Siga este link para ver outros tipos de publicações sobre o tema: Acupuncture.
Artigos de revistas sobre o tema "Acupuncture"
Crie uma referência precisa em APA, MLA, Chicago, Harvard, e outros estilos
Veja os 50 melhores artigos de revistas para estudos sobre o assunto "Acupuncture".
Ao lado de cada fonte na lista de referências, há um botão "Adicionar à bibliografia". Clique e geraremos automaticamente a citação bibliográfica do trabalho escolhido no estilo de citação de que você precisa: APA, MLA, Harvard, Chicago, Vancouver, etc.
Você também pode baixar o texto completo da publicação científica em formato .pdf e ler o resumo do trabalho online se estiver presente nos metadados.
Veja os artigos de revistas das mais diversas áreas científicas e compile uma bibliografia correta.
1
Kang, Ji-Eun, Hye-Jung Lee, Sabina Lim, Ee-Hwa Kim, Tae-Hee Lee, Mi-Hyeon Jang, Min-Chul Shin, Baek-Vin Lim, Youn-Jung Kim e Chang-Ju Kim. "Acupuncture Modulates Expressions of Nitric Oxide Synthase and c-Fos in Hippocampus After Transient Global Ischemia in Gerbils". American Journal of Chinese Medicine 31, n.º 04 (janeiro de 2003): 581–90. http://dx.doi.org/10.1142/s0192415x03001235.
Texto completo da fonteResumo:
The effects of acupuncture on the expressions of nitric oxide synthase (NOS) and c-Fos in the hippocampus of gerbils after transient ischemia were investigated via nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d) histochemistry and Fos immunohistochemistry. In animals of the ischemia-induction groups, both common carotid arteries were occluded for 5 minutes. Animals of the acupunctued groups were given acupunctural treatment at Zusanli twice daily for 9 consecutive days. Acupuncture was shown to decrease NADPH-d and c-Fos levels in both the sham-operation group and the ischemia-induction group. These results suggest that acupuncture modulates the expressions of NOS and c-Fos in the hippocampus.
2
Zhang, Jiarun, Weizhen Wu, Li Wan, Yunqing Zhang, Ruoqi Li, Ning Li e Dongqing Guo. "Comparative Study of Najia and Nazi Acupunctures to Reduce Rat Gastric Ulcer". Acupuncture & Electro-Therapeutics Research 44, n.º 3 (21 de janeiro de 2020): 191–201. http://dx.doi.org/10.3727/036012920x15779969212937.
Texto completo da fonteResumo:
Gastric ulcer is a common digestive system disease, which leads to the serious decline in the life quality and effective therapies are in urgent need. Midnightmidday ebb flow acupunctures including Najia and Nazi acupunctures have been applied in clinics in China for more than one thousand years and the acupoints are selected according to the time rhythm. Najia acupuncture, namely day-prescription of acupoints, divides ten days (one cycle) into 120 two-hour periods and each period is coordinated with a meridian. Meanwhile, Nazi acupuncture, namely hour-prescription of acupoints, divides a day(one cycle) into 12 two-hour periods and each period is coordinated with a meridian. When there is a disease in a certain meridian, the relevant acupoints are operated in the corresponding time. However, the comparative efficacies of Najia and Nazi acupunctures on promoting the healing of gastric ulcer are still unknown. In this study, gastric ulcer rats were induced by acetic acid and were randomly divided into four groups: non-acupuncture group, normal acupuncture group, Najia acupuncture group and Nazi acupuncture group. After different treatments for continuous 10 days, the gained weight, gastric ulcer area and the thickness of gastric mucosa were measured and analyzed. Decreased ulcer area, increased mucosa thickness and dense scar tissue occurred in the Najia group and Nazi group compared to that in the non-acupuncture group (P<0.05). However, there were no significant differences between Najia and Nazi acupuncture groups (P>0.05). Thickness of gastric mucosa in Nazi acupuncture group increased significantly compared to normal acupuncture group (P<0.05). Therefore, the findings in this study indicated that Najia and Nazi acupunctures had gastroprotective effects and accelerated the healing of acetic acid-induced gastric ulcer in rats, but no significant differences between them. It may provide valuable information for development of acupuncture for the treatment of gastric ulcer in clinics.
3
Cai, Wuying. "Acupuncture and the Nervous System". American Journal of Chinese Medicine 20, n.º 03n04 (janeiro de 1992): 331–37. http://dx.doi.org/10.1142/s0192415x92000369.
Texto completo da fonteResumo:
Acupuncture is based on neuroanatomy and neurophysiology. At each acupuncture point, there are peripheral nerves and terminals. Acupuncture will be useful for further understanding of the nervous system. A conceptual view of acupuncture's physiology is presented.
