Using acupoint-to-acupoint penetrative needling to treat poststroke spastic paralysis:a clinical progress review  

作　　者：Xiafei Liu Chunling Bao Guirong Dong 

机构地区：[1]Acupuncture Department,Shanghai Yueyang Integrated Medicine Hospital affiliated to Shanghai University of Traditional Chinese Medicine

出　　处：《Journal of Traditional Chinese Medicine》2014年第5期609-615,共7页中医杂志（英文版）

基　　金：Supported by Shanghai Prominent Traditional Chinese Medicine Doctors'Academic Experience Research(No.ZYSNXD-CC-MZY005)

摘　　要：OBJECTIVE: To determine the characteristics and advantages of acupoint-to-acupoint penetrative needling(AAPN) treatment for post-stroke spastic paralysis(PSSP) to improve the clinical outcomes of this disease in the future.METHODS: Randomized, controlled trials of PSSP patients receiving AAPN treatment were searched from MEDLINE, EMBASE, and China National Knowledge Infrastructure Database between January 2006 and June 2013. Key words included: clinic or clinical, acupuncture, needling, acupoint-to-acupoint, penetrative or penetration or penetrating,stroke or apoplexy or cerebral infarction or cerebral hemorrhage, spastic paralysis or spasticity or palsy,and hypermyotonia. Language was limited to English and Chinese. Case series reports, review articles, and animal studies were excluded.RESULTS: AAPN showed better clinical results on PSSP than other acupuncture treatments, especially when combined with adjunct therapies such as electroacupuncture, bloodletting, and rehabilitation. The greatest benefit was achieved with rehabilitation combined with penetration from Yang-channel acupoints to Yin-channel acupoints in the upper limbs, and from Yin-channel acupoints to Yang-channel acupoints in the lower limbs with a reinforcing maneuver.CONCLUSION: AAPN is an effective treatment for PSSP, and it can accelerate and enhance functional repair of PSSP patients.OBJECTIVE： To determine the characteristics and advantages of acupoint-to-acupoint penetrative needling（AAPN） treatment for post-stroke spastic paralysis（PSSP） to improve the clinical outcomes of this disease in the future.METHODS： Randomized, controlled trials of PSSP patients receiving AAPN treatment were searched from MEDLINE, EMBASE, and China National Knowledge Infrastructure Database between January 2006 and June 2013. Key words included： clinic or clinical, acupuncture, needling, acupoint-to-acupoint, penetrative or penetration or penetrating,stroke or apoplexy or cerebral infarction or cerebral hemorrhage, spastic paralysis or spasticity or palsy,and hypermyotonia. Language was limited to English and Chinese. Case series reports, review articles, and animal studies were excluded.RESULTS： AAPN showed better clinical results on PSSP than other acupuncture treatments, especially when combined with adjunct therapies such as electroacupuncture, bloodletting, and rehabilitation. The greatest benefit was achieved with rehabilitation combined with penetration from Yang-channel acupoints to Yin-channel acupoints in the upper limbs, and from Yin-channel acupoints to Yang-channel acupoints in the lower limbs with a reinforcing maneuver.CONCLUSION： AAPN is an effective treatment for PSSP, and it can accelerate and enhance functional repair of PSSP patients.

关 键 词：Stroke QUADRIPLEGIA Muscle hyperto-nia NEEDLES ELECTROACUPUNCTURE REVIEW 

分 类 号：R246.6[医药卫生—针灸推拿学]