Skalp-akupunktur, sammen med fysisk træning, virker på akutte blodpropper i hjernen

Udgivet den 12 jun. 15, 22:49

Opdateret den 14 jun. 15, 14:05

Kategori: Forskning i akupunktur

Kommentarer: 1

Videnskabelig dokumenteret forskning

Original overskrift: Effects of synchronous treatment of bilateral scalp acupuncture and rehabilitation training on activities of daily life in patients with cerebral infarction at acute phase

Dato: September 2014

Database: PubMed

Dette forskningsprojekt har fået økonomisk støtte af: Ukendt

Introduktion:

At observere forbedringerne ved samtidig behandling med dobbeltsidig hovedbundsakupunktur og genoptræning på almindelige dagligdags aktiviteter hos patienter med skader efter blodprop i hjernen i akut fase. Der blev foretaget en sammenligning af virkningsforskellene mellem dobbeltsidig hovedbundsakupunktur og akupunktur i den berørte side samt forskellene mellem samtidig og ikke-samtidig behandling.

Materiale og metoder:

90 patienter med blodprop i hjernen i akut fase med nedsat motorisk funktion blev vilkårligt inddelt i tre grupper. Observationsgruppen blev behandlet med samtidig behandling med hovedbundsakupunktur i Dingzhongxian (isse-midterlinjen), dobbeltsidig Dingnieqianxiexian (skrå isse-tinding-linje fortil) og dobbeltsidig Dingniehouxiexian (skrå isse-tinding-linje bagtil) og genoptræning. Kontrolgruppe A blev behandlet med samtidig behandling af den ramte side med hovedbundsakupunktur i Dingzhongxian, i den ramte side i Dingnieqianxiexian og i den ramte side i Dingniehouxiexian og genoptræning. Kontrolgruppe B blev behandlet med dobbeltsidig akupunktur i 4 timer, efterfulgt af genoptræning. Alle patienterne fik behandlingen en gang om dagen i 6 dage pr. behandlingsforløb med i alt 4 forløb. Det modificerede Barthel-indeks, almindelige dagligdags aktiviteter og Fugl-Meyer-måling af motorisk funktion blev anvendt til måling af tilstanden før behandling, efter 14 dages behandling og efter 28 dages behandling i tre grupper.

Resultater:

Efter behandling var tre indekser på hvert tidspunkt bedre end indekserne før behandlingen i tre grupper (alle P < 0,01). Forbedringerne af almindelige dagligdags aktiviteter og Fugl-Meyer-målingen af motorisk funktion i observationsgruppen efter 28 dages behandling var større end forbedringerne i kontrolgruppe A og kontrolgruppe B (alle P < 0,05), og forbedringen af det modificerede Barthel-indeks var større end forbedringen i kontrolgruppe B (P < 0,05).

Konklusion:

Behandling med skalp-akupunktur i begge sider af hovedet, sammen med rehabiliteringstræning, kan i væsentlig grad forbedre aktivitetsniveauet i dagligdagen, samt forbedre den motoriske funktion hos patienter med akut blodprop i hjernen. Denne behandling er overlegen i forhold til skalp-akupunktur, som kun gives på den ramte side af hovedet.

Brancheforeningen Danske Akupunktører har sponsoreret oversættelsen af ovenstående tekst.

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