Row acupuncture at the gaps between phalanges for dorsal stretch of fingers after cerebral infarction / 中国针灸

<p><b>OBJECTIVE</b>To compare the effect differences between row acupuncture at the gaps between phalanges and physical therapy for the dorsal stretch of fingers after cerebral infarction.</p><p><b>METHODS</b>Seven-one cases were randomized into a row acupuncture at the gaps between phalanges group (group A, 37 cases) and a physical therapy group (group B, 34 cases). Body acupuncture was applied in the two groups. Row acupuncture at the 1st, 2nd, and 3rd gaps between phalanges was used in the group A, with continuous wave of electroacupuncture. The two electrodes of nerve injury therapeutic apparatus were put in the muscle belly center of extensor digitorum of forearm in the group B. All the treatments were given for 30 min in the two groups, once a day and 10 times as one course. Three courses were required with 3 d at the interval. The dorsal stretch of metacarpophalangeal joints and the muscle force of common extensor of fingers were compared between the two groups before and after treatment.</p><p><b>RESULTS</b>Compared with those before treatment, the dorsal stretch of metacarpophalangeal joints and the muscle force of common extensor of fingers were improved after treatment in the two groups (all<0.05). There existed better effects in the group A on the dorsal stretch of the forefinger, middle finger and ring finger of metacarpophalangeal joints, as well as the muscle force of common extensor of fingers (all<0.05).</p><p><b>CONCLUSIONS</b>Row acupuncture at the gaps between phalanges achieves better effect than physical therapy for the dorsal stretch of fingers after cerebral infarction, based on body acupuncture.</p>

The effect of 810 nm low-power Ga-Al-As laser treatment on the regeneration of a damaged optic nerve / 中华物理医学与康复杂志

Objective To determine whether or not 810 nm low power Ga-Al-As laser treatment can stimulate the regeneration of damaged optic nerves by measuring the expression of growth associated protein 43 ( GAP-43 )and flash-visual evoked potential (F-VEP). Methods Eighty-eight Wistar rats weighing (180-220) g were randomly divided into a laser therapy group with 40 rats,an injury group with 32 rats,and a normal control group with 16 rats.Each group was subdivided into 1st,3rd,6th and 9th week subgroups.A standardized crushing of the optic nerve was applied to make the model.After this,the laser therapy group was treated for 3 minutes daily at 60 mW applied transcutaneously to a 5 mm diameter spot on the injured optic nerve.The injury and normal control groups received the same treatment with no laser output.The expression of GAP-43 was detected by immunohistochemistry and RT-PCR after 1,3,6 and 9 weeks of treatment.F-VEP was measured pre-injury,immediately after injury and 1,3,6 and 9 weeks post injury. Results After the optic nerve was injured,obvious changes in F-VEP were detected,including significantly prolonged latencies of N1,P1 and N2 waves.The latency increased immediately after the optic nerve injured,and then recovered,but after 1 and 3 weeks the latency was still prolonged.There was significant recovery from the 3rd to the 9th week.In the laser therapy group,the peak latencies of the N1,P1 and N2 waves were also prolonged,but the changes were less than those in the injury group.Expression of GAP-43 was hardly detectable in normal retinas and optic nerves.GAP-43 had its highest expression level at 1 week post-injury,and then decreased.At the 1st,3rd and 6th week post-injury,the expression of GAP-43 in the laser therapy group was significantly higher than in the injury group.GAP-43 mRNA content in the retina showed the same tendency as GAP-43 protein. Conclusion A 810 nm low power Ga-Al-As laser can promote neural repair and axonal regeneration after optic nerve injury.

The detection and significance of serum enzymes in the adult with central nervous system infections / 中国基层医药

Objective To study the serum enzyme in the adult central nervous system infection in patients and its clinical significance,aimed at providing basis for the diagnosis and prognosis of the adult central nervous system infection. Methods 68 patients with central nervous system infections were treated in June 2008 to Decem 2009 in Neurology Department of our hospital. In addition, 60 healthy persons were selected at the same time as control group. Serum aspartate aminotransferase ( AST), lactate dehydrogenase ( LDH) , Creatine kinase ( CK) , CK-MB ( CK-MB)levels were detected. Results AST,LDH,CK and CK-MB levels of the central nervous system infection group were higher than the control group,and the difference between the two groups was statistically significant(P<0.05). Severe group AST, LDH, CK and CK-MB and other content of the four enzymes were higher, and the difference between the two groups is also significant ( P < 0.05 ). Conclusions Adult patients with central nervous system infection significantly increased serum enzyme levels, and serum enzyme levels had a positive correlation with the severity. Serum enzyme was a reliable adult central nervous system infections diagnostic index.