Head Acupuncture Research Articles

Impact of task-oriented training based on acupuncture rehabilitation on upper extremity function and quality of life of patients with early stroke.

Eighty percent of stroke patients develop upper limb dysfunction, especially hand dysfunction, which has a very slow recovery, resulting in economic burden to families and society. To investigate the impact of task-oriented training based on acupuncture therapy on upper extremity function in patients with early stroke. Patients with early stroke hemiplegia who visited our hospital between January 2021 and October 2022 were divided into a control group and an observation group, each with 50 cases. The control group underwent head acupuncture plus routine upper limb rehabilitation training (acupuncture therapy). In addition to acupuncture and rehabilitation, the observation group underwent upper limb task-oriented training (30 min). Each group underwent treatment 5 d/wk for 4 wk. Upper extremity function was assessed in both groups using the Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Wolf Motor Function Rating Scale (WMFT), modified Barthel Index (MBI), and Canadian Occupational Performance Measure (COPM). Quality of life was evaluated using the Short-Form 36-Item Health Survey (SF-36). Clinical efficacy of the interventions was also evaluated. Before intervention, no significant differences were observed in the FMA-UE, MBI, and WMFT scores between the two groups (P > 0.05). After intervention, the FMA-UE, WMFT, MBI, COPM-Functional Mobility and Satisfaction, and SF-36 scores increased in both groups (P < 0.05), with even higher scores in the observation group (P < 0.05). The observation group also obtained a higher total effective rate than the control group (P < 0.05). Task-oriented training based on acupuncture rehabilitation significantly enhanced upper extremity mobility, quality of life, and clinical efficacy in patients with early stroke.

Intervention effect of head acupuncture therapy combined with traditional music aesthetic education on children’s social anxiety disorders

BackgroundSocial Anxiety Disorder (SAD) is a highly prevalent anxiety disorder characterized by the excessive or irrational fear of particular external objects and situations. The study proposes to treat social anxiety disorders in children with the help of head acupuncture therapy. Considering the pathological features of anxiety disorders in children, a combined intervention with traditional music aesthetic education is also proposed.Subjects and Methods Children suffering from social anxiety disorder were taken as research subjects and randomly divided into experimental and control groups. Both groups were treated with head acupuncture. The experimental group added a traditional music aesthetic education intervention to help the children relieve their anxiety through music and learning. The experimental intervention time was six weeks, and the experimental data were statistically analyzed with the help of the Hamilton Anxiety Scale (HAMA) and Social Anxiety Scale for Children (SASC). The difference was statistically significant at P&lt;0.05.ResultsAfter the experimental intervention, it was found that there was a statistically significant difference between the social anxiety scale scores of the two groups of children (P&lt;0.05), with a significant effect of decreasing the scores of the SASC scale for children in the experimental group by more than 15%.Conclusions Aesthetic education is a combination of aesthetic and beauty teaching, and its combination with cephalic acupuncture therapy can better alleviate the symptoms of children’s social anxiety disorder and help and guide their cognitive behavior.

Acupuncture therapy for post-stroke depression: A scoping review of randomized controlled trials

The prevalence of post-stroke depression (PSD), a common complication following a stroke, is rising yearly. Due to the success in treating PSD, acupuncture therapy has gained in popularity in recent years. To provide clinicians with more referable recommendations, we undertook a scoping study to examine the clinical evidence and status of acupuncture for the treatment of PSD. This scoping review followed Arksey and O'Malley's framework. Six databases were systematically searched to identify randomized controlled trials (RCTs) published in English or Chinese language that evaluated any type of acupuncture, with or without co-interventions, for treating PSD. Data were analyzed using descriptive statistics and organized in response to review questions. Findings were presented in a visual and aggregate form as well as in a descriptive format aligning with the objectives and scope of this protocol. A total of 231 RCTs were included, of which 230 were conducted in China. The applied acupuncture-related therapies included manual acupuncture, electroacupuncture, head acupuncture, auricular acupuncture, abdominal acupuncture, press needle, pestle acupuncture, eye acupuncture, and wrist and ankle acupuncture. The most commonly used form of acupuncture was manual acupuncture (n=73, 31.60%), and DU20 (n=121, 52.38%) was the most frequently used acupuncture point. Only a small number of studies reported adverse events (n=30, 12.99%), with the main symptoms including subcutaneous bleeding, headache, and hematoma. Ninety-six of 149 studies reported an effectiveness rate of over 90%. A more standardized trial process is recommended to strengthen the clinical evidence and avoid irregularities in clinical trial methodology. Future studies should include populations from a wider range of countries to improve the generalisability of the evidence.