4
Yang, Chae Ha, Bong Hyo Lee e Sung Hoon Sohn. "A Possible Mechanism Underlying the Effectiveness of Acupuncture in the Treatment of Drug Addiction". Evidence-Based Complementary and Alternative Medicine 5, n.º 3 (2008): 257–66. http://dx.doi.org/10.1093/ecam/nem081.
Texto completo da fonteResumo:
Clinical trials are currently underway to determine the effectiveness of acupuncture in the treatment of drug addiction. While there are still many unanswered questions about the basic mechanisms of acupuncture, some evidence exists to suggest that acupuncture can play an important role in reducing reinforcing effects of abused drugs. The purpose of this article is to critically review these data. The neurochemical and behavioral evidence showed that acupuncture's role in suppressing the reinforcing effects of abused drugs takes place by modulating mesolimbic dopamine neurons. Also, several brain neurotransmitter systems such as serotonin, opioid and amino acids including GABA have been implicated in the modulation of dopamine release by acupuncture. These results provided clear evidence for the biological effects of acupuncture that ultimately may help us to understand how acupuncture can be used to treat abused drugs. Additional research using animal models is of primary importance to understanding the basic mechanism underlying acupuncture's effectiveness in the treatment of drug addiction.
5
Jang, Mi-Hyeon, Min-Chul Shin, Baek-Vin Lim, Hyun-Bae Kim, Young-Pyo Kim, Ee-Hwa Kim, Hong Kim, Mal-Soon Shin, Sung-Soo Kim e Chang-Ju Kim. "Acupuncture Increases Nitric Oxide Synthase Expression in Hippocampus of Streptozotocin-induced Diabetic Rats". American Journal of Chinese Medicine 31, n.º 02 (janeiro de 2003): 305–13. http://dx.doi.org/10.1142/s0192415x03000989.
Texto completo da fonteResumo:
In the present study, the effect of acupuncture at Zusanli acupoint on nitric oxide synthase (NOS) expression in the hippocampus of streptozotocin (STZ)-induced diabetic rats was investigated via nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d) histochemistry. Animals were divided into four groups: the control group, the nondiabetic and acupunctured group, the STZ-induced diabetes group, and the STZ-induced diabetes and acupunctured group. From the results, NADPH-d-positive neurons in the hippocampus were decreased in STZ-induced diabetic rats, while acupuncture increased NOS expression significantly under diabetic conditions. In the present study, it can be suggested that acupuncture treatment may modulate NOS activity in the hippocampus under diabetic conditions.
6
Hullender Rubin, Lee E., Belinda J. Anderson e LaTasha B. Craig. "Acupuncture and in vitro fertilisation research: Current and future directions". Acupuncture in Medicine 36, n.º 2 (abril de 2018): 117–22. http://dx.doi.org/10.1136/acupmed-2016-011352.
Texto completo da fonteResumo:
Background Acupuncture is a common adjuvant treatment to support patients undergoing in vitro fertilisation (IVF). However, the impact of acupuncture and the different roles it can play in IVF remain unclear. Objective In this paper, we present an overview and critique of the current evidence on acupuncture's impact on IVF-related stress, describe harms, and propose future directions for investigation. Conclusion Two to three acupuncture sessions performed on or around the day of embryo transfer are insufficient interventions to improve IVF birth outcomes but provide significant IVF-related stress reduction. Research investigating acupuncture to support IVF is heterogeneous and confounded by the lack of an appropriate comparator. However, evidence suggests several acupuncture sessions improve endometrial thickness, reduce stress, and improve patient satisfaction. Observational studies suggest more sessions are associated with increases in clinical pregnancy and live birth rates. An optimised acupuncture intervention with a reasonable comparator is necessary for future studies, with evidence-based guidance on technique and number of sessions. Acupuncture should not be rejected as an adjuvant therapy for IVF, but more studies are needed to clarify acupuncture's role in supporting IVF cycles.
7
Langevin, Helene M., David L. Churchill, James R. Fox, Gary J. Badger, Brian S. Garra e Martin H. Krag. "Biomechanical response to acupuncture needling in humans". Journal of Applied Physiology 91, n.º 6 (1 de dezembro de 2001): 2471–78. http://dx.doi.org/10.1152/jappl.2001.91.6.2471.
Texto completo da fonteResumo:
During acupuncture treatments, acupuncture needles are manipulated to elicit the characteristic “de qi” reaction widely viewed as essential to acupuncture's therapeutic effect. De qi has a biomechanical component, “needle grasp,” which we have quantified by measuring the force necessary to pull an acupuncture needle out of the skin (pullout force) in 60 human subjects. We hypothesized that pullout force is greater with both bidirectional needle rotation (BI) and unidirectional rotation (UNI) than no rotation (NO). Acupuncture needles were inserted, manipulated, and pulled out by using a computer-controlled acupuncture needling instrument at eight acupuncture points and eight control points. We found 167 and 52% increases in mean pullout force with UNI and BI, respectively, compared with NO (repeated-measures ANOVA, P < 0.001). Pullout force was on average 18% greater at acupuncture points than at control points ( P < 0.001). Needle grasp is therefore a measurable biomechanical phenomenon associated with acupuncture needle manipulation.
