Effective Treatment of Shoulder Subluxation After Stroke With Modified Acupuncture of Biceps Brachii Muscle, Supraspinatus Muscle and Deltoid Muscle

Participants and methods: A randomized controlled clinical trial was conducted by comparing the change in shoulder subluxation in post-stroke patients. A total of 72 participants were randomly assigned to 2 groups using GraphPad software on the computer, and the allocation ratio was 1:1. Participants in the intervention group were received modified acupuncture of biceps brachii muscle, supraspinatus muscle and deltoid muscles, while the control group were received conventional electroacupuncture of acupuncture points along The Stomach Channel -Yangming in the shoulder region. The result are the change in the degree of shoulder subluxation according to the qualitative method of Van Langenberghe and Hogan and the quantitative method of Hall J. This study was conducted randomized, controlled and double-blind.

Inclusion criteria

Patients satisfy all of the following criteria:

• Age enough 18 years old or older.
• Diagnosed with stroke (based on hospital discharge papers or brain CT-scan or brain MRI results, if available).
• During the recovery period (24 hours - 6 months) according to the classification of KNGF 2014.
• Has subluxated shoulder joint (assessed on X-ray of straight shoulder joint according to Van Langenberghe and Hogan criteria)
• Volunteer to sign the consent form to participate in the study.

Exclusion criteria

Patients not be selected for the study if they have any one of the following conditions:

• Have previous shoulder pathology not related to stroke such as tumor, infection, scapular instability, winged scapula, brachial plexus injury, periarthritis humeroscapularis (recorded through asking about the patient's history)
• Have skin infections and ulcers in the paralyzed shoulder area.
• Have a blood clotting disorder or lack of clotting factors (recorded through asking the patient's history).
• Pregnant women.