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Effects of core stability exercise on rehabilitation in stroke patients with hemiplegia: a meta-analysis
Liu Ting-Ting, Lei Meng-Jie, Liu Ya-Qian, Meng Li-Na, Jin Chang-De
TMR Non-Drug Therapy    2018, 1 (2): 41-52.   https://doi.org/10.12032/TMRND201801007
Abstract ( 1671 HTML PDF (11744KB) ( 491 )  

Highlights

Core stability training on the basis of conventional rehabilitation therapy can improve the trunk control ability, balance ability, walking function and activity of daily living in patients with stroke hemiplegia.

Editor’s Summary

Core stability exercise, as one of the non-drug therapies, combined with conventional rehabilitation therapy has better effects on rehabilitation in stroke patients with hemiplegia.

Abstract

Objective: To evaluate the effects of core stability exercise (CST) on rehabilitation in stroke patients with hemiplegia. Methods: Randomly controlled trials about the effects of CST on rehabilitation in stroke patients with hemiplegia were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM and VIP. Search terms include “core stability training / core stability exercise / core stabilization training / core stabilization exercise / core strength training / core strength exercise” and “stroke / brain ischemia / cerebral infarction / cerebral hemorrhage / intracranial thrombosis / brain hemorrhage / cerebrovascular disorder / cerebrovascular accident, cerebrovascular disease / hemiplegia / hemiparesis / stroke rehabilitation”. Study screening, data extraction and quality assessment were conducted by two researchers independently. Data was analyzed using RevMan 5.3 software. Results: Totally 11 studies and 704 patients were included with 352 patients in experiment group and 352 in control group.Results of meta-analysis showed that combination of CST and conventional rehabilitation had better effects on trunk control [MD = 10.44, 95% CI (8.83-12.04), P < 0.001], banlace [MD = 5.6, 95% CI (4.81-6.39), P < 0.001], activities of daily living [MD = 12.06, 95% CI (7.65-16.46), P < 0.001], ambulation functional [MD = 0.72, 95% CI (0.32-1.12), P < 0.001] and walking speed [MD = 3.39, 95% CI (2.03-4.76), P < 0.001] than conventional rehabilitation, but there is no clear difference on walking stride [MD = 2.52, 95% CI (-0.25-5.29), P = 0.07] between two groups. Conclusion: CST together with conventional rehabilitation can better improve trunk control, banlace, activities of daily living, ambulation functional and walking speed in stroke patients compared with conventional rehabilitation, but can not make the walking stride better significantly. However, since the conclusion of this meta-analysis was drawn based on middle quality RCTs, future high quality researchs should be conducted to confirm its positive intervention effects.

Acupuncture therapy in a patient with radial nerve injury
Tan Zheng, Jin Yu, Lan Zhao-Xi
TMR Non-Drug Therapy    2018, 1 (1): 23-27.   https://doi.org/10.12032/TMRND201801005
Abstract ( 1614 HTML PDF (728KB) ( 416 )  

Highlights

Acupuncture treatment has the potentials to stimulate Qi-blood circulation and short the course of radial nerve injury.

Editor’s Summary

Acupuncture plays a key role in the non-drug therapy of radial nerve injury.

Abstract

Objective: To analyze the cause and pathogenesis of nerve injury and find out the suitable acupuncture points. Methods: Acupuncture at the unilateral points of Hegu (LI4), Waiguan (TB5), Shousanli (LI10), Quchi (LI11) and the bilateral points of Zusanli (ST36), accompanied by method of electro-acupuncture. Results: After three courses of acupuncture treatment (30 minutes each time, 6 times each course), the patient presented the symptoms of making a fist strongly, disappearance of wrist drop, and positive sign of lifting wrist assay in turn. Simutaneously, the grip strength of hand increased and the strength of muscle reach over level 4. Conclusion: With the help of electro-acupuncture, acupuncture therapy can relieve pain, improve the local blood supply of nerve injury and then repair the damage of the nerve.

Based on the theory of traditional Chinese and western medicine for the co-treatment of neck, chest, and waist
Zhang Kai, Wu Xin
TMR Non-Drug Therapy    2018, 1 (3): 87-95.   https://doi.org/10.12032/TMRND201801013
Abstract ( 816 HTML PDF (1477KB) ( 406 )  

Highlights

This paper expounds the scientific nature of “the co-treatment of the neck, chest, and waist” from the perspective of traditional Chinese medicine theory and modern medical research.

Editor’s Summary

This review proposes a new approach in cervical diseases in terms of the co-treatment of the neck, chest, and waist, which not only improves clinical efficiency but also decrease recurrence rate.

