RESUMEN
OBJECTIVE: To observe the effect of acupuncture at Huatuo Jiaji (EX-B2) combined with core muscle training on motor function of lower limbs, balance function and core muscle in patients with hemiplegia after stroke. METHODS: A total of ninety-six patients with hemiplegia after stroke were randomly and equally divided into acupuncture, training and combination groups (n=32 cases in each). Patients of the acupuncture group were given acupuncture at the 5th, 7th, 9th and 11th chest vertebrae, and the 1st to 5th lumbar vertebrae of EX-B2. Patients in the training group received core muscle training. In the combination group, both acupuncture treatment and core muscle training were given to the patients. The treatment was conducted once daily, 5 times a week for 4 weeks. The Fugl-Meyer lower limb motor function score (FMA), Berg balance function scale (BBS), Barthel index (BI) and surface electromyography (sEMG) of the erector spinae and rectus abdominis were evaluated before and after treatment and during the follow-up period. RESULTS: Compared with the scores before the treatment, the FMA, BBS and BI scores were obviously increased after the treatment and during the follow-up period in the three groups respectively (P<0.05). After treatment and during the follow-up period, the root mean square (RMS) of erector spinae and rectus abdominis in the sitting position flexed 45° and extended 30° on the healthy and affected side were higher than those of the same side before treatment in the three groups (P<0.05). The therapeutic effect of combination of acupuncture at EX-B2 and core muscle training was obviously superior to that of single acupuncture or single training (P<0.05). Before the treatment, the RMS of erector spinae and rectus abdominis in the sitting position flexed 45° and extended 30° on the affected side were lower than those of the healthy side in the three groups (P<0.05), while there was no significant difference between the RMS of the erector spinae and rectus abdominis of the affected side and the healthy side in the comprehensive group after treatment and during the follow-up period (Pï¼0.05). CONCLUSION: Acupuncture at EX-B2 combined with core muscle training can significantly improve the balance function and lower limb motor function of patients with hemiplegia after stroke.
Asunto(s)
Terapia por Acupuntura , Rehabilitación de Accidente Cerebrovascular , Accidente Cerebrovascular , Hemiplejía/etiología , Hemiplejía/terapia , Humanos , Extremidad Inferior , Músculos , Accidente Cerebrovascular/complicaciones , Accidente Cerebrovascular/terapia , Resultado del TratamientoRESUMEN
Samples were collected monthly from January to December in 2010, and daily observations were made during the water-sediment regulation event in June-July 2010. Sequential extractions were applied to determine the forms of P in different particle-size fractions and to assess the potential bioavailability of particulate phosphorus (PP). The results indicated that exchangeable phosphorus, organic phosphorus, authigenic phosphorus, and refractory phosphorus increased with the decreasing of particulate size; conversely, detrital phosphorus decreased with the decreasing of particulate size. The content of bioavailable particulate phosphorus (BAPP) varied greatly in different sizes of particles. In general, the smaller the particle size, the higher the content of bioavailable phosphorus and its proportion in total phosphorous was found in these particles. Hydrological forcing controlled the variability in the major P phases found in the suspended sediments via changes in the sources and the particle grain-size distribution. The variation of particle sizes can be attributed also to different total suspended sediment (TSS) sources. Water-sediment regulation (WSR) mobilized only particulate matter from the riverbed, while during the rainstorm soil erosion and runoff were the main source. The BAPP fluxes associated with the "truly suspended" fraction was approximately 200 times larger than the dissolved inorganic phosphorus (DIP) flux. Thus, the transfer of fine particles to the open sea is most probably accompanied by BAPP release to the DIP and can support greater primary and secondary production.
Asunto(s)
Fósforo/química , Ríos/química , Sedimentos Geológicos/química , Hidrología , Tamaño de la Partícula , Material Particulado/química , Movimientos del AguaRESUMEN
Surface sediments were collected from Yellow River estuary wetland. The distribution of phosphorus in sediments was analyzed with modified SEDEX. The results indicated that the contents of TP in surface sediments varied from 12.12 micromol x g(-1) to 25.37 micromol x g(-1), and the mean value was 20.70 micromol x g(-1), in which the Detrital P and Authigenic P were the main forms. Median particle size was closely related with the distribution of phosphors, Exchangeable P, Authigenic P and Organic P mainly consisted of smaller sediment size, while Detrital P mainly consisted of larger sediment size. The distribution of P in sediment was affected by organic matter. Exchangeable P, organic P and refractory P increased with the increasing TOC. The bio-available phosphorus included exchangeable P, iron-bound P,organic P and ranged from 1.15-6.74 micromol x g(-1), with an average of 4.27 micromol x g(-1) for all sediment samples. The contribution of BAP to TP was 6.35% -30.4%.