[Effect of electro-needling at acupoints of the yangming meridian on the expression of PAC-1 and lower limb functions in acute cerebral infarction patients]

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2011 Apr;31(4):483-6.
[Article in Chinese]

Abstract

Objective: To observe the effect of electro-needling at acupoints of the yangming meridian on the expression of platelet associated complement-1 (PAC-1) and lower limb functions in acute cerebral infarction (ACI) patients.

Methods: 58 ACI patients were randomly assigned to the treatment group and the control group. Conventional therapies were given to all patients. Additionally, the electro-needling at acupoints of the yangming meridian was given to patients in the treatment group. Changes of PAC-1 were detected using flow cytometry. Effect of lower limbs functions of ACI patients before and after electro-needling was assessed using Fugl-Meyer Index. Meanwhile, 20 healthy subjects were selected for reference value.

Results: In the acute stage, the PAC-1 level in ACI patients were significantly higher than that in healthy subjects (P<0.05). The PAC-1 level in the electro-needling group was obviously lowered after treatment (P<0.01). There was no significant difference in the control group between before and after treatment. Significant difference was found in Fugl-Meyer index in the same group between before and after two-week treatment (P<0.05). It was higher in the electro-needling group than in the control group, showing significant difference (P<0.01).

Conclusions: Platelet activation exists in the acute stage of ACI. Electro-needling at acupoints of the yangming meridian showed obvious inhibition on PAC-1 levels, could improve lower limbs functions of ACI patients. It was inferred that electro-needling at acupoints of the yangming meridian promoted the recovery of paralyzed lower limbs at the early stage mainly by regulating PAC-1 levels, thus postponing the progress of ACI.

Publication types

  • Randomized Controlled Trial
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Acupuncture Points
  • Acupuncture Therapy*
  • Adult
  • Aged
  • Aged, 80 and over
  • Cerebral Infarction / metabolism*
  • Cerebral Infarction / rehabilitation
  • Cerebral Infarction / therapy*
  • Electroacupuncture
  • Female
  • Humans
  • Lower Extremity
  • Male
  • Middle Aged
  • Platelet Membrane Glycoproteins / metabolism*
  • Recovery of Function
  • Stroke Rehabilitation
  • Treatment Outcome

Substances

  • Platelet Membrane Glycoproteins