Tongue Acupuncture for the Treatment of Poststroke Aphasia: A Systematic Review and Meta-Analysis.

Objective This review evaluated the efficacy of tongue acupuncture for the clinical treatment of poststroke aphasia. Methods PubMed, Medline, Cochrane, Embase, CNKI, VIP, and Wanfang databases were searched from their inception to 1st June 2022. The dataset included randomized controlled trials (RCTs) with tongue acupuncture for the treatment of poststroke aphasia. Data aggregation and risk of bias evaluation were conducted on Review Manager Version 5.4.1 and Stata16.0. The main outcome measures included the Aphasia Battery of Chinese (ABC), the Chinese Functional Communication Profile (CFCP), the Boston Diagnostic Aphasia Examination (BDAE), and clinical efficiency. Then, comparing the effectiveness of tongue acupuncture, tongue acupuncture combined with conventional therapies, conventional therapies with head acupuncture, language training, body acupuncture, and Jie Yu Dan. Results A total of 20 studies with 1355 patients were included. Meta-analysis showed that compared with conventional treatments, tongue acupuncture has a significant improvement in clinical efficacy score (MD = 1.25, 95% CI (1.09, 1.43), P=0.001) and CFCP of poststroke aphasia (MD = 39.78, 95% CI (26.59, 52.97), P < 0.00001), but was not significant in improving ABC (MD = 5.95, 95% CI (2.85, 9.04), P=0.06). Compared to the conventional treatments, tongue acupuncture combined with conventional therapies promoted the ABC (MD = 11.48, 95% CI (2.20, 20.75), P < 0.00001), clinical efficacy score (MD = 1.22, 95% CI (1.14, 1.30), P < 0.00001), and CFCP score (MD = 29.80, 95% CI (19.08, 40.52), P < 0.00001) of poststroke aphasia. Conclusion This systematic review indicated that tongue acupuncture or tongue acupuncture combined with conventional treatments was an effective therapy for treating poststroke aphasia. However, stricter evaluation standards and rigorously designed RCTs are needed.

Head Acupuncture Plus Schuell's Language Rehabilitation for Post-Stroke Aphasia: A Systematic Review and Meta-Analysis of 32 Randomized Controlled Trials.

To evaluate the existing randomized controlled trials (RCTs) for evidence of the efficacy and safety of head acupuncture (HA) plus Schuell's language rehabilitation (SLR) in post-stroke aphasia. Seven databases including Embase, PubMed, Cochrane Library, Technology Periodical Database, the China National Knowledge Infrastructure, SinoMed and Wanfang Data Information Site were searched for RCTs published from database inception until November 14, 2021. RCTs that compared HA plus SLR with sham (or blank) control, acupuncture therapy alone, certain language rehabilitation therapy alone or other therapies for post-stroke aphasia were included. Data were extracted and assessed, and the quality of RCTs was evaluated. Fixed-effects model was used, with meta-inflfluence analysis, meta-regression, and regression-based sub-group analyses applied for exploration of heterogeneity. Publication bias was estimated by funnel plots and Egger's tests. A total of 32 RCTs with 1,968 patients were included and 51 comparisons were conducted classified as types of strokes and aphasia. (1) For patients with aphasia after ischemic stroke, HA plus PSA showed significantly higher accumulative markedly effective rate [relative risk (RR)=1.55, 95% confidence interval (CI): 1.19-2.02, I2=0%] and accumulative effective rate (RR=1.22, 95% CI: 1.09-1.36, I2=0%). (2) For patients with comprehensive types of stroke, HA plus PSA was more effective in increasing recovery rate (RR=1.89, 95% CI: 1.39-2.56, I2=0%), accumulative markedly effective rate (RR=1.53, 95% CI: 1.36-1.72, I2=9%) and accumulative effective rate (RR=1.14, 95% CI: 1.09-1.19, I2=34%). (3) For patients with aphasia after stroke, HA plus PSA was superior to PSA alone with statistical significance in increasing recovery rate (RR=2.08, 95% CI: 1.24-3.46, I2=0%), accumulative markedly effective rate (RR=1.49, 95% CI: 1.24-1.78, I2=0%) and accumulative effective rate (RR=1.15, 95% CI: 1.06-1.24, I2=39%). (4) For patients with multiple types of aphasia, HA plus PSA also demonstrated significantly higher recovery rate (RR=1.86, 95% CI: 1.28-2.72, I2=0%), accumulative markedly effective rate (RR=1.55, 95% CI: 1.35-1.78, I2=22%), and accumulative effective rate (RR=1.17, 95% CI: 1.11-1.23, I2=41%). (5) For patients with motor aphasia after ischemic stroke, compared with PSA alone, HA plus PSA showed significantly higher accumulative markedly effective rate (RR=1.38, 95% CI: 1.06-1.79, I2=0%) and accumulative effective rate (RR=1.20, 95% CI: 1.05-1.37, I2=0%). Meta-regression analyses were performed without significant difference, and publication bias was found in some comparisons. HA plus SLR was significantly associated with better language ability and higher effective rate for patients with post-stroke aphasia, and HA should be operated cautiously especially during acupuncture at eye and neck. (Registration No. CRD42020154475).

