2011 北台灣中醫醫學雜誌.3卷1期.pp.13 - 25
The incidence of CVA (cerebral vascular accident) is higher and higher. In Taiwan, there are almost 18.9-26.4% patients who survived after stroke suffered from moderate to severe motor functional loss. It's a great impact to patients and their families. Patients with stoke will begin rehabilitation lessons when their vital signs are stable. Most of them will accept acupuncture simultaneously. However, because of the difference of basic theory between rehabilitation and acupuncture, it is difficult to communicate between each other clinically.Brunnstrom's six stages describe the recovery progression of inflicted limbs movement of stroke patients, from total paralysis at stage 1 to near normal at stage 6. It has high reliability and validity and is easy to be tested. It is comprehensively used by physical therapists to evaluate patients with stoke, and therapists will design exercise models according to the result of evaluation. Except from following traditional Chinese medical theory of meridians in applying acupuncture to treat stroke patients, Brunnstrom's staging theory can be applied to acupuncture; then we can fit patients' clinical needs and let the progression of rehabilitation yield twice the result with half the effort. Our article adopts a method of literature review to discuss the influence of applying the evaluation of Brunnstrom's staging theory in acupuncture to the therapeutic effect of limb dysfunction of stroke patients, and provide a novel thinking method toward the treatment of poststroke patients by acupuncture.