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Journal of Acupuncture and Meridian Studies
Journal Prestige (SJR): 0.347
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  This is an Open Access Journal Open Access journal
ISSN (Print) 2005-2901
Published by Elsevier Homepage  [3161 journals]
  • Effect of Acupressure on Preoperative Cesarean Section Anxiety

    • Abstract: Publication date: Available online 7 July 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Foziyeh Abadi, Faezeh Abadi, Zhila Fereidouni, Mehdi Amirkhani, Shahnaz Karimi, Majid Najafi Kelyani Anxiety is a common preoperative problem in cesarean section candidates. Non-pharmacologic anxiety control has been demonstrated to be more suitable in pregnant women. The current study was a randomized, single-blind clinical trial which evaluated the effect of acupressure on preoperative C-section anxiety. In this study, 60 patients facing surgery were randomly divided into two groups of 30 patients each. Those patients in the intervention group received simultaneous acupressure at the Yintang and HE-7 acupoints for 5 minutes before surgery, and patients in the control group received intervention at a sham acupoint. The anxiety level of patients was preoperatively assessed twice using the Spielberger’s State-Trait Anxiety Inventory [STAI]. The mean anxiety scores of the two groups were shown to be insignificantly different before the intervention [p=0.859], whereas a significant difference between the mean anxiety scores of the two groups was observed after the intervention [p=0.001], suggesting that acupressure reduced the anxiety of patients before surgery.
  • The effects of wet cupping therapy on the blood levels of some heavy
           metals: a pilot study

    • Abstract: Publication date: Available online 27 June 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Nafisa Khamis Umar, Sherali Tursunbadalov, Serdar Surgun, Osain Menizibeya Welcome, Senol Dane Background and aimHeavy metals have been recognized as toxins for centuries. Cupping therapy has been shown to aid the excretion of accumulated fluids and toxins from interstitial fluid. The aim of this study was to investigate the effects of wet cupping therapy on blood levels of heavy metals.MethodsThirteen healthy male subjects (mean age ± SD, 28.47 ± 6.18) participated in this study. Venous blood samples were collected 5 min before and 30 days after wet cupping therapy. Five points of the posterior neck and bilateral perispinal areas of the neck and thoracic spine were selected for cupping therapy. The levels of aluminium (Al), zinc (Zn), and cadmium (Cd) were measured by Atomic Absorption Spectrophotometer.ResultsThe levels of heavy metals (Al, Zn and Cd) after cupping therapy were significantly lower, compared to the levels before therapy.ConclusionsThese results suggest that wet cupping therapy has excretory effect on the kidney. Wet cupping therapy may clear blood from excess heavy metals.
  • Would a placebo acupuncture needle be able to induce Deqi'

    • Abstract: Publication date: Available online 23 June 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Cássia Maria Grillo, Vera Lúcia Rasera Zotelli, Maria Lúcia Bressiani Gil, Maria da Luz Rosário de Sousa
  • The Primo Vascular System as a possible exosomal route across the body:
           implications for tumour proliferation and metastasis

    • Abstract: Publication date: Available online 22 June 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Chiara Ghiron, The Yogi Cat This literature study paper will present the possibility of a correlation between the Energy Meridians of Traditional Chinese Medicine (TCM), which can be traced back to the recently described Primo Vessels (formerly known as Bong-Han ducts), their composition and the ability of tumours to proliferate and metastasise. It is proposed that microvesicular bodies such as exosomes, known to be involved in cell-to-cell communication, immune response and tumour proliferation, could be moving across the body via the Primo Vascular System. The ubiquity of the Primo Vascular System and its penetration through the blood-brain barrier could also explain the ability of some peripheral tumours (e.g. breast tumour) to metastasise in the brain.
  • Using Ultrasonography Measurements to Determine the Depth of the GB 21
           Acupoint to Prevent Pneumothorax

    • Abstract: Publication date: Available online 21 June 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Hsiao-Neng Chen, Chau-Yi Chang, Lian-Zen Chen, Yu-Jun Chang, Jaung-Geng Lin BackgroundPneumothorax is the most frequent severe acupuncture-related adverse event occurring at the GB 21 acupoint. This study used ultrasonography (US) to measure the depth of the GB 21 acupoint in adults and assessed its applicability for ensuring safe acupuncture practices.MethodsA US probe was used to measure the vertical depth from the skin to the pleural line of the apex of the lungs at the right and left GB 21 acupoints. The sex, age, body weight, height, and body mass index of each person were recorded. Student t test and generalized estimating equations were used for statistical analysis.ResultsSixty women and 41 men with a median age of 29 years were included in this study. The depth of GB 21 increased with body weight, height, and body mass index (p 
  • A Quality Model to Select Patients in Cupping Therapy Clinics: A New Tool
           for Ensuring Safety in Clinical Practice

