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Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024The paper introduces professor 's clinical experience in treatment of wrist rheumatoid arthritis with acupotomy mobilization at the muscle regions (sinews/fascia) of...
The paper introduces professor 's clinical experience in treatment of wrist rheumatoid arthritis with acupotomy mobilization at the muscle regions (sinews/fascia) of three meridians of hand. Professor believes that wrist rheumatoid arthritis belongs to the disorder of meridian muscle regions and is especially associated with the damage of the muscle regions of three meridians of hand running through the wrist. Under the guidance of meridian muscle region theory, on the basis of modern anatomy, and the treatment principle, "needling the affected areas may treat disorders of sinews/fascia and dysfunction of meridians simultaneously", acupotomy mobilization is adopted to balance sinews/fascia and bones, operated directly at the involved meridian muscle regions. Besides the foci (palpable knotted sites) on the distribution of muscle regions, acupoints along the affected meridians are stimulated in combination. With this therapy, after determining the location of illness, both the disorder of sinews/fascia and that of meridians can be treated.
Topics: Adult; Female; Humans; Male; Middle Aged; Acupuncture Points; Acupuncture Therapy; Arthritis, Rheumatoid; Hand; Meridians; Muscle, Skeletal; Wrist
PubMed: 38867634
DOI: 10.13703/j.0255-2930.20231031-0005 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024Professor 's clinical experience of electroacupuncture (EA) for pediatric neurogenic bladder of lower motor neuron type in children is summarized. Considering the unique...
Professor 's clinical experience of electroacupuncture (EA) for pediatric neurogenic bladder of lower motor neuron type in children is summarized. Considering the unique physiological and pathological characteristics of children, with the strategy of combining "disease-symptom-location" in the selection of acupoints, professor proposes that the main disease location is the bladder and kidney, with the involvement of the conception vessel, governor vessel, kidney meridian of foot- and the bladder meridian of foot-. The primary acupoint prescription-1 (bilateral Zhongliao [BL 33], Ciliao [BL 32] and Huiyang [BL 35]) and primary acupoint prescription-2 (Guanyuan [CV 4], Zhongji [CV 3] and bilateral Sanyinjiao [SP 6]) are selected to promote the of the governor vessel, stimulate the of the conception vessel, and invigorate the bladder's transformation. Before acupuncture, the four-step method is applied to precisely locate Ciliao (BL 32) and Zhongliao (BL 33). During acupuncture, the importance of achieving is emphasized, with deep insertion in the sacral area to reach the disease location. Based on the tolerance characteristics of children, low-frequency EA and gentle moxibustion treatment are applied.
Topics: Child; Child, Preschool; Female; Humans; Male; Acupuncture Points; Electroacupuncture; Meridians; Motor Neurons; Urinary Bladder; Urinary Bladder, Neurogenic
PubMed: 38867633
DOI: 10.13703/j.0255-2930.20231216-k0001 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024The paper introduces 's clinical experience in treatment of knee osteoarthritis (KOA) by manual mobilization of meridian muscle regions. Professor believes that the key...
The paper introduces 's clinical experience in treatment of knee osteoarthritis (KOA) by manual mobilization of meridian muscle regions. Professor believes that the key to the occurrence and development of KOA lies in the disorder of meridian muscle regions (sinews/fascia). In pathology, four stages are divided, i.e. the acute stage, the blockage stage, the contraction stage and the atrophy stage of muscle regions, characterized as multi-layer, multi-dimensional and multi-morphological distribution. In treatment, based on the principle, "taking pain sites as stimulating points", the sites, with reduced pain threshold and distributed along the meridian muscle regions, are regarded as "acupoints" for intervention. Manual mobilization of meridian muscle regions is the dominant approach, combined with routine acupuncture, heat-sensitive moxibustion, cupping and bloodletting corresponding to the features of syndromes and meridian manifestation at different stages. The comprehensive treatment may restore and reconstruct the physiological functions of the meridian muscle regions around knee joints by "nourishing tendons, strengthening bones and benefiting joints".