8
Li, Boxuan, Shizhe Deng, Bomo Sang, Weiming Zhu, Bifang Zhuo, Menglong Zhang, Chenyang Qin, Yuanhao Lyu, Yuzheng Du e Zhihong Meng. "Revealing the Neuroimaging Mechanism of Acupuncture for Poststroke Aphasia: A Systematic Review". Neural Plasticity 2022 (21 de abril de 2022): 1–23. http://dx.doi.org/10.1155/2022/5635596.
Texto completo da fonteResumo:
Background. Aphasia is a common symptom in stroke patients, presenting with the impairment of spontaneous speech, repetition, naming, auditory comprehension, reading, and writing function. Multiple rehabilitation methods have been suggested for the recovery of poststroke aphasia, including medication treatment, behavioral therapy, and stimulation approach. Acupuncture has been proven to have a beneficial effect on improving speech functions in repetition, oral speech, reading, comprehension, and writing ability. Neuroimaging technology provides a visualized way to explore cerebral neural activity, which helps reveal the therapeutic effect of acupuncture therapy. In this systematic review, we aim to reveal and summarize the neuroimaging mechanism of acupuncture therapy on poststroke aphasia to provide the foundation for further study. Methods. Seven electronic databases were searched including PubMed, Web of Science, Embase, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, the Wanfang databases, and the Chinese Scientific Journal Database. After screening the studies according to the inclusion and exclusion criteria, we summarized the neuroimaging mechanism of acupuncture on poststroke aphasia, as well as the utilization of acupuncture therapy and the methodological characteristics. Result. After searching, 885 articles were retrieved. After removing the literature studies, animal studies, and case reports, 16 studies were included in the final analysis. For the acupuncture type, 10 studies used manual acupuncture and 5 studies used electroacupuncture, while body acupuncture (10 studies), scalp acupuncture (7 studies), and tongue acupuncture (8 studies) were applied for poststroke aphasia patients. Based on blood oxygen level-dependent (BOLD) and diffusion tensor imaging (DTI) technologies, 4 neuroimaging analysis methods were used including amplitude of low-frequency fluctuation (ALFF), regional homogeneity (ReHo), seed-based analysis, and independent component analysis (ICA). Two studies reported the instant acupuncture effect, and 14 studies reported the constant acupuncture’s effect on poststroke aphasia patients. 5 studies analyzed the correlation between the neuroimaging outcomes and the clinical language scales. Conclusion. In this systematic review, we found that the mechanism of acupuncture’s effect might be associated with the activation and functional connectivity of language-related brain areas, such as brain areas around Broca’s area and Wernicke’s area in the left inferior temporal gyrus, supramarginal gyrus, middle frontal gyrus, and inferior frontal gyrus. However, these studies were still in the preliminary stage. Multicenter randomized controlled trials (RCT) with large sample sizes were needed to verify current evidence, as well as to explore deeply the neuroimaging mechanisms of acupuncture’s effects.
9
Farmer, Cecilia. "Bringing Holistic Treatments to the Attention of Medicine". Journal of Evidence-Based Complementary & Alternative Medicine 20, n.º 2 (31 de dezembro de 2014): 120–25. http://dx.doi.org/10.1177/2156587214565459.
Texto completo da fonteResumo:
This article reviews 3 studies that explore the effects of acupuncture on poststroke patients suffering from chronic stroke symptoms. The 3 studies selected strive to show how acupuncture can be a safe, noninvasive, and cost-effect rehabilitation tool useful in adjunct with traditional rehabilitation. Chou et al (2009), Hopwood et al (2008), and Wayne et al (2005) all studied acupuncture’s effects on quality of life. Additionally, both Hopwood et al and Wayne et al studied acupuncture’s effects on mobility and activities of daily living. While the frequency, duration, and length of the entire treatment varied by study, overall, the results of all 3 studies suggest that acupuncture increases quality of life and improves mobility and activities of daily living.
10
Nurbani, Rina, e Dwi Rachma Helianthi. "Wrist Ankle Acupuncture (WAA) and Body Acupuncture Accelerates Neurorehabilitation in Bell's Palsy: A Case Report". Journal of Agromedicine and Medical Sciences 7, n.º 3 (31 de outubro de 2021): 136. http://dx.doi.org/10.19184/ams.v7i3.24818.
