| 뇌졸중 환자의 상지 경직에 대한 전침의 치료 효과 |
| 이선우1,2, 윤종민1,2, 손지우1, 강백규1,2, 박상무1, 윤효진1, 김대중3, 김태진4, 이인1, 신용일4, 문병순1,2 |
1원광대학교 한의과대학 내과학교실
2원광대학교 한의학전문대학원 제3의학과
3원광대학교 부속한방병원 침구과
4원광대학교 의과대학 재활의학교실 및 의과학연구소 |
| The Effect of Electroacupuncture on Upper-Extremity Spasticity of Stroke Patients. |
| Sun-woo Lee1,2, Jong-min Yun1,2, Ji-woo Son1, Baek-gyu Kang1,2, Sang-moo Park1, Hyo-jin Yun1, Dae-joong Kim3, Tae-jin Kim4, In Lee1, Yong-il Shin4, Byung-soon Moon1,2 |
1Dept. of Internal Medicine, School of Oriental Medicine, Wonkwang University
2Dept. of Third Medicine, Professional Graduate School of Oriental Medicine, Wonkwang University
3Dept. of Acupuncture and Moxibustion, Oriental Medical hospital, Wonkwang University
4Dept. of Rehabilitation Medicine and Institute of Wonkwang Medical Science, Wonkwang University School of Medicine |
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Published online: September 30, 2007. |
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| 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'ŏ̬̼̬̆̂ch'ŏn (PC2), Naegwan (PC6) and Ch'ŏkt'aek(LU5) of the affected limb. H-reflex/ M-response ratio(H/M 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 electroacupuncture 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. |
| Key words:
Stroke, Spasticity, Electroacupuncture, Modified Ashworth Scale, H/M ratio, Fugl-Meyer Motor Function Assesment. |
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