Acupoint electrogymnastics therapy in stroke hemiplegia

BACKGROUND： Electrogymnastics can offer a range of proprioceptive, motor, and cutaneous sensation impulses to the central nerve system. The center receives perception of the paralyzed muscle through the aid of these impulses. During this process, functional reorganization of connecting network between segment and intersegment takes place. OBJECTIVE： To observe the therapeutic efficacy of acupoint electrogymnastics and traditional electroacupuncture on stroke hemiplegia. DESIGN, TIME AND SETTING： A multicenter, randomized, controlled, blinded, clinical study was performed at the College of Acu-moxibustion and Massage in Shanghai University of Traditional Chinese Medicine from May 2004 to September 2006. PARTICIPANTS： A total of 153 patients suffering from stroke hemiplegia, comprising 83 males and 70 females, aged 63-70 years, were admitted to outpatient and inpatient at LongHua Hospital Affiliated Shanghai University of Traditional Chinese medicine, Putuo District Traditional Chinese Medicine Hospital and Changqiao Street Community Health Service Center of Shanghai. METHODS： The patients were randomly divided into treatment （n = 77） and control （n = 76） groups. They were treated with acupoint electrogymnastics and traditional electroacupuncture, respectively. In the treatment group, two pairs of positive and negative JD-2008 type electrodes from a hemiplegia treatment apparatus were directly pasted on the Shousanli （LI 10） and Waiguan （SJ5） acupoints of the upper limb, as well as the Zusanli （S36） and Yanglingquan （GB34） acupoints of the lower limb, respectively. In the control group, needles were consecutively inserted into the above acupoints. Using the method of lifting-inserting and twisting-rotating, the needle was manipulated with small amplitude of 5-7 mm and a fast frequency of 80-120 times/min when the needle was inserted to a suitable depth. When the sensation of needling was attained, the two pairs of positive and negative electrodes of type G6805-Ⅱelectro-acupunctur     

神经肌肉电刺激联合肌电生物反馈治疗产后压力性尿失禁的疗效分析

目的：了解神经肌肉电刺激联合肌电生物反馈治疗对产后妇女压力性尿失禁的临床疗效。方法：2012年1月至2013年3月在我科就诊的产后压力性尿失禁患者168例,其中90例接受了神经肌肉电刺激联合肌电生物反馈治疗,设为治疗组,78例予盆底肌肉锻炼又称为Kegel运动,设为锻炼组。结果：治疗组及锻炼组盆底肌力均有所改善,但治疗组肌力改善情况明显优于锻炼组（P=0.01）;治疗组与锻炼组对产后压力性尿失禁的疗效有差异（P=0.000）,治疗组疗效优于锻炼组。结论：神经肌肉电刺激联合肌电生物反馈盆底肌训练是一种安全、有效的治疗女性产后压力性尿失禁的方法。