Volume 23 Issue 8
Aug.  2025
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YANG Jie, ZHU Yongmei, NIU Yang, ZHANG Tianning, WANG Long. Effect of exercise training combined with wrist and ankle acupuncture on lower limb motor function and balance in patients with hemiplegia after stroke[J]. Chinese Journal of General Practice, 2025, 23(8): 1271-1274. doi: 10.16766/j.cnki.issn.1674-4152.004113
Citation: YANG Jie, ZHU Yongmei, NIU Yang, ZHANG Tianning, WANG Long. Effect of exercise training combined with wrist and ankle acupuncture on lower limb motor function and balance in patients with hemiplegia after stroke[J]. Chinese Journal of General Practice, 2025, 23(8): 1271-1274. doi: 10.16766/j.cnki.issn.1674-4152.004113

Effect of exercise training combined with wrist and ankle acupuncture on lower limb motor function and balance in patients with hemiplegia after stroke

doi: 10.16766/j.cnki.issn.1674-4152.004113
Funds:

 AHWJ2021b053

  • Received Date: 2025-01-22
    Available Online: 2025-10-31
  •   Objective   To explore the effect of exercise training combined with wrist and ankle acupuncture on lower limb motor function and balance in patients with hemiplegia after stroke.   Methods   From January 2020 to January 2023, 80 patients were divided into two groups by the random number table method: 38 patients in the reference group and 42 patients in the combination group. The reference group received wrist and ankle needle therapy alone, while the combination group received exercise training combined with wrist and ankle needle therapy. Plasma viscosity (PV), whole blood viscosity (BV), fibrinogen (FIB), angiopoietin-1 (Ang-1), vascular endothelial growth factor (VEGF), peak hip flexion, knee flexion, and stride frequency were measured. Berg balance scale (BBS), Fugl-Meyer scale (FMA), and stroke rehabilitation assessment of monvement (STREAM) were used to compare the clinical treatment effect.   Results   After treatment, the levels of PV, BV, and FIB in the combination group were lower than those in the reference group (P < 0.05). The levels of Ang-1, VEGF, peak hip flexion, peak knee flexion, step frequency, BBS, FMA and STREAM in the combined group were all higher than those in the reference group (P < 0.05). The total effective rate of the combination group [92.86%(39/42)] was higher than that of the reference group [71.05% (27/38), χ2=6.570, P=0.010].   Conclusion   Exercise training combined with wrist and ankle acupuncture therapy significantly improves hemorheology parameters, kinematic parameters, and vascular activity in the treatment of patients with hemiplegia after stroke, resulting in enhanced lower limb motor function and balance. The therapeutic efficacy of the combined intervention is notably superior to acupuncture alone.

     

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