Texto completo da fonteResumo:
Bell’s Palsy (BP) is an acute unilateral facial paralysis due to idiopathic inflammation of the peripheral facial nerve. Corticosteroids, antiviral drugs, and physical therapy could be useful to treat BP, however these treatments could not bring complete recovery. Acupuncture could be an alternative option for BP and to show its effectiveness, we present a case report, a patient with BP treated with acupuncture. A 48-year-old female patient, a kindergarden teacher, already treated with corticosteroid and antiviral agents as soon as BP was diagnosed. Six weeks later, patient didn’t recover, with House-Brackmann score stage 3. Acupuncture was perfomed at local and distance acupoints at ears, body and face. Wrist Ankle Acupuncture (WAA) L1,2; ear acupuncture at zero point; and body points were stimulated by electroacu-puncture. After acupuncture therapy, the House-Brackmann score was grade 2. Medical options for the sequelae of BP are limited. Acupuncture’s effectivity in Bell palsy patients’ should be shown with more clinical studies.
Keywords: Acupuncture; Wrist Ankle Acupuncture; Bell’s Palsy; Recovery
11
Cai, Wa, e Wei-Dong Shen. "Anti-Apoptotic Mechanisms of Acupuncture in Neurological Diseases: A Review". American Journal of Chinese Medicine 46, n.º 03 (janeiro de 2018): 515–35. http://dx.doi.org/10.1142/s0192415x1850026x.
Texto completo da fonteResumo:
Apoptosis, known as programmed cell death, plays a significant role in the pathogenesis of neurological diseases. Most of these diseases can be obviously alleviated by means of acupuncture treatment. Current research studies have shown that the efficacy of acupuncture to these medical conditions is closely associated with the anti-apoptotic potentials. Mainly based on the acupuncture’s anti-apoptotic efficacy in prevalent neurological disorders, including cerebral ischemia-reperfusion injury, Alzheimer’s disease, depression or stress related-modes, spinal cord injuries, etc., this review comes to a conclusion that the anti-apoptotic effect of acupuncture treatment for neurological diseases, evidently reflected through Bcl-2, Bax or caspase expression change, results from regulating mitochondrial or autophagic dysfunction as well as reducing oxidative stress and inflammation. The possible mechanisms of acupuncture’s anti-apoptotic effect are associated with a series of downstream signaling pathways and the up-regulated expression of neurotrophic factors. It is of great importance to illuminate the exact mechanisms of acupuncture treatment for neurological dysfunctions.
12
Guo, Xinmeng, e Jiang Wang. "Low-Dimensional Dynamics of Brain Activity Associated with Manual Acupuncture in Healthy Subjects". Sensors 21, n.º 22 (9 de novembro de 2021): 7432. http://dx.doi.org/10.3390/s21227432.
Texto completo da fonteResumo:
Acupuncture is one of the oldest traditional medical treatments in Asian countries. However, the scientific explanation regarding the therapeutic effect of acupuncture is still unknown. The much-discussed hypothesis it that acupuncture’s effects are mediated via autonomic neural networks; nevertheless, dynamic brain activity involved in the acupuncture response has still not been elicited. In this work, we hypothesized that there exists a lower-dimensional subspace of dynamic brain activity across subjects, underpinning the brain’s response to manual acupuncture stimulation. To this end, we employed a variational auto-encoder to probe the latent variables from multichannel EEG signals associated with acupuncture stimulation at the ST36 acupoint. The experimental results demonstrate that manual acupuncture stimuli can reduce the dimensionality of brain activity, which results from the enhancement of oscillatory activity in the delta and alpha frequency bands induced by acupuncture. Moreover, it was found that large-scale brain activity could be constrained within a low-dimensional neural subspace, which is spanned by the “acupuncture mode”. In each neural subspace, the steady dynamics of the brain in response to acupuncture stimuli converge to topologically similar elliptic-shaped attractors across different subjects. The attractor morphology is closely related to the frequency of the acupuncture stimulation. These results shed light on probing the large-scale brain response to manual acupuncture stimuli.
13
Bivins, Roberta. "The Needle and the Lancet: Acupuncture in Britain, 1683–2000". Acupuncture in Medicine 19, n.º 1 (junho de 2001): 2–14. http://dx.doi.org/10.1136/aim.19.1.2.
Texto completo da fonteResumo:
Although commonly regarded as a late twentieth century phenomenon, acupuncture use in Britain has a surprisingly long history, beginning with its seventeenth century transmission from China and Japan. Acupuncture was in use in the great hospitals of Paris before a second stage of transmission and translation brought it to nineteenth century Britain. Acupuncture's first wave of popularity and its results in British medical practice can be examined through examples drawn from the Lancet, the BMJ and other medical periodicals. This historical transmission of acupuncture to the UK can be fruitfully compared to its modern analogue, and historical patterns of acupuncture use can be compared with those displayed in contemporary Britain.
