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KMID : 0614520030130010074
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Journal of the Korean Pain Research Society
2003 Volume.13 No. 1 p.74 ~ p.80
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Specific Electric Acupuncture for the Management of the Central Poststroke Pain
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Choi Do-Young
Lee Jae-Dong
Lee Doo-Ik
Kim Keon-Sik
Kim Soo-Young
Lee Yoon-Ho
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Abstract
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Background: In order to study the effectiveness of East-West pain treatment on central poststroke pain (CPSP), we evaluated its effect on alleviation of pain and rehabilitation of CPSP patients who were treated with west conventional western pain treatment and electric acupuncture for four weeks.
Methods: Seventy patients diagnosed by their pain characteristics of central pain from stroke were enrolled and randomized into western treatment group (Group W) and East-Western combined treatment group (Group EW) in this study. The group W (n=35) was treated with stellate ganglion block, gabapentin, amitriptyline and the group EW (n=35) was treated with electric acupuncture at the acupoint of LI11, LI4, ST36, LR3, UE269 combined with those of group W for four weeks, respectively. Pain intensity through the visual analogue scale (VAS), and improvements of mobility and rehabilitation through the modified Barthel index (MBI) and Rankin scale (RS), respectively, before and after pain treatment were assessed.
Results: VAS pain scores were significantly improved in both Group W and Group EW after pain treatment (p＜0.05). In accordance with improvement of pain scores, RS and MBI scores were significantly improved in both groups before and after treatment (p＜0.05). VAS pain scores of Group EW after pain treatment were more improved than those of Group W, but significant difference was not found (p＞0.05). MBI and RS scores of Group EW after treatment were significantly more improved than those of Group W (p＜0.05).
Conclusions: The active pain treatment for CPSP might be contributed to improvement of rehabilitation as well as alleviation of pain of CPSP patients. It was suggested that the West pain treatment in combination with East pain treatment might be useful modality to improve the rehabiliation of CPSP patients.
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KEYWORD
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Central poststroke pain (CPSP), Electric acupuncture, Rehabilitation
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