Medline Abstracts on AP in Stroke / Hemiplegia

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Hi Kevin, Richard, & All,

 

See Medline Abstracts on AP in Stroke / hemiplegia, below.

 

Pts used included: " Feng " acupoints (are these “Wind” Pts, or empirical

Pts found by Dr Feng?; BL07 (Tongtian) & anterior Z_01 (Shencong one

of the Z_01 (Sishencong) “4 Intelligence” Pts) to GB06 (Xuanli); BL54

(Zhibian); cervical sympathetic nerve trunk; Cranial AP Pts

(craniopuncture, scalp AP Pts); GB04 (Hanyan); GB05 (Xuanlu); GB06

(Xuanli); GB07 (Qubin); GB39 (Xuanzhong); GV15 (Yamen); GV20

(Baihui); GV26 (Renzhong, Shuigou); HT07 (Shenmen); LI04 (Hegu);

LI11 (Quchi); needling both the local & opposite Pts; needling the Polar

Pts; needling the Pts selected by the yin-yang principle; needling the

upper Pts with the lower Pts needled as supplementary; Polar Pts [what

/ where are these Pts?]; Pts in spinal segments C1-7, T1-9 & L2-4; Pts

on anterior & posterior oblique lines of vertex-temple + line 1 & line 2

lateral to vertex; Pts on superior-spasm side (SSS) + inferior-spasm

side (ISS); same-name Channel Pt selection; Shengen [cannot find a

location for this Pt on Google; do you know where it is?]; Shentong

[same as Sishencong; One of 4 Pts anterior, posteror and lateral to

GV20; see

http://www.cintcm.com/lanmu/zhenjiu_jingluo/zhenjiu_qixue/qixue_sishe

ncong.htm ]; ST09 (Renying, on carotid sympathetic plexus); temporal-

point AP; upper and lower Pts; X_35 (Huatuojiaji Pts); Yansixue Pts

(“Throat 4 Pts”, 4 points around laryngeal prominence)

 

AP methods included: manual needling, electro-AP (EAP), Juci

(contralateral healthy-side needling) versus Tansi (ipsilateral

affected/paralysed-side needling) [both methods are useful]; nourishing

KI & regulating GV Channel; penetrating puncture with long needles;

Though puncturing paralytic side; through-to-through Chou-Tian

technique; Pt injection, Pt-through-Pt AP; body & scalp AP; " Hui " or

" Guan " puncture method [what is that?]; needling by the method of

reinforcing the Channels & reducing the collaterals

 

See also: Stroke & Acupuncture by BAC:

http://www.acupuncture.org.uk/content/Library/pdf/cva_bp2.pdf

 

Chen L, Wu Q. | Clinical observation on treatment of 83 cases of

posthemiplegic omalgia. | J Tradit Chin Med. 1998 Sep;18(3):215-7. |

Second Affiliated Hospital, Fujian College of Traditional Chinese

Medicine, Fuzhou. | An analysis on 83 cases of posthemiplegic omalgia

(shoulder pain) shows that the pathogenesis of the pain is closely

related to the improper passive movement at the early stage of

hemiplegia (62.7%). The large range of passive movement is a

dangerous factor leading to omalgia. In the study of upper extremity

complications, the incidence of shoulder-hand syndrome is relatively

high (42.2%), & it is often accompanied by hand swelling (83.1%). The

authors suggest that painless movement of the shoulder joint should be

limited in a range of 90-120 degrees, massage be carried out

immediately after AP, & the affected upper extremity be moved

passively during the needle retention. This therapeutic method is

definitely effective for pasthemiplegic omalgia. | Publication Types:

Clinical Trial; PMID: 10453618 [PubMed - indexed for MEDLINE]

 

Chen YM, Fang YA. | 108 cases of hemiplegia caused by stroke: the

relationship between CT scan results, clinical findings & the effect of AP

treatment. | Acupunct Electrother Res. 1990;15(1):9-17. | AP Dept.,

Hua Shan Hospital, Shanghai Medical University, Peoples Republic of

China. | The location of the pathological focus on the film of CT scan

was related to the degree of paralysis, & to the result of AP in

hemiplegia patients. In retrospective analysis of the clinical data, we

found some inter-linking relationships. In general, early treatment (first 3

weeks) with AP produces better result (improvement in 90.9% of the

patients treated) than the treatment initiated 3 weeks after stroke

(improvement in 71.4% of the patients treated). | PMID: 1973581

[PubMed - indexed for MEDLINE]

 

Ene EE, Odia GI. | Effect of AP on disorders of musculoskeletal system

in Nigerians. | Am J Chin Med. 1983;11(1-4):106-11. | | AP was offered

to patients with lesions affecting the locomotor system. These patients

had received conventional physiotherapy treatment with limited success.

The lesions treated by AP were hemiplegia, low back pain, frozen

shoulder, dropped foot, Sciatica, & arthritis of the knee & hip. Response

to AP was excellent in the more acute conditions of low back pain &

frozen shoulder, where 6 treatment sessions were required for complete

recovery. The more chronic conditions required many more treatment

sessions & the improvement recorded was significant, though not

complete. It was concluded that AP has a valuable role to play in a

physiotherapy department. | PMID: 6660198 [PubMed - indexed for

MEDLINE]

 

Feng YK, Hsu CC, Kuo TH. | Innovation in electroencephalography. The

use of AP needles as sphenoidal electrodes. A report of observations on

648 cases. | Clin Exp Neurol. 1981;17:39-45. | | This paper describes

the use of AP needles as sphenoidal electrodes in the EEG studies of

648 patients. Among 87 cases of suspected psychomotor epilepsy, as

compared with conventional electrodes, use of the improved sphenoidal

electrodes could raise the incidence of abnormal findings by 25%.

Among 327 cases of generalised epilepsy they raise the incidence of

abnormalities by 3% only but they were helpful in the differentiation

between primary & secondary epilepsy. In 129 cases of non-convulsive

disorders the improved sphenoidal electrodes helped in giving a more

definite diagnosis in brain tumours, organic encephalopathies,

psychoses, hemiplegias of unknown cause, syncope, epileptic

cephalgia, vertigo & abdominal epilepsy. Our 17 years experience has

shown that the use of AP needles as sphenoidal electrodes is simple,

safe, reliable & good for routine use. | PMID: 6809374 [PubMed -

indexed for MEDLINE]

 

Gomirato G, Grimaldi L, Perfetti C, Roccia L. | [Cranial AP in the

treatment of spasticity. Clinical results - Article in Italian] | Minerva Med.

