DOI QR코드

DOI QR Code

The effect of Hominis Placenta Pharmacopuncture on Leg spasticity of stroke patients (A Pilot study, Double blind, Randomized, Controlled Clinical Trial)

중풍 환자의 하지 경직에 대한 자하거 약침의 효과 연구

  • Published : 2009.12.30

Abstract

Objective : The purpose of this study is to determine the effect of Hominis Placenta Pharmacopuncture(HPP) on lower limb spasticity control in stroke patients. Methods : Twenty stroke patients with Leg spasticity were randomly divided into two groups, a Distilled water Pharmacopuncture(group I) and a HPP(group II). The number of Pharmacopuncture was 5 times a week and acupuncture treatment was 3 times a week for 3 weeks. Modified Ashworth Scale(MAS), H-reflex/M-response ratio(H/M ratio), Berg Balance Scale(BBS) and Time Up & Go(TUG) were used for evaluation of spasticity control before experiment, after 1 week, 2 weeks, 3 weeks. Results : Group I showed significant improvement(p$<$.05) in BBS but no significant improvement in MAS, H/M ratio, and TUG. Group II showed significant improvement(p$<$.05) in MAS, BBS, and TUG, but no significant improvement in H/M ratio. The results showed significant difference in TUG, but no significant difference in MAS, H/M ratio and BBS between 2 groups. Conclusion : These results showed that HPP might decrease lower limb spasticity and increase leg motor function in stroke patients. Further studies will be required to examine more cases in the long period for the effect on lower limb in spasticity by HPP.

