将拔罐技术作为治疗非盘源性腰痛的一种治疗模式

Al-Sayed Mohamed Ahmed Almarakby
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摘要

背景:拔罐疗法是已有数千年历史的传统医疗技术之一。它可能对中风后并发症的早期康复有一些额外的益处。工作目的:研究拔罐技术作为一种治疗模式在治疗椎间盘源性腰痛方面是否有显著效果。研究方法:60 名患者分为两组:第一组采用传统的中风后治疗方法,第二组在传统中风后治疗方法的基础上采用湿拔罐疗法。患者的神经功能缺损评估采用美国国家健康研究所脑卒中量表(NIHSS)指数,运动功能评估采用 Fugl-Meyer 评估(FMA)量表,愈合过程取决于床旁吞咽评估(BSA)。在认知功能方面,使用了迷你精神状态检查(MMSE)和蒙特利尔认知评估(MoCA),并对拔罐的任何不良影响进行了安全性评估。结果:湿拔罐疗法取得了更好的效果。与传统的药物疗法相比,两种拔罐技术(干拔和湿拔)在减轻疼痛方面均有明显改善,但拔罐疗法并未起到辅助作用。结论:Hijama(湿拔罐)在中风后康复治疗中效果显著。
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USING OF CUPPING TECHNIQUE AS A THERAPEUTIC MODEL IN TREATMENT OF NON-DISCOGENIC LOW BACK PAIN
Background: Cupping therapy is one of the traditional medical technologies practiced for thousands of years. it might have some additional benefits on early rehabilitation for post-stroke complications. Aim of the work: to examine if the use of cupping technique as a therapeutic model in treatment of discogenic low back pain has a significant impact or not. Methodology: 60 Patients divided into two equal groups were participated in this study: Group 1 treated by conventional post-stroke therapy and Group 2 treated by wet cupping in addition to conventional post-stroke therapy. The national institute of health stroke scale (NIHSS) index was sed as patients assessment tool for neurologic deficit evaluation motor functions is assessed by the Fugl-Meyer assessment (FMA) scale, the healing process depended on the bedside swallowing assessment (BSA). For cognitive function, the mini-mental state examination (MMSE) and Montreal cognitive assessment (MoCA) have been used, and any undesirable effect of wet cupping were noted for safety evaluation. Results: Better results have been documented with wet cupping therapy. Statistically significant improvement in pain reduction for both techniques of cupping (dry & wet) when compared to conventional medical therapy without augmentation with cupping therapy. Conclusion:Significant Effect of Hijama (Wet cupping) in post-stroke rehabilitation.
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