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穴位的电生理评估

Electrophysiological assessment of acupuncture points.

作者信息

Kao Mu-Jung, Hsieh Yueh-Ling, Kuo Fang-Juan, Hong Chang-Zern

机构信息

China Medical University and the Department of Physical Medicine & Rehabilitation, Taipei City Hospital, Taipei, Taiwan.

出版信息

Am J Phys Med Rehabil. 2006 May;85(5):443-8. doi: 10.1097/01.phm.0000214308.02631.9f.

Abstract

OBJECTIVE

This study was designed to assess the occurrence of end plate noise (EPN) in an acupuncture point (AcP).

DESIGN

Ten male and 10 female normal volunteers were included in this study. For each subject, mapping of the distribution of EPN loci in an AcP region of Stomach-36 in one leg selected randomly, and also in a nearby non-AcP region in the other leg as a control, was performed with electromyographic recordings.

RESULTS

There were significantly more EPN loci in the AcP region of Stomach-36 than in the non-AcP region near this AcP. Whenever the searching needle approached an EPN locus, the subjects always felt pain, soreness, or an unpleasant sensation. This feeling was rarely reported when no EPN was recorded from any site in either an AcP region or a non-AcP region. After electromyographic study, every AcP was confirmed as a myofascial trigger point.

CONCLUSIONS

Similar to the distribution of EPN loci in an MTrP region, significantly more EPN loci can be identified in an AcP region of Stomach-36 than in a nearby non-AcP site. This study provides additional support to the hypothesis that some AcPs are also myofascial trigger points.

摘要

目的

本研究旨在评估穴位处终板噪声(EPN)的发生情况。

设计

本研究纳入了10名男性和10名女性正常志愿者。对每位受试者,随机选择一条腿上胃经36穴区域的EPN位点分布进行映射,并在另一条腿上附近的非穴位区域作为对照,同时进行肌电图记录。

结果

胃经36穴区域的EPN位点显著多于该穴位附近的非穴位区域。每当探测针接近一个EPN位点时,受试者总会感到疼痛、酸痛或不适。当在穴位区域或非穴位区域的任何部位均未记录到EPN时,很少有这种感觉的报告。经肌电图研究后,每个穴位均被确认为肌筋膜触发点。

结论

与肌筋膜触发点区域的EPN位点分布相似,胃经36穴区域的EPN位点显著多于附近的非穴位部位。本研究为某些穴位也是肌筋膜触发点这一假说提供了额外支持。

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