References

  1. Lance JW. Symposium synopsis. In: Feldman RG, Young RR, Koella WP, editors. Spasticity: disorder motor control. Chicago, Yearbook Medical Publishers 1980;485-94.
  2. 김진호, 한태륜. 재활의학. 서울:군자출판사. 2003:293-361.
  3. Hye-Won Kim, Young-Jin Ko, Sae-Yoon Kang, Jong-In Lee, Il-Soo Kim. The Effect of Electrical Stimulation on Spasticity in Hemiplegic Patients. Journal of Korean Academy of Rehabilitation Medicine. 2000;24(4):631-636.
  4. Lee Jae-Dong, Gang Seong-Gil, Lee Yun-Ho, Go Hyeong-Gyun, Lee Sang-Gil, Park Dong-Suk. The Study on the Hominis Placenta Aqua-acupuncture Solution. The Journal of Korean Acupuncture and Moxibustion Society. 2000;17(1):67-74
  5. 대한약침학회. 약침요법 시술 지침서. 초판. 서울:한성인쇄. 1999:182.
  6. 王懷德. 太平聖惠方1. 서울:한성사. 1979:3211-3.
  7. Bohannon RW, Smith MB. Interrater reliability of a modified Ashworth scale of muscle spasticity. Phys Ther. 1987;67(2):206-207 https://doi.org/10.1093/ptj/67.2.206
  8. Sae-Wook Park, Min-Goo Lee, Sun-Woo Lee, Baek-Gyu Kang, Ji-Woo Son, Sang-Moo Park, In Lee, Byung-Soon Moon. The Effect of Electroacupuncture by Yin and Yang Meridians on Leg Spasticity of Stroke Patients. Korean J. Orient. Int. Med. 2006;27(2):371-378
  9. Bogle Thorbahn LD, Newton Ra. Use of Berg Balance Test to predict falls in elder persons. Phys Ther. 1996;76(6):576-585 https://doi.org/10.1093/ptj/76.6.576
  10. Morris S, Morris ME, Iansek R. Reliability of measurements obtained with the Time Up & Go test in people with Parkinson disease. Phys Ther. 2001;81(2):810-818. https://doi.org/10.1093/ptj/81.2.810
  11. Sang-ho lee, Suk-hee Chung, Jong-Soo Lee, Sung-soo Kim, Hyun-dae Shin, A Literature Review of Spasticity Assessment Methods. Journal of Oriental Rehabiliration Medicine. 2000;10(2):121-137.
  12. Carr JH. Spasticity: Research findings and implications for intervention, Physiotherapy. 1995;81:421-429. https://doi.org/10.1016/S0031-9406(05)66716-8
  13. Park Yong-Hee, Shin Hyun-dae, Kim Sungsoo, Jung Suk-hee, Lee Jong-Soo. Antispastic Effect of Taping on Spasticity in Stroke Patients. Journal of Oriental Rehabiliration Medicine. 2001;11(1):159-171
  14. 張伯景. 中醫內科學. 北京;人民衛生出版社. 1988:469-70.
  15. 張介賓. 景岳全書. 서울:大星文化社. 1988:203-15.
  16. Jin Ho You, Yong Suk Kim, Sung Keel Kang. Antispastic Effect of Electroacupuncture on Spasticity in Stroke Patients. The Journal of Korean Acupuncture and Moxibustion Society. 1999;16(2):1-12.
  17. Sang-Kwan Moon, Yeon-Kyu Whang, Sung-Uk Park, Chang-Nam ko, Young-Suk kim, Hyumg-Sup Bae, Ki-Ho Cho. Antispastic Effect od Electroacupuncture and Moxibustion in Stroke Patients. The American Journal of Chinese Medicine. 2003;31(3):467-474 https://doi.org/10.1142/S0192415X03001077
  18. Fink M, Rollinj JD, Bijak M, Borst dt C, D uper J, Guergueltcheva V, Dengler R, Karst M. Needle acupuncture in chronic poststroke legspasticity. Arch Phys Med Rehabil. 2004;85:667-672 https://doi.org/10.1016/j.apmr.2003.06.012
  19. Kim Su-Min, Jang Sun-Hee, Kim Cheol-hong, Youn Hyoun-min, Song Choon-ho, Ahn Chang-beohm, Jang Kyung-jeon. Effect of Hominis placenta Pharmacopuncture on the Dysmenorrhea(A Pilot study, Single blind, Randomized, Controlled Clinical Trial). Journal of Korean Pharmacopuncture Institute. 2008;11(3):123-131 https://doi.org/10.3831/KPI.2008.11.3.123
  20. Yoo Hwa-Seung, Kang Weechang, Cho Jung-Hyo, Lee Yeon-Weol, Son Chang-Gue, Cho Chong-Kwan. Effects of Hominis Placenta Herbal Acupuncture(HPA) on Menstrual Cramps. Journal of Korean Pharmacopuncture Institute. 2005;8(1):45-49. https://doi.org/10.3831/KPI.2005.8.1.045
  21. Lee so-yol, Shin Kyung-min, Hong Jang-mu, Choi Soon-young, Bae Kwang-rok, Kim Hankyum. The Clinical Study on the Effect of Hominis Placenta Pharmacopuncture on Asthma. Journal of Korean Pharmacopuncture Institute. 2008;11(4):79-86. https://doi.org/10.3831/KPI.2008.11.4.079
  22. Yun Jeong-Hun, Yook Tae-Han, Song Beom-Ryong. The Effect of Hominis Placenta Herbal Acupuncture on Bell's palsy. Journal of Korean Pharmacopuncture Institute. 2000;3(1):89-99 https://doi.org/10.3831/KPI.2000.3.1.089
  23. 대한침구학회 교재편찬위원회. 鍼灸學下. 集文堂. 2008;158.
  24. 대한침구학회 교재편찬위원회. 鍼灸學上. 集文堂. 2008;64,154-6, 244.
  25. Shin Min-Seop, Park Chong-Ju, Choi Seok-Woo, Yook Tae-han. Clinical Studies on Herbal Acupuncture Therapy in Peripheral Facial Palsy. Journal of Korean Pharmacopuncture Institute. 2001;4(2):27-33 https://doi.org/10.3831/KPI.2001.4.2.027
  26. Katz RT, Rymer WZ. Spastic hypertonia: mechanism and measurement. Arch Phys Med Rehabil. 1989;70:144-155.
  27. DeLisa JA, Gans BM. Rehabilitation medicine: principle and practice 3rd edition. Philadelphia: Lippincott-Raven. 1998;997-1013, 1179.

Cited by

  1. Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials vol.2016, 2016, https://doi.org/10.1155/2016/4683121