Topics: Aged; Female; Humans; Male; Middle Aged; Acupuncture Points; Acupuncture Therapy; Meridians; Osteoarthritis, Knee
PubMed: 38867632
DOI: 10.13703/j.0255-2930.20231129-k0011 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024The paper introduces the thinking of the diagnosis and treatment with high-dense silver needle therapy for lumbar spinal stenosis (LSS) based on the theory of...
The paper introduces the thinking of the diagnosis and treatment with high-dense silver needle therapy for lumbar spinal stenosis (LSS) based on the theory of six-meridian differentiation. According to the severity of LSS and the depth of illness location, LSS is differentiated as six syndromes/patterns, including disorder, disorder, disorder, disorder, disorder and disorder. The high-dense silver needle therapy is used. The main points include the bilateral points (EX-B 2) from L to L and the acupoints of the bladder meridian of foot- (1.5 lateral to each side of L to L); and the supplementary points are selected from the affected meridians. According to the disorders of six meridians, the length of moxa stick is adjusted in warm acupuncture, targeting the tender sites of soft tissue damage. In order to obtain the satisfactory effects, the appropriate physical exercise is applicable rather than absolutely limiting the movement of affected vertebrae during the treatment.
Topics: Humans; Spinal Stenosis; Acupuncture Therapy; Meridians; Acupuncture Points; Lumbar Vertebrae; Male; Middle Aged
PubMed: 38867631
DOI: 10.13703/j.0255-2930.20230712-k0001 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024To observe the effects of electroacupuncture (EA) on the autophagy of ovarian granulosa cells in rats with premature ovarian insufficiency (POI), and explore the...
OBJECTIVE
To observe the effects of electroacupuncture (EA) on the autophagy of ovarian granulosa cells in rats with premature ovarian insufficiency (POI), and explore the mechanism of EA in improving POI.
METHODS
Thirty-two female SD rats were randomly divided into a blank group (=8) and a model making group (=24). The rats in the model making group were injected intraperitoneally with cyclophosphamide for 15 days to establish the POI model (the dosage on the 1st day was 50 mg/kg, and 8 mg/kg from the 2nd day to 15th day). The successfully modeled rats were then randomly divided into a model group, an EA group, and an estradiol (E2) group, with 8 rats in each group. Rats in the EA group received EA at bilateral "Gongsun" (SP 4) with continuous wave, frequency of 2 Hz, and current intensity of 0.1 to 1 mA, 20 min per treatment, once daily for 14 days. Rats in the E2 group were administered with E2 (0.01 mg/mL) by gavage (10 mL/kg), once daily for 14 days. The changes in estrous cycle were observed by rapid Giemsa staining before and after modeling. After intervention, ovarian tissue morphology was observed by HE staining; serum levels of follicle-stimulating hormone (FSH), E2, anti-Mullerian hormone (AMH), and inhibin B (INHB) were detected by ELISA; immunofluorescence staining was used to observe the expression of p62 in ovarian granulosa cells; the ultrastructure of ovarian granulosa cells was observed by transmission electron microscopy, and the number of autophagosomes and autolysosomes was compared; Western blot and real-time fluorescence quantitative PCR were used to detect the protein and mRNA expression of p62, Beclin-1, and microtubule-associated protein 1A/1B-light chain 3 (LC3) in ovarian tissue.
RESULTS
The results of vaginal smears in the blank group showed regular cyclical changes; the rats in the model group showed prolonged estrous cycle or cycle arrest, mostly in proestrus or metestrus, with overall ovarian atrophy, disordered structure, and decreased granulosa cells. Compared with the blank group, rats in the model group showed increased serum FSH level (<0.01), decreased serum levels of E2, AMH, and INHB (<0.01), decreased positive expression of p62 in ovarian granulosa cells (<0.01), with obvious swelling of ovarian granulosa cells, mild to moderate swelling of mitochondria, slight expansion of rough endoplasmic reticulum, and hypertrophy of Golgi apparatus; the number of autophagosomes and autolysosomes in the ovaries was increased (<0.01), the expression of p62 protein and mRNA was decreased (<0.01), and the expression of Beclin-1 and LC3 protein and mRNA in ovarian tissue was increased (<0.01). Compared with the model group, rats in the EA group and the E2 group showed decreased serum FSH levels (<0.01), increased levels of E2, AMH, and INHB (<0.01), increased positive expression of p62 in ovarian granulosa cells (<0.01), alleviated degree of ovarian granulosa cell damage, with relatively intact organelle morphology, and decreased number of autophagosomes and autolysosomes in the ovaries (<0.01); the rats also showed increased expression of p62 protein and mRNA (<0.01), and decreased expression of Beclin-1 and LC3 protein and mRNA (<0.01) in ovarian tissue.
