Youn Jong-In, Sung Kang-Keyng, Song Bong-Keun, Kim Munsoo, Lee Sangkwan
Department of Biomedical Engineering, Catholic University of Daegu.
J Phys Ther Sci. 2013 Jun;25(6):725-8. doi: 10.1589/jpts.25.725. Epub 2013 Jul 23.
[Purpose] The present study examined whether electro-acupuncture therapy reduces post-stroke depression (PSD) and whether motor function impairments interact with the effects of the therapy. [Subjects] Twenty-eight PSD patients were assessed and assigned to either a good or poor motor function group depending on their motor grade. [Methods] The Beck Depression Inventory (BDI), Hamilton Depression Rating Scale (HDRS) and Manual Muscle Test (MMT) were administered at the screening and initial phases of the study, and at the 4th, 8th, 12th and 16th week of the daily electro-acupuncture treatment. [Results] The electro-acupuncture treatment reduced PSD (as assessed by BDI and HDRS) of the patients. In particular, the depression of the good motor function group was significantly more reduced than that of the poor motor function group. The degree of motor function impairment did not change throughout the study in either group. [Conclusion] The results of the present study demonstrate that electro-acupuncture therapy can improve PSD, and that the treatment effect varies depending on the degree of motor function impairment.
[目的]本研究旨在探讨电针疗法是否能减轻中风后抑郁（PSD），以及运动功能障碍是否会与该疗法的效果相互作用。[对象]对28例PSD患者进行评估，并根据其运动等级将他们分为运动功能良好组或运动功能较差组。[方法]在研究的筛查和初始阶段，以及每日电针治疗的第4、8、12和16周，使用贝克抑郁量表（BDI）、汉密尔顿抑郁评定量表（HDRS）和徒手肌力测试（MMT）进行评估。[结果]电针治疗减轻了患者的PSD（通过BDI和HDRS评估）。特别是，运动功能良好组的抑郁程度比运动功能较差组显著降低。在整个研究过程中，两组的运动功能障碍程度均未改变。[结论]本研究结果表明，电针疗法可改善PSD，且治疗效果因运动功能障碍程度而异。
