Fu's subcutaneous needling as an adjunctive therapy for diaphragmatic dysfunction in a critically ill patient with severe neurologic disability: A case report
机构：[1]Shandong Provincial Third Hospital, Shandong University, Jinan, China[2]Shandong University of Traditional Chinese Medicine, Jinan, China[3]ClinicalMedical College of Acupuncture and Moxibustion and Rehabilitation, GuangzhouUniversity of Chinese Medicine, Guangzhou, China[4]Second Clinical MedicalCollege, Guangzhou University of Chinese Medicine, Guangzhou, China深圳市中医院深圳医学信息中心[5]Institute of Fu’s Subcutaneous Needling, Beijing University of Chinese Medicine,Beijing, China[6]Department of Physical Medicine and Rehabilitation, ChinaMedical University Hospital, Taichung, Taiwan[7]Department of Physical Therapyand Graduate Institute of Rehabilitation Science, China Medical University,Taichung, Taiwan[8]Department of physical Medicine and Rehabilitation, AsiaUniversity Hospital, Asia University, Taichung, Taiwan
Rationale:Diaphragmatic dysfunction is prevalent among intensive care unit patients. The use of Fu's subcutaneous needling (FSN) for respiratory problems is a new issue and few study has been conducted so far.Patient concerns:Despite conventional treatments, the patient continued using noninvasive ventilation after discharge from the intensive care unit due to diaphragmatic dysfunction.Diagnosis:Diaphragmatic dysfunction.Interventions:After the myofascial trigger points were confirmed in the neck, chest, and abdomen area, FSN therapy was performed using disposable FSN needles. FSN needles were penetrated into the subcutaneous layer.Outcomes:The patient dyspnea and tachypnea improved, and noninvasive ventilation time dropped significantly. The patient was successfully weaned from the ventilator after 3 sessions of FSN therapy, and there was an increase in diaphragmatic excursion and tidal fraction of the diaphragm via the ultrasound imaging. We found no evidence of relapse 12 months after treatment.Lessons:FSN therapy has potential as an alternative strategy for patients with diaphragmatic dysfunction and severe neurologic disabilities who do not respond well to conventional therapies, but further research is still required to establish the effects of FSN on diaphragmatic function.
第一作者机构：[1]Shandong Provincial Third Hospital, Shandong University, Jinan, China[2]Shandong University of Traditional Chinese Medicine, Jinan, China
共同第一作者：
通讯作者：
通讯机构：[6]Department of Physical Medicine and Rehabilitation, ChinaMedical University Hospital, Taichung, Taiwan[7]Department of Physical Therapyand Graduate Institute of Rehabilitation Science, China Medical University,Taichung, Taiwan[8]Department of physical Medicine and Rehabilitation, AsiaUniversity Hospital, Asia University, Taichung, Taiwan[*1]Department of Physical Medicine andRehabilitation, China Medical University Hospital, No 2 Yuh-Der Road, Taichung,404332, Taiwan
推荐引用方式(GB/T 7714)：
Li Hu,Yang Cong Cong,Bai Tianyu,et al.Fu's subcutaneous needling as an adjunctive therapy for diaphragmatic dysfunction in a critically ill patient with severe neurologic disability: A case report[J].MEDICINE.2023,102(44):doi:10.1097/MD.0000000000035550.
APA：
Li, Hu,Yang, Cong Cong,Bai, Tianyu,Sun, Jian,Fu, Zhonghua&Chou, Li-Wei.(2023).Fu's subcutaneous needling as an adjunctive therapy for diaphragmatic dysfunction in a critically ill patient with severe neurologic disability: A case report.MEDICINE,102,(44)
MLA：
Li, Hu,et al."Fu's subcutaneous needling as an adjunctive therapy for diaphragmatic dysfunction in a critically ill patient with severe neurologic disability: A case report".MEDICINE 102..44(2023)