CONCLUSION
EA at "Gongsun" (SP 4) could improve ovarian reserve function in POI rats by reducing the number of autophagosomes and autolysosomes, up-regulating p62 expression, and down-regulating Beclin-1 and LC3 expression, thus inhibiting autophagy of ovarian granulosa cells, and regulating the serum levels of FSH, E2, AMH, and INHB.
Topics: Animals; Female; Electroacupuncture; Primary Ovarian Insufficiency; Rats; Autophagy; Rats, Sprague-Dawley; Humans; Granulosa Cells; Disease Models, Animal
PubMed: 38867630
DOI: 10.13703/j.0255-2930.20230930-k0001 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024To observe the effects of electroacupuncture (EA) on the expression of serum interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α), and the pancreatic nuclear...
OBJECTIVE
To observe the effects of electroacupuncture (EA) on the expression of serum interleukin-1β (IL-1β), tumor necrosis factor-α (TNF-α), and the pancreatic nuclear factor-κB (NF-κB) pathway in type 2 diabetes mellitus (T2DM) rats, and to explore the possible mechanism by which EA improving the dedifferentiation of pancreatic β-cells in the treatment of T2DM.
METHODS
Among 18 SPF-grade male Wistar rats, 6 rats were randomly selected as the control group, and the remaining 12 rats were fed with high-sugar and high-fat diet combined with intraperitoneal injection of 2% streptozotocin solution (35 mg/kg) to establish T2DM model. After successful modeling, the 12 rats were randomly divided into a model group and an EA group, with 6 rats in each group. The EA group received EA at bilateral "Zusanli" (ST 36), "Sanyinjiao" (SP 6), "Weiwanxiashu" (EX-B 3), and "Pishu" (BL 20), with continuous wave, frequency of 15 Hz, current intensity of 2 mA, for 20 min each time, once a day, 6 times a week, for a total of 6 weeks. Fasting blood glucose (FBG) levels were measured before modeling and before and after intervention. After intervention, ELISA was used to detect the serum fasting insulin (FINS), IL-1β and TNF-α levels, and the β-cell function index (HOMA-β) and insulin resistance index (HOMA-IR) were calculated; HE staining was used to observe the morphology of the pancreatic islets; Western blot was used to detect the protein expression of pancreatic forkhead box protein O1 (FoxO1), pancreatic and duodenal homeobox 1 (PDX-1), neurogenin 3 (NGN3), and NF-κB p65.
RESULTS
After intervention, the FBG in the model group was higher than that in the control group (<0.01), and the FBG in the EA group was lower than that in the model group (<0.01). Compared with the control group, the model group had increased levels of serum FINS, IL-1β, TNF-α, and HOMA-IR (<0.01), and decreased HOMA-β (<0.01), reduced protein expression of pancreatic FoxO1 and PDX-1 (<0.01), and increased protein expression of pancreatic NGN3 and NF-κB p65 (<0.01, <0.05). Compared with the model group, the EA group had lower serum FINS, IL-1β, TNF-α levels, and HOMA-IR (<0.01), higher HOMA-β (<0.05), increased protein expression of pancreatic FoxO1 and PDX-1 (<0.01, <0.05), and decreased protein expression of pancreatic NGN3 and NF-κB p65 (<0.01, <0.05). The control group's pancreatic islets showed no obvious abnormalities; the model group's pancreatic islets were irregular in shape and had unclear boundaries with the surrounding area, with immune cell infiltration, reduced β-cell nuclei, disordered arrangement of islet cells, and increased intercellular spaces; the EA group showed improvements in islet morphology, immune cell infiltration, β-cell nuclei count, and the arrangement and spacing of islet cells approaching normal.