    • Abstract: Publication date: Available online 8 June 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Tamer Aboushanab, Saud AlSanad Cupping therapy is a popular treatment in various countries and regions, including Saudi Arabia. Cupping therapy is regulated in Saudi Arabia by the National Center for Complementary and Alternative Medicine, Ministry of Health. The authors recommend that this quality model to select patients in cupping clinics - version 1 (QMSPCC-1)—be used routinely as part of clinical practice and quality management in cupping clinics. The aim of the quality model is to ensure the safety of patients and to introduce and facilitate quality and auditing processes in cupping therapy clinics. Clinical evaluation of this tool is recommended. Continued development, reevaluation and reassessment of this tool are important.
  • Acupuncture in Postdate Pregnancy Management

    • Abstract: Publication date: Available online 8 June 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Isabella Neri, Lucrezia Pignatti, Francesca Fontanesi, Fabio Facchinetti ObjectivesPharmacological labor induction is obtained through prostaglandins application and/or oxytocin infusion; however, the use seems to be related to fetal and maternal side effects. Traditional Chinese Medicine advocates the use of acupuncture to soften the cervix and induce uterine contractions. at which presented for The primary outcome was the rate of women admitted for labour induction in case of prolonged pregnancy at 41 + 5 weeks, and the secondary outcome was the rate of induction planning for other indications.MethodsAfter obtaining informed consent, 375 undelivered women after 40 + 2 gestational age were enrolled for the study: 112 women received acupuncture and 263, routine care. Acupuncture was applied every odd day starting from 40 + 2 weeks up to 41 + 4 weeks. Women allocated to the control group received standard care. At 41 + 5 weeks, a pharmacological induction was planned.ResultsThe rate of labor induction significantly differed between acupuncture and observation groups (19.6% vs. 38%; p 
  • Homing of the Stem Cells from the Acupoint ST-36 to the Site of a Spinal
           Cord Injury: A Preliminary Study

    • Abstract: Publication date: Available online 4 June 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Sharon Jiyoon Jung, Myung Geun Kook, Sungchul Kim, Kyung-Sun Kang, Kwang-Sup Soh Homing of stem cells (SCs) to desired targets such as injured tissues remains a lingering problem in cell-based therapeutics. Studies on the biodistribution of intravenously administered SCs have shown the inefficacy of blood vessels as the homing path because most of the injected SCs are captured in the capillary beds of the lungs. We considered an alternative administration method using the acupuncture meridians or the primo vascular system. We injected SCs at the acupoint Zusanli (ST-36) below the knee of a nude mouse with a spinal cord injured at the thoracic T9-10 vertebrae. The SCs migrated from the ST-36, along the sciatic nerve, the lumbar 4-5, and then the spinal cord to the injury point T9-10. The SCs were not randomly scattered but were rather well aligned like marathon race runners, along the primo vascular system route toward the injury point. We observed the SCs at 1, 3, 6, 9, 12, and 15 hours after injection. The fast runners among the injected SCs took about 6 hours to reach the sciatic nerve, about 9 hours to reach the lumbar 4-5, and about 15 hours to reach the injury point T9-10.
  • Recommended Articles

    • Abstract: Publication date: June 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 3Author(s):
  • The Biocompatibility of Nanoporous Acupuncture Needles

    • Abstract: Publication date: June 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 3Author(s): Saurav Sorcar, Craig A. Grimes, Su-Il In We investigate the biocompatibility of a new class of acupuncture needles that possess a hierarchical nano/microscale porous surface topology, referred to as porous acupuncture needles (PAN). The PAN is synthesized via a facile electrochemical anodization technique by which a surface area approximately 20 times greater than a conventional acupuncture needle, of approximately the same diameter, is obtained. PAN biocompatibility is evaluated using a variety of standard tests, with results indicating that the PAN can safely be used within therapeutic practice.
  • Isoflurane and the Analgesic Effect of Acupuncture and Electroacupuncture
           in an Animal Model of Neuropathic Pain

