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Randomized Controlled Trial
. 2024 Mar 12;44(3):251-254.
doi: 10.13703/j.0255-2930.20230520-k0003.

Effect of MEP-oriented scalp acupuncture combined with transcranial magnetic stimulation on limb motor ability in patients with ischemic stroke hemiplegia

[Article in English, Chinese]
Shiyong Wu  1 , Jianbin Zhang  2 , Fei Zhang  3 , Zilong Zhu  2 , Boxun Fu  3
Affiliations
Randomized Controlled Trial

Effect of MEP-oriented scalp acupuncture combined with transcranial magnetic stimulation on limb motor ability in patients with ischemic stroke hemiplegia

[Article in English, Chinese]
Shiyong Wu et al. Zhongguo Zhen Jiu. .

Abstract
in English, Chinese

Objectives: To observe the effect of motor evoked potential (MEP)-oriented scalp acupuncture combined with transcranial magnetic stimulation (TMS) on limb motor ability in patients with ischemic stroke hemiplegia.

Methods: A total of 60 patients with ischemic stroke hemiplegia were randomized into an observation group and a control group, 30 cases in each one. In addition to the medication treatment of internal medicine and comprehensive training of hemiplegic limbs, MEP-oriented scalp acupuncture combined with TMS was applied in the observation group, conventional scalp acupuncture at bilateral anterior oblique line of parietal and temporal regions combined with TMS was applied in the control group. The treatment was given once a day, 5 days a week for 4 weeks totally in the two groups. Before and after treatment, the scores of Fugl-Meyer assessment (FMA), modified Ashworth scale (MAS) and modified Barthel index (MBI) were observed in the two groups.

Results: After treatment, the FMA and MBI scores were increased compared with those before treatment in the two groups (P<0.001), and the FMA and MBI scores in the observation group were higher than those in the control group (P<0.05). After treatment, the MAS scores of upper and lower limbs in the observation group were decreased compared with those before treatment (P<0.01, P<0.001), the MAS score of lower limb in the control group was decreased compared with that before treatment (P<0.05).

Conclusions: MEP-oriented scalp acupuncture combined with TMS can effectively improve the limb motor ability, daily living ability and limb spasticity in patients with ischemic stroke hemiplegia.

目的: 观察运动诱发电位（MEP）定位下头针联合经颅磁刺激对缺血性脑卒中偏瘫患者肢体运动能力的影响。方法: 将60例缺血性脑卒中偏瘫患者随机分为观察组和对照组，各30例。两组均予内科药物治疗及偏瘫肢体综合训练。在此基础上，观察组患者接受MEP定位下取穴的头针联合经颅磁刺激治疗；对照组患者接受常规头针（双侧顶颞前斜线）联合经颅磁刺激治疗。两组治疗均每天1次，每周5 d，共4周。分别于治疗前后观察两组患者Fugl-Meyer运动功能评定量表（FMA）、改良Ashworth量表（MAS）及改良Barthel指数（MBI）评分。结果: 治疗后，两组患者FMA、MBI评分均较治疗前升高（P<0.001），且观察组高于对照组（P<0.05）；观察组患者上肢及下肢MAS评分较治疗前降低（P<0.01，P<0.001），对照组患者下肢MAS评分较治疗前降低（P<0.05）。结论: MEP定位下头针联合经颅磁刺激可有效改善缺血性脑卒中偏瘫患者肢体运动能力，提高其日常生活能力，减轻肢体痉挛。.

Keywords: hemiplegia; ischemic stroke; motor dysfunction; motor evoked potential; randomized controlled trial (RCT); scalp acupuncture; transcranial magnetic stimulation.

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