Taras I Usichenko, Catharina Klausenitz, Thomas Hesse, Mike Cummings
{"title":"Effectiveness of acupuncture for pain control after Cesarean section is associated with the length of experience of the acupuncturist: observational data from a randomized clinical trial.","authors":"Taras I Usichenko, Catharina Klausenitz, Thomas Hesse, Mike Cummings","doi":"10.1177/09645284221117849","DOIUrl":"https://doi.org/10.1177/09645284221117849","url":null,"abstract":"In a recent randomized controlled investigation, acupuncture with indwelling intradermal needles reduced pain and accelerated mobilization in patients undergoing elective Cesarean section (CS).1 In this investigation, acupuncture administered bilaterally at four traditional auricular acupuncture (AA) point locations and six traditional acupuncture point locations of the body (n = 60) was compared with placebo acupuncture (n = 60) at the same sites using nonpenetrating placebo devices.2 Both study interventions (acupuncture and the placebo procedure) were provided by three physicians— C.K. (resident radiologist with 1 year of clinical experience in radiology), T.H. and T.U. (both consultant anaesthesiologists with more than 20 years of experience in their clinical specialty) with various durations of expertise in acupuncture— according to previously described protocols.1,2 One hundred and twenty patients were included between January 2015 and June 2017. Initially it was intended that the acupuncturist with the longest duration of experience (TU, >25 years) would perform the acupuncture for all study participants with assistance from the second acupuncturist (TH, <2 years’ experience in acupuncture). However, due to academic leave, TU was absent for several months in 2016 and, consequently, CK and TH had to perform the study interventions. In total, TU and TH (Team 1) performed study interventions in 90 patients, while CK and TH (Team 2) performed study interventions in 30 patients. In this brief report, we present a re-calculation of the main results of the original randomized investigation, stratified by the acupuncturist team who applied the treatment.","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"556-558"},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cd/12/10.1177_09645284221117849.PMC9597128.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40709163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acupuncture-induced hemopneumothorax: a case report.","authors":"Seok Soo Lee","doi":"10.1177/09645284221117843","DOIUrl":"https://doi.org/10.1177/09645284221117843","url":null,"abstract":"","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"559-560"},"PeriodicalIF":2.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40708179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immediate effect of electropuncture on urodynamic parameters in post-prostatectomy incontinence: a case report.","authors":"Huimin Zheng, Junhao Cai, Chuangyu Qu, Ping Yin, Wenguang Hou, Shuren Ming, Jianhe Liu, Qi Jin, Yuelai Chen","doi":"10.1177/09645284221107695","DOIUrl":"https://doi.org/10.1177/09645284221107695","url":null,"abstract":"Post-prostatectomy incontinence (PPI) is a common complication of radical prostatectomy, of which stress urinary incontinence (SUI) is the main type.1 It occurs in about 80% of patients undergoing radical prostatectomy, and most patients are able to recover urinary control within 1 year after surgery; however, about 16% of patients have long-term urinary incontinence.2 PPI can seriously affect quality of life. PPI is mainly due to the inevitable damage to urethral sphincter and pelvic floor structure that occurs during the surgical removal of the prostate gland and pelvic lymph nodes. Long-term urinary incontinence without effective bladder filling will lead to a decrease in maximum bladder capacity (MBC) and detrusor underactivity (DUA).3 Electroacupuncture (EA) can improve the degree of urine leakage in PPI.4 Here, we present a case report detailing the immediate effect of abdominal EA on urodynamic parameters in PPI.","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"500-502"},"PeriodicalIF":2.