Lateral needling at Lianquan (CV 23) for post-stroke dysphagia: a randomized controlled trial.
10.13703/j.0255-2930.20210712-k0003
- Author:
Xue-Songw LIANG
1
,
2
;
Lu-da YAN
3
;
Yu ZHANG
3
;
Xiao-Chun SHAN
3
;
Pei-Dong LIU
3
;
Peng ZHOU
3
Author Information
1. Department of Acupuncture and Moxibustion, Second Affiliated Hospital of Guangzhou University of CM, Guangzhou 510120, Guangdong Province, China
2. Department of Acupuncture and Moxibustion, Shenzhen Bao'an TCM Hospital Group, Shenzhen 518100, Guangdong Province.
3. Department of Acupuncture and Moxibustion, Shenzhen Bao'an TCM Hospital Group, Shenzhen 518100, Guangdong Province.
- Publication Type:Randomized Controlled Trial
- Keywords:
Kubota water swallowing test;
Point CV 23 (Lianquan);
lateral needling;
post-stroke dysphagia;
standardized swallowing assessment (SSA) score;
video fluoroscopic swallowing study (VFSS)
- MeSH:
Deglutition;
Deglutition Disorders/therapy*;
Humans;
Stroke/complications*;
Vascular Surgical Procedures;
Water
- From:
Chinese Acupuncture & Moxibustion
2022;42(7):717-720
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To observe the effect of lateral needling at Lianquan (CV 23) for post-stroke dysphagia, and explore its mechanism.
METHODS:A total of 64 patients with post-stroke dysphagia were randomly divided into an observation group and a control group, 32 cases in each group. Both groups were treated with conventional basic treatment. The observation group was treated with lateral needling at CV 23, without needle retaining, once a day. The control group was treated with swallowing rehabilitation training, once a day. Both groups were treated for 5 days a week, with 2 days interval, 1 week as one course and 4 courses were required. Before and after treatment, the Kubota water swallowing test grade and standardized swallowing assessment (SSA) score were compared in the two groups. Before and after treatment, the video fluoroscopic swallowing study (VFSS) was used to measure the hyoid bone movement displacement and pharyngeal delivery time in the observation group.
RESULTS:Compared before treatment, the Kubota water swallowing test grade after treatment was improved in the two groups (P<0.05), and the observation group was superior to the control group (P<0.05); the SSA scores after treatment were decreased in the two groups (P<0.05), and the observation group was lower than the control group (P<0.05). Compared before treatment, the hyoid bone movement displacement was increased and pharyngeal delivery time was shortened after treatment in the observation group (P<0.05).
CONCLUSION:Lateral needling at CV 23 could improve dysphagia symptoms in patients with post-stroke dysphagia, its mechanism may be related to the increasing of hyoid bone movement displacement and shortening of pharyngeal delivery time.
