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1.
目的:研究腰椎间盘退变对坐位腰椎定点旋转手法治疗腰椎间盘突出症疗效的影响。方法:应用L3-5正常模型、轻度退变模型与中度退变模型模拟坐位腰椎定点旋转手法,假定椎间盘突出发生于L4椎间盘左后方,行右侧手法操作。分析3个模型中L4椎间盘左后方的应力与位移。结果:手法作用下,L4椎间盘左后方发生向前的应力与位移,退变模型的应力与位移值小于正常模型,最小值见于中度退变模型;自正常模型至轻度与中度退变模型,位移值分别降低36%和59%,应力值降低22.3%和45.2%。结论:腰椎退变影响坐位腰椎定点旋转手法治疗腰椎间盘突出症的疗效,退变越重影响越大。 相似文献
2.
Clinical observation on oblique Ban-pulling tuina manipulation plus acupuncture for cervical vertigo
Objective
To explore the clinical efficacy of rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture in treating cervical vertigo (CV).Methods
Seventy-three CV patients were divided into two groups by block randomization, 50 cases in each group. The observation group was intervened by rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture, while the control group was by the same acupuncture treatment alone. The tuina treatment was given once every other day and the acupuncture treatment was given once every day. The symptom score was observed before and after 20-day treatment, and the therapeutic efficacies were compared between the two groups.Results
During the intervention, 14 subjects in the observation group and 13 subjects in the control group dropped out. Finally, 36 cases in the observation group and 37 cases in the control group were involved into the data analysis. After 20-day treatment, the symptom scores were significantly increased in both groups (P<0.05), and the symptom score in the observation group was significantly higher than that in the control group (P<0.05). The total effective rate was 91.7% in the observation group versus 83.8% in the control group, and the difference was statistically insignificant (P>0.05). The recovery and markedly effective rate was 69.4% in the observation group versus 32.4% in the control group, and the difference was statistically significant (P<0.05).Conclusion
Rotating-lifting oblique Ban-pulling tuina manipulation plus acupuncture can significantly improve the clinical symptoms of CV patients, and its clinical efficacy is superior to that of acupuncture alone.3.
Objective
To observe the effect of electroacupuncture (EA) at Huantiao (GB 30) and Weizhong (BL 40) on thigmesthesia, gait function, and expression levels of serum immunoglobulin G (IgG) and immunoglobulin M (IgM) in rabbits with lumbar intervertebral disc herniation (LIDH).Methods
Forty healthy New Zealand rabbits were randomly divided into a blank control group, a model group, an EA at acupoint group and an EA at non-acupoint group, with 10 rabbits in each group. The LIDH pathological model of rabbit was established using the self-made LIDH model maker. The thigmesthesia and gait function of rabbits were recorded by Siegal method. The serum IgG and IgM expression levels were detected by enzyme-linked immunosorbent assay.Results
EA at Huantiao (GB 30) and Weizhong (BL 40) could improve the clinical symptoms of thigmesthesia and gait function, and inhibit the expressions of serum IgG and IgM in the LIDH rabbits, which were significantly different compared with those in the model group and EA at non-acupoint group.Conclusion
EA at Huantiao (GB 30) and Weizhong (BL 40) can improve the clinical symptoms of LIDH rabbits, which is associated with inhibition of the serum IgG and IgM expressions and reduction of the immunoinflammatory factor release. This may be one of the mechanisms of EA at Huantiao (GB 30) and Weizhong (BL 40) in the treatment of LIDH.4.