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40466818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acupuncture treatment of unregulated glaucoma in the eye of a patient with Adamantiades-Behҫet disease.","authors":"Georgios Papadopoulos, Evangelia Samara, Christos Kalogeropoulos","doi":"10.1177/09645284221108217","DOIUrl":"https://doi.org/10.1177/09645284221108217","url":null,"abstract":"Adamantiades-Behҫet syndrome is a multisystemic inflammatory disease, the main characteristics of which include recurrent mouth and genital ulcers, and uveitis or retinal vasculitis. Other manifestations include central nervous system (CNS) involvement, arthritis, skin, gastrointestinal and vascular lesions. The main lesion of AdamantiadisBehcet syndrome is inflammation (vasculitis) of the vasa vasorum of large vessels.1 Glaucoma is the second leading cause of blindness, according to World Health Organization (WHO).2 Herein, we present the case of a 52-yearold male patient with AdamantiadesBehҫet syndrome who presented to our office for treatment-resistant glaucoma of the left eye.","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"498-499"},"PeriodicalIF":2.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40505101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acupuncture treatment for cold pain in the lower extremities: a case report.","authors":"Guilong Zhang, Di Zhang, Yuquan Shen, Liang Gao","doi":"10.1177/09645284221077109","DOIUrl":"https://doi.org/10.1177/09645284221077109","url":null,"abstract":"Lower extremity pain has an increasing incidence globally and has become one of the most common clinical complaints.1 Most affected patients report cold pain in the lower extremities and the feeling of cold is often a persistent symptom, even after the pain is relieved. There are various reasons for pain in the lower extremities including lumbar disc herniation, sciatica and lower limb vascular compromise, among others. Acupuncture has been acknowledged to be effective at treating lumbar disc herniation and sciatica, with a certain amount of evidence to support it, but the main mechanism underlying its use for the treatment of cold pain still remains unclear. In this report, based on musculoskeletal ultrasound evaluation, we explore the effect of acupuncture on the symptoms of lower extremity cold pain patients and discuss the potential mechanism.","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"490-492"},"PeriodicalIF":2.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40412838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cynthia F McNamara, Jeffrey D Kravetz, Daniel G Federman
{"title":"Cessation of group battlefield acupuncture visits due to COVID-19: a pilot study.","authors":"Cynthia F McNamara, Jeffrey D Kravetz, Daniel G Federman","doi":"10.1177/09645284221104833","DOIUrl":"https://doi.org/10.1177/09645284221104833","url":null,"abstract":"<p><strong>Background: </strong>Prior to the COVID-19 pandemic, battlefield acupuncture (BFA) was offered to veterans with chronic pain in multidisciplinary group visits.</p><p><strong>Objective: </strong>We aimed to assess the impact of cessation of BFA due to COVID-19 and to determine the utility of different aspects of the group visits for chronic pain management.</p><p><strong>Methods: </strong>Participants who had attended at least three BFA group visits completed questionnaires assessing the impact of treatment interruption on pain, overall function and desire to resume treatment.</p><p><strong>Results: </strong>Thirty-nine veterans were surveyed; 49% responded to the questionnaire. Ninety percent (17/19) agreed that BFA was an important part of pain management and that their pain had worsened after treatment interruption. Seventy-four percent (14/19) responded that they were taking more pain medications since BFA had ended. Ninety-five percent (18/19) responded that BFA improved daily function; 79% (15/19) agreed that BFA improved their sleep. Ninety-five percent (18/19) were interested in resuming BFA. Camaraderie was mentioned as the most helpful aspect of the group by 8/19 (42%) of participants. Participation of health psychology and nutrition were each mentioned as a most helpful aspect of the group by 5/19 (26%) of participants.</p><p><strong>Conclusion: </strong>Our results suggest that participants may have believed that BFA, camaraderie, and input from nutrition and health psychology services were important contributors to their pain control. The results also suggest that veterans may have suffered worsening pain, used more pain medications, and had worsening quality of sleep and daily function during the COVID-related clinic disruption, and that they were interested in resumption of the program.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"470-473"},"PeriodicalIF":2.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40407947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zixiang Geng, Lele Ling, Bingrong Li, Long Yuan, Bimeng Zhang