14
Zatta, Laidilce Teles, Leonora Rezende Pacheco, Marcus Antônio de Souza, Juliano Ricardo Santana dos Santos, Karina Machado Siqueira e Virginia Visconde Brasil. "Acupuncture in rheumatoid arthrit’s patients: advantages, disadvantages and reasons to use this therapy". Revista de Enfermagem UFPE on line 3, n.º 4 (20 de setembro de 2009): 1027. http://dx.doi.org/10.5205/reuol.581-3802-1-rv.0304200930.
Texto completo da fonteResumo:
Objectives: to verify the main reasons that justify the acupuncture treatment’s search among Rheumatoid Arthrit’s patients; to identify advantages and disadvantages of this therapy. Methods: this is about a case study, performed in Hospital de Medicina Alternativa and a Private Clinic that use acupuncture as therapy, both in Goiânia. That were cases 18+, rheumatoid arthrit’s patients, acupuncture at least a month, self-evaluation and talking capables. This study was approved by the Committee of Ethics in Research of the Clinics Hospital of the Federal University of Goiás (028/2005). Results: four patients participate, and they were interviewed after the acupuncture session. Data were analyzed based on Content Analysis Technique. After interviews’ analysis, we identified two thematic categories: “Acupuncture’s attractives” and “Acupuncture: advantages and disadvantages”. Conclusions: it’s known that Acupuncture is an efficient Rheumatoid Arthrit’s therapy, so is necessary that Health Professionals does more divulgation and dedication. And so is necessary to study more this therapy, in case to describe their benefits, as an alternative therapy for Reumatoid Arthrit’s patients. Descriptors: acupuncture; rheumatoid arthritis; nursing.
15
McTiernan, Sean. "The physiological mechanisms of acupuncture analgesia and its applications within veterinary practice". Veterinary Nurse 13, n.º 6 (2 de julho de 2022): 272–77. http://dx.doi.org/10.12968/vetn.2022.13.6.272.
Texto completo da fonteResumo:
The practice of acupuncture as a method of pain relief is becoming increasingly popular in veterinary medicine. With recent advances in neuroimaging and molecular biology studies we now have measurable results to aid with our understanding of the molecular mechanisms of acupuncture-induced analgesia. Multiple body regions can be accessed through individual acupuncture points via the peripheral nervous system and its connection to the central nervous system. Acupuncture's analgesic effects can be conceptually divided into local, segmental (spinal), and suprasegmental (brain) effects and involve the enhanced release of analgesic endogenous substances (e.g. opioids) and reducing the release of pain-inducing substances such as inflammatory cytokines. Electroacupuncture is proving to be the most effective acupuncture delivery method through providing a more potent stimulus to the acupuncture point leading to greater substance release. The purpose of this review article is to summarise some of the mechanisms behind acupuncture analgesia and to highlight how many veterinary patients could benefit from its use.
16
Laures-Gore, Jacqueline, e Rebecca Shisler Marshall. "Acupuncture as a Treatment Technique for Aphasia and Cognitive Impairments". Perspectives on Neurophysiology and Neurogenic Speech and Language Disorders 18, n.º 3 (outubro de 2008): 107–13. http://dx.doi.org/10.1044/nnsld18.3.107.
Texto completo da fonteResumo:
Abstract Purpose: In response to the growing interest and use of acupuncture by Americans who are searching for effective treatments of aphasia and cognitive impairments, this paper serves to (a) briefly explain the technique of acupuncture, (b) describe its biologic mechanisms, and (c) summarize studies investigating the effectiveness of acupuncture in treating cognitive impairment associated with vascular dementia and stroke-related language impairments. Methods: Published reports of the use and effectiveness of acupuncture in treating cognitive impairments related to vascular dementia and aphasia related to stroke are reviewed and reported. Results and Conclusions: Rigorously designed studies investigating acupuncture and vascular neuropathologies are too few in number to produce any definite conclusions about the efficacy of this technique in treating aphasia related to stroke or cognitive impairments related to vascular dementia. Although there is some empirical evidence indicating that acupuncture may be a valuable adjunct to conventional therapies, speech-language pathologists should remain cautious of acupuncture's promise until further, well-designed studies are conducted.
17
Ng, Hui-Ping, Chin-Ming Huang, Wen-Chao Ho e Yu-Chen Lee. "Acupuncture Differentially Affects the High-Frequency Spectral Energy in Radial Pulse Positions Depending on Type of Lower Back Pain". Evidence-Based Complementary and Alternative Medicine 2019 (21 de novembro de 2019): 1–16. http://dx.doi.org/10.1155/2019/4024501.
