Post-stroke Spasticity Treated by Miniscalpel-Acupuncture: Three Case Report

뇌졸중 후 강직에 대한 도침치료: 3 증례보고

  • Received : 2017.11.06
  • Accepted : 2017.11.20
  • Published : 2018.01.31


Post-stroke spasticity is a common complication that can be deleterious to the daily living function and quality of life of stroke survivor. This case report was conducted to introduce the use of miniscalpel-acupuncture as a novel method for the treatment of post-stroke spasticiy in three patients with chronic stroke. Patients received miniscalpel-acpuncuture treatment for 4~7 session. The flexor digitorum brevis, pronator teres, pronator quadratus, brachioradialis, tibialis posterior, gastrocnemius on the affected side were needled. The main outcome were the Modified Ashworth Scale (MAS) muscle spasticity score and the range of motion. The evaluation indices were measured after the initiation of treatment and after treatment. After miniscalpel-acupuncture session, three patients improved as indicated in the MAS grade and range of motion. This retrospective case report presents miniscalpel-acupuncture as a potentially effective approach in Korean medicine rehabilitation treatment of post-stroke spasticity. Further research is needed to confirm these findings.


Supported by : 청연의학연구소


  1. Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43(11):3132-6.
  2. Wissel J, Verrier M, Simpson DM, Charles D, Guinto P, Papapetropoulos S, Sunnerhagen KS. Post-stroke spasticity: predictors of early development and considerations for therapeutic intervention. PM R. 2015;7(1):60-7.
  3. Urban PP, Wolf T, Uebele M, Marx JJ, Vogt T, Stoeter P, Bauermann T, Weibrich C, Vucurevic GD, Schneider A, Wissel J. Occurence and clinical predictors of spasticity after ischemic stroke. Stroke. 2010 Sep;41(9):2016-20.
  4. Lundstrom E, Smits A, Borg J, Terent A. Four-fold increase in direct costs of stroke survivors with spasticity compared with stroke survivors without spasticity: the first year after the event. Stroke. 2010;41(2):319-24.
  5. Yelnik AP, Simon O, Parratte B, Gracies JM. How to clinically assess and treat muscle overactivity in spastic paresis. J Rehabil Med. 2010 Oct;42(9):801-7.
  6. Wissel J, Verrier M, Simpson DM, Charles D, Guinto P, Papapetropoulos S, Sunnerhagen KS. Post-stroke spasticity: predictors of early development and considerations for therapeutic intervention. PM R. 2015;7(1):60-7.
  7. Lim SM, Yoo J, Lee E, Kim HJ, Shin S, Han G, Ahn HS. Acupuncture for spasticity after stroke: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2015;2015:870398.
  8. Chen CL, Young SH, Gan HH, Singh R, Lao AY, Baroque AC 2nd, Chang HM, Hiyadan JH, Chua CL, Advincula JM, Muengtaweepongsa S, Chan BP, de Silva HA, Towanabut S, Suwanwela NC, Poungvarin N, Chankrachang S, Wong KS, Eow GB, Navarro JC, Venketasubramanian N, Lee CF, Bousser MG; CHIMES Study Investigators. Chinese medicine neuroaid efficacy on stroke recovery: a double-blind, placebo-controlled, randomized study. Stroke. 2013 Aug;44(8):2093-100.
  9. Zhang JH, Wang D, Liu M. Overview of systematic reviews and meta-analyses of acupuncture for stroke. Neuroepidemiology. 2014;42(1):50-8.
  10. Li Y, Xi HX, Zhu S, Yu N, Wang J, Li Y, Yu GP, Ma XM, Zhang J, Zhao LP. Cost-effectiveness analysis of combined Chinese medicine and Western medicine for ischemic stroke patients. Chin J Integr Med. 2014 Aug; 20(8):570-84.
  11. Li S, Shen T, Liang Y, Zhang Y, Bai B. Effects of miniscalpel- needle release on chronic neck pain: A retrospective analysis with 12-month follow-up. PLoS One. 2015 Aug 31;10(8):e0137033.
  12. Alibiglou L, Rymer WZ, Harvey RL, Mirbagheri MM. The relation between Ashworth scores and neuromechanical measurements of spasticity following stroke. J Neuroeng Rehabil. 2008 Jul 15;5:18.
  13. Sommerfeld DK, Eek EU, Svensson AK, Holmqvist LW, von Arbin MH. Spasticity after stroke: its occurrence and association with motor impairments and activity limitations. Stroke. 2004;35(1):134-9.
  14. Li X, Wang Q. Acupuncture therapy for stroke patients. Int Rev Neurobiol. 2013;111:159-79.
  15. Zhu HZ. Summarization of Acupotomology System. Zhong Guo Gong Cheng Ke Xue. 2006;8(7):1-14.
  16. Liu FS, Jin XF, Guo CQ. Systematic review of acupuncture versus acupotomology for frozen shoulder. China journal of traditional chinese medicine and pharmacy. 2012-03.
  17. Dietz V. Spastic movement disorder: what is the impact of research on clinical practice? J Neurol Neurosurg Psychiatry. 2003;74(6):820-1.
  18. Liu T, Peng Y, Zhu S, Chen H, Li F, Hong P, Cao B, Peng B, Fan Y, Chen Y, Zhang L. Effect of miniscalpel- needle on relieving the pain of myofascial pain syndrome: a systematic review. J Tradit Chin Med. 2015;35(6):613-9.

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