    • Abstract: Publication date: June 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 3Author(s): Lauren N. Spezia Adachi, Rafael Vercelino, Carla de Oliveira, Vanessa L. Scarabelot, Andressa de Souza, Liciane F. Medeiros, Stefania G. Cioato, Wolnei Caumo, Iraci L.S. Torres The present study aimed to determine whether isoflurane interferes with the analgesic effects of acupuncture (Ac) and electroacupuncture (EA), using a neuropathic pain (NP) rat model. In total, 140 male Wistar rats were used; isoflurane-induced nociceptive response was evaluated using the von Frey test, serum calcium-binding protein β (S100β) levels and nerve growth factor (NGF) levels in the left sciatic nerve. The NP model was induced by chronic constriction injury of the sciatic nerve at 14 days after surgery. Treatment was initiated after NP induction with or without isoflurane anesthesia (20 min/day/8 days). The von Frey test was performed at baseline, 14 days postoperatively, and immediately, 24 h, and 48 h after the last treatment. Results of the nociceptive test and three-way analysis of variance were analyzed by generalized estimating equations, the Bonferroni test, followed by Student–Newman–Keuls or Fisher's least significant difference tests for comparing biochemical parameters (significance defined as p ≤ 0.05). At baseline, no difference was noted in the nociceptive response threshold among all groups. Fourteen days after surgery, compared with other groups, NP groups showed a decreased pain threshold, confirming establishment of NP. Ac and EA enhanced the mechanical pain threshold immediately after the last session in the NP groups, without anesthesia. Isoflurane administration caused increased nociceptive threshold in all groups, and this effect persisted for 48 h after the last treatment. There was an interaction between the independent variables: pain, treatments, and anesthesia in serum S100β levels and NGF levels in the left sciatic nerve. Isoflurane enhanced the analgesic effects of Ac and EA and altered serum S100β and left sciatic nerve NGF levels in rats with NP.
  • The Beneficial Effects of Electroacupuncture at PC6 Acupoints (Neiguan) on
           Myocardial Ischemia in ASIC3 −/− mice

    • Abstract: Publication date: June 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 3Author(s): Ying-Wang, Wan-shuang Zhao, Di Li, Ya-han Xu, Meng-di Li, Jin Chen, Zhi-jun Kou, Qi-ge Wang, Yi-guo Chen, Nsoa dimitri Joseph This study aims to investigate the possible mechanisms of electroacupuncture (EA) at PC6 to improve myocardial ischemia (MI) by regulating the cardiac transient outward potassium current channel (Ito). According to the random number table, the mice were divided into six groups of six mice each: control group, MI group, PC6, LU7 (Lieque-point), ST36 (Zusanli-point), and nonacupoint group. Mice in the control group were injected with saline (20 mg/kg, 24 hours interval), and the other ASIC3 −/− mice were injected subcutaneously twice with isoproterenol (ISO) (20 mg/kg, 24 hours interval). In the preexperiment, 5 mg/kg, 10 mg/kg, 20 mg/kg, and 30 mg/kg of ISO were used, and the results showed that 5 mg/kg and 10 mg/kg of ISO both could induce acute MI, but shorter duration of sustained MI. On the other hand, an injection of 30 mg/kg can make the mice experience arrhythmia or die immediately, and EA was operated at PC6, LU7, ST36 acupoints, and nonacupoint in the mice of PC6, LU7, ST36, and nonacupoint groups, respectively, after injecting twice. Then Western blotting techniques (Western Blot) were used to analyze the protein expressions of Kv1.4, Kv4.2, Kv4.3, and KchIP2. The results of this experiment showed that the protein expressions of Kv1.4, Kv4.2, Kv4.3, and KChIP2 in MI group were significantly lower than those in the control group (p 
  • The Acupuncture Therapeutic Approach in Temporal Arteritis Vasculitis: A
           Case Report

    • Abstract: Publication date: June 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 3Author(s): Yılmaz Sezgin Temporal arteritis is a form of vasculitis that involves the large- and medium-diameter arteries and leads to progressive headache. Symptoms may be accompanied by vision disorder, subfebrile temperature, fatigue, lack of appetite, weight loss, sweating, and joint pains. While cortisone therapy reduces the symptoms, its effects in terms of improving quality of life are limited. We opted to benefit from the effects of acupuncture to reduce symptoms and increase quality of life in a case of temporal arteritis, a chronic disease. A 75-year-old woman presented with pain on both sides of the head. The pain occurred in the form of agonizing attacks 2–3 times a week. Accompanying neck pain was present, together with continuous lethargy and fatigue. Physical examination revealed decreased cutaneous elasticity and muscle mass, and a depressive mood state was present. The patient was first administered six sessions of acupuncture therapy directed toward the migraine etiology. When no response was achieved, we investigated temporal and parietal region points associated with headache in the literature. Points GB1,8,18, ST8, SI19, and BL8 were added to the treatment. The pain attacks and their frequency decreased following acupuncture therapy. In conclusion, while cortisone is the first preference in the treatment of temporal arteritis, we think that acupuncture aimed at the cause of accompanying symptoms can also be useful.
  • Cupping Therapy: An Overview from a Modern Medicine Perspective