Texto completo da fonteResumo:
Acupuncture is a core discipline in traditional Chinese medicine (TCM) and has been practised in China for centuries. In traditional acupuncture, pulse palpation is an important clinical diagnostic technique that guides practitioners in their treatment strategies as they evaluate the effectiveness of the treatment. This paper provides the findings of our investigation of acupuncture’s effect on specific radial pulse spectral energies in 41 individuals with lower back pain (LBP), in response to a single acupuncture treatment delivered bilaterally at acupoints BL23, BL25, and BL40. Baseline assessments (vital signs and radial pulse diagnoses), primary outcome measures (radial pulse diagnoses), and secondary outcome measures (the Faces Pain Scale-Revised (FPS-R) and fingertip-to-floor (FTF) tests) were performed at specified intervals before and after the intervention. Our study provides novel information about the effects of acupuncture on the radial pulse spectral energy in individuals with different types of LBP. Our findings suggest that the right Chi pulse is an effective indicator to assess the effects of acupuncture in individuals with fixed, distended, or sharp pain, whereas the left Guan pulse is a potentially useful diagnostic technique to determine acupuncture’s effects in individuals with dull, aching pain. The acupoints BL23, BL25, and BL40 provide effective treatment for LBP. Study participants with dull, aching pain had a significant improvement in their lumbar ranges of motion, and their pain rating scores were markedly decreased after acupuncture treatment.
18
Ots, Thomas, Asal Kandirian, Istvan Szilagyi, Susan M. DiGiacomo e Andreas Sandner-Kiesling. "The selection of dermatomes for sham (placebo) acupuncture points is relevant for the outcome of acupuncture studies: a systematic review of sham (placebo)-controlled randomized acupuncture trials". Acupuncture in Medicine 38, n.º 4 (6 de fevereiro de 2020): 211–26. http://dx.doi.org/10.1177/0964528419889636.
Texto completo da fonteResumo:
Background: Many randomized controlled trials (RCTs) of acupuncture reveal no significant differences between acupuncture and so-called placebo acupuncture. There is a strong tendency to replace the term “placebo” by the term “sham,” because any needling stimulates a certain physiological response. However, neither concept accounts for the great diversity of results in RCTs comparing verum acupuncture and sham (placebo) acupuncture. Some trials have shown little or no difference, while other studies have found statistically significant differences. Objective: Verum acupuncture and sham (placebo) acupuncture may achieve similar results to the extent that they share active constituents. We identified these common active constituents as dermatomes: the segmental structure of the human body. In our study, we tested the hypothesis that the more verum and sham (placebo) acupuncture share the same dermatomes, the closer the clinical outcomes will be, and vice versa. Methods: All major databases were searched for RCTs that tested acupuncture versus sham (placebo) acupuncture. The dermatome charts of Hansen and Schliack were used to verify verum and sham (placebo) needling locations. Reported clinical outcomes were assessed in relation to the percentage of overlap between the dermatomes stimulated by acupuncture and sham (placebo) acupuncture. Results: Our literature search yielded a total of 1738 references. Thirty-four studies met the inclusion criteria. The effects of sham (placebo) acupuncture varied according to the dermatomes stimulated: high overlap with those stimulated by verum acupuncture resulted in almost identical efficacy, while low overlap resulted in significant differences in efficacy. Clinical outcomes were similar when verum acupuncture and sham (placebo) acupuncture shared the same dermatomes (p < 0.01). Discussion: The findings of this review confirm our hypothesis. Acupuncture studies that employed verum and sham locations on overlapping dermatomes helped to create a mediocre to negative picture of acupuncture’s efficacy. The segmental structure of the body with its interconnected reflex system offers an additional neurophysiological explanation for the effectiveness of acupuncture applied to structures segmentally innervated by the spinal and visceral nervous system. Further comparative acupuncture studies should be based on knowledge of segmental anatomy. In testing verum acupuncture versus sham acupuncture, the chosen sham acupuncture needling locations should be situated on non-overlapping dermatomes.
19
McDonald, John L., Allan W. Cripps, Peter K. Smith, Caroline A. Smith, Charlie C. Xue e Brenda Golianu. "The Anti-Inflammatory Effects of Acupuncture and Their Relevance to Allergic Rhinitis: A Narrative Review and Proposed Model". Evidence-Based Complementary and Alternative Medicine 2013 (2013): 1–12. http://dx.doi.org/10.1155/2013/591796.
