- Acupuncture in the complex treatment of chronic back pain in the patients after a stroke
Acupuncture in the complex treatment of chronic back pain in the patients after a stroke
INTERNATIONAL JOURNAL REHABLITATION AND PALLIATIVE MEDICINE.2018.1(7):47-52; doi 10.15574/IJRPM.2018.7.47
Chizhykova M. Y.
State Scientific Institution «Scientific and practical center of preventive and clinical medicine» of State Administration of Affairs, Kyiv, Ukraine
Clinical Hospital «Feofania», Кyiv, Ukraine
Introduction. The stroke is one of the leading places among the causes of mortality and is always the first in the structure of persistent disability. Among the pain syndromes in post-stroke patients, back pain is not on the last place. The use of acupuncture for the treatment of chronic back pain has been investigated already. However the pathogenic features of pain phenomena in patients after a stroke require further study and improvement of treatment and rehabilitation approaches, which was substantiated by our study.
Materials and methods. We analyzed 2 groups of patients who had the stroke in anamnesis and suffered from headache. The main one (n=30), where acupuncture along with traditional medication treatment, was used; control group receiving traditional medications only (n=30). The average age of patients in the main group was 70±8.06 years. Among them: women – 13 (average age – 66.8±6.96), men – (17 average age – 72.75±7.95). The average age of the control group was 70.3±9.0 years. Among them, women are 8 (average age 68.7±9.7 years), men – 22 (average age 70.8±8.4 years). In both groups the ischemic stroke predominated. Most patients in both groups were in residual stroke period. Along with the corporal acupuncture we used combined method including several microsystems. Evaluation of chronic back pain was based on 5 criteria: intensity (estimated with VAS), duration, character (estimated with NPS), localization and condition of occurrence.
Results. The analysis of main group treatment results showed that the complex treatment of chronic back pain including combined acupuncture method statistically significantly (p<0.05) influenced on three indicators of chronic back pain – intensity, character and conditions of occurrence. Control group showed good results (p<0.05) only on intensity of pain. The comparative analysis of the results of the treatment of the two groups reliably demonstrated (p<0.05) positive effect of acupuncture on two pain indexes: intensity and character.
Conclusions. Acupuncture in the complex treatment of post stroke patients allows reducing chronic back pain significantly. Also at the same it allows to improve the effectiveness of rehabilitation and quality of life.
Key words: chronic back pain, acute disturbance of cerebral circulation, stroke, acupuncture.
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