[an error occurred while processing this directive]

Journal of Chinese Integrative Medicine ›› 2011, Vol. 9 ›› Issue (10): 1083-1087.doi: 10.3736/jcim20111008

• Original Clinical Research • Previous Articles     Next Articles

A study of median frequencies of skeletal muscle undergoing Tuina intervention in patients with chronic fatigue syndrome

Kun-peng Liu(), Kun-peng Liu, Min Fang, De-chun Dai, Shu-yun Jiang, Ya-zhong Zuo   

  1. Department of Tuina, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
  • Received:2011-07-04 Accepted:2011-07-29 Online:2011-10-20 Published:2011-10-15
  • Contact: Liu Kun-peng E-mail:yaotuzheng@126.com

Objective: To study the changes in median frequency (MF) from a surface electromyogram of skeletal muscles and functional assessment of chronic illness therapy (FACIT) figure scale scores for patients with chronic fatigue syndrome (CFS) before and after Tuina treatment.

Methods: A controlled clinical trial was adopted. Thirty-two patients suffering from CFS were enrolled according to the inclusion criteria from outpatient department of Shanghai Yueyang Hospital of Integrated Chinese and Western Medicine in China; thirty normal people whose gender, age, height and body mass were concordant with the CFS patients were selected as the normal group. Surface electromyography was used to detect the median frequency (MF) of biceps, quadriceps, and waist and back muscle before and after a 20-day course of treatment. CFS patients also were asked to fill out the figure scale of FACIT to evaluate the degree of fatigue.

Results: There was no significant difference in surface electromyography MF of myoelectric signal of biceps and quadriceps between CFS and normal person; however, the waist and back muscle MF of the normal person was significantly lower than that of the CFS patients. Before and after treatment, there were no obvious changes in the MF of myoelectric signals of all muscles. Tuina significantly decreased the scale score of FACIT.

Conclusion: Tuina can improve the symptom of patients with CFS.

Key words: fatigue syndrome, chronic, electromyography, muscle, skeletal, median frequency, Tuina, clinical trial

Table 1

Demographic information of two groups"


Group

n

Age ($\overline{x}$±s, years)

Height ($\overline{x}$±s, cm)

Body mass ($\overline{x}$±s, kg)

Gender (male/female)

Normal

30

39.6±6.5

167.1±6.8

64.7±10.0

15/15

CFS

30

40.9±7.8

167.3±7.9

65.5±9.7

15/15

Figure 1

Flow diagram of this trial"

Table 2

Median frequency of myoelectric signals of skeletal muscle of normal person and CFS patients ($\overline{x}$±s, Hz)"

Group Median frequency of myoelectric signals
n Brachial biceps Femoral quadriceps Waist and back muscle