{"title":"Electroacupuncture for blindness in age-related macular degeneration: a case report.","authors":"Zixiang Geng, Lele Ling, Bingrong Li, Long Yuan, Bimeng Zhang","doi":"10.1177/09645284221105528","DOIUrl":"https://doi.org/10.1177/09645284221105528","url":null,"abstract":"Corresponding authors: Zixiang Geng, Department of Acupuncture and Moxibustion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, 100 Haining Road, Shanghai 200080, China. Email: gengzx@foxmail.com Bimeng Zhang, Department of Acupuncture and Moxibustion, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, 100 Haining Road, Shanghai 200080, China. Email: pjzhtiger08@aliyun.com","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"496-497"},"PeriodicalIF":2.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40408840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yan Cao, Yin-Jie Yan, Jian-Yang Xu, Abulikemu Liwayiding, Yi-Ping Liu, Xuan Yin, Li-Xing Lao, Zhang-Jin Zhang, Shi-Fen Xu
{"title":"Acupuncture for insomnia after ischemic stroke: an assessor-participant blinded, randomized controlled trial.","authors":"Yan Cao, Yin-Jie Yan, Jian-Yang Xu, Abulikemu Liwayiding, Yi-Ping Liu, Xuan Yin, Li-Xing Lao, Zhang-Jin Zhang, Shi-Fen Xu","doi":"10.1177/09645284221077106","DOIUrl":"https://doi.org/10.1177/09645284221077106","url":null,"abstract":"<p><strong>Background: </strong>To date, there has been little focus on research into acupuncture for insomnia after ischemic stroke. Insomnia is one of the most common sequelae after ischemic stroke, and it is the most unrecognized modifiable risk factor.</p><p><strong>Objective: </strong>To evaluate the efficacy and safety of acupuncture for insomnia after ischemic stroke.</p><p><strong>Methods: </strong>In this assessor-participant blinded, randomized, controlled trial, 144 ischemic stroke patients with insomnia meeting <i>Diagnostic and Statistical Manual of Mental Disorders</i> (fifth edition, <i>DSM</i>-5) criteria were assigned to verum or sham acupuncture treatment (n = 72 per group) for three sessions per week over 4 weeks. The outcomes were the Insomnia Severity Index (ISI), Pittsburgh Sleep Quality Index (PSQI), stroke-specific quality of life (SSQoL), and Hospital Anxiety and Depression Scale (HADS) scores. Multiple objective sleep variables were recorded using actigraphy. Assessment was conducted at baseline, and thereafter once biweekly for the 4-week treatment and at 4 weeks of follow-up.</p><p><strong>Results: </strong>The verum acupuncture group had significantly greater improvements than the sham acupuncture group in sleep quality from 2 weeks into treatment throughout the follow-up, indicated by ISI scores and actigraphic variable SE (sleep efficiency). This greater improvement was also observed in the PSQI after 4 weeks of treatment throughout follow-up, as well as actigraphic variable TST (total sleep time), SSQoL and HADS scores at the end of treatment, and SSQoL and depression scores at follow-up. There was no significant difference between groups in the actigraphic variable SA (sleep awakenings). Adverse events were mild in severity, and their incidence was not significantly different between the two groups.</p><p><strong>Conclusion: </strong>Acupuncture appears to be efficacious, in terms of improving insomnia, related quality of life, and affective symptoms, for patients with ischemic stroke.</p><p><strong>Trial registration number: </strong>ChiCTR-IIC-16008382 (Chinese Clinical Trial Registry).</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"443-452"},"PeriodicalIF":2.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40313653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ear acupuncture as an adjunct in a treatment protocol for anorexia nervosa: utilization rate and nurses' experience.","authors":"Kajsa Landgren","doi":"10.1177/09645284211056948","DOIUrl":"https://doi.org/10.1177/09645284211056948","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa (AN) is a life-threatening illness. Sometimes long inpatient treatment is necessary, increasing the anxiety that comes with hospitalization and the necessary weight gain. Safe, non-pharmacological adjunctive therapies that improve subjective health are called for.