Earlier this month, the Stroke Association launched the U.K.'s first Action on Stroke Month, an annual campaign that aims "to increase awareness of the impact of stroke and reach out to many more stroke survivors, their families and carers."
A transient ischemic attack, TIA or a "mini stroke," can lead to serious disability, but is frequently deemed by doctors too mild to treat, according to a study in the American Heart Association journal Stroke.
A new study shows that people who have three or more alcoholic drinks per day may be at higher risk for experiencing a stroke almost a decade and a half earlier in life than those who do not drink heavily. The research is published in the September 11, 2012, print issue of Neurology®, the medical journal of the American Academy of Neurology.
Acupuncture is very important treatment solution for stroke patients. Let review those researches .........
Cerebral ischemia--the reduction or loss of oxygen to the cerebrum; prolonged ischemia may lead to cerebral infarction,Cerebral ischemia is one of the most common diseases treated by acupuncture therapeutics. Recent studies indicated that acupuncture treatment by needling the conception and governor vessels had positive effects in promoting neural regeneration in patients after cerebral ischemia injury. To present an exhaustive review on this mechanisms, Chinese Shenzhen Traditional Chinese Medicine Hospital has done a research about this to explain why Acupuncture intervention could continuously promote the proliferation and differentiation of the neural stem cells in the brain, obviously up-regulate expression of growth factors, accelerate angiogenesis and inhibit apoptosis.
The research shows that acupuncture plays an important role in angiogenesis- the physiological process involving the growth of new blood vessels from pre-existing vessels. Acupuncture at GV20 and GV14 (Dazhui) increases neural repair following cerebral ischemia. The research also documents that acupuncture at GV20 and GV14 effects the contents and expressions of signal transducers and activators of transcription (STATs). The researchers note that the influence of acupuncture on STATs indicates that acupuncture activates bodily self-protection and reduction of “apoptosis of the nerve cells in and around the ischemic focus.”
Reference: Yang ZX, Chen PD, Yu HB, Luo WS, Wu YG, Pi M, Peng JH, Liu YF, Zhang SY, Gou YH.Zhong Xi Yi Jie He Xue Bao. 2012 Jan;10(1):19-24.
Chinese researcher found that Acupuncture can significantly increase blood flow and oxygen saturation in brain cortex, and the effect with combined therapy of scalp and body acupuncture is superior to that with body acupuncture.
If the patient is hypertensive or nervous or still hemorrhaging, very light stimulation is desirable on the scalp treatment areas.During recovery stage, one can use stronger stimulation both on the scalp and body.A comatose stroke patient whose vital signs are stable needs stronger stimulation.Strong stimulation is contraindicated for
Reference:Li H, Hou ZW, Bai YL, Gu SZ.Zhongguo Zhen Jiu. 2011 Nov;31(11):998-1002.
To assess the therapeutic effect of Jin's "Sanzhen" therapy combined with rehabilitation training on limb-motor function of stroke patients by using Fugl-Meyer scale, Chinese Third Hospital Affiliated to Zhejiang University of Chinese Medicine has done a research about this.Their total of 254 hemiplegic stroke outpatients and inpatients from 7 hospitals were randomly divided into Jin's "Sanzhen" (JSZ) group (n = 83), rehabilitation group (n = 84) and combination group (n = 87). Acupuncture was applied to acupoints of Jin's "Sanzhen" including Quchi (LI 11), Waiguan (SJ 5) and Hegu (LI 4); Futu (ST 32). Zusanli (ST 36) and Sanyinjiao (SP 6); etc. The acupuncture needles were retained for 30 min after "Deqi". Rehabilitation training included passive joint movement, standing-sitting training, tapping-pressing stimulation, walking training, etc. The treatment was conducted once daily, 5 sessions a week and for 4 weeks. Fugl-Meyer scale composed of 100-point motor domain of the upper- and lower-extremity sections was used to assess the patients' motor function.
