The Study Of Recover The Original Merdian Pathway Promote The Rehabilitation Of The Traumatic Paraplegia

Objective1.Base on the conventional Acupuncture theory and the progress of modern medical research, presenting new concept "Recover the original Merdian pathway" for the treatment of spinal cord injury wiht traumatic paraplegia.2. Design a Single-blind randomized controlled trial to compare the curative effects with the two different treatment approaches.Methods1.We reviewed the patients who underwent percutaneous pedicle screw fixation in thoracolumbar fracture between December2012and December2013retrospectively.32patients meet the diagnostic criteria, Inclusion criteria, exclusion criteria were included in the study.2. The patients were divided into5interval groups base on the different degrees of injury(ASIA rating). And then they were randomly divided into two groups, therapy group (underwent treatment by recover the original Merdian pathway) and control group(underwent conventional treatment).3. Main Outcome Measurements,①baseline include general data of patients(age, gender, duration of SCI, degree of injury with ASIA rating).②Clinical effects were evaluated according to the scores of sensory and motor with ASIA rating and the Functional Comprehensive Assessment.1month for a course of treatment. All the patients received3courses in our study. The therapeutic effectivenesses were systematic evaluated at the ending of every course, and the ending of1,2,3months after all three courses.Results1. Scores of sensory:①he scores were improved in both groups after1,2,3months of treatment, a statistically significant difference(p<0.05). Score in the therapy group showed a continuous improvement and persisted at month3. While in the control group only showed significant improvement in the first month, but poor outcome improvement afterward two month (P=0.112、P=0.989).②Score improvement were roughly similar between the two groups in the first and second month (P>0.05), but from the third month the therapy group was better than the control group (P=0.0489).2. Scores of light touch:①The scores were improved in both groups after1,2,3months of treatment, a statistically significant difference(p<0.05). Score in the therapy group showed a continuous improvement and persisted at month3. While in the control group only showed significant improvement in the first month, but poor outcome improvement afterward two month (P=0.198、P=0.961).②Score improvement were roughly similar between the two groups in the first and second month (P>0.05), but from the third month the Score improvement in the therapy group was better than the control group (P=0.0488)3. Scores of motor with ASIA:①Score in the therapy group showed a continuous improvement and persisted at month3, but there was no obvious improvement in the control group during3months.②Score improvement were roughly similar between the two groups during3months (P>0.05).4. Scores of motor with ASIA:①core in the therapy group showed a continuous improvement and persisted at month3, but there was no obvious improvement in the control group during3months.②Score improvement were roughly similar between the two groups during3months (P>0.05). Conclusion1. Acupuncture treatment can improve the sensory/motor function at the stage of rehabilitation in the patient of spinal cord injury, greatly improve patients’ activity of daily living.2. The new concept "Recover the original Merdian pathway" showed roughly similar short-term therapeutic effect(1-3month), but always showed a sustaining improvement."Recover the original Merdian pathway" is effective concept in guiding clinical therapy at mid-long term.3."Recover the original Merdian pathway" is an innovation in theory based on traditional Acupuncture&Moxibustion theory, provided a new approach to the treatment of SCI/promote the rehabilitation of the traumatic paraplegia and worthy of further work.