동서양 대체의학

뇌졸중 후 표준 운동재활요법에 침은 추가적 효과가 있나?   글쓴이 : 이병철     날짜 : 02-02-21 16:21     조회 : 5839     뇌졸중 후 표준 운동재활요법에 침은 추가적 효과가 있나?  우리 나라 뇌졸중 환자 중 많은 사람들이 뇌졸중 회복기에 물리요법을 포 함한 재활치료를 받으면서 조급한 마음에 침을 맞고 있습니다. 뇌졸중 치 료에서 침의 효과에 대해서 몇 차례 의견을 올린 적이 있습니다. 아래 연 구는 뇌졸중 후 표준 운동재활요법에 더불어 침을 맞았을 때 추가적 효과 가 있느냐에 관한 것입니다. 결론은 추가적 가치가 없다입니다. 중국 인사 들의 논문이기에 더 눈에 띕니다. 아래에 논문 초록을 첨부하였습니다. ................................ Does Acupuncture Have Additional Value to Standard Poststroke Motor Rehabilitation? Stroke 2002. 33: 186 - 194. Frank Kai-Hoi Sze, FRCP; Eric Wong, MA; Xiang Yi, MD; Jean Woo, FRCP From the Department of Medicine and Geriatrics (F.K.-H.S.), Shatin Hospital, Hong Kong; Centre for Clinical Trials and Epidemiological Research (E.W.) and Department of Medicine and Therapeutics, Prince of Wales Hospital (J.W.), Chinese University of Hong Kong, Hong Kong; and Department of Acupuncture and Moxibustion (X.Y.), Nanjing Municipal Traditional Chinese Medicine Hospital, Nanjing, China. Correspondence to Dr Frank Kai-hoi Sze, Department of Medicine and Geriatrics, Shatin Hospital, 33 A Kung Kok St, Ma On Shan, N.T. Hong Kong, China. E-mail fkhsze@hotmail.com Abstract Background and Purpose; A significant number of patients remain severely disabled after stroke despite rehabilitation with standard treatment modalities. Acupuncture has been reported as an alternative modality. This study aims to examine whether acupuncture has additional value to standard poststroke motor rehabilitation. Methods; A prospective randomized controlled trial (RCT) was carried out in a stroke rehabilitation unit in Hong Kong. One hundred six Chinese patients with moderate or severe functional impairment were included at days 3 to 15 after acute stroke. They were stratified into the moderate and the severe groups before randomization into the control arm receiving standard modalities of treatment, which included physiotherapy, occupational and speech therapy, and skilled medical and nursing care, and the intervention arm receiving in addition traditional Chinese manual acupuncture. A mean of 35 acupuncture sessions on 10 main acupoints were performed over a 10-week period. Outcome measures included Fugl-Meyer assessment, Barthel Index, and Functional Independence Measure, respectively, at weeks 0, 5, and 10, performed by blinded assessors. Results; At baseline, patients in each arm were comparable in all important prognostic characteristics. No statistically significant differences were observed between the 2 arms for any of the outcome measures at week 10 or outcome changes over time. ....................................