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头针疗法治疗颈部/肩部僵硬伴相关情绪障碍的疗效观察。

Efficacy of Parietal Acupoint Therapy: Scalp Acupuncture for Neck/Shoulder Stiffness with Related Mood Disturbance.

作者信息

Aoyama Naoki, Fujii Osamu, Yamamoto Toshikatsu

机构信息

Department of Neurosurgery, Japan Community Health Care Organization, Yokohama Central Hospital, Kanagawa, Japan.

Aoyama Medical Clinic, Fukushima, Japan.

出版信息

Med Acupunct. 2017 Dec 1;29(6):383-389. doi: 10.1089/acu.2017.1250.

Abstract

Yamamoto New Scalp Acupuncture is a quick and effective microsystem of acupuncture used for treating various symptoms for which the somatotopic area is the scalp. This article describes Parietal Acupoint Therapy (PAPT), which is another approach, using a different scalp somatotopy, and to evaluate PAPT's effect on neck/shoulder stiffness and related mood disturbances. Forty-six volunteers suffering from chronic neck/shoulder stiffness with various symptoms (headache, dizziness, and related mood disturbance) participated in this study and were randomly divided into 2 groups: treatment (26 subjects) and control (20 subjects). PAPT, PC points, and PL points were used. Immediately before and after treatment, to evaluate the patients' psychobiologic and mood states, salivary alpha amylase (sAA) levels were determined and the Profile of Mood States Second Edition (POMS 2)-Short Form scale was administered. Neck/shoulder stiffness was evaluated using a visual analogue scale (VAS) score immediately before and after, and at 3 and 7 days post-therapy. sAA levels were not significantly different in either group after versus before the intervention. There were significant decreases in mean scores in the POMS 2 subscales Anger/Hostility ( < 0.001), Confusion/Bewilderment ( < 0.001), Depression/Dejection ( < 0.01), Fatigue/Inertia ( < 0.001), Tension/Anxiety ( < 0.001), and Total Mood Disturbance ( < 0.001) post-therapy in the treatment group, but not in the control group. The mean VAS score significantly improved in the treatment group post-therapy, which persisted during the observation period. PAPT treatment on PC points ameliorated neck/shoulder stiffness and related mood disturbance. PAPT has the potential to be as effective as other scalp acupuncture types.

摘要

山本新头皮针疗法是一种快速有效的微针系统,用于治疗以头皮为体部对应区域的各种症状。本文介绍顶叶穴位疗法(PAPT),这是另一种方法,采用不同的头皮体部定位法,并评估PAPT对颈部/肩部僵硬及相关情绪障碍的疗效。46名患有慢性颈部/肩部僵硬并伴有各种症状(头痛、头晕及相关情绪障碍)的志愿者参与了本研究,并被随机分为两组:治疗组(26名受试者)和对照组(20名受试者)。采用了PAPT、PC穴位和PL穴位。在治疗前后即刻,为评估患者的心理生物学和情绪状态,测定了唾液α淀粉酶(sAA)水平,并使用了第二版情绪状态剖面图(POMS 2)简表。在治疗前后即刻以及治疗后3天和7天,使用视觉模拟量表(VAS)评分评估颈部/肩部僵硬情况。干预后两组的sAA水平与干预前相比均无显著差异。治疗组治疗后POMS 2分量表中的愤怒/敌意(<0.001)、困惑/迷茫(<0.001)、抑郁/沮丧(<0.01)、疲劳/惰性(<0.001)、紧张/焦虑(<0.001)和总情绪障碍(<0.001)的平均得分显著降低,而对照组则未降低。治疗组治疗后平均VAS评分显著改善,且在观察期内持续存在。对PC穴位进行PAPT治疗可改善颈部/肩部僵硬及相关情绪障碍。PAPT有可能与其他类型的头皮针疗法同样有效。

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