{"title":"[电针朱利奥穴（GB29）对脑卒中相关性偏瘫患者臀中肌及下肢运动功能的影响]。","authors":"Wei-Kun Wu, Dong-Lan Yang, Zi-Han Lin, Jia-Ming Chen, Li-Ping Huang, Wen-Qiang Zhou","doi":"10.13702/j.1000-0607.20240180","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the effects of electroacupuncture (EA) at Juliao (GB29) on lower limb motor function, balance function, and the gluteus medius contraction ratio and thickness in patients with stroke-related hemiplegia, as well as the correlation between the gluteus medius and lower limb motor function and balance function in these patients.</p><p><strong>Methods: </strong>A total of 68 patients with stroke-related hemiplegia were randomly divided into an observation group (34 cases, with 1 dropped out and 1 withdrawal) and a control group (34 cases, with 2 dropped out). The control group received conventional acupuncture in addition to standard medical treatment for their underlying conditions, along with rehabilitation training. The observation group received EA at GB29 on the hemiplegic side for 30 min per session, once daily, 5 times a week, over a total treatment duration of 4 weeks, based on the control group's treatment. Before treatment, the correlation between the contraction ratio of the gluteus medius and the scores of the lower limb Fugl-Meyer Assessment (FMA) and the Berg Balance Scale (BBS) was analyzed. The thickness of the gluteus medius was measured, and the contraction ratio was calculated before treatment and 4 weeks after treatment. Assessments of the lower limb FMA and BBS scores were conducted before treatment, and 2 and 4 weeks after treatment.</p><p><strong>Results: </strong>Before treatment, the contraction ratio and thickness of the gluteus medius on the hemiplegic side were lower than those on the non-hemiplegic side in both groups (<i>P</i><0.05). The gluteus medius contraction ratio before treatment demonstrated a positive correlation with the lower limb FMA and BBS scores (<i>P</i><0.05). The gluteus medius contraction ratio and thickness on the hemiplegic side 4 weeks after treatment, as well as the lower limb FMA and BBS scores 2 and 4 weeks after treatment, were significantly higher than those before treatment in both groups (<i>P</i><0.05). Furthermore, the observation group showed a greater contraction ratio of the gluteus medius, as well as higher FMA and BBS scores 4 weeks after treatment when compared with the control group (<i>P</i><0.05).</p><p><strong>Conclusions: </strong>The level of gluteus medius activation is positively correlated with lower limb motor function and balance function in patients with stroke-related hemiplegia. EA at the GB29 effectively activates the gluteus medius on the hemiplegic side, providing a stability mechanism for the lumbopelvic-hip complex, thereby improving lower limb motor function and balance in patients with stroke.</p>","PeriodicalId":34919,"journal":{"name":"针刺研究","volume":"50 5","pages":"592-598"},"PeriodicalIF":0.0000,"publicationDate":"2025-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Effects of electroacupuncture at Juliao (GB29) on the gluteus medius and lower limb motor function in patients with stroke-related hemiplegia].\",\"authors\":\"Wei-Kun Wu, Dong-Lan Yang, Zi-Han Lin, Jia-Ming Chen, Li-Ping Huang, Wen-Qiang Zhou\",\"doi\":\"10.13702/j.1000-0607.20240180\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>To investigate the effects of electroacupuncture (EA) at Juliao (GB29) on lower limb motor function, balance function, and the gluteus medius contraction ratio and thickness in patients with stroke-related hemiplegia, as well as the correlation between the gluteus medius and lower limb motor function and balance function in these patients.</p><p><strong>Methods: </strong>A total of 68 patients with stroke-related hemiplegia were randomly divided into an observation group (34 cases, with 1 dropped out and 1 withdrawal) and a control group (34 cases, with 2 dropped out). The control group received conventional acupuncture in addition to standard medical treatment for their underlying conditions, along with rehabilitation training. The observation group received EA at GB29 on the hemiplegic side for 30 min per session, once daily, 5 times a week, over a total treatment duration of 4 weeks, based on the control group's treatment. Before treatment, the correlation between the contraction ratio of the gluteus medius and the scores of the lower limb Fugl-Meyer Assessment (FMA) and the Berg Balance Scale (BBS) was analyzed. The thickness of the gluteus medius was measured, and the contraction ratio was calculated before treatment and 4 weeks after treatment. Assessments of the lower limb FMA and BBS scores were conducted before treatment, and 2 and 4 weeks after treatment.