Texto completo da fonteResumo:
Classical literature indicates that acupuncture has been used for millennia to treat numerous inflammatory conditions, including allergic rhinitis. Recent research has examined some of the mechanisms underpinning acupuncture's anti-inflammatory effects which include mediation by sympathetic and parasympathetic pathways. The hypothalamus-pituitary-adrenal (HPA) axis has been reported to mediate the antioedema effects of acupuncture, but not antihyperalgesic actions during inflammation. Other reported anti-inflammatory effects of acupuncture include an antihistamine action and downregulation of proinflammatory cytokines (such as TNF-α, IL-1β, IL-6, and IL-10), proinflammatory neuropeptides (such as SP, CGRP, and VIP), and neurotrophins (such as NGF and BDNF) which can enhance and prolong inflammatory response. Acupuncture has been reported to suppress the expression of COX-1, COX-2, and iNOS during experimentally induced inflammation. Downregulation of the expression and sensitivity of the transient receptor potential vallinoid 1 (TRPV1) after acupuncture has been reported. In summary, acupuncture may exert anti-inflammatory effects through a complex neuro-endocrino-immunological network of actions. Many of these generic anti-inflammatory effects of acupuncture are of direct relevance to allergic rhinitis; however, more research is needed to elucidate specifically how immune mechanisms might be modulated by acupuncture in allergic rhinitis, and to this end a proposed model is offered to guide further research.
20
Islam, Dr S. M. Shahidul, Dr Boxu Lang e Sabina Yasmin. "A Case Report on Ischemic Stroke and Acupuncture". Scholars Journal of Applied Medical Sciences 10, n.º 10 (9 de outubro de 2022): 1676–79. http://dx.doi.org/10.36347/sjams.2022.v10i10.014.
Texto completo da fonteResumo:
Acupuncture's impact on stroke recurrence was little understood. Ischemic stroke patients who received acupuncture therapy were studied to see whether their risk of stroke recurrence was reduced. Recurrence rates per 1000 person-years fell from 71.4 without acupuncture to 69.9 with acupuncture (P= 0.01). It was shown that patients who received acupuncture therapy were less likely to have another stroke (HR 0.88; 95% CI 0.84-0.91). Acupuncture had a positive effect on stroke patients regardless of whether or not they received medical therapy for stroke prevention. The hazard ratios of stroke recurrence for patients who received medication therapy alone, acupuncture treatment alone, or both were 0.42 (95% CI 0.38-0.46), 0.50 (95% CI 0.43-0.57), and 0.39 (95% CI 0.35-0.43) when compared to stroke patients who did not receive either acupuncture treatment or medication therapy. SUXI Healthcare Limited in Shantinagar, Dhaka, Bangladesh was the site of this investigation. A 60-year-old male patient came to us complaining of having left sided weakness for 2 years and difficulty in speaking for the same years. After examine and testes, the patient were treated with acupuncture. Surprisingly after the 2nd session of acupuncture the weakness in left side and difficulty in speaking were seen improving. Later research revealed promising results. Patient's left side weakness improved for the first time in two years, and his speech issues improved as well. According to the results of this research, acupuncture may be therapeutic for those who have had an ischemic stroke.
21
Holyoak, Gilbert Reed, e Aituan Ma. "Evidence-Based Application of Acupuncture in Theriogenology". Veterinary Sciences 9, n.º 2 (28 de janeiro de 2022): 53. http://dx.doi.org/10.3390/vetsci9020053.
Texto completo da fonteResumo:
Historical evidence of acupuncture predates written history. It has been a component of Traditional Chinese veterinary medicine for many generations and is officially recognized in recorded history for treating equine disease in the Zhou Dynasty, circa 1050 BC. Drawing from a range of searchable databases, we present the use of veterinary acupuncture related to theriogenology. We touch on human-based medicine only as an introduction to current uses within veterinary medical acupuncture. This review is confined to the use of acupuncture encompassing dry needle, electroacupuncture, aquapuncture, and the few reports of laserpuncture. Starting with acupuncture’s influence on the master organs of reproduction, the hypothalamus and the pituitary glands, and the hypothalamic–pituitary–gonadal axis, we then review reports specific to the gonads—ovaries and testicles—and then its influences on the uterus. From there, we review reports on the influence of acupuncture on pain associated with reproductive surgery, and finally, on the use of acupuncture for maternal lactation. Based on published reports, we conclude that acupuncture has been shown to be effective in many situations as a treatment for infertility and/or reproductive tract disfunction, resulting in improvements in both female and male patients.
22
Pan, Weidong, Mingzhe Wang, Mao Li, Qiudong Wang, Shin Kwak, Wenfei Jiang e Yoshiharu Yamamoto. "Actigraph Evaluation of Acupuncture for Treating Restless Legs Syndrome". Evidence-Based Complementary and Alternative Medicine 2015 (2015): 1–7. http://dx.doi.org/10.1155/2015/343201.
