Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalg...Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalgia （PO）. Methods Fifty-six cases of PO were randomized into an acupuncture-moxibustion group （30 cases） and a rehabilitation group （26 cases）. In the acupuncture-moxibustion group, the mild moxibustion with moxa stick was applied to Guānyuán （关元 CV 4）, Qìhǎi （气海 CV 6） and Zúsānlǐ （足三里 ST 36） and acupuncture was applied to Jiānzhēn （肩贞 SI 9）, Nàoshū （臑俞 SI 10）, Qūchí （曲池 LI 11）, etc. In the rehabilitation group, the conventional rehabilitation therapy was provided, including massaging local tissues, anti-cramping activity, etc. In both groups, the treatment was given once per day, 15 treatments made one session and two sessions were required totally. The visual analogue scale （VAS）, Fugl-Meyer assessment （FMA） and clinical neurologic impairment scale were adopted as the observation indicators for the evaluation of the analgesic effect and functional effect before and 30 days after treatment separately. Results The total analgesic effective rate was 100.0% （30/30） in the acupuncture-moxibustion group and was 96.2% （25/26） in the rehabilitation group, without presenting the statistical significant difference between two groups （P0.05）. VAS scores were all reduced significantly after treatment in both groups as compared with those before treatment （all P0.01）, but the comparison of the D-values before and after treatment did not reach the statistical significance between two groups （P0.05）. The scores of FMA and the clinical neurologic impairment scale were all improved significantly after treatment in both groups （all P0.01）. The improvements in the acupuncture-moxibustion group were superior to the rehabilitation group （all P0.01）. Conclusion Both therapies can achieve the analgesic effect on 展开更多
Prophylactic and rehabilitative ankle training programs rarely incorporate ankle eversion exercises of the weight bearing leg during one-legged stand. Such training may be necessary for the optimal PL function and dyn...Prophylactic and rehabilitative ankle training programs rarely incorporate ankle eversion exercises of the weight bearing leg during one-legged stand. Such training may be necessary for the optimal PL function and dynamic ankle control. In this study, we compared a PL exercise that involved eversion of the inverted ankle of a weight bearing leg against the heel lift (HL), a popular PL strengthening exercise. The PL activation patterns were studied in 20 university students (7 male and 13 female). The self-reported dominant legs of the subjects were tested in this study. After recording the surface electromyographic (EMG) activity level of their PL maximal voluntary isometric contractions (MVIC), the subjects performed HL, and ankle eversions of the weight bearing ankle during one-legged stand. Ankle eversions were initiated from two inverted ankle positions, 20 degree inversion (EV1) and 25 degree inversion (EV2). The ankle position and the PL muscle activity were recorded with an accelerometer affixed to the dorsum of the foot and a surface EMG electrode over PL respectively. The ranges of motion for HL, EV1, and EV2 were 25, 29, and 31 degrees respectively. Expressed as percentage of MVIC, the average normalized EMG linear envelopes for EV1 (73%) and EV2 (74%) were significantly greater than HL (64%). These results demonstrated that eversions of the inverted ankle of the weight bearing leg elicited stronger PL activation that may result in better lateral ankle strength and dynamic control. Incorporation of weight bearing ankle eversions may enhance effectiveness of PL exercise and balance.展开更多
文摘Objective To compare the efficacy difference between the acupuncture-moxibustion therapy for tonifying the primary and strengthening the shoulder and the rehabilitation therapy in the treatment of posthemiplegic omalgia （PO）. Methods Fifty-six cases of PO were randomized into an acupuncture-moxibustion group （30 cases） and a rehabilitation group （26 cases）. In the acupuncture-moxibustion group, the mild moxibustion with moxa stick was applied to Guānyuán （关元 CV 4）, Qìhǎi （气海 CV 6） and Zúsānlǐ （足三里 ST 36） and acupuncture was applied to Jiānzhēn （肩贞 SI 9）, Nàoshū （臑俞 SI 10）, Qūchí （曲池 LI 11）, etc. In the rehabilitation group, the conventional rehabilitation therapy was provided, including massaging local tissues, anti-cramping activity, etc. In both groups, the treatment was given once per day, 15 treatments made one session and two sessions were required totally. The visual analogue scale （VAS）, Fugl-Meyer assessment （FMA） and clinical neurologic impairment scale were adopted as the observation indicators for the evaluation of the analgesic effect and functional effect before and 30 days after treatment separately. Results The total analgesic effective rate was 100.0% （30/30） in the acupuncture-moxibustion group and was 96.2% （25/26） in the rehabilitation group, without presenting the statistical significant difference between two groups （P0.05）. VAS scores were all reduced significantly after treatment in both groups as compared with those before treatment （all P0.01）, but the comparison of the D-values before and after treatment did not reach the statistical significance between two groups （P0.05）. The scores of FMA and the clinical neurologic impairment scale were all improved significantly after treatment in both groups （all P0.01）. The improvements in the acupuncture-moxibustion group were superior to the rehabilitation group （all P0.01）. Conclusion Both therapies can achieve the analgesic effect on
文摘Prophylactic and rehabilitative ankle training programs rarely incorporate ankle eversion exercises of the weight bearing leg during one-legged stand. Such training may be necessary for the optimal PL function and dynamic ankle control. In this study, we compared a PL exercise that involved eversion of the inverted ankle of a weight bearing leg against the heel lift (HL), a popular PL strengthening exercise. The PL activation patterns were studied in 20 university students (7 male and 13 female). The self-reported dominant legs of the subjects were tested in this study. After recording the surface electromyographic (EMG) activity level of their PL maximal voluntary isometric contractions (MVIC), the subjects performed HL, and ankle eversions of the weight bearing ankle during one-legged stand. Ankle eversions were initiated from two inverted ankle positions, 20 degree inversion (EV1) and 25 degree inversion (EV2). The ankle position and the PL muscle activity were recorded with an accelerometer affixed to the dorsum of the foot and a surface EMG electrode over PL respectively. The ranges of motion for HL, EV1, and EV2 were 25, 29, and 31 degrees respectively. Expressed as percentage of MVIC, the average normalized EMG linear envelopes for EV1 (73%) and EV2 (74%) were significantly greater than HL (64%). These results demonstrated that eversions of the inverted ankle of the weight bearing leg elicited stronger PL activation that may result in better lateral ankle strength and dynamic control. Incorporation of weight bearing ankle eversions may enhance effectiveness of PL exercise and balance.
