Effectiveness of rehabilitation training combined acupuncture for the treatment of neurogenic bladder secondary to spinal cord injury

Yang, Gui-fen; Sun, Di; Wang, Xinhua; Liu, Chong; Luo, Fang; Fang, Chengbing

doi:10.1097/md.0000000000017322

Cited by 14 publications

(9 citation statements)

References 20 publications

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“…Acupuncture is one of the therapies in traditional Chinese medicine. Clinical trials have shown that acupuncture can effectively treat a series of complications after SCI (Fan et al, 2018;Yang et al, 2019). A series of studies have shown that EA can improve locomotor function (Dai et al, 2019;Luo et al, 2019) and relieve neuropathic pain (Yan et al, 2019) after SCI.…”

Section: Discussionmentioning

confidence: 99%

Electroacupuncture in promoting neural repair after spinal cord injury: Inhibiting the Notch signaling pathway and regulating downstream proteins expression

Wang

Tian

et al. 2021

The Anatomical Record

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Spinal cord injury (SCI) is one of the serious central nervous system injuries and the incidence of SCI continues to increase. Previous studies have indicated that electroacupuncture (EA) is beneficial for promoting recovery after SCI. In the present study, we attempted to evaluate how EA can promote the neural repair in SCI model rats by observing changes in the Notch signaling pathway. Experimental rats were randomly divided into four groups. Each group had its own intervention period: 1 day, 7 days, 14 days, and 28 days, and five randomized subgroups: blank control (B) group, blank electroacupuncture (BE) group, sham operation (S) group, model control (M) group and EA group. Animals in the EA group and the BE group were treated with EA at Dazhui (GV14) and Mingmen (GV4) acupoints for 20 min. After the intervention period, the Basso-Beattie-Bresnahan (BBB) score was used to evaluate the neurological function. We found that BBB score increased in EA-treated groups. Hematoxylin and eosin staining was used to observe pathological changes in the injured spinal cord and the results showed that EA therapy could promote the repair of injured spinal cord tissue. Immunohistochemistry and Western blot methods were used to detect the expression of proteins Delta1, Presenilin1, Hes1, and Hes5 in the injured spinal cord. The results showed that the expression levels of Delta1, Presenilin1, Hes1, and Hes5 increased significantly after Xin Wang, Qiaoxia Wang, and Huiling Tian contributed equally to this study.

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Section: Discussionmentioning

confidence: 99%

Electroacupuncture in promoting neural repair after spinal cord injury: Inhibiting the Notch signaling pathway and regulating downstream proteins expression

Wang

Tian

et al. 2021

The Anatomical Record

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“…The specific power unit is shown in Figure 1 . Based on the requirements of this system, the STM32F103 microcontroller is adopted as the microcontroller of this project [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

The Design of a Track Monitoring System for Sports Injury Rehabilitation Training

Cheng

Cai

2021

Journal of Healthcare Engineering

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To realize the remote monitoring design in the process of rehabilitation training for athletes after an injury using computer technology, using Visual Studio 2010 development platform, and using ASP as the development language, NET as the development framework, the injury rehabilitation of injured athletes for dynamic monitoring of information management system, and its functions, system architecture and other detailed design. This article identified six laboratory workers outside the sample as experimental subjects. The experimental subjects’ blood oxygen flow, degree, and rate were measured in the normal condition, and the pulse wave was recorded. Then, the upper and lower limbs rehabilitation training robot developed by the laboratory was used for about 15 minutes of rehabilitation training with 3-gear difficulty. The results show that the data measured by the system are the same as the data measured by the Lu Yue brand finger clip type YX301 blood oxygen saturation detector and meet the design requirements. Conclusion. The monitoring accuracy of the system is high, the resistance signal waveform is basically consistent with the actual waveform, and the monitoring effect is good.

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“…Therefore, further research on urinary retention after hysterectomy is needed. There are 2 [ 45 , 46 ] systematic reviews and meta-analysis on the treatment of neurogenic bladder with acupuncture after spinal cord injury. The sex of the patients includes male, and the nature of the injury is urinary retention caused by central nerve injury.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of acupuncture for urinary retention after hysterectomy

et al. 2021

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Objective: The aim of this study was to evaluate the efficacy and safety of acupuncture in the treatment of urinary retention after hysterectomy in women. Methods: This research searched for 6 database documents, and the deadline is July 23, 2020. This study included a randomized controlled trial of women with urinary retention after hysterectomy. These randomized controlled trials compare acupuncture with bladder function training or other nonacupuncture treatments, and measure urodynamics, effectiveness (BR), and urinary tract infection rates (UIR). Four independent reviewers participated in data extraction and evaluation. Assess the risk of bias in each article, and conduct a meta-analysis according to the type of acupuncture. The result is expressed as a mean difference (MD) or relative risk (RR) with a 95% confidence interval (CI). Results: The meta-analysis contains 12 studies. Most studies indicate low risk or unknown risk, but the GRADE scores of the combined results show low or moderate levels. After the combined analysis, we found that acupuncture versus bladder function exercise and other nonacupuncture therapies can significantly improve the values of post voided residual urine (PVR) (MD = −25.29; 95% CI [−30.45 to −20.73]), maximal cystometric capacity (MD = 39.54; 95% CI [10.30–68.78]), bladder capacity for first voiding desire (MD = −61.98; 95% CI [−90.69 to −33.26]) and maximal flow rate (MFR) (MD = 7.58; 95% CI [5.19–9.97]). And compared with the control group, acupuncture still has advantages in BR (RR = 1.36; 95% CI [1.18–1.56]) and UIR (RR = 0.22; 95% CI [0.08–0.82]). These heterogeneities have been resolved through subgroup analysis, and their main sources are related to different intervention times, the time to start the intervention, and different PVR requirements. Conclusions: There is insufficient evidence that acupuncture can increase the patient's MFR, BR, and UIR. However, acupuncture can effectively improve the PVR, maximal cystometric capacity, and bladder capacity for first voiding desire values of patients with urinary retention after hysterectomy. Although limited due to the quality and methodological limitations of the included studies, acupuncture can still be used as an effective and safe treatment for women with urinary retention after hysterectomy. Registration: The research has been registered and approved on the PROSPERO website. The registration number is CRD42019119238.

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Effectiveness of rehabilitation training combined acupuncture for the treatment of neurogenic bladder secondary to spinal cord injury

Cited by 14 publications

References 20 publications

Electroacupuncture in promoting neural repair after spinal cord injury: Inhibiting the Notch signaling pathway and regulating downstream proteins expression

Electroacupuncture in promoting neural repair after spinal cord injury: Inhibiting the Notch signaling pathway and regulating downstream proteins expression

The Design of a Track Monitoring System for Sports Injury Rehabilitation Training

Efficacy and safety of acupuncture for urinary retention after hysterectomy

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