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Intradermal Acupuncture on Shen-Men and Nei-KuanAcupoints Improves Insomnia in Stroke Patients.pdf

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Intradermal Acupuncture on Shen-Men and Nei-KuanAcupoints Improves Insomnia in Stroke Patients

November 10, 2009 15:9 WSPC WS-AJCM SPI-J000 00762 The American Journal of Chinese Medicine, Vol. 37, No. 6, 1013–1021 ? 2009 World Scientific Publishing Company Institute for Advanced Research in Asian Science and Medicine Intradermal Acupuncture on Shen-Men and Nei-Kuan Acupoints Improves Insomnia in Stroke Patients by Reducing the Sympathetic Nervous Activity: A Randomized Clinical Trial Seung Yeop Lee,? Yong Hyeon Baek,? Seong Uk Park,? Sang Kwan Moon,? Jung Mi Park,? Young Suk Kim? and Woo Sang Jung? ?Department of Cardiovascular and Neurologic Diseases (Stroke Center) College of Oriental Medicine, Kyung-Hee University, Seoul, Korea ?Department of Acupuncture and Moxibustion, College of Oriental Medicine Kyung-Hee University, Seoul, Korea Abstract: This study is a double-blind randomized controlled trial on the effect of intrader- mal acupuncture on insomnia after stroke. Hospitalized stroke patients with insomnia were enrolled in the study and were randomly assigned to either a real intradermal acupuncture group (RA group) or a sham acupuncture group (SA group). The RA group received intrader- mal acupuncture on Shen-Men (He-7) and Nei-Kuan (EH-6) for three days, and the SA group received sham acupuncture on the same points. The effect of acupuncture on insomnia was measured using Insomnia Severity Index (ISI) and Athens Insomnia Scale (AIS) at baseline and three days after treatment. To assess the effect of acupuncture on the autonomic nervous function, the subjects’ blood pressure and heart rate variability were monitored. Fifty-two subjects (27 in the RA group and 25 in the SA group) were included in the final analysis. The insomnia-related scales ISI and AIS showed greater improvement of insomnia in the RA group than in the SA group. Moreover, there is a greater reduction of the number of non-dippers and a greater decrease of the LF/HF ratio (heart rate variability) in the RA group than in the SA group. These results indicate that sympathetic hyperactiviti