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Author Moon, S. K.; Whang, Y. K.; Park, S. U.; Ko, C. N.; Kim, Y. S.; Bae, H. S.; Cho, K. H.
Title Antispastic effect of electroacupuncture and moxibustion in stroke patients Type of Study RCT
Year 2003 Publication The American journal of Chinese medicine Abbreviated Journal Am J Chin Med
Volume 31 Issue 3 Pages 467-474
Keywords CAM Control; Acu Versus > 1 Control; Acu Versus Acu; Acupuncture; AcuTrials; Moxa, Direct; Electroacupuncture; Exercise; Fixed Acupuncture Protocol; Moxibustion; Muscle Spasticity; RCT; Restricted Modalities, Acupuncture + Other; Usual Care Control, Physical; Stroke; TCM Acupuncture Style; Nervous System Diseases
Abstract Spasticity is a frequently observed motor impairment that develops after stroke. The objective of this study was to evaluate the efficacy of electroacupuncture (EA) and moxibustion (Mox) on spasticity due to stroke. The subjects consisted of 35 stroke patients with elbow spasticity whose mean duration of stroke was 2.97 months. Fifteen patients were randomized to the EA group, ten to Mox, and ten to control. Every other day, 30 minutes of electrical stimulation with a frequency of 50 Hz was given through four needles on the Ch'u-Ch'ih-San-Li (LI-11-LI-10) and Wai-Kuan-Ho-Ku (TB-5-LI-4) points of the paretic side. Direct Mox was applied to Ch'u-Ch'ih (LI-11), San-Li (LI-10), Wai-Kuan (TB-5) and Ho-Ku (LI-4) points three times a day every other day. The control group was given only the routine acupuncture therapy for stroke and range of motion (ROM) exercise, which were also applied to the EA and Mox groups. The efficacy of treatment was measured before, immediately, 1 hour, 3 hours, 1 day, 5 days, 10 days and 15 days after the start of treatment using a modified Ashworth scale (MAS). In the EA group, spasticity was significantly reduced immediately, 1 hour and 3 hours after treatment (p < 0.05). Reductions were significant on the 5th day and thereafter (p < 0.05). In the Mox group, there was no significant change in the MAS scores after the first treatment. In the Mox and control group, there was no significant change in MAS scores. This study suggests that EA can temporarily reduce spasticity due to stroke, and if applied repeatedly it can maintain reduced spasticity
Address Department of Cardiovascular and Neurologic Diseases, College of Oriental Medicine, Kyung-Hee University, Seoul, Korea. m919k523@unitel.co.kr
Language Number of Treatments 8
Treatment Follow-up N/A Frequency >1/WK Number of Participants 35
Time in Treatment 2 Weeks Condition Muscle Spasticity
Disease Category Stroke OCSI Score
Notes Approved no
Call Number Serial 887
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