Abstract

Cervical diseases are frequently occurring diseases. Currently, the local physical therapy is the most commonly suggested treatment method. We believe that cervical spine lesion cause spinal instability and then the physiological function of the thoracic and lumbar spine is also affected by it. Therefore, the study on cervical lesions should not be limited to the local part of the cervical spine but should extend to the restoration of stability of the spine, to achieve the same curative effects on the chest and waist. Therefore, we propose a new concept for the co-treatment of the neck, chest, and waist. The concept of this proposed therapy is based on three theoretical aspects: syndrome differentiation, disease prevention, and Du meridian and its relationship with other meridians. This was elaborated from the perspective of spinal static balance, anatomy, epidemiological evidence, and biochemistry. The relationship between cervical vertebral lesions and thoracic and lumbar vertebral lesions indicates the scientific nature of the “co-treatment of the neck, chest, and waist”. This article also summarizes the methods of non-drug therapy under the guidance of this theory.

Pricking cupping bloodletting combined with slide cupping for acne: a case report
Liang Bo, Liao Hui-Ling
TMR Non-Drug Therapy    2018, 1 (3): 119-122.   https://doi.org/10.12032/TMRND201801016
Abstract ( 600 HTML PDF (1224KB) ( 406 )  

Highlights

Pricking cupping bloodletting combined with slide cupping can successfully relieve acne and promote skin healing.

Editor’s Summary

The earliest record about cupping was in the ancient book called 52 Bingfang, which was unearthed from Mawangdui tomb (B.C. 202~220, Han Dynasty) in Changsha, China in 1973.

Abstract

Objective: To report a patient with acne by using the combined treatment of pricking cupping bloodletting and slide cupping. Methods: Pricking cupping bloodletting was prescribed at the points of Feishu (BL13) in the bladder meridian of foot-Taiyang and Dazhui (DU14) in governor vessel and slide cupping was prescribed at the points on the back in the bladder meridian of foot-Taiyang. Results: Clinical manifestations revealed that acne and scar were significantly reduced after two courses. Conclusion: Pricking cupping bloodletting combined with slide cupping can successfully relieve acne and promote skin healing, which may provide us a new idea for the non-drug therapy of acne.

A review of the treatment of cerebral palsy in children
Wang Hai-Jing, Yan Qian
9TMR Non-Drug Therapy    2018, 1 (4): 151-158.   https://doi.org/10.12032/TMRND201801022
Abstract ( 620 HTML PDF (1422KB) ( 386 )  

Highlights

The present article analyzes the main treatments used in the therapy of cerebral palsy in children and compares the advantages and disadvantages of various treatments.

Editor’s Summary

Comprehensive treatment strategy containing rehabilitation treatment, drug therapy, stem cell therapy, etc., provides a reference for children with cerebral palsy.

Abstract

Childhood cerebral palsy (CP) is one of the most serious and common diseases of the central nervous system. It results in high morbidity and treatment cost, and cannot be cured. It has a detrimental effect on families of children with CP, seriously affects the quality of life, causes significant mental stress, and places a great economic burden on society. At present, physical training and drug therapy are mainly used to treat CP in children at home and abroad. However, plentiful evidence has shown that the efficacy of drugs, surgery, and therapies used over the previous decades is limited. The use of more appropriate comprehensive treatment that involves improving the quality of life to social participation is helpful and meaningful for children with CP and their carers. Based on the literature and guidelines from home and abroad, this article analyzes the main treatments used, including rehabilitation treatment, drug therapy, stem cell therapy, surgical treatment, and the treatment of complications, and compares the advantages and disadvantages of various treatments. It provides a reference for patients with CP to help choose treatment methods and a new idea for research on the treatment of CP.

The clinical progress and potential mechanism of massage therapy on knee osteoarthritis
Dong Si-Jia, Zhang Chi, Wu Jia-Hang, Yin Hao
TMR Non-Drug Therapy    2018, 1 (1): 2-8.   https://doi.org/10.12032/TMRND201801002
Abstract ( 622 HTML PDF (718KB) ( 371 )  

Highlights

The effectiveness of massage is superior to that of joint cavity injection while the integrated therapeutic method containing massage is superior to that of single massage.

Editor’s Summary

Massage plays a key role in the non-drug therapy of knee osteoarthritis.

Abstract

Knee osteoarthritis (KOA) is a disease due to the degenerative pathological change of knee joint, which commonly occurs in the elderly. The main clinical characters of KOA are the pain, stiffness, and dysfunction of knee joint. Western medicine regarding to the treatment of KOA aims to relieve the pain and delay the progress of disease such as intra-articular injection and functional exercise. Traditional Chinese medicine (TCM) therapy includes massage, herb, acupuncture, microwave, etc. Among them, the massage technique has the advantages of simpleness, effectiveness and non-invasive manipulation. The present study compared the curative effects of different therapies on KOA including Western medicine therapeutic method, single massage, complementary TCM therapeutic method containing massage and integrated TCM and western medicine therapeutic method containing massage. We found that the effectiveness of single massage method is better than that of joint cavity injection. The effectiveness of massage in combination with herb and acupuncture is better than that of massage alone. The effectiveness of joint cavity injection or functional exercise combined with massage and acupuncture is better than that of the single articular cavity injection or functional exercise. However, more research and clinical trials are still needed to determine the exact mechanism of massage.

