HIỆU QUẢ CỦA PHƯƠNG PHÁP CẤY CHỈ CATGUT TRONG PHỤC HỒI CHỨC NĂNG VẬN ĐỘNG TRÊN BỆNH NHÂN LIỆT NỬA NGƯỜI DO TAI BIẾN MẠCH MÁU NÃO

Abstract

Cerebrovascular accident (stroke) is a leading cause of long-term disability. Catgut embedding, an innovative form of acupuncture, is expected to offer superior functional recovery through continuous acupoint stimulation. A pre-post intervention case series was conducted on 27 patients at Le Van Thinh Hospital. Participants underwent a course of six catgut embedding sessions, administered once every two weeks. Efficacy was assessed by changes in motor paralysis (Henry scale) and activities of daily living (Barthel Index). The results showed statistically significant improvements in both motor function (p=0.031) and functional independence (p=0.04). Specifically, the proportion of patients with severe and very severe paralysis (Henry grades 3 & 4) decreased from 51.8% to 11.1%, while those with mild and moderate paralysis (grades 1 & 2) increased from 48.1% to 77.7%. All reported adverse events were mild and transient. In conclusion, catgut embedding therapy is a safe and effective intervention for improving motor function and enhancing independence in patients with post-stroke hemiplegia.