1.The regularity of body surface temperature changes in acupuncture and moxibustion treatment
Tomoko TAGUCHI ; Masamichi NAKAMURA
Journal of the Japan Society of Acupuncture and Moxibustion 2024;74(2):75-83
[Objectives] The increase in skin temperature due to acupuncture treatment has been reported visually using thermography and other techniques. In this study, we measured the main acupuncture temperatures of the whole body before and after treatment, captured the characteristics of the correlation between pre- and post-treatment temperatures, and discussed the mechanism of cooling improvement. [Methods] Eight women who were aware of their coldness, who gave informed consent, were treated during a particularly cold season (December X to X+1 February). As a whole body treatment, five minutes of acupuncture was applied to CV12, ST25, and CV4 in the abdomen, BL10 and GB20 in the cervical region, BL17, BL18, BL20, and BL23 in the back, and BL40 and BL58 in the feet. Before and after treatment, the temperatures of the acupuncture points of the whole body (CV22, CV14, CV8, CV4, GB26, PC6, TE5, BL15, SP6, KI1, GV12, GV9, and GV4) were measured with a non-contact thermometer. Subsequently, for each acupuncture point, a graph plotting the temperature before and after treatment was created, and temperature changes before and after treatment were assessed by t-testing, and the presence or absence of attribute trends in pre-treatment acupuncture point temperature was assessed by linear regression analysis.[Results] For the abdomen, medial upper extremity, and medial lower extremity, transapical temperature increased significantly after treatment, uniformly independent of pre-treatment temperature. For the dorsal, lateral upper extremity, and lateral lower extremity, the acupuncture temperature did not rise uniformly after treatment; the lower pre-treatment temperature increased after treatment, but the higher pre-treatment temperature decreased after treatment. The temperature of the lateral abdomen and the soles of the feet increased significantly after treatment, and the degree of increase was greater in people with lower pre-treatment temperatures. And this balance of heat was found to promote blood flow to the tip of the foot.[Discussion] After the whole-body treatment as in this study, it is thought that by confirming the temperature measured before and after the treatment, in addition to the subject's subjective awareness of the warmth of his or her body, it is possible to convince the subject of the meaning of the treatment and to improve his or her main complaint. I thought it could be introduced as a method of examination.
2.Validity of the Japanese Version of the Southampton Hand Assessment Procedure in Stroke Patients
Tomoko TANAKA ; Kensuke TAGUCHI ; Junpei SHIKANO ; Ippei MOTOMATSU ; Naoto OOTAKI ; Masaki NAKAGAWA ; Toyohiro HAMAGUCHI ; Masahiro ABO
The Japanese Journal of Rehabilitation Medicine 2019;():18009-
Purpose:The Southampton Hand Assessment Procedure (SHAP) is a test of upper extremity function composed of 12 movement tasks and 14 activities of daily living tasks, and is used as an assessment battery for upper extremity prostheses. The purpose of this study is to examine its validity in clinical practice.Methods:The study included 143 patients with hemiparesis. The validity of SHAP and an existing assessment battery were compared in this study. Factors influencing the validity of differences between dominant and non-dominant hands were examined.Results:Concomitant validity was shown between the SHAP Japanese version and an existing upper extremity function evaluation method. A strong correlation with the subjective evaluation scale was obtained in cases of dominant hand paralysis.Discussion:These results suggested that SHAP is able to accurately evaluate upper extremity hemiparesis, because the difficulty level in evaluation of upper extremity function is higher than that of the Action Research Arm Test, and a ceiling effect is unlikely. Therefore, SHAP is useful in clinical practice not only for assessment of an artificial hand but also for hemiparesis with stroke. Further study to clarify the characteristics of SHAP as well as verification of reliability and standard values is warranted.
3.Validity of the Japanese Version of the Southampton Hand Assessment Procedure in Stroke Patients
Tomoko TANAKA ; Kensuke TAGUCHI ; Junpei SHIKANO ; Ippei MOTOMATSU ; Naoto OOTAKI ; Masaki NAKAGAWA ; Toyohiro HAMAGUCHI ; Masahiro ABO
The Japanese Journal of Rehabilitation Medicine 2019;56(6):499-509
Purpose:The Southampton Hand Assessment Procedure (SHAP) is a test of upper extremity function composed of 12 movement tasks and 14 activities of daily living tasks, and is used as an assessment battery for upper extremity prostheses. The purpose of this study is to examine its validity in clinical practice.Methods:The study included 143 patients with hemiparesis. The validity of SHAP and an existing assessment battery were compared in this study. Factors influencing the validity of differences between dominant and non-dominant hands were examined.Results:Concomitant validity was shown between the SHAP Japanese version and an existing upper extremity function evaluation method. A strong correlation with the subjective evaluation scale was obtained in cases of dominant hand paralysis.Discussion:These results suggested that SHAP is able to accurately evaluate upper extremity hemiparesis, because the difficulty level in evaluation of upper extremity function is higher than that of the Action Research Arm Test, and a ceiling effect is unlikely. Therefore, SHAP is useful in clinical practice not only for assessment of an artificial hand but also for hemiparesis with stroke. Further study to clarify the characteristics of SHAP as well as verification of reliability and standard values is warranted.