Review of the non-drug treatment in obesity
Chang Liu
9TMR Non-Drug Therapy    2019, 2 (1): 13-19.   https://doi.org/10.12032/TMRND201902005
Abstract ( 472 HTML PDF (513KB) ( 366 )  

Highlights

The present review summarizes the non-drug treatment of obesity in recent years, to analyze their underlying mechanism and provide further guidance for clinical practitioners.

Editor’s Summary

For patients with obesity, weighing the advantages and disadvantages of various non-drug therapeutic methods and helping them choose the right method is the best way to fight obesity.

Abstract

Obesity, which bring a great perplex to family and society, has significant contribution to the risk of diabetes, cardiovascular disease, and other comorbidities. In past four decades, the incidence of obesity has been on the alarming rise and so far about a third of the world's adults are affected by obesity. Due to the side effects and adverse reactions of drug treatment, obesity patients tend to select non-drug treatment. The present review summarizes the non-drug treatment of obesity in recent years, including acupuncture, exercise, surgery, lifestyle intervention and psychological guidance, to summarize their underlying mechanism and provide further guidance for clinical practitioners. Auricular acupuncture was proved to have the positively influence in Ghrelin, a novel obesity-related peptide hormone. Exercise could treat obesity by reducing the inflammatory factors associated with obesity. Furthermore, obesity surgery can not only reduce fat intake and nutrient absorption, but also inhibit the generation of Neuropeptide Y (NPY) by increasing the secretion of Peptide YY (PYY). Besides, breaking down psychological and behavioral barriers to lifestyle treatment of obesity will have a significant effect.

Prone-positioned upside-done arch exercise, a kind of lumbodorsal muscles training, curbs the progression of lumbar disc bulge
Gao Zeng-Jie, Chen Jiu-Yi, Liu Yang
TMR Non-Drug Therapy    2018, 1 (1): 9-15.   https://doi.org/10.12032/TMRND201801003
Abstract ( 663 HTML PDF (964KB) ( 365 )  

Highlights

The comprehensive therapy containing prone- positioned upside-done arch exercise showed beneficial effects in patients with lumbar disc bulge in the terms of visual analogue score, bulge size and straight leg raise test.

Editor’s Summary

As a nonoperative treatment for lumbar disc herniation, lumbodorsal muscle training has the potentials to provide better prevention measures for lumbar disc bulge.

Abstract

Objective: To study the effects of prone-positioned upside-done arch exercise, a kind of lumbodorsal muscles training originated from Yoga, on curbing the progression of lumbar disc bulge. Methods: A total of 120 out-patients, diagnosed with lumbar disc bulge by CT and/or MRI, were randomly divided into the observation group and the control group, with 60 patients in each group. Patients in the observation group received the prone-positioned upside-done arch exercise combined with traction and acupuncture for two months and followed with a two-year treatment with prone-positioned upside-done arch exercise while the patients in the control group only received traction and acupuncture for two months. After two years, patients in both groups were investigated for the visual analogue score, MR image and straight leg raise tests. Results: Compared to the control group, prone-positioned upside-done arch exercise combined with traction and acupuncture showed significant decrease in patients’ visual analogue score, bulge size and the positive ratio of straight leg raise test (P = 0.001, P = 0.001 and P = 0.02 respectively), suggesting the inhibitory effect on the progression of lumber disc bulge. Conclusion: Prone-positioned upside-done arch has the potentials to protect patients with lumbar disc bulge from nerve root compression syndrome.

Efficacy of Liuzijue respiratory exercise in patients with chronic obstructive pulmonary disease: a meta-analysis
Liu Ting-Ting, Lei Meng-Jie, Wang Hui-Ping, Huang Yan-Qiu, Jin Chang-De
9TMR Non-Drug Therapy    2018, 1 (3): 75-86.   https://doi.org/10.12032/TMRND201801012
Abstract ( 745 HTML PDF (1495KB) ( 349 )  

Highlights

Liuzijue respiratory exercise can better improve lung function, functional capacity, and life quality of COPD patients compared with conventional care. Compared with the whole body respiratory exercise, Liuzijue only improves the functional capacity of COPD.

Editor’s Summary

As early as Qin and Han dynasties, the treatment of pulmonary diseases with guided breathing has already been recorded in the ancient book of Lüshichunqiu (B.C. 239, Warring States).