Objective
To evaluate the clinical efficacy of tendon-regulating manipulation plus kinesiotherapy in treating low back pain.Methods
Sixty patients were randomized into a treatment group and a control group by using the random number table, 30 cases in each group. The treatment group was intervened by tendon-regulating manipulation plus kinesiotherapy, while the control group was by the tendon-regulating manipulation alone. The lumbar lordosis was measured by X-ray (side view), the pain was evaluated by analgesy meter, the lumbar range of motion was by using goniometer, and the function was judged by Oswestry disability index (ODI) before and after treatment, and the therapeutic efficacy was also observed.Results
After treatment, the pain level was significantly reduced, lumbar lordosis was significantly increased, the lumbar range of motion was markedly improved, and the ODI score significantly dropped (all P<0.05) in both groups; the improvement of each item in the treatment group was more significant than that in the control group (all P<0.05). The total effective rate was 90.0% in the treatment group versus 63.3% in the control group, and the difference was statistically significant (P<0.05).Conclusion
In the treatment of low back pain, tendon-regulating manipulation plus kinesiotherapy can mitigate topical pain, improve the motion of low back, enhance the quality of life, and produce a more significant therapeutic efficacy compared to tendon-regulating manipulation alone.5.
Objective
To observe the clinical effects of aligned needling therapy for lumbar intervertebral disc herniation (LIDH).Methods
A total of 80 cases with LIDH in conformity with the inclusion criteria were randomly divided into a treatment group or a control group by their visit order, 40 cases in each group. The points from the Governor Vessel, L1-L5 Jiaji (EX-B 2) points, from the first lateral line of the Bladder Meridian, Huantiao (GB 30), Weizhong (BL 40) and Yanglingquan (GB 34) were selected for acupuncture in the treatment group. Shenshu (BL 23), Dachangshu (BL 25), Ashi (Extra) points and Weizhong (BL 40) were used for routine acupuncture in the control group. The clinical effects of the two groups after 2-course treatments and recurrence rates three months later were observed. The pain severity before and after treatments was assessed by visual analog scale (VAS). The improvement of the patient’s pathological situation was evaluated by the performance assessment of lumbar disease treatment from Japanese Orthopedic Association (JOA).Results
After the treatment for two courses, there was no dropped-out case in the two groups. The curative rates and total effective rates were respectively 32.5% and 92.5% in the treatment group versus respectively 12.5% and 82.5% in the control group. The differences in the curative rates and total effective rates between the two groups were statistically significant (both P<0.01). After the treatment, VAS and JOA scores remarkably declined in the patients of the two groups, with statistical differences in comparison with those of the same group before treatment (both P<0.05). In follow-up check of three months, the recurrence rate was 10.7% in the cured and remarkably effective cases in the treatment group and was 29.4% in the control group. The recurrence rates of the two groups were statistically different (P<0.05).Conclusion
The aligned needling technique is remarkable in the clinical effects, obvious in the analgesic effects and low in the recurrence rate in the treatment of LIDH.6.
Objective
To observe the clinical efficacy of warm needling therapy for chronic lumbar strain.Methods
A total of 60 patients with chronic lumbar strain who met the inclusion criteria were randomized into a treatment group and a control group by the random number table, with 30 cases in each group. The treatment group was treated with warm needling therapy, while the control group was treated with ordinary acupuncture treatment. The treatments were both performed once every other day, and 7 times constituted a course of treatment. Visual analog scale (VAS) score was used to assess the degree of pain and the clinical efficacy was compared between the two groups.Results
The total effective rate of the treatment group was higher than that of the control group (P<0.05). There was no significant difference in VAS score between the two groups before treatment (P>0.05). After treatment, the VAS scores of both groups decreased significantly, and the intra-group differences were statistically significant (both P<0.05). The VAS score of the treatment group after treatment was statistically different from that in the control group (P<0.05).Conclusion
Warm needling therapy has a better curative effect than ordinary acupuncture in the treatment of chronic lumbar strain.7.
Objective
To explore the clinical efficacy of sinew-regulating and bone-setting manipulation combined with functional exercise to treat mild to moderate rotator cuff injury (RCI).Methods
Forty patients with mild to moderate RCI were randomly divided into a treatment group and a control group, with 20 cases in each group. The treatment group was given sinew-regulating and bone-setting manipulation combined with functional exercise, and the control group was given the same manipulation as the treatment group. The therapeutic effect on the functional improvement was assessed after treatment according to pain threshold, shoulder range of motion (ROM) including flexion, abduction, internal rotation and external rotation, and the University of California at Los Angeles (UCLA) shoulder rating score.Results
Compared with the same group before treatment, the pain threshold, shoulder flexion, abduction, internal and external rotations increased after the treatment in the two groups (all P<0.05). The UCLA shoulder rating score increased (both P<0.05). The improvement in the treatment group is significantly better than that in the control group with a statistical significance (P<0.05). The total effective rate was 95.0% in the treatment group, was higher than 65.0% in the control group (P<0.05).Conclusion
The sinew-regulating and bone-setting manipulation combined with functional exercise relieve the pain of patients with mild to moderate RCI, increase the motion of shoulder joints, and improve the quality of life of patients. The curative effect is better than the treatment of simple sinew-regulating and bone-setting manipulation.8.