1976 Jun 9;67(29):1895-8. | | Hospitals in communist China perfected a

new AP technique about 3 yrs ago, whereby needles are placed in the

scalp to stimulate the cortical centres below. This method is particularly

indicated in subjects with neurological damage. Results observed in 45

subjects with cerebral vasculopathy at the neurological clinic of Pisa

University & the reflexotherapy service of the University of Turin were

encouraging & suggest that clinical experimentation should be

attempted on a wider scale. | PMID: 934536 [PubMed - indexed for

MEDLINE]

 

Guo Z, Zhou M, Chen X, Wang R. | AP methods for hemiplegic spasm. |

J Tradit Chin Med. 1997 Dec;17(4):284-8. | Anhui College of Traditional

. | Remitting hemiplegic spasticity in apoplexy (HSA) is

important. Through teaching & clinical practice, the authors summed up

the effective AP methods for remitting HSA: puncture deeply the

acupoints on the superior-spasm side (SSS) by filiform needles so as to

obtain the intensive needling sensations in the deep tissues (ISDT) until

the superior spasm is immediately remitted; tap the skin on the inferior-

spasm side (ISS) by skin needles until the corresponding muscle

contracts. The methods have showed a significant immediate & long-

term therapeutic effect. | PMID: 10437214 [PubMed - indexed for

MEDLINE]

 

Guo ZX, Wang RS, Guo XC. | [Clinical observation on treatment of 40

cases of apoplexy hemiplegia complicated shoulder-hand syndrome

with electro-AP - Article in Chinese] | Zhongguo Zhong Xi Yi Jie He Za

Zhi. 1995 Nov;15(11):646-8. | Anhui College of TCM, Hefei. | The

authors treated 40 cases of shoulder-hand syndrome of apoplexy

hemiplegia with EAp & filiform needle AP (FNA) respectively. The

results showed that EAP had better results in treating hand back

swelling, hand skin temperature elevating & the bending finger caused

pain than that with FNA (P < 0.05). The finger joint & shoulder joint

improvement (the functional scoring increased for 3 Pts or more) in EAP

was also better than that of FNA (P < 0.05). The total marked effective

rate was higher in EAP group (75%) than that in FNA (50%), P < 0.05).

EAP produced rhythmic muscle contraction which had a " shoulder-hand

pump " like action, & is significant in eliminating hand back swelling &

preventing atrophy of hand muscles. | Publication Types: Clinical Trial

Controlled Clinical Trial; PMID: 8732146 [PubMed - indexed for

MEDLINE]

 

Jiang Z, Li C, Li Y. | Treatment of postapoplectic thalamic spontaneous

pain by electro-AP at X_35 (Huatuojiaji) Pts. | J Tradit Chin Med. 1999

Sep;19(3):195-9. | Hospital Affiliated to Chengdu University of

Traditional & Pharmacy, Sichuan Province. | The

authors have treated 30 cases of postapoplectic thalamic spontaneous

pain (PTSP) by EAP at X_35 (Huatuojiaji) Pts, with the other 30 cases

of PTSP treated by oral admin istration of carbamazepine as the

controls. The total effective rate was 90% in the AP group, & 86.7% in

the control group. The difference in the total effective rate between the 2

groups was not statistically significant (P > 0.05), suggesting that EAP at

X_35 (Huatuojiaji) is a better therapy for PTSP. | PMID: 10921149

[PubMed - indexed for MEDLINE]

 

Johansson K, Lindgren I, Widner H, Wiklund I, Johansson BB. | Can

sensory stimulation improve the functional outcome in stroke patients? |

Neurology. 1993 Nov;43(11):2189-92. | Department of Neurology, Lund

University Hospital, Sweden. | After obtaining informed consent, we

randomized 78 patients with severe hemiparesis of the left or right side

within 10 days of stroke onset: 40 to a control group receiving daily

physiotherapy & occupational therapy, & 38 to a group that, in addition,

we treated with sensory stimulation (AP) twice a week for 10 weeks.

The median age was 76 years for both groups. Motor function, balance,

& ADL (Barthel's Index) were assessed before the start of treatment &

at 1 & 3 months after stroke onset; ADL was also assessed after 12

months. We assessed the quality of life (QL) using the Nottingham

Health Profile 3, 6, & 12 months after stroke onset. Patients given

sensory stimulation recovered faster & to a larger extent than the

controls, with a significant difference for balance, mobility, ADL, QL, &

days spent at hospitals/nursing homes. Whether AP per se is

responsible for the differences requires further study. | Publication

Types: Clinical Trial Randomized Controlled Trial; PMID: 8232927

[PubMed - indexed for MEDLINE]

 

Kongsberg Sykehus, Anestesi, Smerte-og Palliativseksjon, Kongsberg,

Norway. gernot.ernst | Ernst G, Strzyz H, Hagmeister H. |

Complement Ther Med. 2003 Jun;11(2):93-7. | | INTRODUCTION: AP

is frequently used to treat chronic pain syndromes or other chronic

diseases. Several hundred reports have been published of life-

threatening adverse events after AP. The aim of our study was to

assess the adverse effects of AP during a normal treatment routine.

METHODS: 13 general practitioners & outpatient clinics & 16 other

practitioners were included in a questionnaire survey in Germany.

