| 뇌졸중 후 표준 운동재활요법에 침은 추가적 효과가 있나?
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날짜 : 02-02-21 16:21
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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,
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 firstname.lastname@example.org
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.