The Effect of Silver Spike Point Therapy(SSP) that applied to Acupoints on the Blood Flow Rate of Internal Carotid Artery and Pain Relief of Headache Patients원문보기
The aim of this is to examine the effects of SSP therapy on the internal carotid arteries blood flow of 24 tension type headache patients(study group) and non tension type headache patients(control group), and on the reduction of their headaches, when applied to the acupuncture points. It stimulated...
The aim of this is to examine the effects of SSP therapy on the internal carotid arteries blood flow of 24 tension type headache patients(study group) and non tension type headache patients(control group), and on the reduction of their headaches, when applied to the acupuncture points. It stimulated the acupuncture point of headache 6 place with the SSP. It measured VAS and the blood flow of the internal carotid arteries with TCD. When the internal carotid arteries blood flow of study group and control group were compared by period, a significant difference was found in the 4th period(p<.05). When the Visual Analog Scale of study group and control group were compared by period, a significant difference was found in the 4th period(p<.05). The comparison of each measurement result of the internal carotid arteries blood flow of the study group found significantly increased. The comparison of each measurement result of the VAS of study group found significantly decreased. With regard to the control group, the VAS significantly decreased. The silver spike point low frequency electrical stimulation treatment, when applied to the acupuncture point, can significantly influence the internal carotid arteries blood flow of headache patients and can significantly reduce their headaches.
The aim of this is to examine the effects of SSP therapy on the internal carotid arteries blood flow of 24 tension type headache patients(study group) and non tension type headache patients(control group), and on the reduction of their headaches, when applied to the acupuncture points. It stimulated the acupuncture point of headache 6 place with the SSP. It measured VAS and the blood flow of the internal carotid arteries with TCD. When the internal carotid arteries blood flow of study group and control group were compared by period, a significant difference was found in the 4th period(p<.05). When the Visual Analog Scale of study group and control group were compared by period, a significant difference was found in the 4th period(p<.05). The comparison of each measurement result of the internal carotid arteries blood flow of the study group found significantly increased. The comparison of each measurement result of the VAS of study group found significantly decreased. With regard to the control group, the VAS significantly decreased. The silver spike point low frequency electrical stimulation treatment, when applied to the acupuncture point, can significantly influence the internal carotid arteries blood flow of headache patients and can significantly reduce their headaches.
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
문제 정의
Therefore, this study suggests that SSP therapy to acupoints using TCD will be helpful for pain relief of a headache patient through clinical research how it affects CBF rate and pain relief.
제안 방법
Once electrical stimulation duration was fixed as 30 minutes. Also, this study practiced SSP therapy by raising a current intensity(10~25mA) up to the sting threshold as much as that a subject was able to endure within the scope that the visible contraction of a muscle does not occur.
6 headache acupoints are Hap-Gok(LI4: the concave site of muscle between metacarpal delta phalanx of a thumb and a forefinger) of Large Intestine Meridian, Du-Yu(ST8: the place where a hair grows out on the outside of forehead, about 10cm site from the center of the forehead to the outside) of Gastroscope, Tai-Yang(Ki-Blood : about 2~3cm site from the center between the lateral end of eyebrows and the lateral site of eyes to the backside) - air embolism, Wan-Gol(GB12 : the concave site of the rear of a mastoid) of Gallbladder Meridian, GyeonJeong(GB21 : the centeral site between a clavicle of trapezius muscle and a shoulder joint) of Gallbladder Meridian and Yeol-gyeol(LU7 : Top site of about 5~10cm from the upper wrist on the upper site between a thumb and a forefinger in the medial radius) of Lung Meridian. For electric stimulus, SSP had been practiced under the conditions of 50㎲ phase duration and 200mmHg adsorptive power of a silicon pad three times a week for 3 weeks.
The subjects were galvanized SSP acupoints for 30 minutes, moved to TCD laboratory, took a rest for 5 minutes and then were examined by TCD inspection again. This study had measured CBF rate for each cerebral rovascular and compared the change by measuring total 4 times for 3 weeks.