Patient gender & age, indications for & method of treatment, & adverse

effects were documented by the therapists. RESULTS: 409 patients

receiving 3535 AP treatment were included. Adverse effects were

observed in 402 treatments (11.4%) in 153 different patients. The main

side effects were slight haemorrhage (2.9%), haematoma (2.2%),

dizziness (1%) & other systemic symptoms (2.7%). Other side effects

mentioned (all below 1%) were fainting, nausea, prolonged DeQi effect

(paraesthesia) & increase of pain. In one case, aphasia was reported

lasting 1h after AP. CONCLUSION: AP has adverse effects, like any

therapeutic approach. If it is used according to established safety rules

& carefully at appropriate anatomic regions, it is a safe treatment

method. | Publication Types: Multicenter Study; PMID: 12801494

[PubMed - indexed for MEDLINE]

 

Lai XS, Huang Y. | [A comparative study on the acupoints of specialty of

Baihui, Shuigou & Shenmen in treating vascular dementia. - Article in

Chinese] | Chin J Integr Med. 2005 Sep;11(3):161-6. | AP & Massage

College, Guangzhou Traditional University,

Guangzhou 510407, China. lai1023 | OBJECTIVE: To study

the relative specialty of the acupoints of Baihui (GV20), Shuigou (GV26)

& Shenmen (HT07) in treating vascular dementia (VD). METHODS: 50

patients suffering from VD were divided into 5 groups randomly &

treated by conventional AP for hemiplegia, or conventional AP plus

needling in GV20, GV26, HT07 respectively or simultaneously. Clinical

symptoms were observed, & the scales such as Hasegawa's dementia

scale-recension (HDS-R), activities of daily living (ADL) & functional

activities questionnaire (FAQ) were used for assessment before & after

AP treatment. The scores were processed statistically. RESULTS:

GV20 & HT07 could improve the abilities of memory, orientation,

reaction & reduce adamancy & trance. Besides, GV20 was helpful in

improving the abilities of understanding, calculating & social adapting.

While GV26 is helpful in treating retardation, failure in daily activities,

trance & poor memory. The combination of the 3 acupoints could

improve the intelligence & social adapting ability of VD patients.

CONCLUSION: GV20, GV26 & HT07 had its own effect in treating VD,

but the effect of 3 Pts used in combination was the best. | PMID:

16181527 [PubMed - in process]

 

Laures J , Shisler R. | [Effectiveness of treating adult neurogenic

communication disorders with complementary & alternative medicines] |

Disabil Rehabil. 2004 Mar 18;26(6):315-25. | Communication Disorders

Program, Department of Educational Psychology & Special Education,

Georgia State University, Atlanta, GA 30303, USA.

spejsl | PURPOSE: This paper reviews studies

investigating the effectiveness of treating adult neurogenic

communication disorders with complementary & alternative medicines

(CAM). CAM is gradually experiencing recognition as a viable treatment

approach for a variety of disorders by practitioners & patients. Some

patients are using CAM as an adjunct to traditional rehabilitation.

Additionally, speech-language pathologists are increasingly using CAM

in treating communication disorders. METHOD: This review provides a

description of various CAM techniques including AP, hypnosis,

relaxation training, dreamwork, biofeedback & homeopathy/herbal

medicine. Investigations exploring the effectiveness of each of these

approaches as they have been applied to aphasia, motor speech

disorders, & cognitive impairments are discussed. RESULTS &

CONCLUSIONS: Little scientific inquiry into the effectiveness of CAM in

the treatment of aphasia, motor speech disorders, & cognitive

impairments has occurred. Many of the reviewed studies demonstrate

inconsistent results; use limited sample sizes; do not include

quantitative measures of cognitive, linguistic or motor speech skills; &

are poorly reported. This review suggests that further exploration of this

area is required before any strong conclusions regarding effectiveness

& efficacy of these techniques can be made. | Publication Types:

Review Review, Tutorial; PMID: 15204483 [PubMed - indexed for

MEDLINE]

 

Li F, Zhang C, Han J. | Clinical & experimental studies on AP treatment

of apoplexy at the convalescent stage by consciousness-restoring

method. | J Tradit Chin Med. 1997 Jun;17(2):109-15. | First Affiliated

Hospital, Tianjin College of Traditional . | The

consciousness-restoring method & the conventional method of AP were

used for treatment of 92 cases of apoplexy at the convalescent stage.

They were randomly divided into 2 groups: the consciousness-restoring

group (50 cases), & the conventional group (42 cases). The therapeutic

results show that the cure rates in the former & latter groups are 43% &

16.67% respectively. The markedly effective & effective rates in the

former group are significantly higher than that in the latter group. The

experimental results demonstrate that there is remarkable improvement

in the majority of criteria of blood rheology, blood lipid, micro-circulation

& thrombus formation in vitro, in the former group, & the degree &

extent of improvement are markedly better than the latter group. |

Publication Types: Clinical Trial Randomized Controlled Trial; PMID:

10437178 [PubMed - indexed for MEDLINE]

 

Li Y, Jin R. | [Clinical study on the sequelae of cerebral vascular

accident treated with temporal-point AP - Article in Chinese] | Zhen Ci

Yan Jiu. 1994;19(2):4-7. | Guangzhou College of Traditional Chinese

Medicine. | 108 cases of sequelae of CVA were randomly divided into 2

groups temporal Pt group (TG, 58 cases) & body AP group (BG, 50

cases). It was shown that after 30 treatments the therapeutic effects

were significantly different statistically (P < 0.01) between the 2 groups.

The effect in TG was better than that in BG. It indicates that the 2 AP

therapies can improve blood rheology in patients. The ameliorative

function in TG was better than that in BG. | Publication Types: Clinical

Trial Randomized Controlled Trial; PMID: 7750174 [PubMed - indexed

for MEDLINE]

 

Liang D, Zhao Y. | Puncturing empirical Pt Shengen in treatment of 101

cases of apoplectic hemiplegia. | J Tradit Chin Med. 1994

Jun;14(2):110-4. | Taiyuan South Suburban People's Hospital, Taiyuan. |

By needling chiefly an empirical Pt Shengen with the penetration

method, a total effective rate of 96% was obtained in 101 cases of

apoplectic hemiplegia. In comparison with 38 controls, either the

therapeutic effects & courses or other indices observed in the needling

group were shown to be encouraging. | Publication Types: Clinical Trial

Controlled Clinical Trial; PMID: 7967692 [PubMed - indexed for

MEDLINE]

 

Liu G, Xiao Y. | [The influence of electric needling " Juci " on nail-bed

microcirculation of apoplectic patients - Article in Chinese] | Zhen Ci

Yan Jiu. 1990;15(1):40-3. | Shandong College of Traditional Chinese

Medicine, Jinan. | " Juci " is an AP method that uses acupoints of one

side to treat disease of the other side. In order to prove this theory & the

difference from puncturing paralytic side (Tanci) 30 patients with

hemiplegia due to cerebral infarction were observed under the same

condition & stimulative parameter. Selecting Pts: LI04-Hegu & LI11-

Quchi acupoint were electrified for 15 minutes. The changes of Nail-bed

microcirculation were observed for 30 minutes & recorded after pulling

out needles. CONCLUSION: Through the observation of outline of blood

vessel, colour of blood vessel ansa, ansa's top blood-stasis of blood

vessel, condition of blood flow & the rate of blood flow before & after

Juci (puncturing healthy side) they were different or quite different on the

hemiplegic side (p less than 0.05 or p less than 0.01). however, only the

colour of blood-vessel ansa & rate of blood flow were different, others

had no statistical significance on healthy side. Though puncturing

paralytic side can make the nail-bed microcirculation improved, only rate

of blood flow was different. Others had no statistical significance. In

short both Juci & Tanci (contralateral and ipsilateral needling) improve

the nail-bed microcirculation of hemiplegic side, but the former is much

better than the latter. | PMID: 2118004 [PubMed - indexed for

MEDLINE]