    • Abstract: Publication date: June 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 3Author(s): Tamer S. Aboushanab, Saud AlSanad Cupping therapy is an ancient traditional and complementary medicine practice. Recently, there is growing evidence of its potential benefits in the treatment of pain-related diseases. This article gives an overview of cupping therapy practice. Furthermore, this article suggests a new classification of cupping therapy sets, a new classification of cupping therapy adverse events, and an updated classification of cupping therapy types.
  • Cupping Therapy and Animal Research: The Progress

    • Abstract: Publication date: June 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 3Author(s): Tamer Aboushanab, Saud AlSanad
  • Analgesic Effects Elicited by Neuroactive Mediators Injected into the ST
           36 Acupuncture Point on Inflammatory and Neuropathic Pain in Mice

    • Abstract: Publication date: Available online 31 May 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Jádina S. Vieira, Jéssica A. Toreti, Ravena C. de Carvalho, João E. de Araújo, Marcelo L. Silva, Josie R.T. Silva The present study evaluates whether the injection of serotonin, acetylcholine, glutamate, bradykinin, histamine, or substance P (SP) into the Zusanli (Stomach 36, ST 36) acupoint can also produce the acupuncture-induced antinociceptive effect on inflammatory or neuropathic pain. In this in vivo experimental study, a total of 450 male Swiss mice were used. Mice were injected with saline or complete Freund's adjuvant (CFA) or subjected to sham or chronic constriction injury (CCI) surgery. After the establishment of the inflammatory (4 hours) or the neuropathic pain (3 days), the animals (n = 6) received manual acupuncture, sham acupuncture, or injection of saline, serotonin, acetylcholine, glutamate, bradykinin, histamine, or SP into the ST 36 and were evaluated for up to 24 hours. Mechanical threshold was evaluated, and the L4-L6 dorsal root ganglion was used for analysis of the transient receptor potential vanilloid type 1 overexpression. The mice from both the CFA and CCI models treated with manual acupuncture had significant increases in the thresholds for more than 24 hours. Sham acupuncture stimulation did not change the thresholds. In the mice injected with each of the mediators, the thresholds were significantly increased for all times in both the CFA and CCI models. Transient receptor potential vanilloid type 1 overexpression in CFA and CCI mice was reduced at all times by injection of serotonin, acetylcholine, or SP but not by injection of glutamate, histamine, or bradykinin. Our data suggest that the neuroactive mediators released by acupuncture-induced tissue injury may contribute to acupuncture-induced analgesia.
  • Spinal Cord Injury: How Could Acupuncture Help'

    • Abstract: Publication date: Available online 30 May 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Qianqian Fan, Omer Cavus, Lize Xiong, Yun Xia Spinal cord injury (SCI) is one of the most common causes of death and disability worldwide, and it can result in both permanent disability and serial complications in patients. Research shows that patients with SCI complications are often interested in acupuncture for symptomatic relief. Therefore, the issue of physicians advising their patients regarding the use of acupuncture to alleviate SCI complications becomes pertinent. We review and summarize two types of relevant publications: (1) literature concerning acupuncture for SCI and its complications and (2) underlying mechanisms of acupuncture therapy for SCI. Clinical trials and reviews have suggested that acupuncture effectively manages a range of post-SCI complications, including motor and sensory dysfunction, pain, neurogenic bowel and bladder, pressure ulcers, spasticity, and osteoporosis. The effect of acupuncture on post-SCI orthostatic hypotension and sexual dysfunction remains unclear. Decreased oxidative stress, inhibition of inflammation and neuronal apoptosis, regulation of the expression and activity of endogenous biological mediators, and increased regenerative stem cell production are the possible mechanisms of acupuncture therapy for SCI. Although many limitations have been reported in previous studies, given the evidence for the efficacy of acupuncture, we recommend that physicians should support the use of acupuncture therapy for SCI complications.
  • A New Definition of an Acupuncture Meridian

    • Abstract: Publication date: Available online 26 May 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Fletcher Kovich This article provides a new definition of an acupuncture meridian. It suggests that a meridian consists of a distal tract of tissue that is affected by organ function. In the 1960s, Kim discovered the primo vascular system and regarded the superficial primo vessels as equating to the meridians. Instead, this article suggests that the superficial primo vessels merely underlie the meridians, in that they enable their creation, which is why some meridians are said to occur along the paths of superficial primo vessels. But the meridians themselves do not have a dedicated anatomical structure; instead they are merely tracts of tissue whose normal function is impeded when the related abdominal organ is stressed. It is hypothesized that the organ information is communicated in electrical waves that may travel through the connective tissue sheaths of the superficial primo vessels. Hence, the primo vessels serve as an inadvertent transport for this information, but the organ information is independent of the physiological purpose of the primo vascular system, as are the resultant meridians.
  • Effect of Auriculotherapy on the Plasma Concentration of Biomarkers in
           Individuals with Knee Osteoarthritis

