Evoking the Withdrawal Reflex via Successive Needle-Pricking on the Plantar and Dorsal Aspect of the Foot Increases the FMA of the Lower Limb for Poststroke Patients in Brunnstrom Stage III: A Preliminary Study
Joint Authors
Shen, Cui-Cui
Lei, Kuok-Tong
Jiang, Jin-Feng
Miao, Dan
Xiong, Jia-Wei
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-31
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
The withdrawal reflex is a defensive reaction to nociceptive stimuli and can be used to regulate locomotor gait during rehabilitation.
We investigated the effect of successive needle-pricking of the plantar and dorsal foot surfaces on poststroke lower limb function.
Thirty-five hemiplegic patients, within one month after primary stroke, with an affected lower limb (Brunnstrom stage III) were randomly divided into intervention and control groups.
Both groups received routine drug treatment, rehabilitation training, and upper limb acupuncture treatment on the hemiplegic side.
The control group also received routine acupuncture on the hemiplegic side of the lower limb, while the intervention group received successive needle-pricking on the sole and instep of both the unaffected and affected side feet.
Outcomes were assessed before inception (D0) and after three (D3) and six (D6) treatment days, using Brunnstrom stage (Ueda assessment), total Fugl–Meyer lower extremity assessment (FMA-LE) and its subscores (FMA-LE-ss), active lower limb range of motion (AROM-LL), Modified Ashworth Scale Score (MAS-LL), and manual muscle testing (MMT-LL).
The Brunnstrom stage was better in the intervention group than in the control group at both D3 and D6 P<0.01.
The total FMA-LE score and sections B, C, D, and G FMA-LE-ss were significantly better in the intervention group than in the control group at D3 and D6 P<0.05.
The AROM-LL hip and knee flexion and hip extension improved more in the intervention group than in the control group P<0.05.
In the intervention group, MAS-LL hip flexion significantly improved at D6 P<0.01.
Improvement in lower limb joints on the MMT-LL in the intervention group exceeded that in the control group at D6 P<0.01.
Successive needle-pricking on the plantar and dorsal foot aspects of Brunnstrom stage III in poststroke patients contributed to rapid lower limb motor function improvement via the withdrawal reflex.
This trial is registered with ChiCTR1900020633.
American Psychological Association (APA)
Shen, Cui-Cui& Lei, Kuok-Tong& Jiang, Jin-Feng& Miao, Dan& Xiong, Jia-Wei. 2020. Evoking the Withdrawal Reflex via Successive Needle-Pricking on the Plantar and Dorsal Aspect of the Foot Increases the FMA of the Lower Limb for Poststroke Patients in Brunnstrom Stage III: A Preliminary Study. Evidence-Based Complementary and Alternative Medicine،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1155927
Modern Language Association (MLA)
Shen, Cui-Cui…[et al.]. Evoking the Withdrawal Reflex via Successive Needle-Pricking on the Plantar and Dorsal Aspect of the Foot Increases the FMA of the Lower Limb for Poststroke Patients in Brunnstrom Stage III: A Preliminary Study. Evidence-Based Complementary and Alternative Medicine No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1155927
American Medical Association (AMA)
Shen, Cui-Cui& Lei, Kuok-Tong& Jiang, Jin-Feng& Miao, Dan& Xiong, Jia-Wei. Evoking the Withdrawal Reflex via Successive Needle-Pricking on the Plantar and Dorsal Aspect of the Foot Increases the FMA of the Lower Limb for Poststroke Patients in Brunnstrom Stage III: A Preliminary Study. Evidence-Based Complementary and Alternative Medicine. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1155927
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155927