CONCLUSION
EA could lower the blood glucose levels in T2DM rats, alleviate chronic inflammatory responses in the islets, and improve the dedifferentiation of pancreatic β-cells, which may be related to the inhibition of pancreatic NF-κB pathway expression.
Topics: Animals; Electroacupuncture; Male; Rats; Diabetes Mellitus, Type 2; Insulin-Secreting Cells; NF-kappa B; Rats, Wistar; Humans; Interleukin-1beta; Tumor Necrosis Factor-alpha; Signal Transduction; Cell Dedifferentiation; Blood Glucose; Acupuncture Points; Insulin
PubMed: 38867629
DOI: 10.13703/j.0255-2930.20230821-k0002 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024To observe the effects of acupuncture on blood pressure, fecal short-chain fatty acids (SCFAs) and toll-like receptor 4 (TLR4)/myeloid differentiation factor 88...
OBJECTIVE
To observe the effects of acupuncture on blood pressure, fecal short-chain fatty acids (SCFAs) and toll-like receptor 4 (TLR4)/myeloid differentiation factor 88 (MyD88)/nuclear factor-κB (NF-κB) signaling pathway in spontaneously hypertensive rats (SHR), and to explore the mechanism of acupuncture for anti-hypertension.
METHODS
Twenty-four male SHR of SPF grade were randomly divided into a model group, a western medication group, an acupuncture group and a sham acupuncture group, with 6 rats in each group, and 6 male Wistar-Kyoto rats were selected as the blank group additionally. Hydrochlorothiazide solution was given by gavage in the western medication group; acupuncture was applied at bilateral "Renying" (ST 9) and "Zusanli" (ST 36) in the acupuncture group, 20 min a time; acupuncture was applied at the non-meridian and non-acupoint points close to bilateral "Renying" (ST 9) and "Zusanli" (ST 36) in the sham acupuncture group, 20 min a time. The intervention was adopted once a day for 4 weeks continuously in each group. The systolic blood pressure (SBP) of the caudal artery was measured before intervention and after 1, 2, 3 and 4 weeks of intervention. After intervention, the morphology of colonic tissue was observed by HE staining; the fecal level of SCFAs was detected by gas chromatography; the serum levels of interleukin (IL)-6, IL-1βand tumor necrosis factor-α (TNF-α) were detected by ELISA; the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was detected by Western blot.
RESULTS
Compared with the blank group, in the model group, the SBP was increased (<0.05), significant pathological changes could be found in the colonic tissue, the fecal SCFAs level was decreased (<0.05), the serum levels of IL-6, IL-1β and TNF-α were increased (<0.05), the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was increased (<0.05). Compared with the model group, the SBP after 2, 3 and 4 weeks of intervention was decreased (<0.05), the serum levels of IL-6, IL-1β and TNF-α were decreased (<0.05) in the acupuncture group and the western medication group; the mucosal epithelium of colonic tissue was intact, the number of intestinal glands was abundant, the fecal SCFAs level was increased (<0.05), and the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was decreased (<0.05) in the acupuncture group. Compared with the sham acupuncture group, the SBP after 2, 3 and 4 weeks of intervention was decreased (<0.05), the fecal SCFAs level was increased (<0.05), the serum levels of IL-6, IL-1β and TNF-α were decreased (<0.05), the protein expression of TLR4, MyD88 and NF-κB p65 in the mesenteric artery was decreased (<0.05) in the acupuncture group.
CONCLUSION
Acupuncture at bilateral "Renying" (ST 9) and "Zusanli" (ST 36) can effectively play an anti-hypertensive role in SHR. Its mechanism may be related to regulating fecal SCFAs level and inhibiting the TLR4/MyD88/NF-κB signaling pathway.
Topics: Animals; Toll-Like Receptor 4; Myeloid Differentiation Factor 88; Male; Rats; Acupuncture Therapy; NF-kappa B; Rats, Inbred SHR; Signal Transduction; Humans; Rats, Inbred WKY; Feces; Fatty Acids, Volatile; Hypertension; Blood Pressure; Acupuncture Points
PubMed: 38867628
DOI: 10.13703/j.0255-2930.20230710-k0001 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024To assess the effect of acupuncture therapy (acupuncture for regulating menstruation and promoting pregnancy) on pregnancy outcomes in patients with diminished ovarian...