Head acupuncture combined with exercise therapy for nonspecific low back pain：a randomized controlled trial

To compare the clinical effect between head acupuncture combined with exercise therapy and conventional acupuncture for nonspecific low back pain. A total of 64 patients with nonspecific low back pain were randomized into an observation group (32 cases, 2 cases dropped off) and a control group (32 cases, 2 cases dropped off). In the control group, conventional acupuncture was applied at Jiaji (EX-B 2) of L1 to L3, ashi point, Shenshu (BL 23), Dachangshu (BL 25), Yaoyangguan (GV 3) and Weizhong (BL 40). The observation group was treated with head acupuncture combined with exercise therapy, head acupuncture was applied at foot-motor-sensory area on the healthy side and Cuanzhu (BL 2), Tongziliao (GB 1) on the affected side, and McKenzie therapy was performed during retention. The needles were retained for 40 min, once a day, continuous treatment for 6 days with the interval of 1 day, 14 days were required in the two groups. Before and after treatment, the pain visual analogue scale (VAS) score, Oswestry disability index (ODI) score and infrared thermography temperature of pain area in the low back were compared in the two groups. Compared before treatment, the VAS and ODI scores after treatment were decreased in the two groups (P<0.01), and those in the observation group were lower than the control group (P<0.01). Compared before treatment, the infrared thermography temperature of pain area in the low back after treatment was increased in the two groups (P<0.01), and that in the observation group was higher than the control group (P<0.01). Head acupuncture combined with exercise therapy could relieve pain, improve dysfunction and increase the local temperature of pain area in patients with nonspecific low back pain, and its curative effect is better than conventional acupuncture.

Effects of Acupuncture Combined with Rehabilitation on Chronic Pelvic Pain Syndrome in Females: A Meta-Analysis Running Head-Acupuncture Combined with Rehabilitation on Chronic Pelvic Pain.

Objective To investigate the clinical efficacy of this combined treatment for chronic pelvic pain syndrome (CPPS) by meta-analysis. Methods Relevant articles were retrieved from PubMed, CNKI, Wanfang Data, Web of Science, and Embase, including randomized controlled trials on acupuncture combined with rehabilitation for CPPS in females. Results A total of 224 articles were retrieved in this study, and 14 studies were finally identified for inclusion. Among them, the treatment group was treated with acupuncture combined with pelvic floor rehabilitation therapy, while the control group was treated with acupuncture or pelvic floor rehabilitation therapy. Meta-analysis showed that the treatment effective rate in the treatment group was significantly higher than that in the control group (OR = 6.54; 95% CI: 4.20, 10.21; P < 0.05). After treatment, compared with the control group, the treatment group showed lower incidences of adverse reactions (OR = 0.16; 95% CI: 0.09, 0.27; P < 0.05), bladder prolapse (OR = 0.36; 95% CI: 0.18, 0.73; P < 0.05), cervical prolapse (OR = 0.22; 95% CI: 0.10, 0.49; P < 0.05), and pelvic peritoneal hernia (OR = 0.14; 95% CI: 0.05, 0.38; P < 0.05); in addition, the treatment group was also associated with lower pain score (SMD = −4.05; 95% CI: −6.75, −1.34; P < 0.05) and pelvic dysfunction score (SMD = -4.35; 95% CI: -5.37, -3.34; P < 0.05). Conclusion Acupuncture combined with rehabilitation is effective for CPPS in females, which can significantly reduce the pain intensity and improve pelvic dysfunction of patients.

