Programmed Flexor-extensor Alternating Electrical Acupiont Stimulation on Limb Functional Reconstruction After Stroke
Stroke Sequelae, Movement Disorders
About this trial
This is an interventional treatment trial for Stroke Sequelae focused on measuring Functional electrical stimulation, Stroke Sequelae, Movement disorders
Eligibility Criteria
Inclusion Criteria:
Inclusion criteria for patients
- Meet the diagnostic criteria of stroke;
- Age: 35 ~75 years old, male and female;
- Course of disease: 2 weeks to 3 months after stroke, stable vital signs, basically normal cognitive function, can cooperate to complete the test;
- Manual muscle test (MMT) ≥2, modified Ashworth (MAS) of paralyzed upper limbs was graded Ⅰ~Ⅱ;
- BMI ≤28;
- No serious heart, lung, kidney and other functional damage and serious underlying diseases, no pain in the affected side of the upper limb joint;
- The informed consent was signed by the patient and/or his/her family members. Note: Patients who meet the above 7 criteria can be included in this study.
Inclusion criteria for healthy subjects:
- Those who have been proved to be healthy by physical examination and have no organic lesions or obvious functional diseases;
- Age: 35 ~75 years old, male and female;
- No cold, fever, cough, headache and other physical abnormalities during the test;
- Did not take any excitatory drugs in the past one month, no recent treatment related to experimental content;
- No history of mental or nervous system;
- The subject agrees and signs the informed consent.
Exclusion Criteria:
- Severe cognitive dysfunction, severe aphasia, can not cooperate with the whole treatment or testing process;
- Patients with serious primary diseases such as heart, lung, kidney, liver and endocrine system;
- Neurological or musculoskeletal diseases affecting functional recovery before onset;
- Cerebral stem stroke or bilateral stroke;
- Patients with severe anxiety, depression, affective disorders, schizophrenia and other serious mental disorders;
- Examination confirmed by brain tumor, brain trauma, brain parasitic diseases, metabolic disorders, rheumatic heart disease, coronary heart disease and other heart disease with atrial fibrillation caused by cerebral embolism;
- Patients with skin damage, infection or deformity at the treatment site.
Sites / Locations
- The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Active Comparator
No Intervention
Programmed acupiont stimulation group
Conventional acupiont stimulation group
Healthy controls
On the basis of routine treatment in the Department of Acupuncture, the fourth generation of low-frequency acupoint electric stimulation therapy instrument (patent No. : ZL201610793646.9) jointly developed by our research group and the Robotics Institute of Harbin Institute of Technology is used to improve the program. The output of the improved instrument program is: the patient should complete the program of "reaching and retrieving", namely shoulder joint forward flexion - elbow extension - wrist dorsal extension - finger extension (" reaching for objects "), then grasping - wrist flexion - elbow flexion - shoulder joint backward extension (" retrieve objects "). All patients were in a sitting position, the wrist of the affected limb is suspended, and the other parts do not touch any plane.
On the basis of the basic treatment in the Department of Acupuncture, the output mode of the fourth generation of low-frequency acupoint electric stimulation instrument of the original program is adopted to synchronously stimulate the flexor and extensor acupoints respectively. The selection of acupoints, treatment time and course of treatment were the same as those of the programmed acupoint electric stimulation group.
No treatment. Ask them to do the "reaching and retrieving" gross motor and record the resting brain electrical and motion state of electrical parameters. Brain electric power spectrum analysis and electromyography synergy - coherence analysis are made to evaluate the brain energy state and degree of muscle coordination, for better interpreting the movement of the central nervous system control strategy and providing a reference for the prognosis of patients and the curative effect evaluation.