OBJECTIVE
To assess the effect of acupuncture therapy (acupuncture for regulating menstruation and promoting pregnancy) on pregnancy outcomes in patients with diminished ovarian reserve (DOR) undergoing in vitro fertilization-embryo transfer (IVF-ET).
METHODS
Eighty women with DOR were divided into an observation group (40 cases, 1 case dropped out) and a control group (40 cases, 1 case dropped out) according to whether acupuncture therapy was given or not. In the control group, IVF-ET was delivered. In the observation group, before IVF-ET, acupuncture therapy was given. Two groups of acupoints were used alternatively, including Baihui (GV 20), Shenting (GV 24), Benshen (GB 13), Zhongwan (CV 12), Guanyuan (CV 4), and bilateral Tianshu (ST 25), Shenshu (BL 23), Ciliao (BL 32), etc. Acupuncture was operated once every other day, three interventions a week, for 12 weeks. The primary outcome was clinical pregnancy rate (CPR). Secondary outcomes included the total days and amount of gonadotropin (Gn) used, the number of oocytes retrieved, the number of oocytes in metaphase of second meiosis (MⅡ), the number of transferable embryos, the number of high-quality embryos, the cycle cancellation rate, the positive rate of human choriogonadotropin (HCG), the embryo implantation rate, live birth rate (LBR), the basal serum levels of sex hormones (follicular stimulating hormone [FSH], estradiol (E2), FSH/luteinizing hormone [LH]) and antral follicle count (AFC).
RESULTS
CPR in the observation group was higher than that in the control group (53.8% [21/39] . 17.9% [7/39], <0.05). The results of the number of oocytes retrieved, the number of oocytes in MⅡ, the number of transferable embryos, the number of high-quality embryos, the positive rate of HCG, the embryo implantation rate, and LBR in the observation group were higher than those in the control group (<0.05). The serum level of FSH and FSH/LH in the observation group were lower thau those in the control group (<0.05). The differences were not significant statistically in the total days and amount of Gn used, the cycle cancellation rate, serum level of E2 and AFC between the two groups (>0.05). Logic regression analysis showed that CPR increased in the observation group when compared with that of the control group ( = 5.33, 95%: 1.90-14.97, = 0.001).
CONCLUSION
Acupuncture can improve the pregnancy outcomes of DOR women undergoing IVF-ET.
Topics: Humans; Female; Adult; Pregnancy; Fertilization in Vitro; Acupuncture Therapy; Ovarian Reserve; Embryo Transfer; Pregnancy Outcome; Infertility, Female; Cohort Studies; Acupuncture Points; Pregnancy Rate; Young Adult
PubMed: 38867627
DOI: 10.13703/j.0255-2930.20230716-k0002 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024To observe the clinical effect of acupuncture (acupuncture for promoting the circulation of the governor vessel and regulating the spirit) for subjective tinnitus, and... (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To observe the clinical effect of acupuncture (acupuncture for promoting the circulation of the governor vessel and regulating the spirit) for subjective tinnitus, and explore its potential mechanism.
METHODS
A total of 92 patients with subjective tinnitus were randomly divided into an acupuncture group (46 cases, 5 cases dropped out) and a medication group (46 cases, 2 cases dropped out). The acupuncture group received acupuncture at Shuigou (GV 26), Yintang (GV 24), Shenting (GV 24), Baihui (GV 20), Fengfu (GV 16), Dazhui (GV 14) and Zhongzhu (TE 3), Tinghui (GB 2), Yifeng (TE 17) on the affected side, 30 min each time, once every other day, 3 times a week. The medication group was orally administered ginkgo biloba leaves tablets (40 mg each time) and mecobalamin tablets (0.5 mg each time), 3 times a day. Both groups were treated for 4 weeks. The scores of tinnitus severity, tinnitus loudness visual analogue scale (VAS) and depression anxiety stress scale-21(DASS-21) before and after treatment were observed in the two groups, serum level of brain-derived neurotrophic factor (BDNF) before and after treatment in the two groups was detected, and the clinical effect was evaluated in the two groups.