    • Abstract: Publication date: Available online 18 May 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Rebeca Graça Costa-Cavalcanti, Danúbia da Cunha de Sá-Caputo, Eloá Moreira-Marconi, Cristiane Ribeiro Küter, Samuel Brandão-Sobrinho-Neto, Laisa Liane Paineiras-Domingos, Marcia Cristina Moura-Fernandes, João Marcelo Castelpoggi da Costa, José Maurício de Moraes Carmo, José Firmino Nogueira-Neto, Shyang Chang, Mario Bernardo-Filho Knee osteoarthritis (KOA) is one of the most frequent noncommunicable diseases with pain associated symptoms and affects the musculoskeletal system. Various forms of treatment can be indicated, and nonpharmacological treatment is also an available option for the management of KOA individuals. For instance, auriculotherapy (AT) is one possible procedure associated with the Traditional Chinese Medicine for dealing with KOA. It is believed that the concentration of certain biomarkers could be altered in individuals with KOA after AT. The aim of this study was to evaluate the effect of AT on plasma concentration of biomarkers in KOA individuals. This intervention is a controlled trial. Twenty-one subjects were grouped in two groups and submitted to AT with the stimulation of the Shen Men, kidney, and knee points in the treatment group or different points in the control group, once a week for 5 weeks. Blood was collected before the beginning of protocols and a week after the last session. Kolmogorov–Smirnov and Wilcoxon tests were performed, and a p ≤ 0.05 was considered statistically significant. Hematological parameters did not show any significant variation between the control group and treated group. Concerning the biochemical parameters, a significant reduction of direct bilirubin (from 43.31 ± 22.10 to 21.21 ± 5.30 μmol/L, p = 0.003), aspartate aminotransferase (from 0.48 ± 0.16 to 0.38 ± 0.09 μKat/L, p = 0.010), and triglycerides (from 7.04 ± 2.90 to 5.45 ± 2.57 mmol/L, p = 0.008) in the treated group was obtained. In conclusion, the analysis of results suggests that AT might be a useful intervention for the management of KOA individuals.
  • Thermopuncture for the Diagnosis, Monitoring, and Treatment of Patients
           with Type 2 Diabetes

    • Abstract: Publication date: Available online 18 May 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Valery Muzhikov, Elena Vershinina, Ruslan Muzhikov, Kirill Nikitin BackgroundType 2 diabetes (T2D) is a socially significant disease that affects millions of patients. There were an estimated 366 million people with this disease in 2011, and, according to the forecast, approximately 552 million will be affected by this disease in 2030. It is well known that the primary diagnosis and treatment of a patient with this disease are quite expensive. What should be done to make it possible for a patient to monitor his own state and provide treatment in his own home using telemedicine'To solve this problem, an alternative concept for the diagnosis, monitoring, and treatment at the basis of traditional Chinese medicine combined with mathematical methods of data processing has been used.Methods/DesignTo assess the pattern thresholds of acupuncture channels of heat sensitivity in patients with T2D, the Akabane test was performed on 160 men and 243 women (total 696 tests), including the dynamics of surveillance. For comparison, a group of healthy individuals comprising 116 men and 277 women also participated.ResultsIt was found that the main difference between patients with T2D and the healthy individuals is the presence of a pronounced asymmetry between the right and left branches of the canals, primarily in the digestive system. At the same time, the level of asymmetry increases with the increase in the glycemic level. This dependence allows for the early diagnosis of T2D. Moreover, a targeted stimulation of the definite channels with a high level of asymmetry based on the individual calculations can decrease the glycemic level.ConclusionThe combination of the Akabane test with the use of mathematical analysis in patients with T2D makes it possible to trace the entire chain of carbohydrate metabolism at an individual level and to identify the compensatory mechanisms for more effective treatment of reflexotherapy methods. This kind of treatment and monitoring can also be performed by the patient independently in his own home.
  • Effect of the Auricular Acupoint Associated with Physical Exercise in
           Elderly People: A Randomized Clinical Test