This study had carried out SSP therapy to 6 headache acupoints of 12 tension type headache patients(an experimental group) and 12 non tension type headache patients(a control group) three times a week for 3 weeks and had measured the blood flow rate of an internal carotid artery using TCD and checked a pain intensity using VAS once a week.
The subjects were galvanized SSP acupoints for 30 minutes, moved to TCD laboratory, took a rest for 5 minutes and then were examined by TCD inspection again. This study had measured CBF rate for each cerebral rovascular and compared the change by measuring total 4 times for 3 weeks.
This study had measured and compared CBF rate of an internal carotid artery and pain intensity under the difference of a time such as before treatment, 1 week,2weeksand3weeksafterapplyingSSPtherapy to 24 headache patients - 12 tension type headache patients(study group) and 12 non tension type headache patients(control group) in order to the effect that SSP therapy applied to acupoints affects the change of a CBF rate and pain relief for tension type headache patients and non-tension type headache patients, and the results were as followings.
This study stimulated acupoints for a headache using SSP - one of low frequency electrical stimulation therapies - to show the same analgesic effect as an acupuncture based on an oriental physical therapy.
This study tries to compare and analyze the changes of CBF(cerebral blood flow) rate and the effectiveness of pain relief between tension type headache patients and nontension type headache patients when stimulating the acupoint for a headache with SSP Low Frequency Electrical Stimulation which is a therapy to show the same analgesic effect as an acupuncture based on an oriental physical therapy.
대상 데이터
As a result of analyzing the common characteristics of a sample, total 24 subjects - 12 subjects in an experiment group and 12 subjects in a control group, and there were 9 male subjects and 15 female subjects in two groups. The average age of an experiment group was 32.
The subjects of this study are an experimental Group(12 tension type headache patients) and a control group(12 non tension type headache patients).
데이터처리
First, t-test was used for periodic comparison between the common characteristics of a sample and an experiment group and control group.
Second, ANOVA was used for the comparison of measuring time between an experiment group and a control group, and if they have difference between two groups, and Scheffe test(post hoc tests) was used for the group with difference.
이론/모형
This study used VAS which has been used the most frequently for the purpose of objectification of subjective pain that a patient feels. VAS is to mark directly the appropriate pain intensity of a subject on a 100mm sized horizontal bar on the time when the pain has stopped.
성능/효과
1. For the CBF rates of study group and a control group, there was significant difference in an internal carotid artery of study group 2 weeks after treatment(p<.05).
2. As a result of comparing VAS of study group by a measuring period, the group had significant increase of VAS in an internal carotid artery before SSP stimulus~2 weeks after, before SSP stimulus~3 weeks after and 1 week~3 weeks after and showed meaningful pain relief before SSP stimulus~2 weeks after, before SSP stimulus~3 weeks after and 1 week~3 weeks after(p<.05) for pain scale.
3. As a result of comparing VAS of a control group by a measuring period, the group had no significant difference for the increase of blood flow in an internal carotid artery and showed significant pain relief before SSP stimulus~2 weeks after, before SSP stimulus~3 weeks after, 1 week~3 weeks after and 2 weeks~3 weeks after for pain scale(p<.05).
As a result of comparing VAS for each period between an experiment group and a control group, there was no significant difference that VAS of an experiment group for the first time was 6.17±1.35 and a control group was 6.26±1.20.
As a result of post analysis, there were significant difference between one of the first time and after 2 weeks, one of the first time and 3 weeks after treatment, 1 week and 3 weeks after treatment and 2 weeks and 3 weeks after treatment.
Physically, if the cross-sectional area of a vessel gets narrow, the blood flow rate gets fast. By the way, the results of this study were that the vascular cross-sectional area widens because the pressed vessel was relaxed after a treatment but instead, a blood flow rate increased. How could this study explain such situations?
In this study, the difference of a time more than minimum 2 weeks needed to show significantly the increase of a blood flow rate in an internal carotid artery(p<.05).
