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Editors-in-Chief: XZ Wu, PhD. Prof.
ISSN 2538-0583
9TMR Non-Drug Therapy TMR Non-Drug Therapy is an international peer-reviewed, Open Access journal. It is dedicated to report the research progress and discusses the idea and method in the natural therapies to regulate the organism's disorders which aim to contribute to human health, including acupuncture, cupping, exercise and behavior therapy, physical and mental therapy, massage, moxibustion and other therapy on non-drug treatments around the world. It set up basic research, clinical research, case reports, review and theoretical discussion. It seeks to promote international communication focusing on the latest developments, trends, experiences and achievements on non-drug therapy in clinical practice and scientific research. It has been included in DOAJ, ScienceOpen, China Science and Technology Journal Database (CSTJ), and Google Scholar. ... More


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Current Issue     06 September 2019, Volume 2 Issue 3 Previous Issue   
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An effective and easy to insist on self-made pelvic floor muscle rehabilitation for the elderly women with stress urinary incontinence
Xiong-Zhi Wu
9TMR Non-Drug Therapy. 2019, 2 (3): 71-71.   https://doi.org/10.12032/TMRND201902016
Abstract ( 70 )   HTML ( 4 )     PDF (252KB) ( 34 )  

Stress urinary incontinence (SUI) refers to involuntary urine overflow in patients with sudden increases in abdominal pressure such as exercise, sneezing or coughing. Pepsi floor muscle training (PFMT), also known as Kegel exercise, enhances the strength, control and coordination of the pelvic floor muscles and detrusor pressure, allowing patients to learn to pre-control the pelvic floor before increasing abdominal pressure.

An important predictor of overall effectiveness of pelvic floor muscle training is patient compliance. Although pelvic floor muscle training is effective for the treatment of SUI, long-term adherence to pelvic floor muscle training has been questioned. Studies have shown that, the proportion of long-term adherence to pelvic floor muscle training is 10% to 70%. Clinicians estimate that 64% of patients can adhere to pelvic floor muscle training and health counseling for a short period of time, but only 23% of patients persist in training for a long time. The poor performance of pelvic floor muscle training is mainly due to the fact that patients can not complete the exercise program as planned, cannot meet the exercise intensity and frequency required by the plan, and cannot adhere to the exercise plan for a long time.

This self-made pelvic floor muscle rehabilitation focused on the muscle strength of the pelvic floor muscle to improve the SUI of the elderly women. At the same time, it cooperates with abdominal breathing and abdominal muscle training to improve the abdominal pressure of women and solve the stress from the source. After 10 weeks of pelvic floor muscle rehabilitation training, the 72-hour average frequency of urinary incontinence was 1.02 ± 0.65 times, which was not statistically different from that before training (1.25 ± 0.71, P > 0.05). The score of ICIQ-SF was 5.95 ± 1.32, which was significantly lower than that before training (7.0 ± 1.38, P < 0.05), and the urinary incontinence severity index was 2.75 ± 0.89, which was significantly lower than that before training (3.95 ± 1.32, P < 0.01). The weight of 1 hour urine pad was 6.40 ± 2.29 g and was significantly lower than that before training (P < 0.01, 8.37 ± 2.24). Self-created pelvic floor muscle rehabilitation had the function of decreasing the quantity of urinary incontinence instead of the frequency of incontinence. More important, during the implementation of this program, through the WeChat, the subjects could communicate on a daily or regular basis to promote compliance, and to find out where the deficiencies or subjects are uncomfortable in order to proceed better. It promoted the long-term adherence to pelvic floor muscle training. Therefore, it is hoped that the self-made pelvic floor muscle rehabilitation exercise programmed in this experiment can be familiarized and practiced by more elderly women and used to improve the problem of SUI in older women.