Abstract

Objective: To evaluate the effects of Liuzijue respiratory exercise in patients with chronic obstructive pulmonary disease (COPD). Method: Randomly controlled trials of Liuzijue respiratory exercise in the treatment of COPD were searched in the database, including PubMed, Embase, Web of Science, Cochrane Library, CNKI, Wanfang, CBM, and VIP. Study screening, data extraction, and quality assessment were conducted by two researchers independently. Data were analyzed using RevMan 5.3 software. Results: 11 studies with 915 COPD patients were included. Results of meta-analysis showed that compared with conventional care, Liuzijue respiratory exercise had shown better effects on FEV1 (Forced expiratory volume in 1 second) [MD = 0.18, 95% CI (0.06, 0.30), P = 0.004], FEV1% pred [MD = 10.21, 95% CI (7.25, 13.18), P < 0.001], FEV1 / FVC% (Forced vital capacity) [MD = 8.32, 95% CI (3.23, 13.40), P < 0.001], 6-minute walk distance [MD = 10.97, 95% CI (5.81, 16.12), P < 0.001] and life quality [MD = -10.07, 95% CI (-12.84, -7.30), P < 0.001]. However, no difference was observed in the effective rate between these two groups. Compared with whole body respiratory exercise, except for the better effects on 6-minute walk distance [MD = 37.82, 95% CI (6.51, 69.13), P = 0.02], no difference in FEV1, FEV1% pred, FEV1 / FVC% and life quality were observed between these two groups. Conclusion: Liuzijue respiratory exercise can better improve lung function, functional capacity, and life quality of COPD patients compared with conventional care. Compared with the whole body respiratory exercise, Liuzijue could improve the functional capacity of COPD patients significantly and showed similar effcets on lung function and life quality.

Brief introduction to the historical development and therapeutic effects of cupping therapy in traditional Chinese medicine
Ping Zhou, Wei-Jie Xie, Ping Zheng
9TMR Non-Drug Therapy    2019, 2 (1): 27-34.   https://doi.org/10.12032/TMRND201902006
Abstract ( 634 HTML PDF (538KB) ( 346 )  

Highlights

This article gives an overview of the historical development, therapeutic effects and mechanism of cupping therapy practice and introduces a new and updated classification of cupping therapy.

Editor’s Summary

The earliest record of cupping in ancient times appeared in the Fifty-two Bingfang (B.C. 202~220, Han Dynasty) that demonstrated a detailed record of the use of "corn cupping" (horn-shaped) for treating diseases.

Abstract

Cupping therapy (CT) is an ancient traditional and complementary medicine practice. Recently, there has been a growing evidence of its potential benefits in the treatment of various diseases. The CT has been constantly developing with the emergence of various modern and improved cupping devices. It is now evident that cupping could adjust the Qi, blood, Yin and Yang, dredge the meridian, as well as relieve the effect of illness, achieve fitness and relative equilibrium of Yin-Yang. It exerts its effects through the negative pressure suction via the mechanical and thermal stimulations, and the negative pressure effects induced by cupping. This article gives an overview of CT practice, its historical development, as well as its therapeutic effects and mechanism. Furthermore, a new and updated classification of CT was briefly introduced.

Effects of comprehensive therapy of traditional Chinese medicine on pneumonia caused by influenza
Bing-Sheng Yuan
9TMR Non-Drug Therapy    2019, 2 (1): 9-12.   https://doi.org/10.12032/TMRND201902004
Abstract ( 908 HTML PDF (504KB) ( 341 )  

Highlights

Comprehensive therapy consisting of acupuncture, sliding cup and Chinese herb has beneficial effect on pneumonia complicated by influenza.

Editor’s Summary

Acupuncture and sliding cup, as the methods of non-drug therapy, is possible to be introduced as part of comprehensive treatment modality for the management of respiratory diseases.

Abstract

Objective: To investigate the effects of comprehensive therapy of traditional Chinese medicine consisting of acupuncture, sliding cup and Chinese herb on a patient with pneumonia caused by influenza. Method: Needling the points of Zhaohai (KI 6), Lieque (LU 7), Chize (LU 5), Zhongwan (CV 12), Qihai (CV 6), Zusanli (ST 36), Yinxi (HT 6), Fuliu (KI 7), Neiguan (PC 6), Yuji (LU10), Fengchi (GB 20), Fengmen (BL 12), Dazhui (GV 14), Shenzhu (GV 12), Feishu (BL 13), Jueyinshu (BL 14) and Geshu (BL 17). After acupuncture, slide cupping was applied along the bladder meridian of foot-Taiyang on the back. The administration of Chinese herb of Xiaochaihu Soup combined Guizhi plus Houpuxingren Soup was also applied. Result: After the treatment, dyspnea relieved obviously and the symptoms of severe pain throughout the body, aversion to cold and high fever were eliminated. Conclusion: Comprehensive therapy consisting of acupuncture, sliding cup and Chinese herb has beneficial effects on pneumonia complicated by influenza.