They found that Jin's "Sanzhen" therapy combined with rehabilitation training can significantly improve the limb motor function of hemiplegic stroke patients, and has a good synergistic effect.
Reference:Han DX, Zhuang LX, Zhang Y.Zhen Ci Yan Jiu. 2011 Jun;36(3):209-14.
To systematically evaluate the efficacy and safety of SA therapy for the treatment of acute hypertensive intracerebral hemorrhage,University of Hong Kong has done a research about this treatment.Their conclusion is : Although Scalp acupuncture therapy is widely used to treat acute hypertensive intracerebral hemorrhage in TCM, the efficacy and safety of Scalp acupuncture therapy remain to be further determined. No evidence is available on whether Scalp acupuncture therapy can be used to treat acute intracerebral hemorrhage according to the primary outcome measure. However, Scalp acupuncture therapy appears to be able to improve neurological deficit in patients with acute hypertensive intracerebral hemorrhage.
Acupuncture can improve not only the physical symptoms of stroke but also the emotional malaise that often accompanies such a significant life change. It should be a routine component of all stroke-rehabilitation programs throughout the U.K. and around the world. The possible mechanisms associated with the therapeutic effects of SA on ICH include the influence on hematoma, brain edema, and blood brain barrier, the products released from haematoma, the immune and inflammatory reaction, focal perihemorrhagic hypoperfusion and hemorheology, neuroelectrophysiology, and so on
Reference:Zheng GQ, Zhao ZM, Wang Y, Gu Y, Li Y, Chen XM, Fu SP, Shen J.J Altern Complement Med. 2011 Mar 27.
To observe the curative effects of post-stroke hand dysfunction treated with acupuncture at Zhongzhu (TE 3) and Waiguan (TE 5),Chinese College of Capital Medicine University has done a research about this.Their Sixty cases of post-stroke hand dysfunction were randomly divided into an observation group (30 cases) and a control group (30 cases). Routine medicine, physical therapy, occupational therapy and other rehabilitation trainings were applied in both groups; Zhongzhu (TE 3) and Waiguan (TE 5) were punctured in observation group.
Chinese researchers found Routine medicine and rehabilitation trainings combined with acupuncture at Zhongzhu (TE 3) and Waiguan (TE 5) to treat post-stroke hand dysfunction can obviously improve the hand dysfunction after stroke, enhance the abilities of walking and daily living, and increase the curative effect.
Reference:Cheng XK, Wang ZM, Sun L, Li YH.Zhongguo Zhen Jiu. 2011 Feb;31(2):117-20.
To demonstrate the use of electroacupuncture as adjuvant in the treatment of central pain, diagnosed as thalamic syndrome difficult to control with pharmacologic therapy,Santos AB, Gozzani JL. has published a case report--
......... In July 2009, electroacupuncture, in an attempt to obtain better pain control, was proposed to the patient. Electroacupuncture was done on points in the scalp. After the 11(th) session, her pain was controlled, with no use of opioids or topical amitriptyline, her well-being had increased, her motor coordination improved, she presented global pain reduction, complete in hand and face.
They conclusion:The efficacy of electroacupuncture in pain control and well-being are in agreement with modern studies which demonstrated activation of antinociceptive pathways in the brain. Controlled prospective studies are required to reaffirm and consolidate electroacupuncture as an important technique in controlling central pain.
Copyright © 2011 Elsevier Editora Ltda. All rights reserved.
Reference:Santos AB, Gozzani JL, Rev Bras Anestesiol. 2011 Jan-Feb;61(1):88-94
To compare the therapeutic effects between acupuncture and electric stimulation on post-stroke dysphagia on the basis of rehabilitation training.Chinese Guangzhou Panyu Central Hospital has done a new research about this.Their Ninety-seven patients with post-stroke dysphagia were randomly divided into an acupuncture group , an electric stimulation group and a rehabilitation training group. After treatment, the total effective rate was 96.95 (31/32) in group A and was 94.3% (33/35) in group B, which was superior to that of 66.7% (20/30) in group C. After treatment, the swallowing function in group A, group B and group C were all improved significantly as compared with that before treatment. After treatment, the effects in group A and B were superior to that in group C.