Exercise and behavioral therapy
Evaluation of therapeutic effects of self-made pelvic floor muscle rehabilitation on elderly female stress urinary incontinence
Wei Yuan
9TMR Non-Drug Therapy. 2019, 2 (3): 72-77.   https://doi.org/10.12032/TMRND201902014
Abstract ( 95 )   HTML ( 4 )     PDF (641KB) ( 58 )  

Highlights

Self-created pelvic floor muscle rehabilitation was initially proved to have the function of decreasing the quantity of stress urinary incontinence (SUI) instead of the frequency of incontinence.

Editor’s Summary

The self-created pelvic floor muscle rehabilitation training exercise, based on Kaigl experiment and pelvic floor muscle training methods, has the function of decreasing the quantity of urinary incontinence on SUI in elderly women, indicating the potential application prospects of non-drug therapy on SUI.

Abstract

Objective: Create a pelvic floor muscle rehabilitation program and explore its effects on stress urinary incontinence (SUI) in elderly women. Methods: Pelvic floor muscle rehabilitation was created based on Kaigl experiment and pelvic floor muscle training methods. 20 elderly women aged 65-75 years with SUI were randomly recruited for 10 weeks of pelvic floor muscle rehabilitation. Self-control study was used to compare the 72-hour average frequency of urinary incontinence, the average score of urinary incontinence questionnaire-simple form (ICIQ-SF) of international urinary incontinence advisory committee, the severity index of urinary incontinence and the weight of 1 hour urine pad before and after rehibition. Results: After 10 weeks of pelvic floor muscle rehabilitation training, the 72-hour average frequency of urinary incontinence was 1.02 ± 0.65 times, which was not statistically different from that before training (1.25 ± 0.71, P > 0.05). The score of ICIQ-SF was 5.95 ± 1.32, which was significantly lower than that before training (7.0 ± 1.38, P < 0.05), and the urinary incontinence severity index was 2.75 ± 0.89, which was significantly lower than that before training (3.95 ± 1.32, P < 0.01). The weight of 1 hour urine pad was 6.40 ± 2.29 g and was significantly lower than that before training (P < 0.01, 8.37 ± 2.24). Conclusion: Self-created pelvic floor muscle rehabilitation had the function of decreasing the quantity of urinary incontinence instead of the frequency of incontinence.

Acupuncture and moxibustion therapy
Advances in the application of acupuncture in military first aid
Cheng-Li Sun, Hui-Lin Tao, Shi-Fei Chen, Wen Lu, Jing Xiao
9TMR Non-Drug Therapy. 2019, 2 (3): 78-84.   https://doi.org/10.12032/TMRND201902008
Abstract ( 134 )   HTML ( 2 )     PDF (588KB) ( 65 )  

Highlights

Acupuncture plays an important role in acute cardiovascular and cerebrovascular diseases, sports injuries, acute pain, and other emergencies. It can alleviate pain quickly, reduce the sequels of training -related injuries, and improve the prognosis.

Editor’s Summary

In the future, acupuncture will play an important role in emergency medical treatment, which is worthy of clinical promotion.

Abstract

Acupuncture has a long history in China and has played an important role in military medical treatment since ancient times. Acupuncture therapy has been gradually popularized in the armies of various countries. It not only alleviates tissue damage of acute cardio-cerebrovascular injury but also can relieve all types of pain. However, compared with its rising popularity abroad, insufficient attention has been devoted to acupuncture in first aid domestically. Military health care has also ignored its potential value. The implementation of acupuncture in traditional Chinese medicine can relieve pain better and faster. Acupuncture can reduce the sequels of training-related injuries, and further improve the level of military medical security. It is significant for the establishment of an emergency medical system and the development of traditional medical techniques.