RESULTS
After treatment,the scores of tinnitus severity, tinnitus loudness VAS and DASS-21 were decreased compared with those before treatment in the two groups (<0.01), and the scores in the acupuncture group were lower than those in the medication group (<0.05). After treatment, the serum level of BDNF was decreased compared with that before treatment in the two groups (<0.01), and the serum level of BDNF in the acupuncture group was lower than that in the medication group (<0.05). The total effective rate of the acupuncture group was 82.9% (34/41), which was higher than 70.5% (31/44) in the medication group (<0.05).
CONCLUSION
acupuncture could improve the severity of tinnitus, tinnitus loudness and negative emotion in patients with subjective tinnitus. Its mechanism may be related to the regulation of serum level of BDNF and thus affect auditory central plasticity.
Topics: Humans; Tinnitus; Male; Female; Acupuncture Therapy; Middle Aged; Adult; Acupuncture Points; Aged; Brain-Derived Neurotrophic Factor; Treatment Outcome; Young Adult
PubMed: 38867626
DOI: 10.13703/j.0255-2930.20230808-k0001 -
Zhongguo Zhen Jiu = Chinese Acupuncture... Jun 2024To observe the clinical efficacy of acupuncture combined with therapy for stiff neck with levator scapula injury type. (Randomized Controlled Trial)
Randomized Controlled Trial
OBJECTIVE
To observe the clinical efficacy of acupuncture combined with therapy for stiff neck with levator scapula injury type.
METHODS
A total of 162 patients with stiff neck of levator scapula injury type were randomly divided into an acupuncture combined with tuina group (combined group, 52 patients), a tuina group (55 patients), and an acupuncture group (55 patients). The patients in the acupuncture group received acupuncture on the affected side's Houxi (SI 3), inserting the needle 10 to 20 mm towards Laogong (PC 8) with strong or moderate stimulation, and patients were instructed to move their neck, shoulders, and upper limbs during the process, with the needle retained for 2 to 3 min. The patients in the tuina group received strong stimulation pressing on tender points to release the starting and ending points of the trapezius muscle with modified techniques. The combined group first received therapy, followed immediately by acupuncture treatment at the Houxi (SI 3). Treatments were administered every other day for a total of three sessions. Before treatment and on 1, 3, and 7 days after treatment, the simple McGill pain questionnaire (SF-MPQ) scores [including the pain rating index (PRI), visual analogue scale (VAS), and present pain intensity (PPI) scores] of the head, neck and shoulder, cervical spine mobility scores were observed, and the clinical efficacy and safety of each group were evaluated.
RESULTS
On the 1, 3, and 7 days after treatment, the SF-MPQ, PRI, VAS, and PPI scores of the head, neck, and shoulder in all groups were significantly reduced (<0.01). On the 1 and 3 days after treatment, the above scores in the combined group were lower than those in the tuina group and the acupuncture group (<0.05, <0.01). On the 7 days after treatment, the above scores in the combined group were lower than those in the acupuncture group (<0.01). On the 3 days after treatment, the SF-MPQ, PRI, and VAS scores in the tuina group were lower than those in the acupuncture group (<0.01). On the 7 days after treatment, the SF-MPQ, PRI, VAS, and PPI scores in the tuina group were lower than those in the acupuncture group (<0.01, <0.05). On the 1, 3, and 7 days after treatment, the cervical spine mobility scores in each group were decreased compared to those before treatment (<0.01). On the 3 days after treatment, the cervical spine mobility score in the combined group was lower than that in the acupuncture group and the tuina group (<0.01). On the 1, 3, and 7 days after treatment, the cured rate in the combined group was higher than that in the tuina group and the acupuncture group (<0.01). During the treatment period, no serious adverse reactions occurred in any group.
CONCLUSION
Acupuncture combined with therapy could effectively improve stiff neck with levator scapula injury type, alleviate patient pain, restore cervical spine mobility, and clinically outperform both and acupuncture therapy alone.
Topics: Humans; Male; Female; Adult; Scapula; Acupuncture Therapy; Middle Aged; Young Adult; Massage; Treatment Outcome; Combined Modality Therapy; Acupuncture Points
PubMed: 38867624
DOI: 10.13703/j.0255-2930.20231206-k0007