DOI QR코드

DOI QR Code

뇌졸중 후 수부 부종에 대한 아시혈 침치료의 효과

The Effect of A-Shi Point Acupuncture on the Post-stroke Hand Edema

  • 조홍석 (동수원한방병원 침구의학과) ;
  • 방찬혁 (동수원한방병원 침구의학과) ;
  • 이경윤 (동수원한방병원 침구의학과) ;
  • 이상욱 (동수원한방병원 재활의학과)
  • Cho, Hong Seok (Department of Acupuncture & Moxibustion Medicine, Dongsuwon Oriental Medical Hospital) ;
  • Bang, Chan Hyuck (Department of Acupuncture & Moxibustion Medicine, Dongsuwon Oriental Medical Hospital) ;
  • Lee, Kyung Yun (Department of Acupuncture & Moxibustion Medicine, Dongsuwon Oriental Medical Hospital) ;
  • Lee, Sang Wook (Department of Oriental Rehabilitation Medicine, Dongsuwon Oriental Medical Hospital)
  • 투고 : 2014.08.05
  • 심사 : 2014.09.02
  • 발행 : 2014.09.20

초록

Objectives : The purpose of this study is to evaluate the effect of A-Shi point acupuncture on the post-stroke hand edema. Methods : The subjects in this study were 8 patiens with post-stroke hand edema. The patients were treated with acupuncture on A-Shi point in hand. We treated them once a day, 7 days. The effectiveness was assessed by hand volumeter and mesuring tape. And Wilcoxon signed rank test was performed to evaluate the effect. Results : A significant change was observed after 7 times acupuncture treatment. Both volume and circumference of hand were decreased after treatment. Conclusions : This study suggests that A-Shi point acupuncture is effective for reducing post-stroke hand edema, although further study would be necessary.

키워드

참고문헌

  1. Li N, Tian F, Wang C et al. Theraputic effect of acupuncture and massage for shoulder-hand syndrome in hemiplegia patients: a clinical two-center randomized controlled trial. Journal of Traditional Chinese Medicine. 2012 ; 32(3) : 343-9. https://doi.org/10.1016/S0254-6272(13)60035-7
  2. Boomkamp-Koppen HG, Visser-Meily JM, Post MW, Prevo AJ. Poststroke hand swelling and oedema: prevalence and relationship with impairment and disability. Clinical Rehabilitation. 2005 ; 19(5) : 552-9. https://doi.org/10.1191/0269215505cr846oa
  3. Leibovitz A, Baumoehl Y, Roginsky Y, Glick Z, Habot B, Segal R. Edema of the paretic hand in eldery post-stroke nursing patients. Archives of Gerontology and Geriatrics. 2007 ; 44(1) : 37-42. https://doi.org/10.1016/j.archger.2006.02.005
  4. Lee RM, Lee SH, Nam SS, Kim YS. Effect of moving cupping therapy on the post-stroke hand edema: single subject design. The Journal of Korean Acupuncture & Moxibustion Society. 2008 ; 25(3) : 1-17.
  5. Lee HM, Jun HJ, Hwang U, Nam SS, Kim YS. Effets of moving cupping therapy on the edematous hands of three patients with flaccid hemiplegia. The Journal of Korean Acupuncture & Moxibustion Society. 2002 ; 19(2) : 231-7.
  6. Cassileth BR, Van Zee KJ, Chan Y et al. A safety and efficacy pilot study of acupuncture for the treatment of chronic lyphoedema. Acupuncture in Medicine. 2011 ; 29(3) : 170-2. https://doi.org/10.1136/aim.2011.004069
  7. Waylett J, Seibly D. A study of the accuracy of a commercially available volumeter. Journal of Hand Therapy. 1991 ; 4(1) : 10-13. https://doi.org/10.1016/S0894-1130(12)80210-9
  8. Hong JM, Kang MK, Kim JD et al. Recent epidemiologic trends on stroke patients admitted to department of acupuncture & moxibustion, oriental medical hospital, kyung hee university. The Journal of Korean Acupuncture & Moxibustion Society. 2004 ; 21(4) : 19-29.
  9. Exton-Smith AN, Crockett DJ. Nature of oedema in paralysed limbs of hemiplegic patients. British Medical Journal. 1957 ; 2(5056) : 1280-3. https://doi.org/10.1136/bmj.2.5056.1280
  10. Cho KH, Kim BO, Byun JH, Bang DY. A study on the effect of the treatments for the edematous hand in hemiplegic patients. Annals of Rehabilitation Medicine. 1993 ; 17(4) : 499-506.
  11. Moon JY, Lim JK. Inhibitory effects of bupleuri radix auqa-acupuncture solution on carrageenin induced edema and allergic responses. The Journal of Korean Acupuncture & Moxibustion Society. 1999 ; 16(3) : 245-53.
  12. Do WS, Jang JH, Kim KH, Yun JW, Kim KS. Effect of apitoxin therapy on the inflammatory edema at knee joint in rats. The Journal of Korean Acupuncture & Moxibustion Society. 1995 ; 12(1) : 211-20.
  13. Lee JH, Park HK, Im JG. Study of the effects of moxibustion at the Sin Soo and We Soo on HgCl2-induced acute renal failure in rats. The Journal of Korean Acupuncture & Moxibustion Society. 1992 ; 9(1) : 179-92.
  14. Li X, Liu J, Li S, Wang YC, Zhou P. Examination of hand muscle activation and motor unit indices derived from surface EMG in chronic stroke. IEEE Trans Biomed Eng. Published online(25 June 2014).
  15. Yoon KB, Cho MLN, Jung H. The clinical study on the efficiency of the A-Shi point. The Journal of Korean Acupuncture & Moxibustion Society. 2001 ; 18(1) : 226-36.