8 research outputs found
Manual Acupuncture Effect on Vertigo and Tinnitus in Patient with Labyrinthitis: A Case Report
Get PDFLabyrinthitis is an inflammatory disease of the inner ear perilymphatic cavity and the most common cause of prolonged spontaneous vertigo. Other symptoms are tinnitus and sensorineural hearing loss. Acupuncture is one of the non-pharmacological therapeutic modalities to improve symptoms of labyrinthitis. A 54-year-old woman complained of vertigo that is preceded by tinnitus in both ears since the last 6 months. She was diagnosed with labyrinthitis. Had taken amoxicillin and decadryl for 5 days, betaserc and dimenhydrinate when she felt dizzy, and amlodipine as a routine drug for her hypertension. Physical examination showed vital signs within normal limits, grade 2 obesity, positive Romberg test, and THI score 18. Manual acupuncture was performed at acupoints GV20, GB20, TE17, TE21, SI19, GB2, GB8, TE5, LI4, KI3, PC6 and LR3 with 20 minutes retention. After the first therapy, vertigo complaints disappeared and after 12 treatments (twice a week), frequency and intensity of tinnitus became less, with THI score of 6. Therefore, acupuncture can relieve vertigo and improve tinnitus which can be seen by a decrease of THI score.
Keywords: acupuncture, labyrinthitis, tinnitus, vertig
The Effectiveness of Acupuncture Therapy in Patient with Hemorrhoid: A Case Report
Get PDFBackground: Hemorrhoid is an anorectal disease due to mechanical disturbances in the anal cushion and hemorrhoid venous plexus blood flow obstruction. Symptoms that often accur are bleeding, pain, prolapse, itching, and mucus discharge. Acupuncture is non-pharmacological therapeutic modalities that has been shown to improve hemorrhoid symptoms.
Case: A 37-year-old woman complained of hemorroid lump with pain since last 1 year. Physical examination showed a reddish hemorrhoid prolapse, about 1.5 cm in the posterior anal without bleeding. The pain score with NRS is 4. Acupuncture therapy was performed 3 times a week at acupoints GV20, TE6, LU6, ST25, BL34, ST36, EX-UE2 and BL57. Then given continuous wave electrical stimulation, 4 Hz, 30 minutes retention. After 11 treatments, pain disappeared with NRS 0 and lump was reduced to about 0.5 cm.
Conclusion: Acupuncture can improve the symptoms of hemorrhoids, which are seen by the relief of pain and the reduction of lumps.
Keywords: Acupuncture, hemorrhoid, hemorrhoid pain, hemorrhoid prolaps
Akupunktur untuk Terapi Artritis Rematoid
Get PDFArtritis Rematoid (AR) merupakan penyakit autoimun yang manifestasinya adalah poliartritis. Penyakit ini dapat menyebabkan kualitas hidup penderitanya menurun akibat kerusakan sendi yang dialami. Saat ini pengetahuan tentang patofisiologi AR sudah makin berkembang, di mana sel-sel imun serta sitokin yang dikeluarkan memicu inflamasi sehingga menyebabkan kerusakan sendi. Akupunktur merupakan teknik penusukan jarum halus pada titik akupunktur yang terbukti mempunyai efek klinis baik dalam mengobati AR. Mekanisme kerja akupunktur sudah banyak diteliti dalam manajemen AR melalui efek anti-inflamasi, antioksidan, dan meregulasi sistem imun. Akupunktur mempunyai efek sinergis dengan agen biologik yang sekarang ini digunakan untuk terapi AR. Studi kasus ini memperlihatkan efek akupunktur yang memuaskan pada perempuan usia 63 tahun.Artritis reumatoid (AR) merupakan penyakit autoimun yang manifestasinya adalah poliartritis. AR dapat menyebabkan kualitas hidup penderitanya menurun akibat kerusakan sendi yang dialaminya. Saat ini pengetahuan tentang patofisiologi AR sudah makin berkembang, dimana melibatkan sel-sel imun serta sitokin yang dikeluarkan memicu inflamasi yang menyebabkan kerusakan sendi. Akupunktur merupakan teknik penusukan jarum halus pada titik akupunktur terbukti mempunyai efek klinis yang baik dalam mengobati AR. Mekanisme kerja akupunktur sudah banyak diteliti dalam manajemen AR melalui efek anti-inflamasi, antioksidan dan meregulasi sistem imun dimana mempunyai efek yang sinergis terhadap agen biologik yang sekarang ini digunakan untuk terapi AR. Studi kasus ini memperlihatkan efek akupunktur yang memuaskan pada wanita 63 tahun