 

Magnusson M, Johansson K, Johansson BB. | Sensory stimulation

promotes normalization of postural control after stroke. | Stroke. 1994

Jun;25(6):1176-80. | Department of Otorhinolaryngology, University

Hospital of Lund, Sweden. | BACKGROUND & PURPOSE: In a

randomized study of hemiparetic stroke patients with a median age of

75 years, functional recovery was significantly better in those who

received additional sensory stimulation (n = 38), including

electrostimulation, than in control patients (n = 40) given the same

physiotherapy & occupational therapy; group differences for balance,

mobility, & activities of daily living were significant. The present study

was designed to investigate postural control in patients who survived

more than 2 years after stroke onset. METHODS: The 48 survivors

(mean, 2.7 years; range, 2.0 to 3.8 years), 22 from the treatment group

& 26 from the control group, were compared with 23 age-matched

healthy subjects. Subjects were perturbed by vibrators applied to calf

muscles or with galvanic vestibular stimulation. We evaluated postural

control in terms of sway variances or sway velocities & the dynamics of

postural control as a feedback system using system identification with a

model previously validated for human postural control. RESULTS:

Significantly more patients of the treatment group than of the control

group maintained stance during perturbations (P < .01). Among patients

capable of maintaining stance during perturbation, the control patients

were characterized by significant divergence from normal values in 2 of

the 3 characteristic parameters of dynamic postural control (ie,

swiftness & stiffness; P < .05) compared with the treatment subgroup or

age-matched subjects. CONCLUSIONS: The course of sensory

stimulation enhanced recovery of postural function, an enhancement still

significant 2 years after the lesion & treatment. The differences & near

normalization of characteristic parameters of dynamic postural control

among treated patients suggest that improved recovery after sensory

stimulation may be achieved by patients regaining normal or near

normal dynamics of human postural control. | Publication Types: Clinical

Trial Randomized Controlled Trial; PMID: 8202976 [PubMed - indexed

for MEDLINE]

 

Milanov IG. | Flexor reflex for assessment of common interneurone

activity in spasticity. | Electromyogr Clin Neurophysiol. 1992

Dec;32(12):621-9. | Institute of Neurology, Psychiatry & Neurosurgery,

Bulgarian Medical Academy. | The purpose of this investigation was to

evaluate the alterations of flexor reflex parameters in spasticity & the

possibilities to use them as a method to assess common interneurone

activity. Clinical & electromyographical examinations were performed on

120 patients with spastic hemiparesis after stroke. The flexor reflex was

obtained after supramaximal electrostimulation of the tibial nerve behind

the ankle. The stimulus consisted of 50 msec train of 1 msec duration

pulses given at 100 Hz. The reflex activity was recorded from the tibialis

anterior muscle. As all patients were with hemiparesis the healthy side

was used as a control. The patients were subdivided into 4 groups, each

treated with different myorelaxants (Baclofen, Sirdalud, Myolastan &

EAP). After about 25 days treatment the clinical & electromyographic

examinations were repeated. The flexor reflex was recorded with 2

clearly distinguishable responses on the healthy, as well as on the

spastic side. On the spastic side a reflex with prolonged latencies &

durations, as well as with decreased amplitudes & thresholds of both

reflex responses was found. On the spastic side the first reflex response

had higher threshold than the second one, while on the healthy side it

was vice versa. Moderate correlations were found between most of the

reflex parameters. No correlations were found between the reflex

parameters & the degree of spasticity. Only after Baclofen treatment all

reflex parameters tended to normalized. After treatment with Myolastan,

Sirdalud & EAP only the second response's duration shortened. In

conclusion the flexor reflex is a sensitive method for assessment of

altered common interneurone activity in spasticity.(ABSTRACT

TRUNCATED AT 250 WORDS) | PMID: 1493777 [PubMed - indexed

for MEDLINE]

 

Murray LL, Kim HY. | [Title missing] | Semin Speech Lang. 2004

May;25(2):133-49. | Department of Speech & Hearing Sciences, Indiana

University, Bloomington 47405, USA. lmurray | Despite

increasing consumer utilization of complementary & alternative medicine

(CAM) & growing evidence of its positive effects on certain physical

(e.g., chronic pain, insomnia) & psychiatric (e.g., anxiety) disorders, few

empirical investigations have explored using CAM to treat neurogenic

disorders of communication or cognition. Accordingly, to spur clinical &

research interest in CAM, we review 2 forms of CAM, relaxation therapy

& AP, that have been used to address the needs of patients with

neurogenic cognitive or communicative disorders. For each technique,

we describe general therapy procedures, summarize & critique the

extant research, & delineate areas in need of further empirical

investigation. Copyright 2004 Thieme Medical Publishers, Inc. |

Publication Types: Review Review, Tutorial; PMID: 15118941 [PubMed -

indexed for MEDLINE]

 

Pang H. | 52 cases of apoplexy treated with scalp AP by the slow-rapid

reinforcing-reducing method. | J Tradit Chin Med. 1994 Sep;14(3):185-

8. | Institute of AP, China Academy of Traditional ,

Beijing. | 85 cases of apoplexy were treated with scalp AP, including 52

cases by the method of slow-rapid reinforcing-reducing & 33 cases by

the method of flat twisting. The total effective rates differed

insignificantly between the 2 methods. However, in respects of

improving the myodynamia & motile functional disturbances of the limbs,

the method of slow-rapid reinforcing-reducing was markedly superior to

the method of flat twisting. | Publication Types: Clinical Trial

Randomized Controlled Trial; PMID: 7799651 [PubMed - indexed for

MEDLINE]

 

