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替代医学方法能否引发体感反应并带来功能改善?

Can alternative medical methods evoke somatosensory responses and functional improvement?

作者信息

Otaif Alhasn, Alshammari Mashan, Gerin Christine G

机构信息

Texas A&M, Corpus Christi, TX, USA.

King Khalid Military Academy, Riyadh, Saudi Arabia.

出版信息

Heliyon. 2024 Apr 23;10(9):e30010. doi: 10.1016/j.heliyon.2024.e30010. eCollection 2024 May 15.

Abstract

BACKGROUND

Evidence-based scientific studies focusing on complementary alternative medicine (CAM) and potential functional improvement after an insult of the central nervous system are lacking.

AIMS

We aim to demonstrate that functional recovery after stimulation applied as a CAM treatment through cauterization might trigger neural repair and regenerative paths similarly as acupuncture, cupping, electrical or magnetic stimulations. Those paths are important in recovery of function.

PROCEDURES

Medical records and information of ten patients, with initial presentations of cerebral trauma or spinal cord insult inducing paralysis, were studied. Patients ages ranged from 17 to 95-year-old. Patients consulted for alternative medical treatment one year or more after initial diagnosis.CAM treatment consisted in 10-point stimulation on the skull and 4-point stimulation located at the right and left calves and forearms. Stimulations consisted of a heated steel rod application (cautery) in a one-time session. The duration of each stimulation was about 0.5 s.

RESULTS

Most studies using CAM stimulations (acupuncture, cautery, cupping, moxibustion, electrical and magnetic stimulations) describe improvement. In all 10 medical records and information from our practitioner, patients had improvement in their motor skills, including gain of weight support, unassisted small walks, independent and voluntary movements of limbs. Improvement was steady over a period of one to several years.

CONCLUSION

We compared our findings to acupuncture, electrical, magnetic field effects to highlight common paths and to provide scientific evidence for recovery of the function. We believe that CAM treatments triggered existing or new neuronal networks as well as synaptic efficiency or reactivation, through highly increased, sensory nociceptive coupled to proprioceptive, afferences. Those results also highlight the need to further investigate neural function of cortical and subcortical areas through indirect pathways stimulations.

摘要

背景

缺乏聚焦于补充替代医学(CAM)以及中枢神经系统损伤后潜在功能改善的循证科学研究。

目的

我们旨在证明,作为一种补充替代医学疗法,通过烙术进行刺激后的功能恢复可能会像针灸、拔罐、电刺激或磁刺激一样触发神经修复和再生途径。这些途径对功能恢复很重要。

过程

研究了10例最初表现为脑外伤或脊髓损伤导致瘫痪患者的病历和信息。患者年龄在17至95岁之间。患者在初次诊断后一年或更长时间寻求替代医学治疗。补充替代医学治疗包括对头骨进行10点刺激以及对左右小腿和前臂进行4点刺激。刺激通过一次性使用加热的钢棒(烙术)进行。每次刺激持续时间约为0.5秒。

结果

大多数使用补充替代医学刺激(针灸、烙术、拔罐、艾灸、电刺激和磁刺激)的研究都描述了病情改善情况。在我们从业者的所有10份病历和信息中,患者的运动技能都有改善,包括体重支撑增加、无需协助的短距离行走、四肢的自主和随意运动。改善情况在一至数年的时间里持续稳定。

结论

我们将研究结果与针灸、电、磁场效应进行比较,以突出共同途径,并为功能恢复提供科学证据。我们认为补充替代医学治疗通过高度增加的、与本体感觉传入相关的感觉伤害性刺激,触发了现有的或新的神经网络以及突触效率或重新激活。这些结果还凸显了通过间接途径刺激进一步研究皮质和皮质下区域神经功能的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc76/11078864/c2a6e88a4ea8/ga1.jpg

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