摘要
痉挛性运动障碍是因大脑或脊髓损伤导致的以肢体痉挛、关节挛缩为主要表现的运动功能障碍.本研究总结梳理了针灸临床治疗痉挛性运动障碍的几种特色针法,以期为优化针刺临床方案及抗痉挛刺法的研究提供依据及思路.通过归纳比较头针运动针法、动气针法、浮针疗法、筋针疗法、滞动针疗法、动筋针疗法以及恢刺法等常用有效的抗痉挛方法,发现其共性特点是动态留针与带针运动,即针刺调理经脉气血与运动拘急经筋的结合.基于"动筋调气"理念的运动类针刺法有助于缓解中枢损伤所致的肢体痉挛、促进运动功能恢复,值得进一步开展临床及机制研究.
Abstract
Spastic mobility disorder,characterized by limb spasm and joint contracture,are caused by brain or spinal cord injury.This study summarized several specific acupuncture techniques used for spastic mobility disorder,aiming to provide evidence and insights for optimizing therapeutic regimen and research on antispasmodic acupuncture methods.By comparing and analyzing widely used and effective antispasmodic methods,including motion-style scalp acupuncture,Dongqi needling,Fu's subcutaneous needling,sinew needling,stuck-moving needling,motion acupuncture and lateral needling,a common characteristic of conduction of movements with needle retained was found.Those needling techniques achieve therapeutic results via the effects of acupuncture in regulating Qi and blood and sinew-releasing effect of movements.Acupuncture with motion techniques guided by the principle of'mobilizing sinew and regulating Qi'could help relieve spasticity due to damages of central nerve systems and promote the recovery of motor function,which is worthy of further clinical and mechanism research.
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