ĐIỆN MÃNG CHÂM KẾT HỢP XOA BÓP BẤM HUYỆT, TẬP VẬN ĐỘNG VÀ THUỐC ĐÔNG DƯỢC TRONG PHỤC HỒI VẬN ĐỘNG Ở BỆNH NHÂN NHỒI MÁU NÃO GIAI ĐOẠN HỒI PHỤC

Abstract

Background: Post-stroke functional impairments, particularly motor deficits, impose substantial socioeconomic burdens on patients, families, and society. Objectives: To evaluate the effectiveness of long electrical acupuncture combined with acupressure massage, therapeutic exercise, and the traditional herbal formula “Bo Khi Thong Mach K-Yingin” in motor rehabilitation for patients with cerebral infarction in the recovery stage. Materials and methods:  A clinical trial was conducted on 39 inpatients diagnosed with cerebral infarction in the recovery stage at Kien Giang hospital of Traditional Medicine. Results: After 16 days of treatment, patients in the study demonstrated marked improvement in motor function. The mean muscle strength scores increased significantly for knee extensors (from 2.67±0.48 to 3.87±0.34), ankle dorsiflexors (from 2.62±0.49 to 3.79±0.41), shoulder abductors (from 2.21±0.86 to 3.38±0.82), and elbow flexors (from 2.23±0.87 to 3.41±0.79) (p<0.001). The mean Barthel Index score improved from 37.95±10.80 to 82.44±17.28 (p<0.001). Following treatment, 82.1% of patients were classified as having mild to moderate dependence, while the proportion of patients with total dependence decreased from 15.4% to 0%. According to the Modified Rankin Scale, moderate disability accounted for 51.3% of cases after treatment; the proportion of patients with moderate-to-severe disability declined from 76.9% to 43.6%, and severe disability decreased from 23.1% to 5.1% (p<0.001). Conclusions: Conclusions: Long electrical acupuncture combined with acupressure massage, therapeutic exercise, and “Bo Khi Thong Mach K-Yingin” was associated with significant improvements in motor function, functional independence, and disability scores after 16 days of treatment.