University of Pécs, Institute of Complementary and Alternative Medicine, Pécs, Hungary.
J Altern Complement Med. 2012 Oct;18(10):971-7. doi: 10.1089/acm.2011.0047.
The aim of this study was to investigate whether acupuncture, especially Yamamoto's New Scalp Acupuncture (YNSA), is of value in additional to standard poststroke motor rehabilitation.
A prospective, assessor-blinded randomized control trial was carried out in an inpatient stroke rehabilitation unit with day hospital service. After inclusion, patients were stratified into control group and acupuncture group, randomly.
The Barthel Index, the Rivermead Scale Index, and the Visual Analogue Scale were used to follow the efficacy of treatment.
In the acupuncture group, all the sensory, motor, and functional scores improved significantly during the examination period until 2 years after injury. The Barthel Index is increased from 4±2 to 95±4 in the acupuncture group. This index also increased in the control group (from 4±2 to 75±4), but the changes were significantly less than in the acupuncture group. A significant spontaneous recovery during the 2-year follow-up was found, but the YNSA treatment facilitated the functional recovery. Improved moving function and more flexible joints and ligaments were observed in comparison to the patients' condition prior to treatment.
The data suggest that the YNSA is a useful method to treat stroke patients and enhance their quality of life.
本研究旨在探讨在标准卒中后运动康复基础上增加针刺(尤其是山本新头皮针刺法,YNSA)治疗是否具有价值。
在具有日间医院服务的住院卒中康复单元中进行了一项前瞻性、评估者盲法随机对照试验。纳入后,患者按分层随机分为对照组和针刺组。
采用Barthel 指数、Rivermead 运动指数和视觉模拟量表来随访治疗效果。
在针刺组,所有感觉、运动和功能评分在检查期间直至损伤后 2 年均显著改善。针刺组的 Barthel 指数从 4±2 增加到 95±4。对照组该指数也有所增加(从 4±2 增加到 75±4),但变化明显小于针刺组。在 2 年随访期间发现自发恢复显著,但 YNSA 治疗促进了功能恢复。与治疗前相比,观察到运动功能改善,关节和韧带更灵活。
数据表明,YNSA 是治疗卒中患者并提高其生活质量的一种有效方法。