Optimizing Rehabilitation Strategy for Walking after Stroke： from Assisted Walking Training to Brain-Limb Cooperative Therapy

Recovery of walking function after stroke is the most urgent need of patients and their families. It is also the primary goal when planning rehabilitation treatment plans with patients. For a long time, experts in the field of neurological rehabilitation have been exploring effective methods to accelerate the recovery of walking function after stroke. From various traditional Chinese medicine such as acupuncture on the limbs of patient, and modern rehabilitation technologies for paralyzed limbs (such as neurodevelopmental therapy, functional electrical stimulation, walking bicycle, and walking robot, etc.) to non-invasive brain stimulation technologies for focal brain (such as transcranial magnetic stimulation, transcranial direct current stimulation, and head acupuncture, etc.). A large number of clinical evidence-based studies have proved that these technologies are effective methods at different levels of evidence. In recent years, with the help of the 10-year research findings of brain in the 1990s, the rehabilitation for improving walking function after stroke has also been changed significantly. It began to develop from discrete target organ (such as limb or brain) to multi-target cooperative or mode therapy combining brain and limb, which gave birth to a new treatment mode: brain-limb cooperative therapy mode. Focusing on the theme of optimizing rehabilitation strategy for walking after stroke, this paper provides a brief introduction on the concept of this brain-limb cooperative treatment mode, focuses on several optimized combinations of brain-lower limb cooperative treatment modes related to improving walking function after stroke, and also a few related research papers of clinical application on this mode were published in this issue as supporting data. Through this review and the papers published in this issue, we hope to attract the attention of domestic stroke rehabilitation professionals to the brain-limb cooperative treatment model, and actively apply it in the rehabilitation treatment of improving walking function after stroke. Similar related research could be duplicated to further clarify this mode. By analogy, this brain-limb cooperative treatment model is extended to the rehabilitation treatment of upper limb function recovery after stroke, and the clinical application and research of brain-limb cooperative treatment model are expanded. From the perspective of stroke rehabilitation, the strategy of lower limb rehabilitation after stroke in the future should be to more effectively improve or restore the original walking function of patients. Therefore, the early intervention of error free learning rehabilitation strategy with walking as the core should implement the whole process of stroke lower limb rehabilitation. Only when the walking mode input from the periphery to the center is correct, the walking command output from the center can be correct. Brain-limb cooperative therapy is an effective guarantee for realizing this closed loop.

Observation of Acupuncture Effects on the Expression of Taurine Transporter and Taurine in the Senescence-Accelerated Mouse Brain: A Pilot Study.

In living organisms, taurine is important for homeostasis and is known to have preventive and inhibitory effects on various diseases. Taurine has been reported to play an important role in the development of the brain in newborns and in reducing the damage caused by cerebral ischemia. Previous studies indicated that acupuncture on a pair of acupoints of "DU16" and "DU20" can increase brain taurine transporter (TauT) expression in mice with penicillin-induced epilepsy and enhanced taurine anti-epilepsy effects. Our previous study reported that manual acupuncture stimulation of the head acupuncture points "Bai-Hui" (GV 20) and "Yintang" (Ex-HN3) could produce antidepressant effects. In this study, we investigated whether acupuncture stimulation of the head acupuncture points GV 20 and Ex-HN3 affects the expression of TauT and taurine in the cerebellum and hippocampus in senescence-accelerated mice. Acupuncture stimulation significantly increased the mRNA expression of TauT in the cerebellum and hippocampus. Immunohistochemical staining confirmed that the expression of TauT and taurine in the cerebellum and hippocampus increased. These results indicate that acupuncture stimulation might improve cognitive and behavioral abilities by increasing the expression of TauT and taurine.