Mirror therapy: a potential rehabilitation treatment
Xin Liu, Tian-Yang Xing, Ran Liu, Shan- Shan Yang, Guo-Wei Wang
9TMR Non-Drug Therapy    2019, 2 (4): 109-116.   https://doi.org/10.12032/TMRND201902019
Abstract ( 384 HTML PDF (398KB) ( 309 )  

Highlights

As a safety and operable therapy, mirror therapy is very helpful for the recovery of stroke, the relief of pain, and the improvement of cognitive dysfunction and speech dysfunction though activating mirror neuron. It is a supplementary treatment in the rehabilitation process, which is very conducive to the widespread use and application.

Editor’s Summary

The development of mirror therapy has been widely used today in all aspects of rehabilitation programs, such as the recovery of dysfunctions, sensation, dyskinesia and language, especially the improvement of pain and exercise capacity. This review focused the mechanisms of mirror therapy, reported the possible mechanisms that may involve in the therapy such as the activated mirror neuron, prevention of learned disuse of the affected limb, and facilitating motor pathways. This review also introduced the application in the rehabilitation of various diseases, such as in the recovery of stroke, the relief of pain, and the improvement of cognitive dysfunction and speech dysfunction, which provided new directions for the study of mechanisms and the treatment of diseases.

Abstract

Mirror therapy was first proposed for the treatment of phantom limb pain after amputation. In recent years, it is widely used in many diseases, which shows greatly effective. As a safety and operable therapy, mirror therapy is very helpful for the recovery of stroke, the relief of pain, and the improvement of cognitive dysfunction and speech dysfunction though activating mirror neuron. It is a supplementary treatment in the rehabilitation process, which is very conducive to the widespread use and application. Therefore, this review elaborated on the mechanisms and clinical application of mirror therapy, with a view to providing a new direction for the study of mechanisms and the treatment of diseases.

Research on the influence of traditional Chinese medicine therapy on the intestinal flora in obese patients
Pei-Yao Li, Wen-Wen Zhao, Chun-Hua Zhang, Hui-Xin Ding, Ling Wang, Heng Yang, Chun-Guang Yu
9TMR Non-Drug Therapy    2019, 2 (1): 2-8.   https://doi.org/10.12032/TMRND201902002
Abstract ( 520 HTML PDF (564KB) ( 307 )  

Highlights

Characteristic TCM therapies including acupuncture, moxibustion, and cupping, etc. have therapeutic effects on obese patients by interfering with the intestinal flora.

Editor’s Summary

Traditional Chinese medicine therapy aiming at regulating intestinal flora is expected to become one of the main treatment methods for obese patients.

Abstract

In recent years, the prevalence of obesity has been increasing year by year, leading to a rise in serious complications. The pathogenesis of obesity is complicated in which the intestinal flora plays an important role. Intestinal micro ecology is composed of large and complex intestinal flora that participate in important physiological functions such as metabolism, energy conversion, maintaining intestinal mucosal defense function, and promoting immune system development and maturation and other important physiological functions; furthermore, they are influenced by the host’s genetic background, diet, and other factors. Therefore, intestinal microflora has potential as a new field of drug therapy. At present, it is found that traditional Chinese medicine therapy may prevent and treat obesity by interfering with the intestinal flora, which is expected to become one of the main treatment methods for obese patients. However, its mechanism of action remains unclear. The balance of intestinal flora can be adjusted by acupuncture, massage, and acupoint application. By analyzing the mechanism of obesity caused by intestinal micro ecology and the impact of obesity on the host’s intestinal micro ecological environment, this paper discusses the influence of oral Chinese medicine, acupuncture, massage, acupoint sticking, and other traditional Chinese medicine therapies on the intestinal microflora in obese patients and provides a scientific basis for its clinical application.

Effects of midwife-led psychological intervention on delivery outcomes: a meta-analysis
Jia Yuan, Yang Si-Yuan, Guo Li-Ming, Wu Qian, Meng Fan-Jie
TMR Non-Drug Therapy    2018, 1 (3): 109-118.   https://doi.org/10.12032/TMRND201801015
Abstract ( 450 HTML PDF (1466KB) ( 287 )  

Highlights

Midwife-led psychological interventions can improve the natural delivery rate of pregnant women, shorten the duration of the first stage of delivery, and decrease postpartum hemorrhage.

Editor’s Summary

This meta-analysis illustrates the importance of midwife-led psychological interventions for the natural delivery, providing reliable evidence for its clinical use.