</p><p><strong>Objective: </strong>The aim of this non-randomized, mixed-methods observational study was to describe the utilization rate and nurses' experiences of ear acupuncture in a highly specialized clinic for eating disorders in Sweden, in which acupuncture had been implemented as part of routine clinical care. Twenty-five patients with AN-treated voluntarily or by law were included. The semi-standardized National Acupuncture Detoxification Association (NADA) ear acupuncture protocol, sometimes combined with needling at 2 traditional acupuncture point locations on the body, had been implemented as a voluntary adjunct to usual care, twice weekly. To evaluate the acceptance of acupuncture, the study examined how often patients chose acupuncture when offered on schedule, and how often they asked for extra acupuncture sessions. Patients rated their subjective health using the hospital anxiety and depression scale (HADS) and visual analogue scale (VAS), treatment satisfaction with usual care and acupuncture, and health-related quality of life with the RAND36 instrument. A credibility/expectancy questionnaire (CEQ) was used to measure confidence in treatment. Body mass index (BMI) was calculated to follow the patients' recovery. Nurses' experiences of giving acupuncture as a part of routine care were captured in interviews, and analysed with content analysis. Ethical approval was obtained.</p><p><strong>Results: </strong>Despite an initially moderate level of trust in acupuncture, the utilization rate of the scheduled acupuncture was 89% and patients asked for extra acupuncture sessions on 28 occasions. No serious side effects were reported. Nurses' experiences of providing acupuncture were positive. They were generally enthusiastic, although they reported finding it difficult to organize group treatments and to find time for acupuncture sessions if they were not scheduled.</p><p><strong>Conclusion: </strong>Further research into the effectiveness and costs of acupuncture in psychiatric care is needed. This study provides relevant information for clinicians as well as researchers planning future randomized controlled trials.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"322-332"},"PeriodicalIF":2.5,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39805153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of acupuncture on menopausal hot flushes and serum hormone levels: a systematic review and meta-analysis.","authors":"Chang Liu, Zhijie Wang, Ting Guo, Lixing Zhuang, Xiao Gao","doi":"10.1177/09645284211056655","DOIUrl":"https://doi.org/10.1177/09645284211056655","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy/effectiveness and safety of acupuncture for the treatment of hot flushes and its impact on serum hormone levels in menopausal women.</p><p><strong>Methods: </strong>A total of 10 databases were searched from their inception to August 2018. Reference lists of reviews and included articles were also hand-searched. Randomized controlled trials (RCTs) comparing the effect of acupuncture versus sham acupuncture, or acupuncture versus hormone therapy (HT), as treatment for menopausal hot flushes were included. Outcomes included hot flush frequency, hot flush severity and serum hormone levels of estradiol (E2), luteinizing hormone (LH) and follicle-stimulating hormone (FSH). Meta-analyses were performed using Review Manager 5.3 software.</p><p><strong>Results: </strong>Thirteen RCTs including 1784 patients were selected, seven of which were available for meta-analysis. Compared with sham acupuncture, acupuncture significantly decreased hot flush frequency (mean difference (MD) -0.84, 95% confidence interval (CI) [-1.64, -0.05], I<sup>2</sup> = 54%) from baseline to the end of study, but did not impact end scores of hot flush frequency (MD 0.19, 95% CI [-0.61, 0.99], I<sup>2</sup> = 0%) or severity (MD 0.02, 95% CI [-0.13, 0.17], I<sup>2</sup> = 0%). No differences were found between acupuncture and HT in serum levels of E<sub>2</sub> (MD 6.56, 95% CI [-3.77, 16.89], I<sup>2</sup> = 76%), FSH (MD 1.06, 95% CI [-1.44, 3.56], I<sup>2</sup> = 0%) or LH (MD -3.36, 95% CI [-13.37, 6.65], I<sup>2</sup> = 89%).</p><p><strong>Conclusion: </strong>Acupuncture may not decrease hot flush frequency, but yet appears to have similar effects on serum hormone levels as HT, that is, increased E2 and decreased FSH and LH. Considering that no firm conclusions could be drawn due to the low quality and limited number of included trials included, further high-quality RCTs need to be conducted.</p>","PeriodicalId":378725,"journal":{"name":"Acupuncture in medicine : journal of the British Medical Acupuncture Society","volume":" ","pages":"289-298"},"PeriodicalIF":2.5,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39715556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}