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置鍼の時間を考慮

パーソナルジム Dorbst（ドルブスト）

鍼治療


中国で3000年以上の歴史1
194カ国中133カ国で行われている2
病気の治療や痛みの緩和に使用1
成人の8~9%が健康問題の予防、治療に使用されている3,4

徳気：被験者の鍼を刺した部位の痛み、痺れ、重さの感覚5

機能的結合ネットワーク6

中脳水道周囲灰白質、前帯状皮質、左後帯状皮質、右前島皮質、大脳辺縁系/傍辺縁系、楔前部との間の接続性が有意に高くなる

鍼治療が大脳辺縁系・傍大脳・新皮質ネットワーク、脳幹、小脳、皮質下、海馬の脳領域を調整できる

WHO鍼灸適応疾患7

神経系
神経痛・神経麻痺・筋肉痛・痙攣・脳卒中後遺症・自律神経失調症・頭痛・眩暈・不眠・ノイローゼ・ヒステリー等
運動器系
関節炎・リウマチ・頚肩腕症候群・頭肩こり・五十肩・腱鞘炎・腰痛・外傷の後遺症・各種スポーツ障害等
循環器系
心臓神経症・動脈硬化症・高血圧低血圧症・動悸・息切れ
呼吸器系
気管支炎・喘息・風邪及び予防等
消化器系
胃炎・消化不良・胃下垂・胃酸過多・下痢・便秘・胆嚢炎・肝機能障害・肝炎・十二指腸潰瘍・痔疾・口内炎等
内分泌代謝系
バセドウ病・糖尿病・痛風・脚気・貧血等
泌尿器系
腎炎・膀胱炎・尿道炎・性機能障害・尿閉・前立腺肥大・陰萎等
婦人科系
更年期障害・乳腺炎・白帯下・生理痛・月経不順・冷え性・のぼせ・つわり・不妊症等
耳鼻咽頭科系
中耳炎・耳鳴り・難聴・メニエール病・鼻出血・鼻炎・蓄膿症・咽喉頭炎・扁桃炎・声枯れ等
眼科系
眼精疲労・仮性近視・結膜炎・疲れ目・かすみ目・ものもらい等
小児科系
小児神経症・小児喘息・耳下腺炎・夜尿症・虚弱体質の改善等
皮膚科系
蕁麻疹・しもやけ・ヘルペス・おでき等・アレルギー・気管支喘息・アレルギー性鼻炎・眼炎等

夜泣き8-12


鍼治療は通常治療と比べ時間が短縮(-65.3秒)
指圧は通常ケアと比べ時間が短縮(-36.70秒)
指圧は非経穴刺激介入と比べ時間が増加(16.66秒)
レーザー鍼と非経穴刺激介入には優位差はない(-5.96秒)

自殺行動

世界中で約79万人の自殺による死亡が報告13
自殺は全ての早期死亡の1.4%を占める14,15
　・うつ病
　・物質使用
　・精神病
　・心的外傷後ストレス障害

66.67%の参加者は治療後に自殺念慮がなくなった16

電気鍼療法

Hzの基礎知識

→20~90Hz帯は神経刺激で筋が強く反応・収縮するため直接の疼痛軽減には適さない
※筋の促通でも強度が強すぎると抑制方向に働く

腸内細菌叢

酪酸の酸性を増加18
血中リポ多糖レベルを低下19,20
炎症レベルを軽減19,21
腸管バリアの完全性を維持19,20
⇩
腸内の短鎖脂肪酸の増加22

7日から明らかな変化、21日まで徐々に安定23
⇨腸内細菌叢のバランスを効果的に回復20,21,24,25,26,27

電気鍼療法 vs 手技鍼治療

鍼療法は、手技鍼療法と電気鍼療法に大別28
瘀血の治療に鍼刺激がよく用いられる29

機械受容器の感覚メカニズムへの関与が異なる28
電気鍼治療は、手技鍼治療よりも高い圧痛検出閾値上昇30
電気鍼療法 (特に低周波数) は手動鍼療法よりも広範囲の fMRI 信号増加をもたらす31
電気刺激は、末梢血管疾患の患者の痛みの調整、筋力増強、血流促進のために、使用32

柔軟性改善

股関節屈曲ROM、膝関節と大腿四頭筋の機能評価
健康成人45名、15分間の治療

股関節屈曲ROM即座に改善
⇨40分持続
大腿四頭筋の筋力低下

関節の柔軟性は即座に改善するが、筋力は低下する

治療時間

手技による鍼刺激の頻度と持続時間が、電気刺激の頻度と持続時間と一致させられていない34

レビュー論文まとめ

参考論文

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