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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 ( 1342 HTML PDF (11744KB) ( 341 )  

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.

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 ( 734 HTML PDF (1477KB) ( 321 )  

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.

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 ( 1184 HTML PDF (728KB) ( 315 )  

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.

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 ( 472 HTML PDF (1224KB) ( 296 )  

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.

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 ( 341 HTML PDF (513KB) ( 290 )  

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 ( 552 HTML PDF (964KB) ( 284 )  

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.

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 ( 514 HTML PDF (718KB) ( 277 )  

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.

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 ( 437 HTML PDF (1422KB) ( 247 )  

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.

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 ( 430 HTML PDF (538KB) ( 214 )  

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.

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 ( 600 HTML PDF (1495KB) ( 211 )  

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.

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