Abstract

Objective: To systematically review the influence of psychological intervention of midwives on the delivery mode and outcomes. Methods: Databases including Cochrane Library, PubMed, Medline, EMBASE, CINAHL, CNKI, Wangfang, and VIP were searched for randomized controlled trials studying the effects of midwife-led psychological nursing on puerpera. Two evaluators independently searched and screened the papers, extracted relevant data, and quality assessment of the included studies, followed by a meta-analysis of the papers using RevMan 5.3 software. Results: 12 studies with 1,395 patients were included. The results of the meta-analysis showed that compared to conventional nursing, midwife-led psychological intervention can improve the number of people who choose natural delivery [Z = 7.53, 95% CI (2.07, 3.45), P < 0. 001], shorten the duration of the first stage of delivery [Z = 45.10, 95% CI (-4.43, -4.06), P < 0. 001), reduce postpartum hemorrhage after delivery for two hours [Z = 21.68, 95% CI (-63.92, -53.32), P < 0. 001]; these differences were statistically significant. Conclusion: Psychological interventions led by midwives can improve the natural delivery rate of pregnant women, shorten the duration of the first stage of delivery, and decrease postpartum hemorrhage after delivery for two hours; thus, it can be popularized for clinical use.

Kinesio tape in the treatment of postoperative lymphedema of breast cancer
Fu-Yu Leng, Zhu Yang, Feng-Xi Long, Li Luo, Wen-Yu Wu, Dong-Xin Tang
9TMR Non-Drug Therapy    2019, 2 (2): 36-41.   https://doi.org/10.12032/TMRND201902011
Abstract ( 476 HTML PDF (607KB) ( 287 )  

Highlights

Kinesio tape has the advantages of convenient use, short operation time without affecting the mobility of limb, long curative effects and less side-effects and good patient's compliance. It is a new treatment for patients with lymphedema after breast cancer surgery.

Editor’s Summary

This paper analyzes the effects of Kinesio tape on breast cancer postoperative lymphedema, which will provide evidences for its clinical effects on lymphedema limbs. Kinesio tape has the advantages of short cure period, no pain, not easy to be repeated, economical, convenient and easy to operate, without any effects on limbs mobility. Kinesio taping has become a very popular treatment for several health conditions over the last decade. However, when choosing intramuscular patch to treat lymphedema after breast cancer surgery, strict screening should be carried out to prevent adverse effects caused by inferior products from aggravating diseases.

Abstract

The Kinesio tape, originally developed by Dr. Kenzo Kase, a Japanese chiropractor, was used for pain of joint and muscle. The elastic tape is capable of stretching up to 130-140% of its resting static length ensuring free mobility of the applied muscle or joint. It is claimed that Kinesio tape supports injured muscles and joints and helps relieve pain by lifting the skin and allowing improved blood and lymph flow. Therefore, Kinesio Taping has become a very popular treatment for several health conditions over the last decade. Nowadays, lymphatic drainage is a new function of Kinesio taping in the field of physical therapy. This article explores the application of Kinesio tape in breast cancer-related lymphedema in order to provide a new treatment for patients with lymphedema after breast cancer surgery.

Systematic evaluation and trial sequential analysis of warming acupuncture combined with joint mobilization in the treatment of scapulohumeral periarthritis
Tian Rong, Li Da, Han Yu-Hui, Fan Yi-Hua
TMR Non-Drug Therapy    2018, 1 (3): 96-108.   https://doi.org/10.12032/TMRND201801014
Abstract ( 427 HTML PDF (1846KB) ( 258 )  

Highlights

Warming acupuncture combined with joint mobilization had a significant effect on the treatment of scapulohumeral periarthritis.

Editor’s Summary

This review provides a new combination of non-drug therapy in the treatment of scapulohumeral periarthritis.

Abstract

Objective: To evaluate the clinical efficacy of warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis. Methods: A search for published randomized controlled trials (RCT) investigating warming acupuncture combined with joint mobilization for the treatment of scapulohumeral periarthritis was performed using the Cochrane Library, PubMed, Embase, and Web of Science databases. According to requirements of the Cochrane systematic review, all evaluations of RCT investigating warming acupuncture with joint mobilization in the treatment of scapulohumeral periarthritis were performed via method quality assessment, data extraction, and data analysis. Revman 5.3 and Stata 12.0 statistical software were used for the meta-analysis, and the trial sequential analysis (TSA) software estimated the required information size for each outcome. Results: A total of 14 articles were retrieved for meta-analysis, which included 551 cases in the treatment group and 539 cases in the control group. Meta-analysis showed that: (1) warming acupuncture combined with joint mobilization improved total efficiency [OR = 6.16, 95% CI (3.79, 10.00), Z = 7.34; P < 0.001), TSA results confirmed the results of the meta-analysis; (2) warming acupuncture combined with joint mobilization improved the cure rate [OR = 2.84, 95% CI (2.19, 3.70), P < 0.001], TSA results revealed that no further tests were needed to verify; (3) warming acupuncture combined with joint mobilization reduced the number of treatments required for healing [MD = -7.49, 95% CI (-9.75, -5.23), P < 0.001], TSA results confirmed the results of the meta-analysis; (4) in comparing visual analog scale scores before and after treatment, meta-analysis result showed that: SMD = -2.01, 95%CI (-2.37, -1.65), P < 0.001, the difference was statistically significant, TSA results confirmed the results of the meta-analysis. Conclusion: Warming acupuncture combined with joint mobilization had a significant effect on the treatment of scapulohumeral periarthritis.