Effectiveness of combined laser-puncture and conventional wound care to accelerate diabetic foot ulcer healing
Get PDFBackground: Impaired wound healing is a common complication of diabetes. It has complex pathophysiologic mechanisms and often necessitates amputation. Our study aimed to evaluate the effectiveness of combined laser-puncture and conventional wound care in the treatment of diabetic foot ulcers.Methods: This was a double-blind controlled randomized clinical trial on 36 patients, conducted at the Metabolic Endocrine Outpatient Clinic, Cipto Mangunkusumo Hospital, Jakarta, between May and August 2015. Stimulation by laser-puncture (the treatment group) or sham stimulation (the control group) were performed on top of the standard wound care. Laser-puncture or sham were done on several acupuncture points i.e. LI4 Hegu, ST36 Zusanli, SP6 Sanyinjiao and KI3 Taixi bilaterally, combined with irradiation on the ulcers itself twice a week for four weeks. The mean reduction in ulcer sizes (week 2–1, week 3–1, week 4–1) were measured every week and compared between the two groups and analyzed by Mann-Whitney test.Results: The initial median ulcer size were 4.75 (0.10–9.94) cm2 and 2.33 (0.90–9.88) cm2 in laser-puncture and sham groups, respectively (p=0.027). The median reduction of ulcer size at week 2–1 was -1.079 (-3.25 to -0.09) vs -0.36 (-0.81 to -1.47) cm2, (p=0.000); at week 3–1 was -1.70 (-3.15 to -0.01) vs -0.36 (-0.80 to -0.28) cm2, (p=0.000); and at week 4–1 was -1.22 (-2.72 to 0.00) vs -0.38 (-0.74 to -0.57) cm2, (p=0.012).Conclusion: Combined laser-puncture and conventional wound care treatment are effective in accelerating the healing of diabetic foot ulcer.</jats:p
Pain Reduction After Laser Acupuncture Treatment in Geriatric Patients with Knee Osteoarthritis: a Randomized Controlled Trial
Get PDFAim: to compare the effectiveness of active laser acupuncture with placebo on reducing pain intensity and improving functional outcome in geriatric patients with knee osteoarthritis (OA). Methods: a double-blind randomized controlled trial was conducted in geriatrics with knee OA at Medical Acupuncture Outpatient Clinic, Integrated Geriatric Outpatient Clinic, Rheumatology Outpatient Clinic of Cipto Mangunkusumo Hospital, Jakarta, during May to October 2015. Sixty two patients with knee OA were randomly assigned into two groups: active laser acupuncture group or placebo laser acupuncture group. Interventions were carried out using a gallium aluminum arsenide laser device at the ST35 Dubi, ST36 Zusanli, SP9 Yinlingquan, GB34 Yanglingquan and EX - LE - 4 Neixiyan acupuncture points on the affected knee for ten sessions of treatment, i.e. twice a week. Patients were assessed using a visual analogue scale (VAS) and Lequesne index at baseline, after four sessions, after nine sessions and at 2 weeks after the treatment had been stopped. Results: the VAS scores were significantly improved in the active laser acupuncture group compared to the placebo group. The evaluation of VAS scores was carried out after four treatment sessions (mean difference: 0.39; p<0.001), after nine treatment sessions (mean difference: 37.48; p<0.001) and at 2 weeks post intervention (mean difference: 39.15; p<0.001). The evaluation also showed significant improvement of Lequesne index after four treatment sessions (mean difference: 4.68; p<0.001), after nine treatment sessions (mean difference: 5.90; p<0.001) and at 2 weeks post intervention (mean difference: 6.48; p<0.001). Conclusion: active laser acupuncture is effective in reducing pain
