OBJECTIVE:To observe the effect of electroacupuncture(EA) on force-displacement value(FDV)of muscle state and the temperature index of infrared thermogram in patients with acute lumbar muscle sprain.METHODS:Patients w...OBJECTIVE:To observe the effect of electroacupuncture(EA) on force-displacement value(FDV)of muscle state and the temperature index of infrared thermogram in patients with acute lumbar muscle sprain.METHODS:Patients with acute lumbar muscle sprain were randomly divided into a medication group and an EA group.The medication group(n-60) were treated with diclofenac sodium dual release enteric-coated capsules,75 mg per day for 7days.The EA group(n = 60) received EA at bilateral Houxi(SI 3),Jiaji(EX-B2),and Ashi points,at 20-30 mm depth and 10-25 Hz frequency for 20 min daily for 7 days.Muscle states were determined by measuring FDVs of the bilateral lumbar muscle with a Myotonometer fast muscle state detector.The temperature index of the lumbar skin was measured before and after treatment with a Fluke Ti30 non-refrigerated focal plane infrared thermal imaging detector.RESULTS:There were no significant pre-treatment differences between the medication group and the EA group in mean FDV(P = 0.052) or temperature index of the lumbar skin(P = 0.25).The cure rate was 63.3%in the EA group and 53.3%in the medication group.The total efficacy in the EA group(93.3%) was not significantly different from that in the medication group(86.6%,P = 0.204).After treatment,the mean FDV of the lumbar muscle significantly increased in both groups(P < 0.05 for both groups);the FDV increase in the EA group was significantly higher than in the medication group(P = 0.015).The temperature index was also significantly increased in both groups(P < 0.05 for both groups);the infrared thermogram in the EA group indicated significantly greater recovery compared to the medication group(P = 0.026).CONCLUSION:Both EA and diclofenac sodium markedly improved acute lumbar sprain,but EA better improved the rehabilitation and regeneration of FDVs and temperature index of infrared thermogram of the muscle.展开更多
基金Supported by the Study on the Clinical Curative Effect and Standardization of Acupuncture and Tuina Treatment of Acute Lumbar Sprain from the Projects of Science and Technology Commission of Shanghai Municipality(No.10DZ1974700)the Clinical Research on Acupuncture and Tuina Treatment of Acute Lumbar Sprain Scheme Optimization and Rehabilitation Evaluation from Shanghai Municipal Health Bureau(No.2010QL035A)+2 种基金the Research on the Spreading Appropriate Technology of TCM in Shanghai(No.2010G007A)the Study on the Inheritance of Lushi Acupuncture about Shanghai Traditional Chinese Medicine Schools(No.ZYSNXD-CC-HPGC-JD-004)the Program of TCM Personnel Training in Shanghai(No.ZY3-RCPY-2-2034)
文摘OBJECTIVE:To observe the effect of electroacupuncture(EA) on force-displacement value(FDV)of muscle state and the temperature index of infrared thermogram in patients with acute lumbar muscle sprain.METHODS:Patients with acute lumbar muscle sprain were randomly divided into a medication group and an EA group.The medication group(n-60) were treated with diclofenac sodium dual release enteric-coated capsules,75 mg per day for 7days.The EA group(n = 60) received EA at bilateral Houxi(SI 3),Jiaji(EX-B2),and Ashi points,at 20-30 mm depth and 10-25 Hz frequency for 20 min daily for 7 days.Muscle states were determined by measuring FDVs of the bilateral lumbar muscle with a Myotonometer fast muscle state detector.The temperature index of the lumbar skin was measured before and after treatment with a Fluke Ti30 non-refrigerated focal plane infrared thermal imaging detector.RESULTS:There were no significant pre-treatment differences between the medication group and the EA group in mean FDV(P = 0.052) or temperature index of the lumbar skin(P = 0.25).The cure rate was 63.3%in the EA group and 53.3%in the medication group.The total efficacy in the EA group(93.3%) was not significantly different from that in the medication group(86.6%,P = 0.204).After treatment,the mean FDV of the lumbar muscle significantly increased in both groups(P < 0.05 for both groups);the FDV increase in the EA group was significantly higher than in the medication group(P = 0.015).The temperature index was also significantly increased in both groups(P < 0.05 for both groups);the infrared thermogram in the EA group indicated significantly greater recovery compared to the medication group(P = 0.026).CONCLUSION:Both EA and diclofenac sodium markedly improved acute lumbar sprain,but EA better improved the rehabilitation and regeneration of FDVs and temperature index of infrared thermogram of the muscle.