A Case Report of Anomic Aphasia after Putaminal Hemorrhage Improved by Korean Medical Treatment Including Head Acupuncture

Aphasia is a language disorder that results from brain damage and typically occurs after a stroke. The purpose of this case report was to describe the effects of Korean medical treatment on anomic aphasia after a putaminal hemorrhage. We used Korean medical treatment, including head acupuncture and herbal medicine (Hyungbangsabaek-san) therapy, on a patient who was admitted to the hospital for 19 days. The clinical symptoms were assessed with the Korean version of the Western Aphasia Battery (K-WAB), and quality of life was evaluated with Korean version of Stroke and Aphasia Quality of Life Scale-39 (K-SAQOL-39). After 19 days of treatment, the K-WAB scores were increased from 17 to 19 in the spontaneous speech score, from 7.55 to 9.85 in the comprehension score, from 9 to 9.4 in the speaking score, and from 5.8 to 9.7 in the naming score. The AQ score was increased from 78.7 to 95.9, and the K-SAQOL-3 score was increased from 2.64 to 3.26. In conclusion, the study findings suggested that Korean medical treatment could be an effective option for treating symptoms and improving quality of life in patients with aphasia after stroke. Keywords: aphasia, anomic aphasia, stroke, head acupuncture, Korean medical treatment

Acupuncture for ulcerative colitis: a systematic review and meta-analysis of randomized clinical trials

BackgroundUlcerative colitis, characterized by diarrhea, bloody stools and abdominal pain, is a chronic, idiopathic inflammatory disease of the colonic mucosa. In recent years, the incidence of ulcerative colitis presents an increasing trend year by year. Acupuncture, as a potential effective treatment for ulcerative colitis, is widely used in clinical practice.MethodsWe searched PubMed, the Cochrane Library, Chinese CBM Database, China National Knowledge Infrastructure, Chinese VIP Information, and Wanfang Database from the date of the establishment of each database up to March, 2019. We included randomized controlled clinical trials (RCT) comparing acupuncture versus conventional conventional medicine or comparing acupuncture combined with conventional medicine versus conventional medicine in participants with ulcerative colitis. Two authors screened all references, assessed the risk of bias and extracted data independently. We summarized data using risk ratios (RR) with 95% confidence intervals (CI) for binary outcomes. We performed meta-analyses using random effects model. We assessed overall quality of evidence using GRADE.ResultsWe included 13 RCTs (1030 participants, 515 in the acupuncture group and 515 in the control group). Only one study tested head acupuncture, and the other 12 tested body acupuncture. The treatment duration ranged from 14 to 60 days. Seven trials compared acupuncture alone versus conventional medicine, and six compared acupuncture combined with conventional medicine versus conventional medicine. Acupuncture combined with mesalazine showed better clinical effect (improved clinical symptoms, colonoscopy results and stool examination results) (RR 1.25, 95% CI 1.19 to 1.41; 232 participants; 4 trials; low quality evidence) and better colonoscopy curative effect (RR 1.33, 95% CI 1.04 to 1.71; 108 participants; 2 trials; moderate quality evidence) compared to mesalazine. Acupuncture showed better clinical effect compared to the combination of metronidazole and sulfasalazine (RR 1.21, 95%CI 1.10, 1.34; 318 participants; 3 trials; moderate quality evidence). There was no significant difference in the incidence of adverse events between groups.ConclusionsBoth acupuncture alone and acupuncture combined with conventional medicine may be effective in treating ulcerative colitis compared to conventional medicine. Our findings must be interpreted with caution due to high or unclear risk of bias of the included trials.

Data Mining-revealed Characteristics of Clinical Application of Scalp Acupuncture

