Fu's subcutaneous needling and constraint-induced movement therapy for a patient with chronic stroke: One-year follow-up case report

Medicine
Yuanyuan JinJiangru Li

Abstract

Spasticity is a common issue in chronic stroke. To date, no study has reported the long-term (up to 1 year) outcomes of Fu's subcutaneous needling in combination with constraint-induced movement therapy in chronic stroke. This report describes the successful addition of acupuncture on spasticity and arm function in a patient with chronic stroke and arm paresis. The patient suffered an infarction in the right posterior limb of the internal capsule 1 year ago, which resulted in hemiparesis in his left (nondominant) hand and arm. The only limitation for constraint-induced movement therapy was insufficient finger extension. The patient was unable to voluntarily extend his interphalangeal or metacarpophalangeal joints beyond the 10 degrees required for constraint-induced movement therapy. However, his muscle tension did not change after the BTX type A injection. A 35-year-old male experienced arm paresis after an infarction in the right posterior limb of the internal capsule 1 year before the intervention. The BTX type A injection did not work, so the patient received Fu's subcutaneous needling as an alternative therapy before 5 h of constraint-induced movement therapy for 12 weekdays. All outcome measures (Modified Ashworth Scale, ...Continue Reading

References

Aug 27, 2002·Clinical Rehabilitation·C L WatkinsA K Sharma
Apr 10, 2004·Stroke; a Journal of Cerebral Circulation·Silvia M A A EversGeertrudis A M van den Bos
Jun 3, 2004·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·Y Balash, N Giladi
Oct 15, 2005·Stroke; a Journal of Cerebral Circulation·Gitendra UswatteKaren McCulloch
Oct 26, 2011·Clinical Rehabilitation·Fiona CouparPeter Langhorne
Nov 3, 2011·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Xi-Jun WeiXiao-Ling Hu
Apr 30, 2017·Archives of Physical Medicine and Rehabilitation·Yiyi CaiCharlie Changli Xue

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