Thirty-six cases of neuritis of lateral cutaneous nerve of thigh were treated by mag-netic round plum-blossom needle plus infrared radiation and it was compared with simpleacupuncture treatment.Statistical analysis in...Thirty-six cases of neuritis of lateral cutaneous nerve of thigh were treated by mag-netic round plum-blossom needle plus infrared radiation and it was compared with simpleacupuncture treatment.Statistical analysis indicated that there was no significant difference in thetheraPeutic effects between the two methods,but magnetic round Plum-blossom needle Plus in-frared radiation had as high therapeutic effect as simple acupuncture treatment and with themethod pateints suffered less without infection and it was easily to be accepted by patients.展开更多
Background： Single-fiber electromyography （SFEMG） has been suggested as a quantitative method for supporting chronic partial denervation in amyotrophic lateral sclerosis （ALS） by the revised El Escorial criteria....Background： Single-fiber electromyography （SFEMG） has been suggested as a quantitative method for supporting chronic partial denervation in amyotrophic lateral sclerosis （ALS） by the revised El Escorial criteria. Although concentric needle （CN） electrodes have been used to assess jitter in myasthenia gravis patients and healthy controls, there are few reports using CN electrodes to assess motor unit instability and denervation in neurogenic diseases. The aim of this study was to determine whether quantitative changes in jitter and spike number using CN electrodes could be used for ALS studies. Methods： Twenty-seven healthy controls and 23 ALS patients were studied using both CN and single-fiber needle （SFN） electrodes on the extensor digitorum communis muscle with an SFEMG program. The SFN-jitter and SFN-fiber density data were measured using SFN electrodes. The CN-jitter and spike number were measured using CN electrodes. Results： The mean CN-j itter was significantly increased in ALS patients （47.3 ±17.0 μs） than in healthy controls （27.4 ± 3.3 las） （P 〈 0.001 ）. Besides, the mean spike number was significantly increased in ALS patients （2.5 ± 0.5） than in healthy controls （1.7 ± 0.3） （P 〈 0.001）. The sensitivity and specificity in the diagnosis of ALS were 82.6% and 92.6% for CN-jitter （cut-offvalue： 32 gs）, and 91.3% and 96.3% for the spike number （cut-off value： 2.0）, respectively. There was no significant difference between the SFN-jitter and CN-jitter in ALS patients; meanwhile, there was no significant difference between the SFN-jitter and CN-jitter in healthy controls. Conclusion： CN-jitter and spike number could be used to quantitatively evaluate changes due to denervation-reinnervation in ALS.展开更多
Lateral epicondylitis （LE） is a common musculoskeletal problem. The incidence is estimated to be 0.4%-0.7% per year in general practice, and between 1% and 3% per year in the adult general populationJ2） LE results ...Lateral epicondylitis （LE） is a common musculoskeletal problem. The incidence is estimated to be 0.4%-0.7% per year in general practice, and between 1% and 3% per year in the adult general populationJ2） LE results from repetitive micro-trauma by overuse of the wrist extensor musculature, which ultimately leads to failure of the common extensor tendon,展开更多
文摘Thirty-six cases of neuritis of lateral cutaneous nerve of thigh were treated by mag-netic round plum-blossom needle plus infrared radiation and it was compared with simpleacupuncture treatment.Statistical analysis indicated that there was no significant difference in thetheraPeutic effects between the two methods,but magnetic round Plum-blossom needle Plus in-frared radiation had as high therapeutic effect as simple acupuncture treatment and with themethod pateints suffered less without infection and it was easily to be accepted by patients.
文摘Background： Single-fiber electromyography （SFEMG） has been suggested as a quantitative method for supporting chronic partial denervation in amyotrophic lateral sclerosis （ALS） by the revised El Escorial criteria. Although concentric needle （CN） electrodes have been used to assess jitter in myasthenia gravis patients and healthy controls, there are few reports using CN electrodes to assess motor unit instability and denervation in neurogenic diseases. The aim of this study was to determine whether quantitative changes in jitter and spike number using CN electrodes could be used for ALS studies. Methods： Twenty-seven healthy controls and 23 ALS patients were studied using both CN and single-fiber needle （SFN） electrodes on the extensor digitorum communis muscle with an SFEMG program. The SFN-jitter and SFN-fiber density data were measured using SFN electrodes. The CN-jitter and spike number were measured using CN electrodes. Results： The mean CN-j itter was significantly increased in ALS patients （47.3 ±17.0 μs） than in healthy controls （27.4 ± 3.3 las） （P 〈 0.001 ）. Besides, the mean spike number was significantly increased in ALS patients （2.5 ± 0.5） than in healthy controls （1.7 ± 0.3） （P 〈 0.001）. The sensitivity and specificity in the diagnosis of ALS were 82.6% and 92.6% for CN-jitter （cut-offvalue： 32 gs）, and 91.3% and 96.3% for the spike number （cut-off value： 2.0）, respectively. There was no significant difference between the SFN-jitter and CN-jitter in ALS patients; meanwhile, there was no significant difference between the SFN-jitter and CN-jitter in healthy controls. Conclusion： CN-jitter and spike number could be used to quantitatively evaluate changes due to denervation-reinnervation in ALS.
基金Supported by the Chang Gung Memorial Hospital Research Project(No.CMRPG890781)
文摘Lateral epicondylitis （LE） is a common musculoskeletal problem. The incidence is estimated to be 0.4%-0.7% per year in general practice, and between 1% and 3% per year in the adult general populationJ2） LE results from repetitive micro-trauma by overuse of the wrist extensor musculature, which ultimately leads to failure of the common extensor tendon,