    • Abstract: Publication date: Available online 16 May 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Rogéria Gonçalves de Carvalho Fonseca, Andréia Maria Silva, Luiza Faria Teixeira, Valéria Regina Silva, Luciana Maria dos Reis, Adriana Teresa Silva Santos ObjectiveTo analyze the effect of auricular acupoint associated with physical exercise on balance, mobility, and fear of falling in the elderly.MethodThe study is characterized as a clinical, controlled, and randomized trial with 22 elderly people divided into two groups: kinesiotherapy group (n = 11) and kinesiotherapy/auriculotherapy group (n = 11). The instruments used for evaluation were Falls Efficacy Scale International; Berg Balance Scale, and Timed up and Go Test. The intervention was performed with frequency 2×/week for 8 weeks. In the kinesiotherapy/auriculotherapy group, in addition to kinesiotherapy, auriculotherapy was applied in specific acupoints. The Shapiro–Wilk test was used to determine the normality of the data, and for comparison, analysis of variance was used for repeated measures of two factors.ResultsThere was a significant intragroup reduction for the Timed up and Go Test (p = 0.00) and Falls Efficacy Scale International (p = 0.00), and significant intragroup Berg Balance Scale (p = 0.00) for both groups.ConclusionThe auricular acupoint did not influence the balance, mobility, and fear of falling in the elderly studied.
  • Combination of Exercise and Acupuncture Versus Acupuncture Alone for
           Treatment of Myofascial Pain Syndrome: A Randomized Clinical Trial

    • Abstract: Publication date: Available online 7 May 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Bina Eftekharsadat, Elmira Porjafar, Fariba Eslamian, Seyed Kazem Shakouri, Hamid Reza Fadavi, Seyed Ahmad Raeissadat, Arash Babaei-Ghazani Myofascial pain syndrome (MPS) is a common musculoskeletal disorder. This study was designed to compare the effects of aerobic exercise plus acupuncture with acupuncture alone in treatment of patients with MPS. Sixty-four patients (55 female and 9 male) with MPS in their neck and shoulders participated in the study with mean age of 33.1 ± 6.4 years. Participants were randomly allocated to aerobic exercise plus acupuncture (n = 32) or acupuncture alone (n = 32) groups. Outcome measurements included visual analog scale, pressure pain threshold, neck disability index, and quality of life that was measured with QoL-SF36 scale. Each group received 10 sessions of acupuncture in combination with aerobic exercise or acupuncture alone. The outcome measures were evaluated at baseline, at the end of the last treatment session, and at 1-month follow-up visit. While participants were waiting for their 1-month follow-up visit, the patients who received combination therapy were asked to continue their aerobic exercise by jogging 40 minutes a day. Although mean visual analog scale, pressure pain threshold, neck disability index, and QoL-SF36 were significantly improved in both groups (p  0.29).
  • Efficacy of Acupuncture in the Management of Primary Dysmenorrhea: A
           Randomized Controlled Trial

    • Abstract: Publication date: Available online 12 April 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Geetha B. Shetty, Balakrishna Shetty, A. Mooventhan IntroductionDysmenorrhea constitutes one of the most frequent disorders in women of a fertile age. The present study was conducted to evaluate the efficacy of acupuncture in the management of primary dysmenorrhea.Materials and methodsSixty females aged 17–23 years were randomly assigned to either a study group or a control group. The study group received acupuncture for the duration of 20 minutes/day, for 15 days/month, for the period of 90 days. The control group did not receive acupuncture for the same period. Baseline, during, and post assessments of both the groups were taken on day 1; day 30 and day 60; and day 90, respectively. Statistical analysis was performed by repeated measures of analysis of variance followed by posthoc analysis with Bonferroni adjustment for multiple comparisons, independent samples t test for visual analog scale score, and Mann–Whitney U test for rest of the variables using statistical package for the social sciences, version 16.ResultsThis study showed a significant reduction in all the variables such as the visual analog scale score for pain, menstrual cramps, headache, dizziness, diarrhea, faint, mood changes, tiredness, nausea, and vomiting in the study group compared with those in the control group.ConclusionAcupuncture could be considered as an effective treatment modality for the management of primary dysmenorrhea.
  • Comparison of the Prophylactic Effect Between Acupuncture and Acupressure
           on Menstrual Migraine: Results of a Pilot Study