Normal

30

54.6±13.25

53.08±8.54

35.53±15.00
CFS

Before treatment

30

56.1±11.64

57.00±11.36

46.40±13.96*

After treatment

30

57.3±19.45

55.48±10.90

50.02±14.08
[1] Reeves WC,Lloyd A,Vernon SD,Klimas N,Jason LA,Bleijenberg G,Evengard B,White PD,Nisenbaum R,Unger ER . International Chronic Fatigue Syndrome Study Group.Identification of ambiguities in the 1994 chronic fatigue syndrome research case definition and recommendations for resolution[J]. BMC Health Serv Res, 2003,3(1):25
doi: 10.1186/1472-6963-3-25
[2] Afari N, Buchwald D . Chronic fatigue syndrome: a review[J]. Am J Psychiatry, 2003,160(2):221-236
doi: 10.1176/appi.ajp.160.2.221 pmid: 12562565
[3] Dai DC, Fang M, Yan JT, Liu KP . Tuina intervention and sleep and emotional disorders due to chronic fatigue syndrome[J]. J Acupunct Tuina Sci, 2009,7(3):147-151
doi: 10.1007/s11726-009-0147-z
[4] Fukuda K, Straus SE, Hickie I, Sharpe MC, Dobbins JG, Komaroff A . The chronic fatigue syndrome: a comprehensive approach to its definition and study. International Chronic Fatigue Syndrome Study Group[J]. Ann Intern Med, 1994,121(12):953-959
doi: 10.7326/0003-4819-121-12-199412150-00009
[5] Yan JT. Science of Tuina[M]. Beijing: China Press of Traditional Chinese Medicine, 2000, 46-51
严隽陶 . 推拿学[M]. 北京: 中国中医药出版社, 2000, 46-51
[6] Schwartz JE, Jandorf L, Krupp LB . The measurement of fatigue: a new instrument[J]. J Psychosom Res, 1993,37(7):753-762
doi: 10.1016/0022-3999(93)90104-N pmid: 8229906
[7] Yan JT, Zhao Y. Modern Chinese medicine research and application: the volume of tuina[M]. Shanghai: Publishing House of Shanghai University of Traditional Chinese Medicine, 1998,3
严隽陶, 赵毅 . 现代中医药应用与研究大系(第17卷推拿)[M]. 上海: 上海中医药大学出版社, 1998,3
[8] Fang M, Yan JT . Role of soft tissue lesions in neck cervical disease[J]. Zhongguo Gu Shang, 2001,14(2):94-95
doi: 10.3969/j.issn.1003-0034.2001.02.014
房敏, 严隽陶 . 颈部软组织病变在颈椎发病中的作用[J]. 中国骨伤, 2001,14(2):94-95
doi: 10.3969/j.issn.1003-0034.2001.02.014
[9] Wang YL, Wang J, Yang L . Massage and acupuncture therapy for chronic fatigue syndrome[J]. Zhong Ri You Hao Yi Yuan Xue Bao, 2003,17(4):252
doi: 10.3969/j.issn.1001-0025.2003.04.020
王鹰雷, 王君, 杨玲 . 按摩配合针灸治疗慢性疲劳综合征[J]. 中日友好医院学报, 2003,17(4):252
doi: 10.3969/j.issn.1001-0025.2003.04.020
[10] Tian MP, Xiao BX, Tian Y . Clinical observation of chronic fatigue syndrome treated by massaging Jiaji acupoint: a report of 28 cases[J]. Neimenggu Zhong Yi Yao, 2002,21(2):30
田明萍, 肖宝香, 田泳 . 按揉夹脊穴为主治疗慢性疲劳综合征28例观察[J]. 内蒙古中医药, 2002,21(2):30
[11] Hamlin MJ, Quigley BM . Quadriceps concentric and eccentric exercise 1: changes in contractile and electrical activity following eccentric and concentric exercise[J]. J Sci Med Sport, 2001,4(1):88-103
doi: 10.1016/S1440-2440(01)80011-6
[12] Farina D, Madeleine P, Graven-Nielsen T, Merletti R, Arendt-Nielsen L . Standardising surface electromyogram recordings for assessment of activity and fatigue in the human upper trapezius muscle[J]. Eur J Appl Physiol, 2002,86(6):469-478
doi: 10.1007/s00421-001-0574-0
[13] Orizio C, Perini R, Veicsteinas A . Changes of muscular sound during sustained isometric contraction up to exhaustion[J]. J Appl Physiol, 1989,66(4):1593-1598
doi: 10.1055/s-2007-1024891 pmid: 2732151
[14] Larivière C, Arsenault AB, Gravel D, Gagnon D, Loisel P . Effect of step and ramp static contractions on the median frequency of electromyograms of back muscles in humans[J]. Eur J Appl Physiol, 2001,85(6):552-559
