推拿干预慢性疲劳综合征患者骨骼肌中位频率的临床研究

doi:10.3736/jcim20111008

Abstract

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

Kun-peng Liu, Min Fang, De-chun Dai, Shu-yun Jiang, Ya-zhong Zuo. A study of median frequencies of skeletal muscle undergoing Tuina intervention in patients with chronic fatigue syndrome. Journal of Chinese Integrative Medicine, 2011, 9(10): 1083-1087.

/ / Recommend

Add to citation manager EndNote| Reference Manager|ProCite|BibTeX|RefWorks

URL: http://www.jcimjournal.com/EN/10.3736/jcim20111008

http://www.jcimjournal.com/EN/Y2011/V9/I10/1083

TrendMD

Figures/Tables 3

Table 1

Figure 1

Table 2

References 15

[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

Related Articles 15

[1]	Ning Guo, Fei Wu, Mei Wu, Yuan Wang, Qing Lang, Xiao Lin, Yi Feng. Progress in the design and quality control of placeboes for clinical trials of traditional Chinese medicine . Journal of Integrative Medicine, 2022, 20(3): 204-212.
[2]	Rui-jin Qiu, Min Li, Jia-yuan Hu, Jing Chen, Hong-cai Shang. Methods for development of a core outcome set for clinical trials integrating traditional Chinese medicine and Western medicine. Journal of Integrative Medicine, 2021, 19(5): 389-394.
[3]	Johannes Loeser, Brigitte Layer, Christopher Plata, Klaus-Maria Perrar, Tim Hucho, Rebecca Kulbida. Hirudotherapy attenuates arthritic pain in patients with various chronic pain syndromes: A retrospective analysis. Journal of Integrative Medicine, 2020, 18(5): 425-433.
[4]	Jian-sheng Li, Xue-fang Liu, Hao-ran Dong, Wan-chun Zheng, Su-xiang Feng, Yan-ge Tian, Peng Zhao, Jin-di Ma, Zhou-xin Ren, Yang Xie. Effective-constituent compatibility-based analysis of Bufei Yishen formula, a traditional herbal compound as an effective treatment for chronic obstructive pulmonary disease. Journal of Integrative Medicine, 2020, 18(4): 351-362.
[5]	Xian-jun Xiao, Lei-xiao Zhang, Yun-zhou Shi, Jun-peng Yao, Wei Cao, Ying Liu, Zi-hao Zou, Si-yuan Zhou, Ming-ling Chen, Chun-xiao Li, Qian-hua Zheng, Ying Li. Cupping therapy for patients with chronic urticaria: A systematic review and meta-analysis. Journal of Integrative Medicine, 2020, 18(4): 303-312.
[6]	Pratya Phetkate, Tanawan Kummalue, Prasob-orn Rinthong, Somboon Kietinun, Kusuma Sriyakul. Study of the safety of oral Triphala aqueous extract on healthy volunteers. Journal of Integrative Medicine, 2020, 18(1): 35-40.
[7]	Rebecca Kulbida, Alexander Mathes, Johannes Loeser. Beneficial effects of hirudotherapy in a chronic case of complex regional pain syndrome. Journal of Integrative Medicine, 2019, 17(5): 383-386.
[8]	Arthur Yin Fan, Hui Ouyang, Xinru Qian, Hui Wei, David Dehui Wang, Deguang He, Haihe Tian, Changzhen Gong, Amy Matecki, Sarah Faggert Alemi. Discussions on real-world acupuncture treatments for chronic low-back pain in older adults. Journal of Integrative Medicine, 2019, 17(2): 71-76.
[9]	L. Elisabeth Burton, Fares Qeadan, Mark R. Burge. Efficacy of equine-assisted psychotherapy in veterans with posttraumatic stress disorder. Journal of Integrative Medicine, 2019, 17(1): 14-19.
[10]	Xin-fang Zhang, Shui-ying Xiang, Wen-ye Geng, Wen-juan Cong, Jing Lu, Chuan-wei Jiang, Kun Wang, Zi-bing Liu . Electro-acupuncture regulates the cholinergic anti-inflammatory pathway in a rat model of chronic obstructive pulmonary disease. Journal of Integrative Medicine, 2018, 16(6): 418-426.
[11]	Ubiratan Cardinalli Adler, Ana Carolina Acorinte, Fernando Oliveira Calzavara, Adriano Andréda Silva, Amarilys de Toledo Cesar, Maristela Schiabel Adler, Edson Zangiacomi Martinez, José Carlos Fernandes Galduróz. Double-blind evaluation of homeopathy on cocaine craving: A randomized controlled pilot study. Journal of Integrative Medicine, 2018, 16(3): 178-184.
[12]	Shahnaz Karkon Varnosfaderani, Fataneh Hashem-Dabaghian, Gholamreza Amin, Mahbubeh Bozorgi, Ghazaleh Heydarirad, Esmaeil Nazem, Mohsen Nasiri Toosi, Seyed Hamdollah Mosavat. Efficacy and safety of Amla (Phyllanthus emblica L.) in non-erosive reflux disease: A double-blind, randomized, placebo-controlled clinical trial. Journal of Integrative Medicine, 2018, 16(2): 126-131.
[13]	Maryam Sharifi-Ardani, Leili Yekefallah, Saeed Asefzadeh, Marjan Nassiri-Asl. Efficacy of topical chamomile on the incidence of phlebitis due to an amiodarone infusion in coronary care patients: A double-blind, randomized controlled trial. Journal of Integrative Medicine, 2017, 15(5): 373-378.
[14]	Susana Seca, Sebastian Kirch, António S.Cabrita, Henry J.Greten. Evaluation of the effect of acupuncture on hand pain, functional deficits and health-related quality of life in patients with rheumatoid arthritis—A study protocol for a multicenter, double-blind, randomized clinical trial. Journal of Integrative Medicine, 2016, 14(3): 219-227.
[15]	Nuttaset Manimmanakorn, ApiwanManimmanakorn, Disaphon Boobphachart, Worrawut Thuwakum, Wiroon Laupattara kasem, Michael J Hamlin. Effects of Zingiber cassumunar (Plai cream) in the treatment of delayed onset muscle soreness. Journal of Integrative Medicine, 2016, 14(2): 114-120.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 10

[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

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

Group		Median frequency of myoelectric signals
Group	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

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

RichHTML

PDF (PC)

Like