To explore the regularity and characteristics of clinical application of scalp acupuncture therapy for different types of clinical conditions so as to provide a reference for clinical practice. In the present study, "head acupuncture" and"scalp acupuncture" were used as the keywords to search papers and academic dissertations having definite standards for diagnosis and therapeutic effect assessment and published in journals and academic conferences collected in database China National Knowledge Internet(CNKI) from January 1 of 1959 to December 31 of 2016, followed by constructing a database after sorting, screening, recording, extracting, and statistical analysis by using a computer. Then, the data mining was conducted for summarizing the indications of disease categories, involved medical departments, needle-insertion methods, needle manipulation techniques, academic schools, and clinical efficacy of scalp acupuncture therapy. As a result, a total of 587 papers met our including criteria were analyzed. The scalp acupuncture therapy was widely employed in the treatment of various clinical conditions of different departments, with the application frequency being the internal medicine (438 times), surgery (75 times), pediatrics (44 times), etc. Of the indicated 102 types of clinical problems, 55 belong to the internal medicine, constituting of 53.92%, particularly the cerebral apoplexy and its sequelae with the top application frequency being 102 and 115 times, respectively. In terms of needle inserting methods mentioned in partial papers (most papers do not mention), fingernail-pressing-aided needle insertion, needle-twirling insertion, fingers-squeezed-needle insertion, particularly the swiftly rotating needle insertion and rapid needle-propelling insertion were most commonly used.Regarding the needle manipulation method, rapid needle twirling technique was frequently employed, usually at a frequency of approximately 200 times per min. In regard to the academic schools, JIAO Shun-fa's scalp acupuncture system was most frequently used, followed by the international standardized scalp acupuncture. The therapeutic effect of scalp acupuncture is effective in the treatment of different conditions of various departments, especially those of the dermatology and gynecology. Scalp acupuncture has superiority in the treatment disorders of the internal medicine and has been demonstrated to have positive effects for many types of problems, particularly for apoplexy and its sequelae. Rapid needle-propelling insertion and rapid needle-twirling technique are often employed.

电针配合康复训练治疗中风后失语症73例体会

失语症属是指由于大脑的特定区域发生器质性病变而导致的言语缺失，导致失语的病因很多，在我国急性脑血管病患者中约有1/3以上的患者存在不同程度的各种言语障碍。本研究选取中风后失语的患者为研究对象，并且结合头穴电针配合语言训练治疗中风后失语症，取得了较好的临床疗效，同时探讨了有关治疗机理及某些规律。我们的研究中发现，在给患者进行针刺的同时进行语言训练的治疗组，无论从语言理解方面还是在发音等方面均优于仅仅使用语言训练的对照组。我们认为失语症的治疗需要将针刺与语言康复治疗二者有机的结合起来，优势互补，这样才是提高临床疗效的关键。 Aphasia is that occurred due to the specific areas of the brain organic disease caused by a lack of words, a lot of cause lead to aphasia, acute cerebrovascular disease. In our country, there are about more than one third of patients with different degree of various speech impediments. This study selected patients with aphasia after stroke as the research object, and combined with head acupuncture point of language training and electric acupuncture for the treatment of aphasia after stroke, and has achieved good clinical effect, and discusses the relevant treatment mechanism and some regularity. Our study found that in patients with acupuncture of language training in the treatment group at the same time, no matter from the aspects of language comprehension and pronunciation, etc. were superior to control group using just one language training. We believe that the treatment of aphasia requires the combination of acupuncture and language rehabilitation to complement each other, which is the key to improve clinical efficacy.

자폐스펙트럼장애의 침치료에 대한 최근 임상 연구 동향 - RCT 중심으로 -

Objectives The purpose of this study is to investigate recent clinical studies on effect of acupuncture for Autism Spectrum Disorder in other countries. We have analyzed the studies on effect of acupuncture for Autism Spectrum Disorder within randomized controlled trail (RCT) for 6years (from 2010 to 2015). Methods The search database includes Medline, Embase, Cochrane library and CNKI (China National Knowledge Infrastructure). To narrow the search, the following key search terms were used: 'autism or ASD or Asperger's Syndrome or pervasive developmental disorder, acupuncture'. The search was limited to the publication date from 2010 to 2015. 7 control studies in Medlin, Embase, Cochrane library and 5 control studies in CNKI were selected for analysis. Results and Conclusions 1. The acupuncture and rehabiliation treatment is more effective than only acupuncture treatment. Especially, Retention of needling is helpful. 2. It is necessary to set up standard scale in assessment of ASD patients and serum arginine-vasopressin (AVP) can be substitution. 3. Head acupuncture and tongue acupuncture is effective for ASD.