</p><p><strong>Results: </strong>Before treatment, the contraction ratio and thickness of the gluteus medius on the hemiplegic side were lower than those on the non-hemiplegic side in both groups (<i>P</i><0.05). The gluteus medius contraction ratio before treatment demonstrated a positive correlation with the lower limb FMA and BBS scores (<i>P</i><0.05). The gluteus medius contraction ratio and thickness on the hemiplegic side 4 weeks after treatment, as well as the lower limb FMA and BBS scores 2 and 4 weeks after treatment, were significantly higher than those before treatment in both groups (<i>P</i><0.05). Furthermore, the observation group showed a greater contraction ratio of the gluteus medius, as well as higher FMA and BBS scores 4 weeks after treatment when compared with the control group (<i>P</i><0.05).</p><p><strong>Conclusions: </strong>The level of gluteus medius activation is positively correlated with lower limb motor function and balance function in patients with stroke-related hemiplegia. EA at the GB29 effectively activates the gluteus medius on the hemiplegic side, providing a stability mechanism for the lumbopelvic-hip complex, thereby improving lower limb motor function and balance in patients with stroke.</p>\",\"PeriodicalId\":34919,\"journal\":{\"name\":\"针刺研究\",\"volume\":\"50 5\",\"pages\":\"592-598\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-05-25\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"针刺研究\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.13702/j.1000-0607.20240180\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"针刺研究","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13702/j.1000-0607.20240180","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
[Effects of electroacupuncture at Juliao (GB29) on the gluteus medius and lower limb motor function in patients with stroke-related hemiplegia].
Objectives: To investigate the effects of electroacupuncture (EA) at Juliao (GB29) on lower limb motor function, balance function, and the gluteus medius contraction ratio and thickness in patients with stroke-related hemiplegia, as well as the correlation between the gluteus medius and lower limb motor function and balance function in these patients.
Methods: A total of 68 patients with stroke-related hemiplegia were randomly divided into an observation group (34 cases, with 1 dropped out and 1 withdrawal) and a control group (34 cases, with 2 dropped out). The control group received conventional acupuncture in addition to standard medical treatment for their underlying conditions, along with rehabilitation training. The observation group received EA at GB29 on the hemiplegic side for 30 min per session, once daily, 5 times a week, over a total treatment duration of 4 weeks, based on the control group's treatment. Before treatment, the correlation between the contraction ratio of the gluteus medius and the scores of the lower limb Fugl-Meyer Assessment (FMA) and the Berg Balance Scale (BBS) was analyzed. The thickness of the gluteus medius was measured, and the contraction ratio was calculated before treatment and 4 weeks after treatment. Assessments of the lower limb FMA and BBS scores were conducted before treatment, and 2 and 4 weeks after treatment.
Results: Before treatment, the contraction ratio and thickness of the gluteus medius on the hemiplegic side were lower than those on the non-hemiplegic side in both groups (P<0.05). The gluteus medius contraction ratio before treatment demonstrated a positive correlation with the lower limb FMA and BBS scores (P<0.05). The gluteus medius contraction ratio and thickness on the hemiplegic side 4 weeks after treatment, as well as the lower limb FMA and BBS scores 2 and 4 weeks after treatment, were significantly higher than those before treatment in both groups (P<0.05). Furthermore, the observation group showed a greater contraction ratio of the gluteus medius, as well as higher FMA and BBS scores 4 weeks after treatment when compared with the control group (P<0.05).
Conclusions: The level of gluteus medius activation is positively correlated with lower limb motor function and balance function in patients with stroke-related hemiplegia. EA at the GB29 effectively activates the gluteus medius on the hemiplegic side, providing a stability mechanism for the lumbopelvic-hip complex, thereby improving lower limb motor function and balance in patients with stroke.
期刊介绍：
Acupuncture Research was founded in 1976. It is an acupuncture academic journal supervised by the State Administration of Traditional Chinese Medicine, co-sponsored by the Institute of Acupuncture of the China Academy of Chinese Medical Sciences and the Chinese Acupuncture Association. This journal is characterized by "basic experimental research as the main focus, taking into account clinical research and reporting". It is the only journal in my country that focuses on reporting the mechanism of action of acupuncture.
The journal has been changed to a monthly journal since 2018, published on the 25th of each month, and printed in full color. The manuscript acceptance rate is about 10%, and provincial and above funded projects account for about 80% of the total published papers, reflecting the latest scientific research results in the acupuncture field and has a high academic level. Main columns: mechanism discussion, clinical research, acupuncture anesthesia, meridians and acupoints, theoretical discussion, ideas and methods, literature research, etc.
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