Objective
To observe the influence of Nie-pinching the spine manipulation on the excretory rate of urine D-xylose in the infants with diarrhea due to spleen deficiency, and to assess the clinical effects.Methods
Sixty infants in conformity with the diagnostic criteria of diarrhea due to spleen deficiency were randomly divided into a treatment group and a control group by the random digital table, 30 cases in each group. The infants in the treatment group were treated by Nie-pinching the spine manipulation and traditional infantile tuina, in addition to the routine basic treatment. The infants in the control group were treated by the same traditional infantile tuina in addition to the routine basic treatment. The infants in the two groups were treated once every day, 4 weeks as a course. Totally, the treatment was given for a course. The symptom integrals of spleen deficiency were used to assess the improvement in the symptoms. The colorimetry was used to determine the excretory rate of urine D-xylose.Results
In the comparison of the same group before and after the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose in the two groups were statistically significant (all P<0.01). After the treatment, the differences in the global score of spleen deficiency symptoms and the excretory rate of urine D-xylose between the two groups were all statistically significant (both P<0.01).Conclusion
Chiropractics can reduce the integrals of spleen deficiency symptoms and elevate the excretory rate of urine D-xylose in the infants with diarrhea due to spleen deficiency, so as to enhance the therapeutic effects by alleviating the symptoms of spleen deficiency and the absorptive function of the small intestine.9.
Objective
To observe the clinical efficacy of buccal acupuncture plus exercise therapy in treating scapulohumeral periarthritis (SP).Methods
Sixty-three SP patients were intervened by buccal acupuncture plus exercise therapy. The treatment was given once every day, 5 sessions as a course, with a 2-3 d interval between two courses. The therapeutic efficacy was observed after 3 courses of treatment.Results
Thirty-five patients were recovered, 23 cases were improved, while 5 cases showed ineffective, and the total effective rate was 92.1%.Conclusion
Buccal acupuncture plus exercise therapy can produce a significant efficacy in treating SP, and thus is worth promotion in clinic.10.
Objective
To observe the clinical effect of acupuncture plus moving cupping with white mustard oil to treat lumbar myofascitis.Methods
A total of 90 patients with lumbar myofascitis who met the inclusion criteria were randomly divided into an observation group and a control group, 45 cases in each group. The observation group received acupuncture and moving cupping with white mustard oil; the control group received acupuncture plus warm needling treatment. The treatment was given twice a week for a total of 4 weeks. The visual analog scale (VAS) and Chinese version of Roland-Morris disability questionnaire (RMDQ) score of pain before the treatment, and respectively after 1-week and 4-week treatment were recorded for efficacy evaluation.Results
After 4 weeks of treatment, the difference in total effective rate between the two groups was not significantly (P>0.05). After 1 week of treatment, there was no significant difference in VAS score between the two groups (P>0.05). After 4 weeks of treatment, the VAS score of the observation group was lower than that of the control group, and there was a significant difference between the two groups (P<0.05). After 4 weeks of treatment, the Chinese version of RMDQ scores of both groups were significantly decreased, there were statistical differences in comparing with those before treatment (both P<0.05). After treatment for 1 week and 4 weeks, the Chinese version of RMDQ score in the observation group was lower than that in the control group, with significant differences between the two groups (all P<0.05).Conclusion
Acupuncture plus moving cupping and acupuncture plus warm needling both can relieve the pain of patients with lumbar myofascitis, improve the function of back muscles, while the curative effect of acupuncture plus moving cupping is better.11.