Sui S, Huang X. | AP methods for treatment of hemiplegia. | J Tradit

Chin Med. 2004 Mar;24(1):46-8. | Affiliated Hospital of Shandong School

of Traditional , Ji'nan, Shandong Province 265200. |

There are several AP methods for various types of paralyses, based on

different selections of Pts & needling methods, i.e. needling the Pts

selected by the yin-yang principle; needling the Polar Pts; needling both

the local & opposite Pts; needling the upper Pts with the lower Pts

needled as supplementary; & needling by the method of reinforcing the

Channels & reducing the collaterals. The specific application of each

method are described. | PMID: 15119175 [PubMed - indexed for

MEDLINE]

 

Wang R, Xin J. | [Clinical observation on 172 cases of N.S. diseases

treated by PCE-88A type of the programmed electro-AP apparatus -

Article in Chinese] | Zhen Ci Yan Jiu. 1994;19(2):11-3. | AP Hospital

Attached to Anhui College of TCM. | We have treated 172 cases of N.S.

diseases with PEC-88A Type of the Programmed EAP Apparatus with

shows of frequency & voltage of electro-pulse. Of 172 cases, 47 cases

were cured (27.3%), 77 markedly effective (44.8%), 44 improved

(25.6%), 4 failed (2.3%). The total effective rate was 97.7%. The

observation showed that different stimulating strength was needed to

different disease through observation of the stimulating strength of EAP.

The strongest was for the sequela of poliomyelitis. The next was for the

sequela of apoplexy. The lightest was for sciatica, & during treatment

the stimulating strength to disorder side is larger than one of normal

side. By the way, the stimulating strength of EAP was reduced step by

step while the disease become better little by little.) The result of clinical

observation displaced that the stimulating strength was determined

according to the part of injured N.S & patient's sensitivity to the

stimulating strength of EAP when using EAP. | Publication Types:

Clinical Trial; PMID: 7750166 [PubMed - indexed for MEDLINE]

 

Wang, S J, Omori, N, Li, F, Jin, G, Et al | Functional improvement by

electro-AP after transient middle cerebral artery occlusion in rats

 

| Neurol Res 2003; 25: 516-521 | | Functional recovery by the

application of EAP on different acupoints was investigated using a

transient middle cerebral artery occlusion (MCAO) model in rat.

Acupoints were Baihui (GV20) plus Renzhong (GV26) (MCAO+D

group), and Hanyan (GB04), Xuanlu (GB05), Xuanli (GB06), plus Qubin

(GB07) (MCAP+ G group). Compared with no EAP, EAP treatment gave

significant functional improvements from 12 days after the reperfusion.

Among EAP treated groups, MCAO+ G gave a more significant

recovery than MCAO+ D. lnfarct volume revealed the significant

reduction in the EAP treated groups especially in MCAO+ G at 30 days,

Immunohistochemical study showed a remarkable induction of vascular

endothelial growth factor (VEGF) in astrocytes of the peri-infarctarea at

30 days, more in EA treated groups than in groups treated with MCAO

alone. These results suggest that the acupoints applied in this study are

effective for the functional recovery, and an enhanced expression of

VEGF may play a certain role in recovery process after stroke. |

 

Wong AM, Su TY, Tang FT, Cheng PT, Liaw MY. | [Efficacy of electro-

AP in the rehabilitation of patients with hemiplegia in stroke]. | Am J

Phys Med Rehabil. 1999 Mar-Apr;78(2):117-22. | Department of

Physical Medicine & Rehabilitation, Chang Gung Memorial Hospital &

Chang Gung University, Taipei, Taiwan. | To assess the efficacy of EAP

in the rehabilitation of patients with hemiplegia in stroke, we randomized

128 patients within 2 wk of stroke onset to receive either comprehensive

rehabilitation plus EAP (n = 59) or comprehensive rehabilitation only (n

= 59). EAP was administered by electrical stimulation of AP Pts through

adhesive surface electrodes 5 times/week. Neurological status

(Brunnstrom's stage) & the Chinese version of the Functional

Independence Measure were assessed before treatment & at

discharge. Patients treated with EAP had a shorter duration of hospital

stay for rehabilitation & better neurological & functional outcomes than

the control group had, with a significant difference in scores for self-care

& locomotion (P = 0.02). This result did not postulate the previous study

that AP therapy for stroke patients should depend on needle manual &

" de qi " response. We suggest that EAP through adhesive surface

electrodes in conjunction with current optimal rehabilitation programs is

a convenient & effective therapy for stroke patients. | Publication Types:

Clinical Trial Randomized Controlled Trial; PMID: 10088585 [PubMed -

indexed for MEDLINE]

 

Xiao J. | [Clinical observation of 50 cases of hemiplegia treated by AP -

Article in Chinese] | Zhen Ci Yan Jiu. 1993;18(3):172-3. | Department of

AP, Beijing Raliway General Hospital. | The author treated 50 cases of

hemiplegia with AP of needling Pts of the head. The results showed that

7 cases were basically cured, 12 cases markedly effective, 31 cases

improved. The total effective rate was 100%. | PMID: 7923711 [PubMed

- indexed for MEDLINE]

 

Yao W. | Prof. Sheng Canruo's experience in AP treatment of throat

diseases with Yansixue Pts (“Throat 4 Pts”, 4 points around laryngeal

protuberance). | J Tradit Chin Med. 2000 Jun;20(2):122-5. | Department

of AP & Moxibustion, Hospital Affiliated to Nanjing University of

Traditional . | Yansixue refer to 4 Pts around laryngeal

prominence, summarized by Prof. Sheng Canruo in his long-year clinical

experience based on the combination of TCM theory & the knowledge of

modern medical anatomy. By taking Yansixue as main Pts, & other

differential adjunct Pts, Prof. Sheng has obtained satisfactory

therapeutic results in treating various throat diseases such as

hoarseness, paralysis of vocal cord, dysphonia after radiotherapy on

throat tumor, vocal nodules, disorder of the glossopharyngeal nerve,

hysteric aphasia, & acute or chronic laryngopharyngitis. | Publication

Types: Case Reports; PMID: 11039000 [PubMed - indexed for

MEDLINE]

 

Yu YH, Wang HC, Wang ZJ. | The effect of AP on spinal motor neuron

excitability in stroke patients. | Zhonghua Yi Xue Za Zhi (Taipei). 1995

Oct;56(4):258-63. | Department of Physical Medicine & Rehabilitation,

Taipei Municipal Yang-Ming Hospital, Taiwan, R.O.C. | BACKGROUND.