Their conclusion is :The therapeutic effect of the combination of either acupuncture or electric stimulation with rehabilitation training is better than that of simple rehabilitation training. The efficacy on dysphagia is equal between acupuncture and electric stimulation.
Reference:Huang Z, Huang F, Yan HX, Min Y, Gao Y, Tan BD, Qu F,Zhongguo Zhen Jiu. 2010 Dec;30(12):969-73.
To observe the effect of acupuncture combined with speech therapy for dysarthria after stroke or cerebral trauma,Chinese Rehabilitation Medicine College of Capital Medical University has done a research about this,Their sixty-one cases were randomly divided into two groups. The observation group (30 cases) was treated with speech therapy and acupuncture at Lianquan (CV 23), Jinjin (EX-HN 12), Yuye (EX-HN 13), Fengchi (GB 20), Yifeng (TE 17) and Wangu (GB 12) as major acupoints, while the control group (31 cases) was treated with speech therapy only. The changes of speech and acoustics indices were evaluated after 9 weeks treatment.
They found acupuncture combined with speech therapy can improve the effect on language and acoustics level for dysarthria.
Reference:Xu JM, Li HL, Lu HY, Chen ZG, Liu LQ, Jing S.Zhongguo Zhen Jiu. 2010 Jul;30(7):537-41.
The University of Hong Kong has done a research about stroke aphasia acupuncture treatment,They found one group showed significant improvement in CAB scores after receiving acupuncture treatment. A significant correlation between changes in AQ and blood oxygen level dependent activation in the lesioned Wernicke's speech area was found. These preliminary results suggest that acupuncture may be beneficial to language recovery in chronic stroke patients.
That's really good news for stroke patient.
Reference:Chau AC, Fai Cheung RT, Jiang X, Au-Yeung PK, Li LS.J Acupunct Meridian Stud. 2010 Mar;3(1):53-57.
Chinese The First Affiliated Hospital of Hunan University of TCM found balanced muscular tension needling method can significantly improve the muscle strength, muscle tonus, muscle spasticity and the range of joint motion of the stroke patients with spastic paralysis.
......"Many research. For detail? Explore my website--
Smoking greatly increases the risk of potentially fatal brain bleeding caused by a burst aneurysm, a new study warns.
An aneurysm is a bulge in a weakened artery. If an aneurysm bursts, blood leaks into the brain. The chances of surviving a burst aneurysm are about 50 percent, and survivors often have lifelong disabilities.In the new study, published online Aug. 30 in the Journal of Neurology, Neurosurgery and Psychiatry.
The research from Finland found that men with the highest levels of a chemical found in the fruit in their blood were at half the risk of suffering a stroke than men with the lowest levels.The chemical, lycopene, which gives tomatoes their red colour, has already been linked with a lower risk of developing prostate cancer.
Those who went on a fast walk daily were at half the chance of having a heart attack or stroke as those who didn’t. Jogging daily cut the odds by 40 per cent.But those who said they walked for an hour at a leisurely pace had just the same risk as those who were largely inactive.
The average of someone suffering a stroke has fallen from 71 years in 1993/4 to 69 years in 2005 and study published in the journal Neurology found.It was also found that 13 per cent of strokes occurred in people aged under 55 in 1993/4 which increased to 19 per cent in 2005.
Some recommendations in the new guidelines include:
Women with a history of high blood pressure before pregnancy should be considered for low-dose aspirin therapy or calcium supplementation while pregnant.
Pregnant women with elevated blood pressure (150-159 mm Hg/100-109 mm Hg) should talk with their doctor about possible blood pressure medication.
Pregnant women with severe high blood pressure (160/110 mm Hg or above) should take medication.
Women should be screened for high blood pressure before taking birth control pills.
Women who suffer from migraines with aura should quit smoking.
Women over 75 should be screened for atrial fibrillation risks.