以良導絡評估不同電刺激模式於
酸痛症之療效

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以良導絡評估不同電刺激模式於酸痛症之療效

Using Ryodoraku Device to Evaluate the Treatment Effects of Different Frequency Modes of Electrical Stimulation on Muscular Pains

謝文祥 , Masters　　Advisor：翁清松　　

繁體中文

良導絡；五十肩；下背痛； AL-TENS ； frozen shoulder ； AL-TENS ； low back pain ； Ryodoraku

Abstract │ Reference (84) │ Times Cited (15) │ Altmetrics

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Acupuncture-like Transcutaneous Electrical Nerve Stimulation (AL-TENS) has been used in acute and chronic pains for years. However, AL-TENS with different stimulation functions including wave number, wave range, wave amplitude, frequency, and time, can result in different treatment outcomes. In earlier studies, the treatment of electrical stimulation frequently fixed the waveform and on unidentified stimulating points, so it might not have the best treatment.
This research was to improve the functions. In software design, Microsoft Visual Basic 6.0 was used to design the operating system which was able to evaluate the Ryodoraku value and treatment result. We designed a pad with surface electrodes that fit over the acupoints, so patients could be treated with AL-TENS. Patients with frozen shoulder and patients with low back pain were recruited to be measured of Ryodoraku values and visual analog scores (VAS) of pain.
In low back pain treatment, 50 patients were recruited for this test. Group 1 patients that were in low range of Ryodoraku values received AL-TENS with high frequency. Group 2 patients that were in high range of Ryodoraku values received AL-TENS with low frequency. Group 3 patients that were in normal range of Ryodoraku values received AL-TENS with complex frequency. The stimulation time for all groups was 15 minutes.  
In frozen shoulder treatment, 35 patients were recruited for this test. All patients received AL-TENS with complex frequency for 15 minutes.
From treated patients with low back pain, low frequency stimulation (2Hz) could increase the Ryodoraku values of stimulated acupoints (p<0.05); while the high frequency stimulation (100HZ) could decrease the Ryodoraku values of stimulated acupoints (p<0.05). At complex frequency stimulation, it changed the Ryodoraku values significantly (p<0.05). Pain VAS in three groups decreased significantly after treatments (p<0.05). This showed that the three ways have similar   treatment effects but different mechanisms. From treated patients with frozen shoulder, the results showed that Ryodoraku values changed significantly (p<0.05). Also, decrease of pain VAS showed that the treatment was effective.

Reference ( 84 ) 〈TOP〉

【4】 Mark I Johnson, “Transcutaneous Electrical Nerve Stimulation (TENS) and TENS-like devices: do they provide pain relief ?”, Pain Reviews, 8：pp121–158；2001.
連結：
【23】 Didrik Sopler C.A.，”Effect of Cranial Laser Acupuncture on Muscle Strength in healthy individuals” Am J Acupunt ，12(2) : pp117-124；1984.
連結：
【25】 Milne S, Welch V, Brosseau L, Saginur M, Shea B, Tugwell P, Wells G. ”Transcutaneous electrical nerve stimulation (TENS) for chronic low back pain (Cochrane Review)” Cochrane Library, Issue 2, 2003.
連結：
【27】 McGill. “TENS (Transcutaneous electrical nerve stimulation)”, January 22nd, 2002.
連結：
【35】許晉銘，電針在腦幹中風後吞嚥困難之治療經驗，中華復健雜誌， vol.23，No1，1995。
連結：

Times Cited (15) 〈TOP〉

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