Comparative study for cardiovascular risk factors of rheumatoid arthritis and osteoarthritis
Yue Cai-Ping, Li Ming-Xi, Liu Yan, Li Fang-Kai, Liu Xiao-Ping, Ma Jun-Fu, Zhu Yue-Lan, Hou Xiu-Juan
TMR Non-Drug Therapy    2018, 1 (1): 16-22.   https://doi.org/10.12032/TMRND201801004
Abstract ( 556 HTML PDF (714KB) ( 248 )  

Highlights

Patients with rheumatoid arthritis have higher incidence rate of cardiovascular diseases than those with osteoarthritis.

Editor’s Summary

This study focuses on the effects of non-traditional risk factors on the incidence rate of cardiovascular diseases in patient with rheumatoid arthritis, including inflammation indexes, echocardiography and carotid ultrasound related indexes etc.

Abstract

Objective: To compare the difference of cardiovascular risk factors in patients with rheumatoid arthritis (RA) and osteoarthritis (OA). Methods: A retrospective analysis was performed to compare the difference of cardiovascular factors between 44 patients with RA and 36 patients with OA in terms of their gender, age, body mass index, course of disease, carotid ultrasound related indicators, homocysteine, blood lipid levels, inflammation index, echocardiographic index, etc. Results: (1) General situation: there was no significant difference between two groups in terms of gender and age (P > 0.05). However, body mass index of OA group was significantly higher than that of RA group and the course of disease of RA group was significantly longer than that of OA group (P = 0.024). (2) Laboratory index: the level of homocysteine of RA group was significantly higher than that of OA group (P = 0.002). Though there was no significant difference between these two groups in terms of total cholesterol, triglyceride, low density lipoprotein, apolipoprotein B and high density lipoprotein (P > 0.05), the level of apolipoprotein A1 of RA group was significantly lower than that of OA group (P < 0.001) and the level of lipoprotein A of RA group was significantly higher than that of OA group (P < 0.001). The levels of erythrocyte sedimentation rate and C reactive protein of group RA were significantly higher than those of OA group (P < 0.001). (3) Stroke volume and ejection fraction of echocardiography of RA patients were significantly lower than those of OA patients (P = 0.022, P = 0.009). However, there was no significant difference between two groups in terms of aortic diameter, left atrial diameter, left ventricular end diastolic diameter, left ventricular end systolic diameter, left ventricular posterior wall thickness, left ventricular fractional shortening, right ventricular diameter, right atrial diameter, and interventricular septum thickness (P > 0.05). Though significant difference in carotid artery plaque incidence between the two groups was not observed (P > 0.05), the incidence of carotid artery thickening and carotid artery middle thickness were significantly different between the two groups (P < 0.001). Conclusion: The rate for the occurrence of cardiovascular events in patients with RA was higher than those with OA. Additionally, effective control of RA patients’ conditions has the potential to reduce the risk of cardiovascular events.

Preliminary studies on the mechanism of blistering cupping therapy
Chen Xiang-Hong, Chen Bo, Chen Ze-Lin, Li Meng-dan, Long Qin
TMR Non-Drug Therapy    2018, 1 (2): 53-59.   https://doi.org/10.12032/TMRND201801008
Abstract ( 1750 HTML PDF (6785KB) ( 245 )  

Highlights

The autogenetic inflammatory reaction of selected cupping area and formation of scar induced by blistering cupping was involved in mobilizing the immune response of whole body, thereby achieving favorable therapeutic effects.

Editor’s Summary

The present study preliminarily summaried the underlying mechanism of blistering cupping from the levels of biomechanics and molecular biology.

Abstract

Blistering cupping therapy, as a new type of cupping therapy, has attracted more and more attention of clinical doctor and scholars in home and abroad. Blistering cupping therapy achieves better effects through the formation of blistering fluid after suction. However, it is still controversial whether cupping induced blisters are beneficial to recovery of diseases, and the mechanism is still not completely clear. Here on the basis of the traditional cupping method, we aimed to identify the mechanism of blistering cupping from the levels of biomechanics and molecular biology. The negative pressure attraction induced by cupping suck should be of value in increasing pain threshold and relieving pain as well as improving the blood circulation and metabolism. Furthermore, the blistering fluid induced by cupping was the inflammatory substance actually that discharged through the superficial lymphatic vessels, including immunoglobulin, lysozyme, erythrocytes, etc. which could cause the autogenetic inflammatory reaction of selected cupping area, and further activated certain immune pathways including anti-oxidation, anti-apoptosis, tissue repairing and metabolic regulation. Besides, the formation of scar induced by blistering cupping was not only the result of excessive inflammatory response, but also involved in mobilizing the immune response.

