Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients

Bi-Huei Wang,1,* Chien-Lin Lin,1,2,* Te-Mao Li,2,3 Shih-Din Lin,3 Jaung-Geng Lin,2 Li-Wei Chou1,2,4 1Department of Physical Medicine and Rehabilitation, China Medical University Hospital; 2School of Chinese Medicine, College of Chinese Medicine; 3Graduate Institute of Acupuncture Science, 4Acupunctu...

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Autores principales:	Wang BH, Lin CL, Li TM, Lin SD, Lin JG, Chou LW
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Acupoints Acupuncture Aging Electroacupuncture Motor point Spasticity Stroke Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/dd3ce8b7ffc949d59b5ab922ef472b24
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spelling	oai:doaj.org-article:dd3ce8b7ffc949d59b5ab922ef472b242021-12-02T07:31:37ZSelection of acupoints for managing upper-extremity spasticity in chronic stroke patients1178-1998https://doaj.org/article/dd3ce8b7ffc949d59b5ab922ef472b242014-01-01T00:00:00Zhttps://www.dovepress.com/selection-of-acupoints-for-managing-upper-extremity-spasticity-in-chro-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Bi-Huei Wang,1,* Chien-Lin Lin,1,2,* Te-Mao Li,2,3 Shih-Din Lin,3 Jaung-Geng Lin,2 Li-Wei Chou1,2,4 1Department of Physical Medicine and Rehabilitation, China Medical University Hospital; 2School of Chinese Medicine, College of Chinese Medicine; 3Graduate Institute of Acupuncture Science, 4Acupuncture Research Center, China Medical University, Taichung, Taiwan *These authors contributed equally to this work Background: This study investigated the clinical efficacy of electroacupuncture (EA) in inhibiting upper-extremity spasticity in chronic stroke patients, and also in mapping a unique preliminary acupoint-selection protocol. Methods: Fifteen patients were divided into two groups: patients in the control group (n=6) received minimal acupuncture (MA), and those in the experimental group (n=9) received EA. Four acupoints, which include Neiguan (PC6), Shaohai (HT3), Zeqian (Ex-UE, A32), and Shounizhu (EX-UE), were treated near the motor points of the muscles for elbow flexion, forearm pronation, and finger flexion. Both groups were treated for twelve sessions, 20 minutes per session, for 6 weeks (two sessions per week). The outcome measures in this study included angle of muscle reaction (R1), passive range of motion (R2), and dynamic component (R2–R1). Results: In the experimental group, the R2–R1 of the elbow joint was significantly decreased at 1 (P=0.0079), 3 (P=0.0013), and 6 weeks (P=0.0149) after treatment compared with pretreatment levels (P<0.05). The between-group difference in the R2–R1 of the elbow joint after the 6-week treatment was statistically significant. Conclusion: Combining the 6-week EA and standard rehabilitation treatment reduced the spasticity of the elbow for chronic stroke survivors. However, no significant effect was observed in the spasticity of the wrist joints. The choice of acupoints and the frequency of EA have to be taken into account to achieve a positive treatment effect. The correlation between acupoints and motor points provides a model of acupoint selection to improve spasticity. Keywords: acupoints, acupuncture, electroacupuncture, motor point, spasticity, strokeWang BHLin CLLi TMLin SDLin JGChou LWDove Medical PressarticleAcupointsAcupunctureAgingElectroacupunctureMotor pointSpasticityStrokeGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 9, Pp 147-156 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Acupoints Acupuncture Aging Electroacupuncture Motor point Spasticity Stroke Geriatrics RC952-954.6
spellingShingle	Acupoints Acupuncture Aging Electroacupuncture Motor point Spasticity Stroke Geriatrics RC952-954.6 Wang BH Lin CL Li TM Lin SD Lin JG Chou LW Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients
description	Bi-Huei Wang,1,* Chien-Lin Lin,1,2,* Te-Mao Li,2,3 Shih-Din Lin,3 Jaung-Geng Lin,2 Li-Wei Chou1,2,4 1Department of Physical Medicine and Rehabilitation, China Medical University Hospital; 2School of Chinese Medicine, College of Chinese Medicine; 3Graduate Institute of Acupuncture Science, 4Acupuncture Research Center, China Medical University, Taichung, Taiwan *These authors contributed equally to this work Background: This study investigated the clinical efficacy of electroacupuncture (EA) in inhibiting upper-extremity spasticity in chronic stroke patients, and also in mapping a unique preliminary acupoint-selection protocol. Methods: Fifteen patients were divided into two groups: patients in the control group (n=6) received minimal acupuncture (MA), and those in the experimental group (n=9) received EA. Four acupoints, which include Neiguan (PC6), Shaohai (HT3), Zeqian (Ex-UE, A32), and Shounizhu (EX-UE), were treated near the motor points of the muscles for elbow flexion, forearm pronation, and finger flexion. Both groups were treated for twelve sessions, 20 minutes per session, for 6 weeks (two sessions per week). The outcome measures in this study included angle of muscle reaction (R1), passive range of motion (R2), and dynamic component (R2–R1). Results: In the experimental group, the R2–R1 of the elbow joint was significantly decreased at 1 (P=0.0079), 3 (P=0.0013), and 6 weeks (P=0.0149) after treatment compared with pretreatment levels (P<0.05). The between-group difference in the R2–R1 of the elbow joint after the 6-week treatment was statistically significant. Conclusion: Combining the 6-week EA and standard rehabilitation treatment reduced the spasticity of the elbow for chronic stroke survivors. However, no significant effect was observed in the spasticity of the wrist joints. The choice of acupoints and the frequency of EA have to be taken into account to achieve a positive treatment effect. The correlation between acupoints and motor points provides a model of acupoint selection to improve spasticity. Keywords: acupoints, acupuncture, electroacupuncture, motor point, spasticity, stroke
format	article
author	Wang BH Lin CL Li TM Lin SD Lin JG Chou LW
author_facet	Wang BH Lin CL Li TM Lin SD Lin JG Chou LW
author_sort	Wang BH
title	Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients
title_short	Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients
title_full	Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients
title_fullStr	Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients
title_full_unstemmed	Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients
title_sort	selection of acupoints for managing upper-extremity spasticity in chronic stroke patients
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/dd3ce8b7ffc949d59b5ab922ef472b24
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Selection of acupoints for managing upper-extremity spasticity in chronic stroke patients

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