Spasticity is a common symptom in stroke patients, & its management

constitutes a major problem in their rehabilitation. AP has been applied

with moderate effect; their has been clinical experience but little

objective evidence to support its use. H-reflex recovery time & H

recovery curve were quantitative methods applied to measure spinal

motor neuron excitability. AP for stroke patients as treatment to spastic

hemiparesis was studied to see the AP effect on increased spinal motor

neuron excitability in spasticity. METHODS. 16 stroke patients with

spastic hemiparesis were collected to evaluate the therapeutic effect of

AP on their spinal motor neuron excitability. H-reflex recovery time & H

recovery curve were applied as quantitative evaluations of spinal motor

neuron excitability. Eleven age-matched normal volunteers were used

as a control group. RESULTS. The mean H-reflex recovery time of

normal controls was 73.3 +/- 18.3 mesc; that of the sound-side limbs of

stroke patients was 67.1 +/- 21.5msec. The difference was not

significant statistically (p = 0.2). However, the mean H-reflex recovery

time of the paretic limbs of stroke patients was 52.3 +/- 16.8 msec,

significantly shorter than for the normal controls (p = 0.003). The mean

H-reflex recovery time of the paretic limbs of stroke patients became

57.6 +/- 19.9 msec after AP, significantly prolonged as compared with

that before AP (p = 0.03). The H recovery curve of the paretic limbs

after AP also approximated that of the normal controls.

CONCLUSIONS. This result provides positive evidence of increased

spinal motor neuron excitability in paretic limbs of stroke patients & also

of the AP effect which decreased that excitability. The study also

presents a simple & practical technique for measuring the effects of

various types of treatments, including AP, on other types of central

nervous system disorders. | PMID: 8548668 [PubMed - indexed for

MEDLINE]

 

Zhang Y. | The needling technique & clinical application of Pt BL54

(Zhibian). | J Tradit Chin Med. 2004 Sep;24(3):182-4. | Rehabilitation

Department of the Steel Works Hospital, Panzhihua City 617023,

Sichuan Province. | Point Zhibian (BL54) is often used for treatment of

lumbago & scelalgia, flaccidity & arthralgia of the lower limb,

constipation & dysuria, & hemorrhoid. As for the needling, the direction

of the needle tip may vary, generally in 3 directions: 1) along the

Channel itself, 2) pointing to the genitals, & 3) pointing to the anus, the

purpose of which is " leading qi to the diseased area " so as to obtain

" effectiveness upon the arrival of qi " . This Pt can also be used in

combination with moxa stick, cupping, & Pt injection according to the

individual conditions. However, only by differential application, can this

Pt produce better therapeutic effects. | Publication Types: Case

Reports; PMID: 15510794 [PubMed - indexed for MEDLINE]

 

Zhang Y. | Observation of curative effects of X_35 (Huatuojiaji) in the

treatment of 300 cases of apoplexy. | J Tradit Chin Med. 1996

Jun;16(2):117-20. | Yanta District Hospital of Traditional Chinese

Medicine, Xi'an. | X_35 (Huatuojiaji) are extra-channel acupoints which

are first described in A Handbook of Prescriptions for Emergencies, &

the clinical application of which has been expanded a great deal in

modern times. In the end of 1970s, the successful application of X_35

(Huatuojiaji) Pts in AP anaesthesia brought the research on X_35

(Huatuojiaji) Pts to its climax; & in recent years, great progress has been

made in the study of clinical application, improvement of curative effects

& functional mechanism of X_35 (Huatuojiaji) Pts. According to the

theories of AP & moxibustion that puncturing X_35 (Huatuojiaji) can

dredge Channels, promote flow of qi, regulate yin & yang, & activate the

GV Channel & the BL Channel, 300 cases of apoplexy were thus treated

with good curative effects. There are altogether 56 Pts, 28 on each side

of the spine, 0.5 cun lateral to the spinous process. The prescription for

apoplexy includes C1-7, T1-9 & L2-4. Of the 300 cases of apoplexy, 100

were cured, 107 markedly effective, 87 improved, & 6 ineffective, the

total effective rate being 98%. | Publication Types: Case Reports; PMID:

9389137 [PubMed - indexed for MEDLINE]

 

Zhou J, Zhang F. | A research on scalp AP for cerebral infarction. | J

Tradit Chin Med. 1997 Sep;17(3):194-7. | Affiliated Hospital of Sichuan

Academy of Traditional , Sichuan. | In order to

evaluate the clinical value of the describes in the Standard

Nomenclature of Scalp AP Lines, 105 patients suffering from cerebral

infarction have been treated by needling along the anterior & posterior

oblique lines of vertex-temple, & the line 1 & line 2 lateral to vertex. The

markedly effective rate was 71.43%, & the total effective rate 88.57%.

After treatment, such symptoms as hemiplegia, lingual dysfunction,

facial & tongue paralysis, & the laboratory indexes of blood fat,

fibrinogen & hemorrheology were obviously improved (P < 0.01 or 0.05).

The therapeutic effect of scalp AP was obviously better than that of

Western medicine (P < 0.01). | Publication Types: Clinical Trial; PMID:

10437194 [PubMed - indexed for MEDLINE]

 

[No authors listed] | AP in treatment of deaf-mutism. | Chin Med J. 1959

Jan;78(1):12-4. | | | PMID: 13639176 [PubMed - OLDMEDLINE for

Pre1966]

 

[No authors listed] | AP therapeutics for deaf-mutism. From the

appendix of clinical manual of treatments of common recurrent diseases

employing Chinese traditional medicine. | Am J Chin Med (Gard City N

Y). 1973 Jul;1(2):361-4. | | | PMID: 4774369 [PubMed - indexed for

MEDLINE]

 

Chen XZ, Liao XP, Huang ZM, Li LZ, Wang YL, Kuang YP, Zhou YM. |

[Treatment of 119 cases of hemiplegia with needling of the cervical

sympathetic nerve trunk - Article in Chinese] | Zhen Ci Yan Jiu.

