Effect of complex reinforcing-reducing manipulation on lower limb motion and balance disorder in patients with subacute combined degeneration of the spinal cord

复式针刺补泻法对脊髓亚急性联合变性下肢运动和平衡功能的影响(英文)

Objective：To observe the effect of complex reinforcing [Shao Shan Huo （Mountain-burning Fire）] and reducing [Tou Tian Liang （Heaven-penetrating Cooling）] manipulations on motion and balance of the lower limbs in patients with subacute combined degeneration of the spinal cord （SCD）. Methods：A total of 100 SCD cases were randomly allocated into an observation group and a control group by their visit sequence, 50 cases in each group. On the basis of Western medical treatment, cases in the observation group were also treated with acupuncture therapy plus complex reinforcing-reducing manipulation; whereas cases in the control group were only treated with the same Western medical treatment as those in the observation group. Before and 2 months after treatment, kinematic parameters including muscle force, muscle tone and range of motion of the hip and knee joints were measured. In addition, balancing parameters including the path length of center of pressure （COP）, peripheral area, COP path length per unit area and rectangular area were also measured before and after treatment. Results：After treatment, there were statistical intra-group differences in COP path length, peripheral area, COP path length per unit area, left-right offset, rectangular area, coefficient of stability and coefficient of weight distribution （P〈0.01）. There were statistical inter-group differences in muscle force, muscle tone and range of motion of hip and knee joints （P〈0.01）. The total effective rate was 83.3% in the observation group, versus 60.0% in the control group, showing a statistical difference （P〈0.05）. Conclusion：Complex reinforcing-reducing manipulations can improve the lower limb motion and balance in SCD patients.

目的:观察烧山火、透天凉复式针刺补泻法对脊髓亚急性联合变性下肢运动和平衡功能的影响。方法:将100例脊髓亚急性联合变性患者按就诊顺序随机分为观察组与对照组,每组50例。观察组患者在西医治疗基础上予以针刺治疗,采用烧山火、透天凉复式针刺补泻方法,对照组患者仅予以与观察组相同的西医基础治疗。于治疗前、治疗2个月后,对患者髋、膝关节肌力,肌张力以及关节活动度进行运动学参数测定,以及轨迹长、外周面积、单位面积轨迹长、矩形面积平衡功能参数测定。结果:治疗后,两组患者的轨迹长、外周面积、单位面积轨迹长、左右偏移、矩形面积、稳定性系数、体重分布系数均较本组治疗前有明显改善(P<0.01);两组髋、膝关节肌力,肌张力以及关节活动度差异有统计学意义(P<0.01)。观察组总有效率为83.3%,对照组为60.0%,两组总有效率差异具有统计学意义(P<0.05)。结论:复式针刺补泻法能提高脊髓亚急性联合变性下肢运动和平衡功能。