Comparison of the effects of moxibustion and lipid-lowering drugs for primary hyperlipidemia: a meta-analysis
Si-Yu Liu, Yan-Ru Xia, Yan-Zuo Liu, Sheng-Nan Song, Wei Xu, Bao-Jie Han
9TMR Non-Drug Therapy. 2019, 2 (3): 85-94.   https://doi.org/10.12032/TMRND201902015
Abstract ( 65 )   HTML ( 2 )     PDF (822KB) ( 33 )  

Highlights

The goal of the meta-analysis in this paper is to compare the effects of moxibustion and lipid-lowering drugs on the patients with hyperlipidemia. The results showed that the moxibustion had a more significantly effect compared with statins and fibrates on Total cholesterol (TC) and Low-density lipoprotein cholesterol (LDL-C), but the results didn't show statistically significant difference on Triglycerides and High-density lipoprotein cholesterol (HDL-C). In the comparison of adverse reactions, moxibustion had advantages. In terms of the comparison between moxibustion and proprietary Chinese medicine, it was impossible to show therapeutic differences between moxibustion and proprietary Chinese medicine in various indicators.

Editor’s Summary

By systematically comparing the effects of moxibustion and lipid-lowering drugs on hyperlipemia, the authors found that moxibustion had a better effect to reduce the TC and LDL-C compared with statins and fibrates, but no advantages in lowing triglyceride level and HDL-C. While, there was no robust evidence that moxibustion was superior to Chinese patent medicine in improving the blood lipid indexes of patients with hyperlipidemia.

Abstract

Objective: Systematically compared the effects of moxibustion and lipid-lowering drugs on hyperlipemia. Methods: Randomized controlled trials (RCTs) published before December 2018 were all aggregated, focusing on evaluation of moxibustion and lipid-lowering drugs for hyperlipemia from PubMed, EMbase, the Cochrane Library, Web of Science, CNKI, CBM, WANFANG database and VIP databases. The quality of the included studies was assessed basing on Cochrane handbook 5.1.0, and the available data were analyzed with RevMan software (version 5.3). Results: Totally 8 RCTs were included with 561 patients. Compared with statins, moxibustion had a better effect to reduce the total cholesterol (TC) (MD = -0.19, 95% CI: -0.24, 0.13, P < 0. 001). Moxibustion also had a better effect to reduce low density lipoprotein cholesterol (LDL-C) in compared with statins and fibrates (MD = 0.20, 95% CI: 0.15, -0.25, P < 0. 001), but there were no significant differences between statins, fibrates and moxibustion in lowering triglyceride (TG) (MD = -0.02, 95% CI: -0.09, 0.05, P = 0.61) and High-density lipoprotein cholesterol (HDL-C) (MD = 0.03, 95% CI: 0.06, 0.13, P = 0.51). While, compared with the Chinese patent medicine, there was no significant difference in the efficacy of lowering TC (MD = 0.05, 95% CI: 0.17, 0.27, P = 0.67), TG (MD = -0.08, 95% CI: 0.41, 0.24, P = 0.61), LDL-C (MD = -0.14, 95% CI: 0.38, 0.11, P = 0.28) and HDL-C (MD = 0.11, 95% CI: 0.01, 0.22, P = 0.06). Conclusion: Compared with statins and fibrates, moxibustion had advantages in lowering TC and LDL-C, but there was no robust evidence that moxibustion was superior to Chinese patent medicine in improving the blood lipid indexes of patients with hyperlipidemia.

Exploring the characteristics of acupoints in the treatment of stroke with complex network and point mutual information method
Jing-Chao Sun, Yue-Yao Li, Yu Xia, Yi-Di Wang, Yi-Xuan Jiang, Yu-Qiu Li
9TMR Non-Drug Therapy. 2019, 2 (3): 95-102.   https://doi.org/10.12032/TMRND201902017
Abstract ( 42 )   HTML ( 5 )     PDF (880KB) ( 56 )  

Highlights

This research finds that dredging the collaterals, dispelling wind-evil and restoring consciousness are the main principle of acupuncture for the treatment of stroke. Specific acupoints in head, face and climbs maybe the main targeted acupoints. Combination of Yang meridians with other meridians is needed to improve the effects. The acupoints Yangming meridian and Yangming-Shaoyang meridian are most used meridians, Hegu (LI4), Quchi (LI11) and Zusanli (ST36) are the most used acupionts.