Progress of research on massage therapy for sub-health conditions
Bo-Yang Pan, Tian Chen, Long-Ming Lei
9TMR Non-Drug Therapy    2019, 2 (1): 20-26.   https://doi.org/10.12032/TMRND201902003
Abstract ( 544 HTML PDF (513KB) ( 245 )  

Highlights

Massage therapy not only effectively improve patients' physical pain, fatigue, and discomfort, but also improved the psychological discomfort caused by sub-health, such as depression, anxiety, insomnia.

Editor’s Summary

Massage therapy has curative effects on people in sub-health condition. However, improving the quality of clinical observation and strengthening the basic research can provide more and better evidence for its application in this field.

Abstract

Sub-health state is a kind of low-quality state between health and disease, and will lead to disease if not intervened in time. As one of the external treatment options in traditional Chinese medicine (TCM), massage therapy has achieved an ideal curative effect in the treatment of the sub-health state. This paper summarizes the articles on massage treatment for the treatment of patients in the sub-health state from the past decade. It mainly includes the current understanding of sub-health, treatment ideas and specific methods, as well as clinical classification of treatment modalities. From the perspective of treatment ideas and specific methods, most massage therapies are performed under the guidance of the holistic concept of TCM, and the concept of treatment based on syndrome differentiation (four diagnostic methods of TCM: inspection, auscultation, inquiry, and palpation). In this treatment, not only are the therapeutic functions of meridians and acupoints emphasized, but the selection of the therapeutic time is also performed according to the "Ziwuliuzhu" and the "Lingguibafa" (the acupuncture method based on time in ancient China). According to the different clinical symptoms of sub-health, it can be divided into three types: physical sub-health, psychological sub-health, and social adaptive sub-health. Massage therapy eliminates pain, relieves physical fatigue, and has a good therapeutic effect on physical sub-health. It can alleviate anxiety and depression, promote psychosomatic pleasure of patients, and has a satisfactory regulatory effect on the psychological sub-health symptoms. However, basic research on using modern medical theories and the means to explain its mechanism of action is relatively weak. Therefore, only constantly improving the quality of clinical observation and strengthening basic research can provide more and better evidence for the clinical application of massage therapy in treating the symptoms of the sub-health status.

Fire needle combined with blood-letting therapy for a case of 20-year trigeminal neuralgia
Zhang Kai-Jun, Xu Jia-Chun, Zhou Zhen
9TMR Non-Drug Therapy    2018, 1 (4): 145-150.   https://doi.org/10.12032/TMRND201801021
Abstract ( 409 HTML PDF (1416KB) ( 191 )  

Highlights

Fire needle combined with blood-letting therapy has the potentials to control pain in a patient with 20-year trigeminal neuralgia.

Editor’s Summary

As a complementary and alternative medicine therapeutic approach in patients with trigeminal neuralgia, the integration of several non-drug therapies from Chinese medicine achieves a complete clinical response in pain control.

Abstract

Background: Trigeminal neuralgia (TN) is a neuropathic pain syndrome. It is the most frequent cranial neuralgia and defined as sudden, usually unilateral and lightning-like, knife-like or burning-like recurrent episodes of pain within the distribution area of one or more divisions of the trigeminal nerve. Here we reported that an 81-year-old woman with TN who complained of severe pain on her right face showed a complete clinical relief after comprehensive therapy containing fire needle, filiform needle and blood-letting therapy. Methods: The patient was applied fire needle combined with filiform needle therapy (3 times / week for 4 months) and three consecutive fire needle combined with blood-letting therapy (3 times / week for one week). Fire needle was inserted into the back points of Du meridian, the first lateral line of bladder meridian, the right spreading area of the trigeminal nerve and the points around the pain radiation site. The filiform needle acupuncture was applied to the points on the right face including Yuyao (EX-HN4), Yangbai (GB14), Toulinqi (GB15), et al; points on the abdomen including Xiawan (RN10), Qihai (RN16), Guanyuan (RN14) and the bilateral points including Tianshu (ST25), Daheng (SP15), Zusanli (ST36), et al. Finally, the three-edged fire needle punctured the points of Yangbai (GB41), Shangguan (GB3), Jiache (ST6) on the right face accompanied by the cupping method on the bleeding points. Results: The patient reported the complete disappearance of pain and could open mouth and eat normally. The face was normal and no triggering pain recurred after one-month follow-up. Conclusions: The fire needle combined with blood-letting therapy can cure the TN and might provide an alternative non-drug therapy for those patients who still suffered from TN after other medical treatments or whom that refused surgical treatment.

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