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Acupuncture and Physical Rehabilitation Combined Yielded Great Results In The Treatment Of Infantile Cerebral Palsy

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Acupuncture in King of Prussia coupled with physical rehabilitation can help improve the results of young patients suffering from infantile cerebral palsy.

Heilongjiang TCM University researchers found acupuncture an effective way of treating infantile cerebral palsy. Physical rehabilitation plus acupuncture treatment boosts the positive results of patients. Children with cerebral palsy benefit from getting both forms of treatment as healing modalities but the combination approach generates better clinical results.

Acupuncture combined with physical rehabilitation therapy produces a synergistic effect that benefits infants suffering from cerebral palsy. After conducting a controlled clinical trial, the researchers concluded that acupuncture plus rehabilitation works great in the treatment of infantile cerebral palsy. This condition is a non-progressive issue brought about by brain damage due to various causes. At any point of time up to a month before birth, there is a chance that this condition can occur.

Infantile cerebral palsy symptoms may include speech impairment, mental retardation, abnormal posture and congenital motor dysfunction. Nowadays, the main form of treatment for patients with this condition is to undergo physical rehabilitation. Past clinical studies has shown that acupuncture can be a significant factor in the treatment of infantile cerebral palsy. Because of this, researchers started their investigation to assess the correctness of previous findings.

Infantile cerebral palsy acupuncture treatment involves individually determined acupoints and scalp acupuncture. Scalp acupuncture stimulates neural cells and dredges the energy channels helping the patient to regain reflex functioning. This type of acupuncture helps improves speech abilities and restores limb motor functioning. All in all, acupuncture improves quality of life scores and significantly reduces the intensity of the cerebral palsy. Early diagnosis and therapy are the most important elements to consider when guaranteeing successful results. The cooperation of the parents in the process of treatment is just as important and is very much needed.

The Heilongjiang TCM University researchers have noticed that patients given acupuncture plus rehabilitation attained a higher Barthel rating and GMFM (Gross Motor Function Measure) score than the patients that only received acupuncture treatment. While both groups of participants positively responded to the therapy, these scores showed that the group given the combined treatment had a better ability to do day-to-day activities and had better motor functioning of the limbs.

The study involved the participation of 54 patients all suffering from infantile cerebral palsy. They were randomly and equally grouped into two: control group and treatment group. The control group was treated with acupuncture while the treatment group was given both rehabilitation and acupuncture.

For both groups the main acupoints chosen were the same:

GB7 Qubin
GV20 Baihui

Secondary acupoints were chosen based on the symptoms. For a weak kidney and liver:
GV4 (Mingmen)
Bl23 (Shenshu)
St41 (Jiexi)
Lv3 (Taichong)

For phlegm stagnation:

Bl17 (Geshu)
St37 (Shangjuxu)
St40 (Fenglong)
St36 (Zusanli)

For speech impairment:

CV23 (Lianquan)

For salivation dysfunction:
St4 (Dicang)

For a weak spleen and heart:

TB5 (Waiguan)
St25 (Tianshu)
LI4 (Hegu)
St36 (Zusanli)
Pc6 (Neiguan)
EX (Yintang)
Bl15 (Xinshu)

For weak eyesight:

St2 (Sibai)
GB14 (Yangbai)

For hearing impairment:

GB12 (Wangu)
Sl19 (Tinggong)
GB2 (Tinghui)
TB21 (Ermen)

the Tou Si Liu Zhen needling approach was utilized for the Qubin and Baihui points. In a straight line via the Baihui towards Qubin, a 1½ to– 2 inch needle (28 gauge) was stuck on one side of the head. The needle was pierced at 30° to the scalp and rotated constantly for 2 minutes at a speed of 200 rpm. On the other side of the head, the process was then repeated through the Baihui to the Qubin. A 50-minute needle retention time was followed. The needle was rotated once during this time.

The needling technique known as the Dian Si Bu Liu Shen was used for the other acupuncture points. A 128 gauge, 1.5 inch acupuncture needle was used in this treatment. The needle was quickly insertedand removed from the points without any needle retention time. Two consecutive weeks of consecutive of acupuncture sessions made up one entire treatment cycle. Before beginning the next cycle of treatment, a two day break was observed. For the entire treatment course, a total of six cycles of treatment given.

With the assistance of the parents of the patients, head rehabilitation was performed. The patients were given 1 of 3 various kinds of rehabilitation based on the patient’s conditions: muscle hypotonia, athetosis, spasms. For spasm suffererers, the parent will hold the head of the patient using their palm on each side of the patient’s head. Then they were told to pull the neck of the patient upwards. Simultaneously, they pressed downwards the shoulders of the patient using their forearms. For patients suffering from muscle hypotonia, parents were told to push the shoulders of the patient with their thumbs applying pressure against the chest of the patient, in order to lift the head of the patient and place it in the middle. For patients suffering from athetosis, parents were told to straighten the arms of the patient, press them slightly downwards, and turn the arms inwards to help rectify the outward turn.

Also administered for these three groups is sitting rehabilitation. For patients suffering from spasms, the patient was told to lean forward and split both legs. Then the trainer used both his hands to straighten the lower limbs of the patient.

For patients suffering from athetosis, the shoulders of the patient were held by the trainer with both hands and faced it frontwards. Subsequently, the patient was guided to lift himself with his hands. For patients suffering from muscle hypotonia, the trainer made use of his two hands to download press on both sides of the patient’s spine using the thumb of the trainer to help straighten the body and head of the patient. The patient was pushed in the right left, back and front directions to build and train his or her sense of balance after the sitting position of the patient was in order.

In limb rehabilitation, the lower and upper limbs were exercised. The lower limbs often experience tenseness and stiffness. When the knee joints were utilized as a point of control, the two legs were outwardly turned to separate the legs. Hip joints were bent and rotated if the tenseness intensified. For the upper limbs, the fingers of the patient where relaxed and their arms were turned outwards, straightened and lifted upwards. The elbow was inwardly rotated before the straightening of the arms if the elbow of the patient was significantly bent.

Before and after treatment, the Barthel ratings and GMFM score of the patients were documented. The Barthel rating was utilized to determine the ability of the patient to do day-to-day activities. TheGMFM score helped measure the motor function of the limbs. The outcome showed that acupuncture generates favorable results in the healing of infantile cerebral palsy. Applying acupuncture and rehabilitation together are shown to generate even greater outcomes. It was concluded that combining rehabilitation with acupuncture boosts the positive results in patients suffering from infantile cerebral palsy.

Written by Valerie

February 12th, 2019 at 11:19 am

Posted in Acupuncture

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