SV: Acupuncture of no value in review of Randomized Clinical Stroke Rehabilitation Trials in

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Chinese acupuncture seem more to balance the energy/processes, and is of

less value in strokes.

Auricular therapy (or any other of the ECIWO-systems actually) seem to work

on anatomical structures (as areas of the brain, strokes, joints and so on),

and such therapy seem to be of higher value i strokes.

Also I must add that in such articles as Phil referred to, the conclusion is

" acupuncture is of this or that value ..... " . The correct statement would

have been ; " needles in the hands of this or that therapist seem to be of

such and such value " .

As the therapist is of such great importance in acupuncture, we never will

be able to test acupuncture, only the effect with a spesific therapist.

 

Are

 

Are Simeon Thoresen

arethore

http://home.online.no/~arethore/

 

 

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Fra:

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Sendt: 12. januar 2007 10:42

Til: pa-l ; PVA-L ;

Chinese Medicine ;

Traditional Chinese Herbal Medicine

Kopi: Meheroz Rabadi

Emne: Acupuncture of no value in review of Randomized Clinical

Stroke Rehabilitation Trials in

 

 

Hi All,

 

See this:

 

Rabadi MH. Randomized Clinical Stroke Rehabilitation Trials in 2005.

Neurochem Res. 2006 Dec 27; [Epub ahead of print] Burke Rehabilitation

Hospital, Weill Medical College of Cornell University, 785 Mamaroneck

Ave., White Plains, NY, 10605, USA, mrabadi This article

reviews randomized control trials (RCTs) undertaken in stroke rehab in the

year 2005. A Medline search generated 31 RCTs in stroke rehabilitation in

the year 2005 in the English language. These trials were primarily

efficacy

studies of a number of treatments: medications such as folate, vitamin B12

and bisphosphonates in preventing osteoporotic related hip fractures,

compression stockings in preventing deep vein thrombosis (DVT), use of

mechanical robots and positioning of the upper limb to help improve

function; and, transcranial magnetic coil stimulation, acupuncture and

neural tissue transplant to enhance motor recovery in post-stroke

patients.

PMID: 17191132 [PubMed - as supplied by publisher]

 

I wrote to Dr. Meheroz H Rabadi, author of the review:

> Hi Dr Rabadi, What were the conclusions from your review?

 

Dr. Rabadi's conclusions, emailed to me today, were as follows: " The

following recommendations can be drawn from these randomized control

trials (Level 1 evidence) are: 1. rTMS technique is increasingly being

explored as a treatment modality to help motor recovery. 2. Acupuncture

has no role in facilitating motor recovery post-stroke at this time. 3.

Robot

arm treatment is currently being used in selected centers (including ours)

in

chronic stroke patients to help decrease motor impairment and help

improve function. 4. Positioning of the shoulder and the arm is a simple

and

an inexpensive way of preventing contractures, decreasing shoulder

subluxation and pain which in turn improves range of motion and decreases

disability. We regularly prescribe lap-tray to help position patient.

Regards,

Dr. Meheroz H Rabadi, Burke Rehabilitation Hospital, Tel:914-597-2362,

Fax:914-597-2774, E-mail: mrabadi "

 

Many thanks to Dr. Rabadi for a rapid response.

 

Note point 2, above: " Acupuncture has no role in facilitating motor

recovery

post-stroke at this time " .

 

This surprises me greatly because I know of some post-stroke cases that

acupuncture helped to a lesser or greater extent.

 

Best regards,