This study also got the numerical results that CBF rate of a headache patient was increased and pain was relieved after a treatment than before. There is a problem that we should considerhere.
후속연구
But, it needs to prepare for the clear statistical evidences for more patients because this study excluded the psychological effects of CBF rate.
05). What the increase of a blood flow rate is related with the cross-sectional area of a vessel in an internal carotid artery and how a blood flow rate of another cerebrovascular is changed have to be examined and researched further.
참고문헌 (28)
Jensen R. Pathophysiological mechanisms of tension- type headache. A review of epidemiological and experimental studies. Cephalalgia 1999; 602-621.
Headache Classification Comimittee of the International Headache Society. Classification and diagnostic criteria for headache disorders. cranial neuralgias and facial pain Cephalagia 8 suppl, 7. 1998.
Globel H, Petersen-Braun M, Soyka D. The epidemiology of headache in Germany: a nationwide survey of a representative sample on the basis of the headache classification of the International Headache Society. Cephalalgia 1994; 14: 97-106.
Sanin LC, Mathew NT, Bellmeyer LR. The International Headache Society(IHS) headache classification as applied to a headache clinic population. Cephalalgia 1994; 14: 443-446.
Bendtsen L, Olesen J, Jensen R. Muscular factors are of importance in tension type headache. Headache 1998; 10-17.
The Acupuncture and moxibustion. Jibmundam 1993; 1169-1175.
Park SD. Causes of headache. Dongsuuihak 1998; 13(3): 16-30.
Kang SI, Shin YC, Kang SK. A study of headache's oriental medicine. Kor Ori Med Soc 1992; 13(1): 324-35.
Park SH, Lee BY. A view of literature of headache's cause and acupuncture. Korean Acumoxa Society 1998; 15(2): 455-61.
Min KO. SSP therapy. Hyunmunsa 1995
Min KO. Electrotherapy. Hyunmunsa 1998.
Kim JS, No JK, An YY. The epidemiology and cilnical characteristics of tension type headache. Kor Neurol Assoc 1997; 15(3): 615-23.
Gonzalez OF, Cho YI, Ortega HV, et al. Intracranial aneurysm flow analysys of their origin and progression. AJNR 1992; 13: 181-188.
Kever W, Heliman CB. Flow in experimental berry aneurysms. method and model. AJNR 1983; 4: 373-377.
Lee MH, Han JM. Cerebral blood flow velocity measurement by TCD. Kor Soc Phys Ther 2005; 17(2): 126-147.
Lee YS, Kim BK. Application of transcranial doppler ultrasonography for the diagnosis of migraine. Kor Soc Clin Neurophysiol 1999; 1(1): 33-39.
Park RJ, Kim JS, Lee IH, et al. Effects of electrotherapy on blood velocity of cranial artery in tension-type headache subjects. Kor Soc Phys Ther 2000; 12(3): 349-359.
Lee SS, Kim DW, An KP, et al. The effects of applying acupuncture on blood velocity of cranial artery in migraine patient. Korean Acumoxa Society 2001; 18(6).
Kim JH, Lee JD, Choi DY, et al. The clinlcal study of applying acupuncture on chronic headache patient. Korean Acumoxa Society 2000; 17(3): 1-9.
Han JM, Kim JS. The effects of ultrasound and myofascial release therapy on blood velocity of cranial artery in tension type headache subjects. Kor Soc Phys Ther 2003; 15(1): 59-69.
Cho SJ, Jung JS, Lee KH. Reference materials of Transcranial Doppler Ultrasonography with normal MRI, MRA.Kor Neurol Assoc 1998;16(3):264-270.
Kim KH, Son YH, Lee SM. A standard and factors of Transcranial Doppler Ultrasonography. Kor Neurol Assoc 1995; 13(4): 815-824.
Ringelstein EB, Otis SM. Physiological testing of vasomotor reserve. Newwell DW, Aslid R, eds. Transcranial Doppler. New York, Raven press 1992; 83-99.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.