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The anatomical study of the major signal points of the court-type Thai traditional massage on legs and their effects on blood flow and skin temperature

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Journal of Integrative Medicine 2017年第2期15卷 142-150页

作者： Yadaridee Viravud Angkana Apichartvorakit Pramook Mutirangura Vasana Plakornkul Jantima Roongruangchai Manmas Vannabhum Tawee Laohapand pravit akarasereenont Department of Anatomy Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok 10700Thailand Center of Applied Thai Traditional Medicine Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok 10700Thailand Division of Vascular Surgery Faculty of Medicine Siriraj HospitalMahidol UniversityBangkok 10700Thailand

OBJECTIVE： This study aims to investigate the relationship between major signal points （MaSPs） of the lower extremities used in court-type Thai traditional massage （CTTM） and the corresponding underlying anatomical structures, as well as to determine the short-term changes in blood flow and skin temperature of volunteers experiencing CTTM. METHODS： MaSPs were identified and marked on cadavers before acrylic color was injected. The underlying structures marked with acrylic colors were observed and the anatomical structures were determined. Then, pressure was applied to each MaSP in human volunteers （lateral side of leg and medial side of leg） and blood flow on right dorsalis pedis artery was measured using duplex ultrasound while skin temperature changes were monitored using an infrared themographic camera. RESULTS： Short-term changes in the blood flow parameters, volume flow and average velocity, compared to baseline （P 〈 0.05）, were observed on MaSP of the lower extremity, ML4. Changes in the peak systolic velocity of the area ML5 were also observed relative to baseline. The skin temperature of two different MaSPs on the lateral side of leg （LL4 and LL5） and four on the medial side of leg （ML2, ML3, ML4 and ML5） was significantly increased （P 〈 0.05） at 1 rain after pressure application. CONCLUSION： This study established the clear correlation between the location of MaSP, as defined in CTTM, and the underlying anatomical structures. The effect of massage can stimulate skin blood flow because results showed increased skin temperature and blood flow characteristics. While these results were statistically significant, they may not be clinically relevant, as the present study focused on the immediate physiological effect of manipulation, rather than treatment effects. Thus, this study will serve as baseline data for further clinical studies in CTTM

关键词： complementary therapies massage cadaver blood flow skin temperature

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Glomus tumors of the fingers:Expression of vascular endothelial growth factor

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World Journal of Orthopedics 2016年第12期7卷 843-846页

作者： Sittisak Honsawek pravit Kitidumrongsook Pobe Luangjarmekorn Kawee Pataradool Voranuch Thanakit Adisorn Patradul Vinai Parkpian Orthopaedic Research Center Department of OrthopaedicsFaculty of MedicineChulalongkorn UniversityKing Chulalongkorn Memorial Hospital Department of Biochemistry Faculty of MedicineChulalongkorn University Department of Pathology Faculty of MedicineChulalongkorn University

Glomus tumors are uncommon,benign,small neuro-vascular neoplasms derived from glomus bodies in the reticular dermis. Glomus bodies are found throughout the body to regulate body temperature and skin circulation; however,they are concentrated in the fingers and the sole of the foot. The typical presentation is a solitary nodule in the subungual or periungual area of the distal phalanx. The primary treatment of choice is surgical removal. We investigated expression of vascular endothelial growth factor(VEGF) using immunohistochemistry in glomus tumors of the fingers. All five glomus tumor samples were positive for VEGF expression. VEGF immunoreactivity was largely localized to the cytoplasm of tumor cells,suggesting a contribution of VEGF to the vascularization of glomus tumors.

关键词： Glomus tumors Fingers Vascular endotheligrowth factor

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