    • Abstract: Publication date: Available online 11 April 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Xianmin Yu, Alan Salmoni ObjectivesTo compare between acupuncture and acupressure for preventing menstrual migraine (MM).MethodsMM is one kind of migraine associated with menses in female. It is often associated with increased menstrual distress and disability, leading to decreased daily activity and quality of life. A randomized and controlled pilot study was conducted with three groups: verum acupuncture (VA) group, acupressure (AP) group, and control acupuncture (CA) group. The study lasted for 7 cycle-months, with a 1 cycle-month baseline observation (T1), a 3 cycle-month intervention (3 times per cycle-month) (T2–T4), and a 3 cycle-month follow-up (T5–T7). Outcome measures were number of migraine days, average and peak pain, total duration period of MM, and percentage of patients with ≥50% reduction in the number of MM days.ResultsA total of 18 participants were included in the analysis (VA, n = 7; AP, n = 6; CA, n = 5). Both VA and AP were significantly more effective than CA for reducing MM days during the intervention period. Both VA and AP tended to be more effective than CA for reducing peak pain during the intervention period. No significant differences for the outcomes were observed among VA, AP, and CA during the follow-up period. No serious adverse events were reported.DiscussionResults of the pilot study suggest that both VA and AP could be considered as alternative and safe prophylactic interventions for MM. Register Identifier: NCT02592681.
  • Expression of Genes in Primo Vasculature Floating in Lymphatic Endothelium
           Under Lipopolysaccharide and Acupuncture Electric Stimulation

    • Abstract: Publication date: Available online 4 April 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Jun-Young Shin, Jong-Ok Ji, Da-Woon Choi, Sang-Heon Choi, Jong-Gu Choi, Min-Suk Rho, Ji Yoon Lee, Sang-Suk Lee It is known that the primo vascular system (PVS) includes the primo nodes and vessels. However, the relevant genes in the PVS system for both pathologic and physiologic condition are poorly understood. Here, we first examined the gene expression in primo vessels (PVs) floating in lymphatic endothelium by isolation of PVS and lymphatic vessels (LVs) containing PVS. To investigate therapeutic effects, both PVs and LVs containing PVS were isolated after lipopolysaccharide injection and acupuncture electric stimulation at two acupoints Joksamni (ST36) and Hapgok (LI04) following lipopolysaccharide injection. We used reverse transcriptase–polymerase chain reaction to examine expression of lymphatic endothelial cell markers and inflammatory related genes. We found that lymphatic endothelial cell markers such as fms-related tyrosine kinase 4 (Flt4), lymphatic vessel endothelial receptor (Lyve-1), prospero homeobox protein 1 (Prox-1), and podoplanin (Pdpn) were highly expressed in PV compared to that of lymphatic endothelium, suggesting pivotal roles of PV in LV under inflammation. Furthermore, lymphatic-related genes including metal-response element-binding transcription factor 2 (Mtf2), hypoxia inducible factor (Hif1a), angiotensin II type 1 receptor (Agtr1), and angiotensin II type 2 receptor (Agtr2) were also overall increased in PV, and remarkably increased and these genes except peroxisome proliferator–activated receptor gamma (Pparg) after acupuncture electric stimulation in two acupoints implying central role of PV by gene activation.
  • Kinesio Taping Associated with Acupuncture in the Treatment of the Paretic
           Upper Limb After Stroke

    • Abstract: Publication date: April 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 2Author(s): Moisés S. Dall'Agnol, Fernanda Cechetti The leading cause of disability in adults, leads to different consequences, such as hemiparesis and loss of function in the upper limb which can impair the performance of activities of daily living. Different techniques, such as like acupuncture and Kinesio Taping (KT), have been used to ameliorate this condition. However, there is no consensus on their concomitant effect on neurological patients. This study aimed to analyze the effects of acupuncture associated with KT on the upper limb of patients with chronic hemiparesis after stroke. In this clinical study, 16 subjects were divided into two intervention groups: acupuncture (ACP)—12 sessions of acupuncture—and acupuncture + Kinesio Taping (ACP-KT)—12 sessions of acupuncture plus KT. The Modified Ashworth Scale (spasticity), active goniometry [range of motion (ROM)], and the Wolf Motor Function Test (speed of movement) were used to assess the function of the affected upper limb. As a main result, both groups reduced spasticity in some studied musculature and increased ROM (p < 0.05), without intergroup difference. Moreover, there was no significant improvement concerning speed of movement in either group. Acupuncture was effective in reducing spasticity and increasing ROM of paretic upper limb after stroke, but did not contribute significantly to speed and quality of movement. KT did not show significant benefits concerning the analyzed variables.
  • Scalp Acupuncture for the Treatment of Motor Function in Acute Spinal Cord
           Injury: A Case Report

