Efficacy of Skin, Connective Tissue, Aponeurosis Galea, Loose Areolar Tissue, and Pericranium Acupuncture Techniques in Stroke Patients in Improving Muscle Strength of Motion Limbs
Keywords:SCALP, acupuncture, stroke, muscle strength
BACKGROUND: Nowadays, more than 650,000 stroke survivors needed further therapy and treatment related to mild or severe relief caused by stroke. Defects that cause stroke lesions require more serious and longer handling and will be very burdensome for patients and health insurance. Acupuncture method in the head skin, connective tissue, aponeurosis galea, loose areolar tissue, and pericranium (SCALP) was known to be related to the function of the cerebral cortex known as Zhu’s scalp acupuncture. Stimulation on this point was believed can open blood vessels, and provides better blood flow so it could improve repair in stroke patient.
AIM: This research aimed to prove the effectivity of needle sticking on SCALP to strengthen limb muscle in stroke patients.
MATERIALS AND METHODS: This research used a quasi-experimental design, pre-test-post-test without control group. The subjects of this study were stroke patients who were in the recovery phase (after the critical period had passed) and who had an stroke attack <1 year. Sampling method of this study was consecutive sampling, namely, recovery post-stroke patients who were hospitalized or outpatient of all over hospitals in Palembang, Indonesia. In this study, needle pricking was performed in the cerebral motor cortex which is located in the anterior central sulcus. Stimulation is done 10 times for 2 weeks. Assessment of muscle strength in the upper and lower limbs was performed using manual muscle testing measurement before and after therapy. Analysis of muscle strength before and after cerebral cortex stimulation through needle pricking on the SCALP of the head was analyzed by t-test dependent using SPSS 18. Data were displayed in tabular form, with a significance of p < 0.05.
RESULTS: Subjects of this study were eight people consisting of four men (50%) and four female patients (50%) who had passed the critical stroke and were in the recovery phase within a period of recovery <1 year after stroke attack. The number of subjects who experienced improvement in joint motion of each joint was much greater than the frequency of the number of subjects who had no improvement. About 90% of the study subjects felt improvement in joint motion of each joint. The improvement in muscle strength score almost doubled after being treated with SCALP acupuncture better than before treatment.
CONCLUSION: SCALP acupuncture technique was effective in improving muscle strength of motion limbs on stroke patients.
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Lozano R, Naghavi M, Foreman K, Lim S, Shibuya S, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2095-128. PMid:23245604
Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, et al. Disability-adjusted life-years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2197-223. PMid:23245608
Feigin VL, Forouzanfar MH, Krishnamurthi R, Mensah GA, Connor M, Bennett DA, et al. Global and regional burden of stroke during 1990-2010: Findings from the global burden of disease study 2010. Lancet. 2014;383(9913):245-54. PMid:24449944
Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, et al. Heart disease and stroke statistics 2011 update: A report from the American heart association. Circulation. 2011;123(4):e18-209. PMid:21160056
He J, Gu D, Wu X, Reynolds K, Duan X, Yao C, et al. Major causes of death among men and women in China. N Engl J Med. 2005;353(11):1124-34. PMid:16162883
Zhao D, Liu J, Wang W, Zeng Z, Cheng J, Sun J, et al. Epidemiological transition of stroke in China: Twenty-one-year observational study from the Sino-MONICA-Beijing project. Stroke. 2008;39(6):1668-74. PMid:18309149
Liu M, Wu B, Wang WZ, Lee LM, Zhang SH, Kong LZ. Stroke in China: Epidemiology, prevention, and management strategies. Lancet Neurol. 2007;6(5):456-64. PMid:17434100
Jia Q, Liu LP, Wang YJ. Stroke in China. Clin Exp Pharmacol Physiol. 2010;37(2):259-64. PMid:19769611
Liu L, Wang D, Wong KS, Wang Y. Stroke and stroke care in China: Huge burden, significant workload, and a national priority. Stroke. 2011;42(12):3651-4. PMid:22052510
NICE. Stroke: Diagnosis and Initial Management of Acute Stroke and Transient Ischaemic Attack (TIA). National Institute for Health and Clinical Excellence: NICE Clinical Guideline. Vol. 68. London: Royal College of Physicians (UK); 2008. p. 1-16.
SIGN. Management of Patients with Stroke: Rehabilitation, Prevention and Management of Complications, and Discharge Planning. Vol. 118. Scottish Intercollegiate Guidelines Network; 2010. p. 1-14.
Gu J, Wang Q, Wang XG, Li H, Ming H, Dong X, et al. Assessment of registration information on methodological design of acupuncture RCTs: A review of 453 registration records retrieved from WHO international clinical trials registry platform. Evid Based Complement Alternat Med. 2014;2014(8):614850.
Bai L, Tian J, Zhong C, Xue T, You Y, Chen P, et al. Acupuncture modulates temporal neural responses in wide brain networks: Evidence from fMRI study. Mol Pain. 2010;6(1):73. PMid:21044291
Li L, Zhang H, Meng SQ, Qian HZ. An updated meta-analysis of the efficacy and safety of acupuncture treatment for cerebral infarction. PLoS One. 2014;9(12):e114057. PMid:25438041
NIH Consensus Development Panel. NIH Consensus Conference. Acupuncture. JAMA. 1998;280(17):1518-24. PMid:9809733
World Health Organization. Acupuncture: Review and Analysis Reports on Controlled Clinical Trials. Geneva: World Health Organization; 2002.
Wang HQ, Wang F, Liu JH, Dong GR. Introduction on the schools of the scalp acupuncture for treatment of the stroke hemiplegia. Chinese Acupuncture & Moxibustion. 2010;30(9):783–6.
Xu XH, Zheng P, Wang FC. The comparison and analysis of curative effect for three scalp acupuncture school. Jilin J Tradit Chin Med. 2007;4(27):47-8.
Jiao SF. Head Acupuncture. Beijing: Foreign Languages Press; 1993. p. 17-22.
Sze FK, Wong E, Kevin KH, Or KH, Lau J, Woo J. Does acupuncture improve motor recovery after stroke? A meta-analysis of randomized controlled trials. Stroke. 2002;33(11):2604-19. PMid:12411650
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