Objective  To observe the clinical efficacy of transcutaneous electrical nerve stimulation(TENS) of selected acupoints combined with rehabilitation training in treatment of spastic hemiplegia after craniotomy.

  Methods  A total of 110 spastic hemiplegia patients were randomly divided into treatment group (n=57) and control group (n=53). The control group implemented a 6-week course of rehabilitation training, while the treatment group was additional given TENS of selected acupoints, four acupoints in Yangming meridian were selected in the upper and lower limbs of the affected side, and the duration of TENS was 60 min, 5 to 6 times a week, lasting for 6 weeks. The improvement of spasticity in the upper and lower limbs of the affected side, and the variations on the numbers of motor unit action potentials (MUAP), Fugl-Meyer score and Barthel index scores of the two group were compared.

  Results  After 6 weeks of treatment, the total effective rate of upper and lower limbs with spasm in the treatment group was higher than that in the control group(P < 0.05). After treatment, the number of MUAP of the biceps brachii and the triceps triceps in both groups were decreased, and the treatment group decreased more significantly than that of the control group(P < 0.05). After 6 weeks of intervention, the scores of Fugl-Meyer score and Barthel index in two groups were greatly improved, and the treatment group increased more significantly than the control group(P < 0.05).

  Conclusion  Rehabilitation training combined with TENS in acupoints in the treatment of spastic hemiplegia after cerebral hemorrhage can relieve muscle spasm, improve movement of separation and motor function.