Objective
To observe the clinical effects of acupuncture at Jiaji (EX-B 2) points plus tuina manipulation for thoracic facet joint disorder, and get new clinical evidence for treatment of thoracic facet joint disorder.Methods
Totally 106 patients with thoracic facet joint disorder were randomly allocated into an observation group and a control group based on the random number table. Patients in the control group were treated by tuina manipulation, while those in the observation group were treated by acupuncture at Jiaji (EX-B 2) points before tuina manipulation. Patients in the two groups were treated once a day. The improvements of signs and symptoms and the efficacy were observed after 3 treatments.Results
After treatment, there were intra-group statistical differences in scores of 8 signs and symptoms in both groups (P<0.01); the score of each item in the observation group was lower than that in the control group, and there was statistical significance in the inter-group difference (P<0.05). The cure rate of the observation group was 50.9%, versus 26.4% in the control group, and there was a significant difference between the two groups (P<0.05).Conclusion
In treating thoracic facet joint disorder, acupuncture plus tuina manipulation can restore the biomechanical balance of thoracic vertebrae, fully maximized the combined effect, and significantly improve the clinical efficacy.12.
Objective
To investigate the clinical efficacy of Zhang’s acupoint pressure therapy plus electroacupuncture (EA) in treating post-traumatic knee osteoarthritis.Methods
A total of 98 eligible patients with post-traumatic knee osteoarthritis were divided into group A and B by the random number table, 49 cases in each group. Group A was intervened by Zhang’s acupoint pressure therapy plus EA; group B was given medicinal fumigation. The clinical efficacies of the two groups were compared.Results
The markedly effective rate of group A was significantly higher than that of group B.Conclusion
Zhang’s acupoint pressure therapy plus EA can produce a satisfactory clinical efficacy in treating post-traumatic knee osteoarthritis, and is worth promotion.13.
Objective
To observe the clinical efficacy of warm needling moxibustion plus functional exercises in treating knee osteoarthritis (KOA).Methods
Totally 108 eligible KOA patients were intervened by warm needling moxibustion plus functional exercises. The warm needling moxibustion was given 3 times a week, successively for 4 weeks. The visual analogue scale (VAS) was adopted to evaluate the pain intensity of the knee joint. After 4-week treatment, the change of VAS score, range of motion (ROM) of knee, and Lysholm score were observed, and the clinical efficacy was also estimated.Results
After treatment, the VAS score dropped obviously, and the ROM and Lysholm score increased markedly; the total effective rate was 83.3%.Conclusion
Warm needling moxibustion plus functional exercises is effective in treating KOA, as it can relieve the knee joint pain and improve the joint motion.14.
Objective
To observe the influence of pressing force and time on the thermal effect of An-pressing manipulation.Methods
Eight healthy volunteers were recruited to receive An-pressing manipulation at Xinshu (BL 15) on the right side. The pressing force and time were both divided into five levels: the force described as extremely mild, mild, moderate, strong and extremely strong and time given by 2.5 min, 5.0 min, 7.5 min, 10.0 min and 15.0 min. The real-time change in local acupoint temperature as well as the change during 1.0-15.0 min after the manipulation were observed.Results
Compared with the baseline data, the real-time changes in the temperature after An-pressing Xinshu (BL 15) on the right side with different levels of force (from mild to strong) were respectively (1.88±0.64) °C, (2.05±0.68) °C, (2.25±0.59) °C, (2.35±0.61) °C and (2.32±0.69) °C; the changes in 15.0 min after the manipulation were respectively (–0.11±0.11) °C, (0.03±0.14) °C, (0.59±0.58) °C, (1.38±0.70) °C and (2.09±0.98) °C. The real-time temperature changes after the manipulation for different durations (from short to long) were respectively (1.94±0.37) °C, (2.33±0.29) °C, (2.49±0.31) °C, (2.51±0.39) °C and (2.41±0.55) °C; the changes in 15.0 min after the manipulation were respectively (0.53±0.49) °C, (0.33±0.30) °C, (0.52±0.33) °C, (0.55±0.38) °C and (0.76±0.36) °C.Conclusion
The thermal effect presented an increasing tendency with the extension of pressing time, and the temperature reached the top at 7.5 min; the thermal effect showed an increasing tendency with the rise of pressing force, and the temperature reached the top upon a moderate level of force. The pressing time can produce a greater influence on the real-time temperature than the pressing force; the pressing force can produce a greater influence on maintaining the temperature than the pressing time.15.