1985;10(3):165-8. | | | PMID: 3937622 [PubMed - indexed for

MEDLINE]

 

Chen Y. | [Treating " jin " diseases with " Hui " or " Guan " puncture method

- Article in Chinese] | Zhen Ci Yan Jiu. 1993;18(1):6-7. | Jiaozhou City

Hospital of TCM, Shandong. | | Publication Types: Case Reports; PMID:

8082283 [PubMed - indexed for MEDLINE]

 

Deng YC. | [Evaluation of AP treatment for sensorineural deafness &

deaf-mutism based on 20 years' experience (author's transl) - Article in

Chinese] | Zhonghua Yi Xue Za Zhi. 1981 Nov;61(11):657-60. | | |

PMID: 6804042 [PubMed - indexed for MEDLINE]

 

Du XS. | 4 case records of AP & moxibustion. | J Tradit Chin Med. 1989

Dec;9(4):253-5. | | | PMID: 2483576 [PubMed - indexed for MEDLINE]

 

Fan G, Wu X, Xue Z. | Application of healthy-side needling to treatment

of apoplectic hemiplegia. | J Tradit Chin Med. 2002 Jun;22(2):143-7. |

Nanjing University of Traditional & Materia Medica,

Nanjing 210029. | | Publication Types: Review Review, Tutorial; PMID:

12125493 [PubMed - indexed for MEDLINE]

 

Fan W. | Dr. Du Xiaoshan's personal experience in AP treatment. | J

Tradit Chin Med. 1999 Jun;19(2):118-22. | Wuxi Hospital of Traditional

, Jiangsu Province. | | Publication Types: Case

Reports; PMID: 10681869 [PubMed - indexed for MEDLINE]

 

Hee W. | AP in the treatment of hysterica mutism & functional vomiting. |

Med J Malaysia. 1978 Dec;33(2):162-4. | | | Publication Types: Case

Reports; PMID: 755171 [PubMed - indexed for MEDLINE]

 

Hu J. | AP treatment of wind stroke. | J Tradit Chin Med. 1996

Dec;16(4):307-11. | Institute of AP & Moxibustion, China Academy of

Traditional , Beijing. | | Publication Types: Case

Reports; PMID: 9389110 [PubMed - indexed for MEDLINE]

 

Hu Y. | Clinical application of the Pt GB39 (Xuanzhong). | J Tradit Chin

Med. 2003 Dec;23(4):275-7. | Wuhan Hospital of AP, Wuhan 430050. |

| PMID: 14719297 [PubMed - indexed for MEDLINE]

 

Ji XP. | Teaching round: apoplexy. | J Tradit Chin Med. 1988

Mar;8(1):69-72. | | | Publication Types: Case Reports; PMID: 3393021

[PubMed - indexed for MEDLINE]

 

LI PZ. | [Experience in cases of deaf-mutism cured by AP. - Article in

Chinese] | Shandong Yi Kan. 1959 Mar;18:16-7. | | | PMID: 14464992

[PubMed - OLDMEDLINE for Pre1966]

 

Lu S. | Scalp AP therapy & its clinical application. | J Tradit Chin Med.

1991 Dec;11(4):272-80. | Department of AP & Moxibustion, Beijing

College of AP, Moxibustion, Orthopedics & Traumatology. | | PMID:

1839045 [PubMed - indexed for MEDLINE]

 

Lu S. | The ways & methods for improving the therapeutic effect of AP in

treatment of apoplectic hemiplegia. | J Tradit Chin Med. 1997

Jun;17(2):83-91. | Beijing College of AP & Orthopedics. | | PMID:

10437172 [PubMed - indexed for MEDLINE]

 

Ma Y, Wang C. | Clinical application of Pt-through-Pt AP. | J Tradit Chin

Med. 1992 Jun;12(2):154-7. | Department of AP & Moxibustion, Hospital

of Shandong College of TCM, Jinan. | | PMID: 1495342 [PubMed -

indexed for MEDLINE]

 

Meng JB, Gao HH, Wang P, Tian JH, Liu YL. | [Primary approach to

visualize the courses of Channels by use of isotopes - Article in

Chinese] | Zhen Ci Yan Jiu. 1987;12(1):77-81. | | | PMID: 3036399

[PubMed - indexed for MEDLINE]

 

Pang Y. | Clinical observation on AP treatment of ischemic apoplexy by

nourishing the kidney & regulating the GV Channel. | J Tradit Chin Med.

2003 Dec;23(4):286-9. | First Hospital, Guangxi College of Traditional

, Nanning 530023. | | Publication Types: Clinical Trial

Randomized Controlled Trial; PMID: 14719302 [PubMed - indexed for

MEDLINE]

 

Qian X. | Clinical application of same-name Channel Pt selection. | J

Tradit Chin Med. 2001 Sep;21(3):211-2. | Teaching Section of AP &

Moxibustion, Overseas Education College of Xiamen University,

361005. | | Publication Types: Case Reports; PMID: 11789330

[PubMed - indexed for MEDLINE]

 

Qu H, Ren L, Guo Y. | Combined application of scalp & body AP in the

treatment of pseudobulbar paralysis. | J Tradit Chin Med. 1991

Sep;11(3):170-3. | Hospital of TCM, Hexi District, Tianjin. | | Publication

Types: Case Reports; PMID: 1749259 [PubMed - indexed for MEDLINE]

 

Quian L, Yuan-Cheng D, Lin L, Cheng S. | [Evaluation of AP treatment

for neurosensory deafness & deaf-mutism based on 20 years of

experience - Article in French] | Rev Laryngol Otol Rhinol (Bord).

1982;103(4):327-8. | | | PMID: 7170479 [PubMed - indexed for

MEDLINE]

 

Ren Y, Wang D, Feng C. | A comparative observation on

comprehensive scalp-AP treatment of ischemic apoplectic hemiplegia. |

J Tradit Chin Med. 1999 Sep;19(3):200-4. | Affiliated Hospital of Beijing

College of AP & Orthopaedics. | | PMID: 10921150 [PubMed - indexed

for MEDLINE]

 

Shevtsova NP, Danilin VG, Chaika AN. | [use of craniopuncture in the

treatment of patients with the sequelae of stroke - Article in Russian] |

Voen Med Zh. 1987 May;(5):68-9. | | | PMID: 3617585 [PubMed -

indexed for MEDLINE]

 

Shi Y, Song Z. | Clinical observation on head AP treatment of 100 cases

of hemiplegia with the through-to-through chou-tian technique. | J Tradit

Chin Med. 1996 Jun;16(2):129-33. | Special Clinic, General Hospital of

Beijing Military Area. | | Publication Types: Case Reports; PMID:

