The Effect of Electroacupuncture on Upper-Extremity Spasticity of Stroke Patients.

뇌졸중 환자의 상지 경직에 대한 전침의 치료 효과

  • Lee, Sun-Woo (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University, Dept. of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Yun, Jong-Min (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University, Dept. of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Son, Ji-Woo (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Kang, Beak-Gyu (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University, Dept. of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University) ;
  • Park, Sang-Moo (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Yun, Hyo-Jin (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Kim, Dae-Joong (Dept. of Acupuncture and Moxibustion, Oriental Medical hospital, Wonkwang University) ;
  • Kim, Tae-Jin (Dept. of Rehabilitation Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Lee, In (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University) ;
  • Shin, Yong-Il (Dept. of Rehabilitation Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine) ;
  • Moon, Byung-Soon (Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University, Dept. of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University)
  • 이선우 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과) ;
  • 윤종민 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과) ;
  • 손지우 (원광대학교 한의과대학 내과학교실) ;
  • 강백규 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과) ;
  • 박상무 (원광대학교 한의과대학 내과학교실) ;
  • 윤효진 (원광대학교 한의과대학 내과학교실) ;
  • 김대중 (원광대학교 부속한방병원 침구과) ;
  • 김태진 (원광대학교 의과대학 재활의학교실 및 의과학연구소) ;
  • 이인 (원광대학교 한의과대학 내과학교실) ;
  • 신용일 (원광대학교 의과대학 재활의학교실 및 의과학연구소) ;
  • 문병순 (원광대학교 한의과대학 내과학교실, 원광대학교 한의학전문대학원 제3의학과)
  • Published : 2007.09.30

Abstract

Objectives : This study was executed in order to evaluate the effects of electroacupuncture on upper-extremity spasticity control in stroke patients. Methods : Eighteen patients with stroke were enrolled and classified into two groups, the study and control group. The control group did not receive any oriental medical treatment. In the study group, the electroacupuncture points were applied to Kokt'aek (PC3) and $Ch'{\u{o}}ch'{\u{o}}n$ (PC2), Naegwan (PC6) and $Ch'{\u{o}}kt'aek$(LU5) of the affected limb. H-reflexl M-response ratio (HIM ratio), modified Ashworth scale (MAS) and Fugl-Meyer motor function assessment (FMA) were used for evaluation of spasticity control before electroacupuncture, within two hours after electroacupuncture, and at two weeks. Results : In MAS, the study group declined more than the control group. but there was no statisticallysignificant consideration. In H/M ratio. the study group was more efficient than the control group. and spasticity decreased successively during the series in the study group. In FMA, motor function in the study group improved more than in the control group and motor function in the study group increased successively during the series. Conclusions : These results showed that electro acupuncture was a useful method to decrease upper-extremity spasticity in patients with stroke. Further studies are needed to explore more cases and the long-lasting carryover effects on upper-extremity spasticity in electroacupuncture.

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