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J Acupunct Res > Volume 31(3); 2014 > Article
Cho, Bang, Lee, and Lee: The Effect of A-Shi Point Acupuncture on the Post-stroke Hand Edema

Abstract

Objectives :

The purpose of this study is to evaluate the effect of A-Shi point acupuncture on the post-stroke hand edema.

Methods :

The subjects in this study were 8 patiens with post-stroke hand edema. The patients were treated with acupuncture on A-Shi point in hand. We treated them once a day, 7 days. The effectiveness was assessed by hand volumeter and mesuring tape. And Wilcoxon signed rank test was performed to evaluate the effect.

Results :

A significant change was observed after 7 times acupuncture treatment. Both volume and circumference of hand were decreased after treatment.

Conclusions :

This study suggests that A-Shi point acupuncture is effective for reducing post- stroke hand edema, although further study would be necessary.

Fig. 1.
Example of A-shi point acupuncture on hand edema
acupunct-31-3-1f1.gif
Fig. 2.
Hand volumeter
acupunct-31-3-1f2.gif
Fig. 3.
Measurement of circumference of hand edema with mesuring tape
acupunct-31-3-1f3.jpg
Table 1.
Change of Volume of Hand
Before After p-value
Volume of hand 595.75±105.68 575.75±98.34 0.011
Table 2.
Change of Circumference of Hand
Before After p-value
Circumference of hand 44.11±2.96 43.61±2.65 0.011
Table 3.
General Characteristics
Total 8
Gender Male 5
Female 3
Age 69.25±12.57
Impression Infarction 5
Hemorrhage 3
Site Right 3
Left 5
Muscle grade 2.25±1.39
Onset of edema (day) 37.75±17.52
Symtom duration(day) 11.25±9.24

VI. References

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9. Exton-Smith AN, Crockett DJ. Nature of oedema in paralysed limbs of hemiplegic patients. British Medical Journal. 1957;2(5056):1280–3.
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14. Li X, Liu J, Li S, Wang YC, Zhou P. Examination of hand muscle activation and motor unit indices derived from surface EMG in chronic stroke. IEEE Trans Biomed Eng. Published online (25 June 2014).

15. Yoon KB, Cho MLN, Jung H. The clinical study on the efficiency of the A-Shi point. The Journal of Korean Acupuncture & Moxibustion Society. 2001;18(1):226–36.



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