatment in patients with hemiplegic shoulder pain (HSP).

Aim: To investigate the clinical efficacy of acupuncture combined with NJF in patients with HSP.

Methods: Forty patients with HSP were randomly divided into a treatment group and a control group. The treatment group was treated with acupuncture combined with NJF and the control group was treated with acupuncture alone. All patients were assessed by using the visual analogue scale (VAS), Fugl-Meyer assessment (FMA), Barthel index (BI), and passive range of motion (PROM) before and after the training. All the clinical data were analyzed using SPSS 20.0 statistical software.

Results: There was no statistical difference in the general characteristics between the two groups. In the terms of duration of treatment, age, and pre-treatment indicators, the two groups were comparable (P > 0.05). After the treatment, VAS, PROM, BI, and FMA scores were significantly improved in the two groups of patients (P < 0.05). The VAS, PROM and FMA scores were significantly higher in the treatment group than in the control group (P < 0.05). However, there was no significant difference in BI scores between the two groups (P > 0.05).

Conclusion: Both acupuncture alone and acupuncture combined with NJF in the treatment of HSP are effective, and can improve the clinical symptoms of patients. Acupuncture combined with NJF can improve the upper limb motor function, relieve pain, and increase joint mobility in patients with HSP. The combination therapy is better than acupuncture alone. However, there is no significant difference in improving the score of patients' self-care ability.

Keywords: Acupuncture; Fugl-Meyer assessment; Hemiplegic shoulder pain; Neuromuscular joint facilitation; Therapy; Visual analogue scale.

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Conflict of interest statement

Conflict-of-interest statement: The authors declare that they have no competing interests.

References

    1. He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, Wang J, Chen CS, Chen J, Wildman RP, Klag MJ, Whelton PK. Major causes of death among men and women in China. N Engl J Med. 2005;353:1124–1134. - PubMed
    1. Li Z. 2013. The Effect of SES and Hypertension Control on the Incidence and Mortality of Stroke in the Elderly. M.Sc. Thesis, Anhui Medical University.
    1. Zhao T. Beijing: People's Military Medical Press; 1996. Modern Hemiplegia Treatment; pp. 190–265.
    1. Harrison RA, Field TS. Post stroke pain: identification, assessment, and therapy. Cerebrovasc Dis. 2015;39:190–201. - PubMed
    1. Snels IAK, Beckerman H, Lankhorst GJ, Bouter LM. Risk factors for hemiplegic shoulder pain: A systematic review. Crit Rev Phys Rehabil Med. 2002;14:223–233.