Clinical observation on acupoint pressure plus long-snake moxibustion for upper-limb spastic hemiplegia after cerebral infarction

Author(s):  
Yu-chun Wang ◽  
Hai-yan Sun
Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1420
Author(s):  
J.M. Solomon ◽  
A.K. Blanchette ◽  
A. Shah ◽  
M.F. Levin

Open Medicine ◽  
2018 ◽  
Vol 13 (1) ◽  
pp. 227-231 ◽  
Author(s):  
Yi Jin ◽  
Yuan Zhao

AbstractObjectiveThe purpose of this study was to evaluate the incidence rate of post-stroke upper limb spasticity and its correlation with cerebral infarction site.MethodsA total of 498 inpatient and outpatient cases are included in the present study. The post-stroke upper limb spasticity rate of different cerebral infarction site was calculated.ResultsA total of 498 patients with cerebral infarction are enrolled in this study. Of these patients, 91 have dropped out and 407 have completed the study. Of the completed cases, 172 are in the spasm group and 235 are in the non-spasm group. The total incidence of upper limb spasticity is 34.5%. The incidences of upper extremity spasms are 12.5%, 20%, 22.5%, 35%, 40%, and 42.5% in 2 weeks, 1 month, 2 months, 3 months, 6 months, and 12 months, respectively. The incidence of upper extremity spasms increases with time. The incidences of upper limb spasticity are 12.1%, 63.3%, 58.5%, 9.4% and 8.3% when cerebral infarction occurs in the cortical and subcortical mixed areas, basal ganglia and internal capsule, cerebralcortex, brainstem and cerebellum respectively. The incidence of upper limb spasticity varies in different infarction sites (P < 0.05).ConclusionThe post-stroke upper limb spasticity rates were different according to the different cerebral infarction site. Patients with the ganglia and internal capsule infarctions had the highest risk of developing post-stroke upper limb spasticity.


1993 ◽  
Vol 18 (3) ◽  
pp. 299-303 ◽  
Author(s):  
J. H. ROTH ◽  
S. E. O’GRADY ◽  
R. S. RICHARDS ◽  
A. M. PORTE

Children with spastic hemiplegia often present with upper limb muscle imbalance. The purpose of this paper was to determine whether reconstructive surgery improved their functional ability. 17 children under the age of 16 years with spastic hemiplegia underwent reconstruction that included tendon transfers, tendon lengthenings and thumb metacarpophalangeal fusion. They were assessed pre-operatively and at an average follow-up period of 2.6 years. Children’s abilities were classified according to House’s functional rating scale. Tendon transfers improved functional grading by two grades, from good passive assist to fair active assist. Improvement in the arc of wrist motion and forearm rotation was also seen. Parental satisfaction was high. Reconstructive surgery improved the functional abilities in this group of children with spastic hemiplegia.


2012 ◽  
Vol 10 (6) ◽  
pp. 372-376 ◽  
Author(s):  
Jing-ping Mu ◽  
Li Liu ◽  
Li-zhi Zhou ◽  
Qiang Luo ◽  
Jin-bo Ao ◽  
...  

2016 ◽  
Vol 18 (2) ◽  
pp. 27-30
Author(s):  
V.V. Gudkova ◽  
◽  
L.V. Gubskiy ◽  
I.L. Gubskiy ◽  
G.V. Panov ◽  
...  

2021 ◽  
Vol 28 (1) ◽  
pp. 1-13
Author(s):  
Moloud Khoshbakht ◽  
Parvin Raji ◽  
Noureddin Nakhostin Ansari ◽  
Mahmoud Mahmodian

Background/aims Hemiplegia is one of the most common types of cerebral palsy. Upper limb dysfunction in these children can affect their quality of life. The aim of this study was to investigate the effects of somatosensory interventions on upper extremity sensory and motor functions in spastic hemiplegic children. Methods This single-subject study was performed in the occupational therapy clinic of Tehran University of Medical Sciences. Three participants (two boys and one girl) aged 8–12 years with spastic hemiplegia were assessed during baseline, treatment and follow-up phases. During the treatment phase, the children received 12 tactile and proprioceptive stimulation (active, passive and playful) sessions over 4 weeks. Four sensory measures (tactile localisation, stereognosis, two-point discrimination, proprioception) and one motor measure (Box and Block Test) were assessed during each phase. Results Improvement in function was seen in all three children based on visual analysis, with significant differences between the baseline and treatment scores in the majority of measures for all participants. Changes were sustained at follow up for most tests. The effect size was large for all three children. Conclusions Despite the small number of participants, sensory intervention with a focus on sensory deficits could help to improve upper extremity sensory and motor function in children with spastic hemiplegia.


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