    • Abstract: Publication date: April 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 2Author(s): Colette Widrin An acute spinal cord injury is the result of a traumatic injury to the spinal cord caused by a contusion, compression, or severing of the spinal cord. There are approximately 17,000 new cases each year, of which, males account for 80%. Approximately 65% of these injuries cause incomplete or partial damage to the spinal cord. Comprehensive treatment is essential to restore maximum function. Surgical procedures, stem cell therapy, pharmaceutical agents, and physical therapy are employed to minimize and repair damage done to the nervous system. The majority of motor and sensory recovery occurs during the first 12 to 15 weeks after the injury. Acupuncture has shown promising results in mediating neural plasticity and could be a useful treatment modality in hospital and rehabilitation settings. This case presents the treatment of an acute spinal cord injury, level T5, incomplete, with scalp acupuncture both within and beyond the optimal recovery window. The treatments given within the optimal window seemed to facilitate better restoration of nervous system communication when performing specific action.
  • Recommended Articles

    • Abstract: Publication date: April 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 2Author(s):
  • Single or Multiple Electroacupuncture Sessions in Nonspecific Low Back
           Pain: Are We Low-Responders to Electroacupuncture'

    • Abstract: Publication date: April 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 2Author(s): Ravena C. de Carvalho, Julia R. Parisi, Wiliam A. Prado, João E. de Araújo, Andreia M. Silva, Josie R.T. Silva, Marcelo L. Silva The objective of this study was to compare the effects of one or multiple sessions of electroacupuncture (EA) in patients with chronic low back pain. The outcome measures were visual analog score (VAS), pressure pain threshold (PPT), McGill pain questionnaire (MPQ), Roland Morris disability questionnaire (RMDQ), low back skin temperature, surface electromyography of longissimus muscle (contraction/rest) and blood cytokines. After examination (AV0), patients were submitted to EA (2 Hz, 30 minutes, bilaterally at the SP6, BL23, BL31, BL32, BL33, and BL60) and were revaluated after one week (AV1). Patients with VAS 3 group, n = 20) were submitted to one weekly EA-treatment and revaluated after three weeks (AV2). The VAS 3 group showed reduction in VAS and increased PPT in AV1 and a reduction in MPQ and RMDQ only in AV2. No significant differences were found in electromyography, temperature or cytokines. Thus, despite 2Hz-EA is effective reducing low back pain, some patients only experienced reduced pain intensity and improved functional capacity after full treatment.
  • Electroacupuncture for the Treatment of Calcific Tendonitis. A Pilot Study

    • Abstract: Publication date: April 2018Source: Journal of Acupuncture and Meridian Studies, Volume 11, Issue 2Author(s): Georgios Papadopoulos, Alexandros Mavrodontidis, Antonia Liarmakopoulou, Petros Tzimas, Georgios Angelidakis, Panagiotis Koulouvaris, Anastasios Petrou Current treatment for calcific tendonitis consists of arm rest, antiinflammatory medications, and corticosteroid injections. If unsuccessful, a lot of clinicians suggest several physiotherapy modalities, such as shockwave therapy and electrotherapy. The purpose of our study was to assess the efficacy of electroacupuncture, as a substitute for failed medical treatment in calcific tendonitis.In a pilot study, we prospectively followed 10 patients treated with electroacupuncture for calcific tendonitis who failed to respond to medical treatment. Its efficacy was assessed by evaluating the level of pain, the Beck Depression Inventory, the range of active elbow mobility, and by repeated radiological evaluation of the course of calcific deposits. All clinical and radiological observations were recorded before and within 6 months after the onset of treatment.After electroacupuncture treatment (2 Hz, 180 mA for 30–60 seconds at GB21, GB34, LI4, LI 14, LI15, TW5, TW14, Chien Chien SI9, SI12, S37, S38), the visual analog score decreased notably, and the range of motion returned to normal. Radiological evaluation demonstrated almost complete absorption of calcific deposits within 6 months, after treatment.We conclude that electroacupuncture relieved skeletal pain, improved the quality of patient's life, and contributed to total regression of the calcific depositions in followed patients. So, electroacupuncture may be a valuable treatment option for calcific tendonitis, when medical treatment fails to relieve symptoms.
  • Acupuncture for the Treatment of Paraneoplastic Night Sweats

    • Abstract: Publication date: Available online 21 March 2018Source: Journal of Acupuncture and Meridian StudiesAuthor(s): Visweswaran Ramasamy This case report describes acupuncture treatment to manage paraneoplastic night sweating secondary to pancreatic cancer. A 56-year-old gentleman with a 2-month history of night sweating responded well over a 10-week course of acupuncture treatment. Acupuncture was selected for symptom management after no success was achieved with pharmacological and conventional managements. The severity of night sweating had reduced from 9/10 to 1/10 on visual analog scale at the end of treatment. This case report suggests that acupuncture has a favorable effect on paraneoplastic night sweating in patients with advanced pancreatic cancer and recommends further research.
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