Pengaruh Akupunktur Pergelangan Tangan dan Kaki terhadap Nyeri Punggung Bawah
Get PDFNyeri punggung bawah (NPB) adalah nyeri yang dirasakan di daerah punggung bagian bawah. Akupunktur memiliki efek analgesi. Banyak metode dan teknik rangsang dalam akupunktur, salah satunya akupunktur pergelangan tangan dan kaki. Penelitian ini bertujuan untuk mengetahui pengaruh akupunktur pergelangan tangan dan kaki terhadap nyeri punggung yang diukur dengan skor numeric analog scale (NAS) pada pasien NPB. Desain penelitian adalah uji klinis acak tersamar tunggal dengan kontrol yang mengikutsertakan 42 pasien NPB. Pasien dibagi menjadi 2 kelompok yaitu kelompok perlakuan (n=21) yang dilakukan akupunktur pergelangan tangan dan kaki area 5 dan 6 pergelangan kaki; kelompok kontrol (n=21) yang dilakukan akupunktur tubuh pada titik BL23 Shenshu, BL40 Weizhong, dan LI4 Hegu. Akupunktur dilakukan 2x seminggu selama 3 minggu. Di akhir terapi Terdapat penurunan skor NAS pada kedua kelompok setelah terapi ke-6. Perubahan skor NAS setelah terapi ke-6 pada kelompok perlakuan berbeda bermakna bila dibandingkan dengan kelompok kontrol (p=0.041). Akupunktur pergelangan tangan dan kaki memiliki pengaruh terhadap penurunan nyeri yang signifikan
Pengaruh Akupunktur Pergelangan Tangan dan Kaki terhadap Nyeri Punggung Bawah
No full textNyeri punggung bawah (NPB) adalah nyeri yang dirasakan di daerah punggung bagian bawah. Akupunktur memiliki efek analgesi. Banyak metode dan teknik rangsang dalam akupunktur, salah satunya akupunktur pergelangan tangan dan kaki. Penelitian ini bertujuan untuk mengetahui pengaruh akupunktur pergelangan tangan dan kaki terhadap nyeri punggung yang diukur dengan skor numeric analog scale (NAS) pada pasien NPB. Desain penelitian adalah uji klinis acak tersamar tunggal dengan kontrol yang mengikutsertakan 42 pasien NPB. Pasien dibagi menjadi 2 kelompok yaitu kelompok perlakuan (n=21) yang dilakukan akupunktur pergelangan tangan dan kaki area 5 dan 6 pergelangan kaki; kelompok kontrol (n=21) yang dilakukan akupunktur tubuh pada titik BL23 Shenshu, BL40 Weizhong, dan LI4 Hegu. Akupunktur dilakukan 2x seminggu selama 3 minggu. Di akhir terapi Terdapat penurunan skor NAS pada kedua kelompok setelah terapi ke-6. Perubahan skor NAS setelah terapi ke-6 pada kelompok perlakuan berbeda bermakna bila dibandingkan dengan kelompok kontrol (p=0.041). Akupunktur pergelangan tangan dan kaki memiliki pengaruh terhadap penurunan nyeri yang signifikan. Kata kunci: nyeri punggung bawah, akupunktur pergelangan tangan dan kaki, Numeric Analog ScaleEffect of Wrist and Ankle Acupuncture for Low Back Pain Abstract Low back pain (LBP) is pain felt in the lower back area. Acupuncture has an analgesic effect There are many methods and stimulation techniques used in acupuncture, one of which is wrist and ankle acupuncture (WAA). This study aimed to assess the efficacy of WAA in the treatment of pain in LBP. The Numeric Analog Scale (NAS) score was used to assess pain. The design was a single-blinded randomized control trial. The study involved 42 patients with LBP who were divided into 2 groups: treatment group (n = 2) which underwent wrist and ankle acupuncture to the Lower 5 and Lower 6 bilaterally; control group (n = 21) which underwent body acupuncture BL23 Shenshu, BL40 Weizhong, and LI4 Hegu. The treatment was applied twice a week for 3 weeks. The results showed a decline in the NAS scores significantly in both group after 6th therapy. Changes in the NAS score after 6th therapy in the treatment group was significantly different when compared with the control group (p = 0.041). Wrist and ankle acupuncture has significant effect on reducing LBP. Key words: low back pain, wrist and ankle acupuncture, Numeric Analog Scal