Electroacupuncture modulates brain connectivity to alleviate osteoarthritis-associated pain in a rat model

the immunohistochemical staining technology to detect the expression of IL-6, TNF, MCP-1, TG Fin the brain tissue of affected side. Results: Electro-acupuncture treatment on DU20, affected side ST36, contrast the points DU20, EX-HN3 and DU26, could significantly lower the inflammatory response signals’ expression levels in the brain tissue of affected side in the rat model, including IL-6, TNF, MCP-1, TGF, could show the second peak of IL-6, TGFin advance. Conclusion: Electro-acupuncture treatment on DU20, affected side ST36, contrast the points DU20, EX-HN3 and DU26, had better influences in regulating the body’s inflammatory stress response to injury, reducing the inflammatory response and inflammatory, activating repair function, combined use of points on the head and body may be better in reducing inflammatory injury than using the head acupuncture points only. Contact: WANG YU, wy8166@126.com

Evaluation of stress and pain in young children with cerebral palsy during early developmental intervention programs: a descriptive study.

The aim of this study was to use the Face, Legs, Activity, Cry, Consolability Scale; salivary cortisol levels; and withdrawal reflex thresholds to assess pain, stress, and pain sensitivity in young children with cerebral palsy during early developmental intervention programs. A total of 40 children with cerebral palsy (age range, 1-4 yrs) participated in the early intervention programs, which included neurodevelopmental treatment, neuromuscular electrical stimulation, occupational therapy, head acupuncture, and Chinese traditional manipulation five times per week for 3 wks. The Face, Legs, Activity, Cry, Consolability Scale was applied during the course of each treatment, and salivary cortisol samples were obtained from each child 10 mins before and 10 mins after each treatment. Withdrawal reflex thresholds were assessed via mechanical stimulation of the foot with von Frey hairs. All treatment programs caused some degree of pain. In descending order, the extents of the pain caused by each treatment were head acupuncture, neurodevelopmental treatment, neuromuscular electrical stimulation, Chinese traditional manipulation, and occupational therapy. There were statistically significant increases in salivary cortisol levels after the head acupuncture (P < 0.001), neurodevelopmental treatment (P < 0.001), neuromuscular electrical stimulation (P < 0.001), and Chinese traditional manipulation (P < 0.001) treatments. No significant changes were found in the withdrawal reflex thresholds during the study (P > 0.05). The results of this study demonstrate that early developmental intervention programs cause pain and stress in young children with cerebral palsy.

뇌성마비 언어장애에 대한 한의 치료 연구 동향

Objectives: The purpose of this study was to obtain some understanding about Korean medicine treatment on language disorder in cerebral palsy for future practice and the research, from the clinical studies. Methods: The literature was searched using the database-China Academic Journals (CAJ). Clinical studies of Korean medicine treatment for language disorder in cerebral palsy, including Randomized controlled trial (RCT), case control study, case series, case report were analyzed. Results: Fifteen Clinical studies met our inclusion criteria; One case study and six case series, one non-randomized controlled trial and seven RCTs. Acupuncture treatment, especially Head acupuncture, was the major treatment for language disorder of cerebral palsy in clinical studies, as it was used in fourteen studies. Acupoint massage, tuina, and acupoint injection were employed as treatment methods in the studies. Acupuncture treatment was used for language disorder of cerebral palsy combined with language therapy and other rehabilitation treatment in many studies. The effectiveness in the treatment groups, regardless of treatment methods, was higher than that of control group in all RCT studies. Conclusions: The results of this study could be used in the practice and the future study about language disorder of cerebral palsy.

Clinical observation on treatment of 105 cases of cerebral apoplexy with head acupuncture and body acu-puncture

Objective To observe the therapeutic effect of treatment of cerebral apoplexy with head acupunc-ture and body acupuncture. Methods 203 cases with cerebral apoplexy were randomly divided into head acupuncture with body acupuncture group(105 cases) and body acupuncture control group(98 cases). Symptom and sign were gra-ded and comprehensive therapeutic effects were assessed. Results There were significant differences of the cure rates and the observed indices between the head acupuncture with body acupuncture group and body acupuncture control group. Conclusion The head acupuncture with body acupuncture can obviously improve the cerebral ischemia and anoxia, and increase limb motor function and ability of daily living in the patients of deep cerebral infarction. Key words: Cerebral apoplexy/acupuncture therapy; Cerebrovascular circulation/acupuncture effect; Nee-dling methods

針麻酔式頭針療法の臨床応用の実際

針麻酔式頭針療法の臨床応用の実際

頭針療法

頭針療法