Effects of zhongfeng cutong moxibustion on motor function and corticospinal tract in the patients with motor dysfunction during the recovery period of cerebral infarction
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Effects of zhongfeng cutong moxibustion on motor function and corticospinal tract in the patients with motor dysfunction during the recovery period of cerebral infarction
Chinese Acupuncture & MoxibustionVol. 43, Issue 12, Pages: 1358-1362(2023)
ZHU Zi-long,SHEN Tian-yi,SUN Zheng,et al.Effects of zhongfeng cutong moxibustion on motor function and corticospinal tract in the patients with motor dysfunction during the recovery period of cerebral infarction[J].Chinese Acupuncture & Moxibustion,2023,43(12):1358-1362.
ZHU Zi-long,SHEN Tian-yi,SUN Zheng,et al.Effects of zhongfeng cutong moxibustion on motor function and corticospinal tract in the patients with motor dysfunction during the recovery period of cerebral infarction[J].Chinese Acupuncture & Moxibustion,2023,43(12):1358-1362.DOI: 10.13703/j.0255-2930.20230623-k0003.
Effects of zhongfeng cutong moxibustion on motor function and corticospinal tract in the patients with motor dysfunction during the recovery period of cerebral infarction
moxibustion (moxibustion therapy for unblocking and treating stroke) on the motor function and the structure of corticospinal tract (CST) in the patients with motor dysfunction during the recovery period of cerebral infarction
and to explore the central mechanism of this moxibustion therapy for improving the motor function.
Methods
2
Fifty patients with motor dysfunction during the recovery period of cerebral infarction were randomly divided into an observation group (25 cases
1 case dropped out) and a control group (25 cases
1 case dropped out). The patients in both groups underwent the conventional basic treatment. In the control group
acupuncture was applied to Baihui (GV 20) and Shuigou (GV 26)
as well as Chize (LU 5)
Neiguan (PC 6)
Weizhong (BL 40) and Sanyinjiao (SP 6) etc. on the affected side. Besides the intervention of the control group
in the observation group
zhongfeng cutong
moxibustion therapy was combined at Baihui (GV 20)
Shenque (CV 8) and bilateral Zusanli (ST 36). Both acupuncture and moxibustion therapies were delivered once daily
5 times a week
for 2 weeks. The scores of Fugl-Meyer assessment scale (FMA) and National Institutes of Health stroke scale (NIHSS) were compared between the two groups before and after treatment. The diffusion tensor im
aging technique was used to observe the fractional anisotropy (FA) of CST at the bilateral whole segment
the cerebral cortex
the posterior limb of the internal capsule and the cerebral peduncle before and after treatment in the two groups.
Results
2
The scores of the upper and the lower limbs of FMA
as well as the total FMA score swere increased after treatment when compared with those before treatment in the two groups (
P<
0.05)
the upper limb FMA score and the total FMA score in the observation group were higher than those in the control group (
P
<
0.05)
and NIHSS scores of the two groups were dropped compared with those before treatment (
P
<
0.01). FA of CST at the bilateral sides of the posterior limb of the internal capsule and the whole segment on the focal side was improved in comparison with that before treatment in the observation group (
P<
0.05)
and FA of CST at the healthy side of the whole segment was higher than that before treatment in the control group (
P<
0.05).
Conclusion
2
Zhongfeng cutong
moxibustion improves motor function and reduces neurological deficits in the patients with motor dysfunction during the recovery period of cerebral infarction
which may be related to enhancing the remodeling of white matter fiber bundles in the corticospinal tract on the focal side of the whole segment and the bilateral posterior limb of the internal capsule.
Gladstone DJ , Danells CJ , Black SE . The fugl-Meyer assessment of motor recovery after stroke: a critical review of its measurement properties [J ] . Neurorehabil Neural Repair , 2002 , 16 ( 3 ): 232 - 240 .
Hinkle JL . Reliability and validity of the National Institutes of Health Stroke Scale for neuroscience nurses [J ] . Stroke , 2014 , 45 ( 3 ): e32 - e34 .
Huang L , Li TT , Jiang HB . Technical Note: Thermoacoustic imaging of hemorrhagic stroke: a feasibility study with a human skull [J ] . Med Phys , 2017 , 44 ( 4 ): 1494 - 1499 .
Gupta A , Shukla G , Mohammed A , et al . Restless legs syndrome, a predictor of subcortical stroke: a prospective study in 346 stroke patients [J ] . Sleep Med , 2017 , 29 : 61 - 67 .
Jin JF , Guo ZT , Zhang YP , et al . Prediction of motor recovery after ischemic stroke using diffusion tensor imaging: a meta-analysis [J ] . World J Emerg Med , 2017 , 8 ( 2 ): 99 - 105 .
Cai JX , Ji QL , Xin RQ , et al . Contralesional cortical structural reorganization contributes to motor recovery after sub-cortical stroke: a longitudinal voxel-based morphometry study [J ] . Front Hum Neurosci , 2016 , 10 : 393 .
Salvalaggio A , De Filippo De Grazia M , Zorzi M , et al . Post-stroke deficit prediction from lesion and indirect structural and functional disconnection [J ] . Brain , 2020 , 143 ( 7 ): 2173 - 2188 .
Puig J , Blasco G , Schlaug G , et al . Diffusion tensor imaging as a prognostic biomarker for motor recovery and rehabilitation after stroke [J ] . Neuroradiology , 2017 , 59 ( 4 ): 343 - 351 .
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Related Institution
College of Acupuncture-Moxibustion and Tuina, Anhui University of CM
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