doi: 10.1007/s004210100475
[15] De Luca CJ . Physiology and mathematics of myoelectric signals[J]. IEEE Trans Biomed Eng, 1979,26(6):313-325
doi: 10.1109/TBME.1979.326534 pmid: 468280
[1] Zhang-ling Zhou, Cheng-xin Li, Yue-bo Jiang, Cong Zuo, Yun Cai, Rui Wang. Correlation between facial nerve functional evaluation and efficacy evaluation of acupuncture treatment for Bell’s palsy. Journal of Chinese Integrative Medicine, 2012, 10(9): 997-1002.
[2] Lu Liu, Ying Gao. Study on the correlation between traditional Chinese medicine syndrome and short-term prognosis of ischemic stroke using logistic regression model and repeated-measures analysis of variance. Journal of Chinese Integrative Medicine, 2012, 10(9): 983-990.
[3] Lu-ming Chen, Hui Yu, Da-rong Wu , Xun Hu , Lan Zheng. Investigation on response of the patient-reported outcome scale of the main-symptoms of chronic obstructive pulmonary disease complicated with pulmonary heart disease. Journal of Chinese Integrative Medicine, 2012, 10(9): 970-974.
[4] Jian-sheng Li, Ya Li, Su-yun Li, Yuan-yuan Wang, Li Deng, Yan-ge Tian, Su-li Jiang , Ying Wang. Long-term effects of Tiaobu Feishen therapies on systemic and local inflammation responses in rats with stable chronic obstructive pulmonary disease. Journal of Chinese Integrative Medicine, 2012, 10(9): 1039-1048.
[5] Oing-na Li , Xiu-ling Huang , Rui Gao , Fang Lu. Discussion on developing a data management plan and its key factors in clinical study based on electronic data capture system. Journal of Chinese Integrative Medicine, 2012, 10(8): 841-846.
[6] Chen Xia , Qun-bang Zhu, Feng Huang, Jing-hui Huang, Hong-da Chen, Ming-jun Chen, Wei Gu, Bai Li, Fan-fu Fang, Liang-neng Wu . Traditional Chinese medicine constitution types in 127 elderly patients with insomnia: An investigation in communities of Yangpu District, Shanghai. Journal of Chinese Integrative Medicine, 2012, 10(8): 866-873.
[7] Meng Li, Ling Hu, Rong-lin Cai, Zi-jian Wu, Ke-ming Wang. Effects of electro-acupuncture at PC6 and BL15 on nerve electrical activity in spinal dorsal root and norepinephrine and dopamine contents in paraventricular nucleus of hypothalamus in rats with acute myocardial ischemia. Journal of Chinese Integrative Medicine, 2012, 10(8): 874-879.
[8] Yan Guan , Hui Zhang, Wei Zhang, Shi-bing Su . Analysis of differential gene expression profile in peripheral blood of patients with chronic hepatitis B and syndromes of dual deficiency of liver and kidney yin and accumulation of dampness heat. Journal of Chinese Integrative Medicine, 2012, 10(7): 751-756.
[9] C. Mouli Kalla, Vijaya Tartte, Dattatreya Rao Sirpurkar. Effectiveness of flavonoid-rich leaf extract of Acalypha indica in reversing experimental myocardial ischemia: biochemical and histopathological evidence. Journal of Chinese Integrative Medicine, 2012, 10(7): 784-792.
[10] Dong-mei Zhang, Li-xia Lou, Ai-ming Wu, Xi-ying Lü, Zhao-juan Hu, Yan-hong Zhang, Hong-fang Liu. Effects of Astragalus membranaceus and Potentilla discolor mixture on insulin resistance and its related mRNA expressions in KKAy mice with type 2 diabetes. Journal of Chinese Integrative Medicine, 2012, 10(7): 821-826.
[11] Fu-feng Li, Jie Zhao, Peng Qian, Yi-qin Wang, Jing-jing Fu, Zhu-mei Sun, Hai-xia Yan, Li Yang. Metabolite changes in the greasy tongue coating of patients with chronic gastritis. Journal of Chinese Integrative Medicine, 2012, 10(7): 757-765.