9389142 [PubMed - indexed for MEDLINE]

 

Shun YZ, Yu ZS, Shun ST, Yan CH, Dai TC, Liang LW. | [Observing the

effect on the nail microcirculation of the hemiplegia patients by needling

BL07 (Tongtian) & anterior Z_01 (Shencong one of the Z_01

(Sishencong) “4 Intelligence” Pts) to GB06 (Xuanli) - Article in Chinese] |

Zhen Ci Yan Jiu. 1988;13(2):90-3. | | | PMID: 3142710 [PubMed -

indexed for MEDLINE]

 

Song J. | Ischemic apoplexy-induced sequelae treated by penetrating

puncture with long needles. | J Tradit Chin Med. 2002 Sep;22(3):200-2.

| TCM Hospital of Haimen City, Haimen 226100, Jiangsu Province. | |

PMID: 12400428 [PubMed - indexed for MEDLINE]

 

Sun ST, Li SR, Zhu YZ, Chen SL, Wan GZ, Sun YZ, Hou GW, Yu ZH. |

Clinical study on 500 cases of cerebro-vascular hemiplegia treated by

AP through GV20 (Baihui) to GB07 (Qubin). | J Tradit Chin Med. 1985

Sep;5(3):167-70. | | | PMID: 3853646 [PubMed - indexed for MEDLINE]

 

Svedberg L, Nordahl G, Lundeberg T. | 'Electro-AP in a child with mild

spastic hemiplegic cerebral palsy'. | Dev Med Child Neurol. 2003

Jul;45(7):503-4. | | | Publication Types: Case Reports Letter; PMID:

12828407 [PubMed - indexed for MEDLINE]

 

Wang Y, Xu G, Li G, Li D, Fang Y, Li Y, Wu F. | Treatment of apoplectic

hemiplegia with scalp AP in relation to CT findings. | J Tradit Chin Med.

1993 Sep;13(3):182-4. | Third People's Hospital, Datong, Shanxi

Province. | | PMID: 8246587 [PubMed - indexed for MEDLINE]

 

Wei B. | Professor Wei Fengpo's clinical experience in application of 4

" Feng " acupoints. | J Tradit Chin Med. 1996 Jun;16(2):112-6. | AP

Training Centre, Medical College of Jinan University, Guangzhou. | |

Publication Types: Case Reports; PMID: 9389136 [PubMed - indexed

for MEDLINE]

 

Wu B. | Deep puncture of ST09 (Renying) Pt in the treatment of

cerebrovascular disease with sequalae--a report of 89 cases. | J Tradit

Chin Med. 1991 Sep;11(3):177-80. | Department of Convalescence,

People's Hospital of Henan Province. | | Publication Types: Case

Reports; PMID: 1749261 [PubMed - indexed for MEDLINE]

 

Xiao S, Zhou M, Zheng K, Zhang Y. | Diagnosis & treatment of

apoplexy. | J Tradit Chin Med. 1991 Jun;11(2):83-90. | Publication

Types: Case Reports | | PMID: 1861524 [PubMed - indexed for

MEDLINE]

 

Xu G. | Prof. Xiao Shaoqin's experience in AP treatment. | J Tradit Chin

Med. 2001 Dec;21(4):273-6. | Department of AP & Moxibustion, Jiangsu

Provincial Hospital of Communications, Nanjing 210029. | | Publication

Types: Case Reports; PMID: 12014129 [PubMed - indexed for

MEDLINE]

 

Xu H. | A summary of clinical treatment for 58 cases of hemiplegia with

electro-AP & massage. | J Tradit Chin Med. 2000 Mar;20(1):48-50. |

Tongshan County People's Hospital, Jiangsu Province. | | PMID:

10921173 [PubMed - indexed for MEDLINE]

 

Zhang BN. | Therapeutic effect of Pt-through-Pt AP in 70 cases of

apoplectic hemiplegia. | J Tradit Chin Med. 1989 Sep;9(3):167-8. | | |

Publication Types: Case Reports; PMID: 2615445 [PubMed - indexed

for MEDLINE]

 

Zhang WX, Li SC, Chen GB, Zhang QM, Wan gt YX, Fang YA. | AP

treatment of apoplectic hemiplegia. | J Tradit Chin Med. 1987

Sep;7(3):157-60. | | | PMID: 3502162 [PubMed - indexed for MEDLINE]

 

Zhang Z, Zhao C. | Comparative observations on the curative results of

the treatment of central aphasia by puncturing the Yumen (GV15-

Yamen) Pt versus conventional AP methods. | J Tradit Chin Med. 1990

Dec;10(4):260-3. | 266th PLA Hospital. | | PMID: 1703612 [PubMed -

indexed for MEDLINE]

 

Zhang ZJ. | Efficacy of AP in the treatment of post-stroke aphasia. | J

Tradit Chin Med. 1989 Jun;9(2):87-9. | | | PMID: 2476636 [PubMed -

indexed for MEDLINE]

 

Zhang ZJ. | The effect of AP on apoplectic aphasia. | J Tradit Chin Med.

1989 Sep;9(3):169-70. | | | PMID: 2482395 [PubMed - indexed for

MEDLINE]

 

Zhao C. | Treatment of acute cerebro-vascular diseases & sequelae

with AP. | J Tradit Chin Med. 1990 Mar;10(1):70-3. | Institute of AP &

Moxibustion, China Academy of Traditional . | | PMID:

2362467 [PubMed - indexed for MEDLINE]

 

Zheng Q. | Experience in the Pt-selection for electro-AP. | J Tradit Chin

Med. 1998 Dec;18(4):277-81. | Institute of AP & Moxibustion, China

Academy of Traditional , Beijing. | | PMID: 10453597

[PubMed - indexed for MEDLINE]

 

Zhou YM. | [AP at the cervical sympathetic nerve in the treatment of

cerebrovascular obliterans disease. Report of 120 cases - Article in

Chinese] | Zhong Xi Yi Jie He Za Zhi. 1989 Jul;9(7):421-2. | | | PMID:

2477163 [PubMed - indexed for MEDLINE]

 

 

 

Best regards,

 

 

Tel: (H): +353-(0) or (M): +353-(0)

 

 

 

 

Ireland.

Tel: (W): +353-(0) or (M): +353-(0)

 

 

 

" Man who says it can't be done should not interrupt man doing it " -

Chinese Proverb