Editor’s Summary

With complex network and point mutual information method, the authors explored the characteristics of meridian points in the treatment of stroke. This study found that the most commonly used treatment method is to dredge the meridian through multiple acupoints to improve the therapeutic effects of acupuncture. The traditional meridian treatment for stroke is mainly to dredge meridian Qi and blood to recover the motor function of paralyzed limbs. Researches have shown that the frequency of Yang meridian is much higher than that of Yin meridian. Yang meridian and Shaoyang meridian counts the most meridians. For the treatment of limbs powerless and activity obstacle, it should combine the Yang meridians with other meridians in order to obtain better curative effects. Hegu (LI4), Quchi (LI11) and Zusanli (ST36) are the most used acupionts.

Abstract

Objective: Explore the characteristics of acupoints in the treatment of stroke with complex network and point mutual information method. Methods: The complex network and point wise mutual information system-developed by Chinese academy of Chinese medical sciences wereused to analyze the specific acupoints, compatibility, frequency etc. Results: 174 acumoxibustion prescriptions were collected, including 163 acupoints. among them eighteen acupoints were used more than 30 times such as Hegu (LI4), Zusanli (ST36), Quchi (LI11) and Fengshi (GB31). The combinations of 31 acupoints were used more than 15 times, such as the combination of Quchi (LI11) and Zusanli (ST36), the combination of acupoint Quchi (LI11) and Jianyu(LI15) , Hegu and Quchi (LI11). The most commonly used treatment method for stroke treatment is to dredge the Yangming meridian and Shaoyang meridian through acupuncture the multiple acupoints located on these two meridians.. The commonly used acupoints are mainly distributed in the limbs, head and face. The most commonly used specific acupoint is intersection acupoint. The usage frequency of specific acupoints are higher than that of non-specific acupoints. Conclusion: Dredging the collaterals, dispelling wind-evil and restoring consciousness are the main principle for the treatment of stroke. Specific acupoints in head, face and climbs maybe the main targeted acupoints. Combination of Yang meridians with other meridians is needed to improve the effects. The Yangming meridian and Shaoyang meridian are most used meridians and Hegu (LI4), Quchi (LI11) and Zusanli (ST36) are the most used acupionts.

Acupuncture combined with modern rehabilitation therapy for post-stroke flaccid paralysis
Xin Ma, Yu-Liang Zhang
9TMR Non-Drug Therapy. 2019, 2 (3): 103-107.   https://doi.org/10.12032/TMRND201902018
Abstract ( 58 )   HTML ( 6 )     PDF (558KB) ( 50 )  

Highlights

This paper summarized the common acupuncture methods and explored the effects of the combination of different acupuncture methods and modern rehabilitation in the treatment of post-stroke flaccid paralysis, in order to effectively promote the recovery of motor function and significantly improve their life quality.

Editor’s Summary

With the aging of the social population, the incidence rate of stroke has increased year by year in China. Though with the development of modern disease diagnosis and rescue techniques, the mortality rate of stroke has been effectively controlled, about 80% of the surviving patients have different degrees of limb dysfunction. As one of the most important non-drug therapy, acupuncture could prevent muscle atrophy, improve the relaxed muscle tension and improve the motor functions. This article lists the treatment of different acupuncture methods combined with modern rehabilitation, providing clinical guidance for the involvement of acupuncture treatment in the comprehensive treatment of post-stroke flaccid paralysis.

Abstract

Stroke has been in a high incidence, and stroke sequelae have become the main cause of motor dysfunction. The treatment of flaccid paralysis is critical to stroke recovery. In recent years, traditional treatment, especially acupuncture therapy has achieved certain effects for the treatment of post-stroke flaccid paralysis. Acupuncture treatment can promote the recovery of nerve conduction, increase muscle strength and improve joint flexibility, and correct abnormal movement patterns of limbs. Acupuncture combined with rehabilitation training will be the focus for the treatment of post-stroke flaccid paralysis. In this review, the combination of different acupuncture therapies with modern rehabilitation for the treatment of post-stroke flaccid paralysis has been summarized in order to effectively promote the recovery of motor function and significantly improve their life quality.

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