[12] Peng Fu , Xue-qiang Huang, Ai-hong Yuan, Guang Yu, Xiao-bin Mei, Ruo-lan Cu. Effects of salvianolate combined with alprostadil and reduced glutathione on progression of chronic renal failure in patients with chronic kidney diseases: a long-term randomized controlled trial. Journal of Chinese Integrative Medicine, 2012, 10(6): 641-646.
[13] Xiao-feng Li, Yong-jun Wang, Xiu-lan Ye, Chong-jian Zhou . Professor Shi Qi’s experience of applying herbal paste for treating chronic musculoskeletal conditions. Journal of Chinese Integrative Medicine, 2012, 10(6): 701-706.
[14] Christoph A. Doenitz, Ana Anjos, Thomas Efferth , Tobias Greten, Henry J. Greten. Can heat and cold be parameterized? Clinical data of a preliminary study. Journal of Chinese Integrative Medicine, 2012, 10(5): 532-537.
[15] Qin-hui Fu, Jian Pei, Qi Jia, Yi Song, Yue-hua Gu, Xiao-xin You . Acupuncture treatment programs for post-stroke motor rehabilitation in community hospitals: Study protocol of a multicenter, randomized, controlled trial. Journal of Chinese Integrative Medicine, 2012, 10(5): 516-524.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] Wei-xiong Liang. Problems-solving strategies in clinical treatment guideline for traditional Chinese medicine and integrative medicine. Journal of Chinese Integrative Medicine, 2008, 6(1): 1-4
[2] Zhao-guo Li. Discussion on English translation of commonly used sentences in traditional Chinese medicine: part one. Journal of Chinese Integrative Medicine, 2008, 6(1): 107-110
[3] Jun Hu, Jian-ping Liu. Non-invasive physical treatments for chronic/recurrent headache. Journal of Chinese Integrative Medicine, 2008, 6(1): 31
[4] Xue-mei Liu, Qi-fu Huang, Yun-ling Zhang, Jin-li Lou, Hong-sheng Liu, Hong Zheng. Effects of Tribulus terrestris L. saponion on apoptosis of cortical neurons induced by hypoxia-reoxygenation in rats. Journal of Chinese Integrative Medicine, 2008, 6(1): 45-50
[5] . Uniform requirements for manuscripts submitted to biomedical journals: Writing and editing for biomedical publication (Chinese version, part two). Journal of Chinese Integrative Medicine, 2010, 8(11): 1001-1005
[6] Daniel Weber, Janelle M Wheat, Geoffrey M Currie. Inflammation and cancer: Tumor initiation, progression and metastasis,and Chinese botanical medicines. Journal of Chinese Integrative Medicine, 2010, 8(11): 1006-1013
[7] Hong Liu , Guo-liang Zhang, Li Shen , Zhen Zeng, Bao-luo Zhou, Cheng-hai Liu, Guang Nie . Application and evaluation of a pseudotyped virus assay for screening herbs for anti-H5Nl avian influenza virus. Journal of Chinese Integrative Medicine, 2010, 8(11): 1036-1040
[8] Zhao-guo Li . A discussion of English translation of 1995 and 1997 Chinese National Standards of Traditional Chinese Medical Terminologies for Clinical Diagnosis and Treatment. Journal of Chinese Integrative Medicine, 2010, 8(11): 1090-1096
[9] Rui Jin, Bing Zhang. A complexity analysis of Chinese herbal property theory: the multiple formations of herbal property (Part 1). Journal of Chinese Integrative Medicine, 2012, 10(11): 1198-1205
[10] Hui-min Liu, Xian-bo Wang, Yu-juan Chang, Li-li Gu. Systematic review and meta-analysis of randomized controlled trials of integrative medicine therapy for treatment of chronic severe hepatitis. Journal of Chinese Integrative Medicine, 2012, 10(11): 1211-1228
[an error occurred while processing this directive]