柳晓霞 《针灸推拿医学(英文版)》2016,14(5):353-356
Objective
To investigate the clinical efficacy of combining auricular and routine acupuncture for peripheral facial paralysis in acute stage.Methods
A total of 60 eligible cases were randomly allocated into a treatment group (n=30) and a control group (n=30). Cases in treatment group received auricular and routine acupuncture, whereas cases in the control group received routine acupuncture alone. Both groups were treated for 10 d.Results
The recovery rate was 73.3% in the treatment group and 53.3% in the control group, showing a statistical difference (P<0.05).Conclusion
Combining auricular and routine acupuncture is effective for peripheral facial paralysis in acute stage and has a better effect than routine acupuncture.16.
Objective
To observe the clinical efficacy of acupuncture plus turtle-shell-partitioned moxibustion in treating diarrheapredominant irritable bowel syndrome (IBS-D).Methods
Seventy-six patients were randomized into two groups: 39 cases in the observation group were intervened by acupuncture plus turtle-shell-partitioned moxibustion, while 37 cases in the control group by the same acupuncture treatment, once a day, 10 d as a treatment course, for 2 courses in total. The improvements of symptoms were observed at the end of the intervention in both groups.Results
The total effective rate was 89.7% in the observation group versus 67.6% in the control group, and the difference was statistically significant (P<0.05).Conclusion
Acupuncture plus turtle-shell-partitioned moxibustion can significantly improve the symptoms of IBS-D, and can produce a more significant efficacy than acupuncture alone.17.
Objective
To evaluate the effectiveness of abdominal acupuncture plus the Confluent Points of the Eight Extraordinary Meridian in treating chronic pharyngitis.Methods
Thirty eligible subjects with chronic pharyngitis were given abdominal acupuncture plus needling Lieque (LU 7) and Zhaohai (KI 6), two out of the Confluent Points of the Eight Extraordinary Meridian, once a day, 10 sessions as a course, and the therapeutic efficacy was evaluated after a treatment course.Results
After a treatment course, of the 30 subjects, 21 were recovered, 5 showed markedly effective, 2 were improved, and 2 failed, the total effective rate was 93.3%.Conclusion
Abdominal acupuncture plus the Confluent Points of the Eight Extraordinary Meridian is effective in treating chronic pharyngitis, worth promoting in clinic.18.
目的：观察穴位按摩配合艾灸治疗顽固性失眠的临床疗效。方法：将60例顽固性失眠患者随机分为两组,每组30例。治疗组予头面部穴位按摩及艾灸涌泉穴治疗,对照组予与治疗组相同的头面部穴位按摩治疗。两组均每日治疗1次,治疗4星期后进行疗效观察。结果：治疗组总有效率为93.3%,对照组总有效率为80.0%,两组总有效率差异有统计学意义(P＜0.05)。结论：穴位按摩配合艾灸治疗顽固性失眠优于单纯穴位按摩治疗。 相似文献
19.
Objective
To observe the clinical efficacy of the three-step modified shoulder joint mobilization in treating scapulohumeral periarthritis (SP).Methods
Totally 80 subjects were recruited and divided into a treatment group and a control group by using the random number table, 40 in each group. The treatment group was intervened by the three-step modified shoulder joint mobilization; the control group was by oral administration of Celebrex. After successive 4-week treatment, the improvement of shoulder pain and motor function was observed.Results
The total effective rate was 87.5% in the treatment group versus 80.0% in the control group, and the difference was statistically significant (P<0.05).Conclusion
The three-step modified shoulder joint mobilization is easy-to-operate and effective in treating SP.20.