ĐÁNH GIÁ HIỆU QUẢ PHỤC HỒI CHỨC NĂNG VẬN ĐỘNG Ở BỆNH NHÂN DI CHỨNG TAI BIẾN MẠCH MÁU NÃO BẰNG ĐIỆN XUNG TẠI HUYỆT KẾT HỢP XOA BÓP BẤM HUYỆT

Abstract

Objectives: To evaluate the therapeutic outcomes of needleless transcutaneous electrical acupoint stimulation (TEAS) combined with massage and acupressure in patients with stroke sequelae, to monitor for adverse effects, and to describe factors associated with treatment outcomes. Subjects and Methods: A randomized controlled clinical trial was conducted on 70 patients with post-stroke hemiplegia, diagnosed with either "Qi Deficiency and Blood Stasis" or "Yin Deficiency and Yang Hyperactivity" patterns according to Traditional Medicine (TM). Patients were randomly allocated into two groups: the Study Group (n=35) received treatment with a needleless TEAS device (Pointron 801) combined with Massage and Acupressure, while the Control Group (n=35) received conventional electroacupuncture (EA) combined with Massage and Acupressure. The treatment course lasted for 20 days. Efficacy was assessed by changes in the Orgogozo Scale, Barthel Index, and modified Rankin Scale (mRS) at baseline (D0) and after treatment (D20). Results: Both protocols demonstrated significant improvements in motor function after 20 days (p < 0.01). However, the study group showed superior improvements. The mean Orgogozo score in the study group increased from 53.57 ± 10.69 to 80.97 ± 9.08, which was significantly higher than the control group's increase from 52.43 ± 12.31 to 74.46 ± 9.34 (p < 0.05). Similarly, the Barthel Index in the study group also showed a statistically significantly greater increase compared to the control group (p < 0.05). The rate of "Good" and "Fair" outcomes was significantly higher in the study group (80.0%) compared to the control group (54.3%) (p < 0.05). Both interventions were safe and well-tolerated. Conclusion: Needleless transcutaneous electrical acupoint stimulation combined with massage and acupressure is an effective, safe, and superior therapy compared to conventional electroacupuncture for improving motor function in patients with post-stroke sequelae.