Rehabilitation Training Combined with Jiaji Electroacupuncture Can Promote the Recovery of Muscle Group Function and Improve the Quality of Life in Patients with Upper Limb Peripheral Nerve Injury.

Kalidoss Rajakani,Hui Li,Li Yu,Dayong Ye,Hong Wang,Tiance Zhang,Li Chang,Fengzhu Zhao

doi:10.1155/2021/3621568

Abstract

This study was designed to probe into the improvement of rehabilitation training combined with Jiaji electroacupuncture intervention on patients with upper limb peripheral nerve injury. A total of 114 patients with peripheral nerve injury of upper limbs in our hospital from August 2017 to November 2019 were collected as the research participants. Among them, 59 in the control group (CG) received rehabilitation training alone, while 65 in the observation group (OG) received rehabilitation training combined with Jiaji electroacupuncture intervention. The therapeutic efficacy, Barthel index, and Fugl–Meyer assessment score, motor nerve conduction velocity, sensory nerve conduction velocity and amplitude, and quality of life (score SF-36) were compared between the two groups before and after treatment. The total effective rate of the OG was markedly higher than that of the CG. After treatment, the Barthel index, Fugl–Meyer assessment score, motor nerve conduction velocity, and sensory nerve conduction velocity and amplitude of the OG were obviously higher than those of the CG, and the SF-36 scores of the OG were higher than those of the CG in 8 dimensions. Rehabilitation training combined with Jiaji electroacupuncture intervention can dramatically promote the recovery of muscle group function and improve the quality of life of patients with upper limb peripheral nerve injury.

Highlights

Due to external trauma, upper limbs, including myelin sheath, axon, connective tissue, and peripheral nerve damage, are known as upper limb peripheral nerve injuries
Jing et al [17] confirmed that electroacupuncture could significantly promote facial nerve regeneration by upregulating the expression of GDNF and N-cadherin in neurons, thereby inhibiting neuronal apoptosis and promoting the regeneration of peripheral facial nerve injury in rabbits. us, we observed the treatment plan of rehabilitation training combined with Jiaji electroacupuncture to see if it could promote treatment. e purpose of this study is to explore the effect of rehabilitation training combined with Jiaji electroacupuncture intervention on the recovery of upper limb peripheral nerve injury patients
Patients in the control group (CG) received rehabilitation training, and the medical workers should assist them with joint activity and muscle strength training. eir upper limb ability and muscle strength were improved through specific treatment tasks, and they were trained to sensation. ey were trained by sensory desensitization and reeducation, and joint loosening techniques were performed regularly. ose in the observation group (OG) were treated with Jiaji electroacupuncture on the basis of the CG, with C6-T1 Jiaji points, 2-inch filiform needles inclined to 1-inch bilateral points, through connected pulse electrotherapy instrument, once a day, 30 min/time, for 8 weeks

Summary

Introduction

Upper limbs, including myelin sheath, axon, connective tissue, and peripheral nerve damage, are known as upper limb peripheral nerve injuries. Long-term nerve injury and inability to recover will lead to lifelong disability of patients, so further postoperative recovery is needed to cure them [6,7,8]. The regeneration of motion axis takes a long time, and the recovery and healing cycle of peripheral nerve injury of upper limbs is slow, so long-term rehabilitation training is needed to prevent muscle atrophy and degenerative diseases and gradually activate the control ability of peripheral muscles, accelerating the recovery of injured function of patients [9, 10]. Wang et al [12]

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Discussion

Conclusion