Texto completo da fonteResumo:
We evaluated the effects of acupuncture in patients with restless legs syndrome (RLS) by actigraph recordings. Among the 38 patients with RLS enrolled, 31 (M=12,F=19; mean age,47.2±9.7years old) completed the study. Patients were treated with either standard acupuncturen=15or randomized acupuncturen=16in a single-blind manner for 6 weeks. Changes in nocturnal activity (NA) and early sleep activity (ESA) between week 0 (baseline), week 2, week 4, and week 6 were assessed using leg actigraph recordings, the International Restless Legs Syndrome Rating Scale (IRLSRS), and Epworth Sleepiness Scale (ESS). Standard but not randomized acupuncture reduced the abnormal leg activity of NA and ESA significantly in week 2, week 4, and week 6 based on the changes in the clinical scores for IRLSRS and ESS in week 4 and week 6 compared with the baseline. No side effects were observed. The results indicate that standard acupuncture might improve the abnormal leg activity in RLS patients and thus is a potentially suitable integrative treatment for long-term use.
23
Li, Junjun, Liang Dong, Xuhong Yan, Xiaozhang Liu, Ying Li, Xujun Yu e Degui Chang. "Is Acupuncture Another Good Choice for Physicians in the Treatment of Chronic Prostatitis/Chronic Pelvic Pain Syndrome? Review of the Latest Literature". Pain Research and Management 2020 (10 de março de 2020): 1–13. http://dx.doi.org/10.1155/2020/5921038.
Texto completo da fonteResumo:
This study aimed to evaluate the efficacy and safety of acupuncture for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). A search of PUBMED, EMBASE, Central Register of Controlled Trials (CENTRAL), Web of Science, Chinese Biomedicine Literature (CBM), China National Knowledge Infrastructure (CNKI), Wang-Fang Database, Chinese Scientific Journal Database (VIP), and other available resources was made for studies (up to February 2019). Searches were limited to studies published in English and Chinese. Only randomized controlled trials (RCTs) related to the efficacy and/or safety of acupuncture for CP/CPPS were included. Two investigators independently evaluated the quality of the studies. A total of 11 studies were included, involving 748 participants. The results revealed that compared with sham acupuncture (MD: −6.53 [95% CI: −8.08 to −4.97]) and medication (MD: −4.72 [95% CI: −7.87 to −1.56]), acupuncture could lower total NIH-CPSI score more effectively. However, there are no significant differences between acupuncture and sham acupuncture in terms of IPSS score. In terms of NIH-CPSI voiding domain subscore, no significant differences were found between acupuncture and medication. Compared with sham acupuncture (OR: 0.12 [95% CI: 0.04 to 0.40) and medication (OR: 3.71 [95% CI: 1.83 to 7.55]), the results showed favorable effects of acupuncture in improving the response rate. Acupuncture plus medication is better than the same medication in improving NIH-CPSI total score and NIH-CPSI pain domain subscore. In conclusion, the evidence suggests that acupuncture may be an effective intervention for patients with CP/CPPS. However, due to the heterogeneity of the methods and high risk of bias, we cannot draw definitive conclusions about the entity of the acupuncture’s effect on alleviating the symptoms of CP/CPPS. The adverse events of acupuncture are mild and rare.
24
Georgakopoulou, Paraskevi, Evangelia Anastasiadi e Eleftherios Paraskevopoulos. "Acupuncture Reduces Pain in Patients with Temporomandibular Joint Disorders. A Systematic Review". International Journal of Kinesiology and Sports Science 12, n.º 2 (30 de abril de 2024): 46–58. http://dx.doi.org/10.7575/aiac.ijkss.v.12n.2p.46.
Texto completo da fonteResumo:
Aims: Acupuncture is an alternative method used to treat patients with Temporomandibular joint disorders (TMD). However, it still has not been well established, as an effective and safe option, in literature. This systematic review aims to investigate: (a) the quality of the methodology used in previous Randomized Controlled and Clinical Trials, concerning the effectiveness of acupuncture, in reducing pain, in patients with TMD, (b) the effectiveness of acupuncture, in reducing pain, in patients with TMD. Method: Electronic databases were investigated to identify available Randomized Controlled and Clinical Trials concerning the effectiveness of acupuncture in reducing pain in patients with TMD; Specific criteria were used to select eligible studies; the quality of studies was assessed using the PEDro scale; an evaluation of differences was performed between the qualified studies. Results: A total of ten Randomized Controlled and Clinical trials were included in this systematic review. The methodology used in most studies was determined to be low to moderate. Nine out of ten studies showed statistically significant results in reducing pain. However, acupuncture was not more effective than other therapeutic methods used in most of the studies. Only 2/10 studies revealed that acupuncture was more effective, when compared to other methods. Acupuncture reduced pain faster and the results lasted up to one month, when compared to other methods. Conclusion: Acupuncture is an effective method, in relieving pain, in patients with TMD. There is, however, need for more, qualitatively improved studies in order to verify acupunctures effects in patients with TMD.
25
Chen, Jason Aaron, Justin Albert Chen, Sanghoon Lee e Gerard Mullin. "Potential Role for Acupuncture in the Treatment of Food Addiction and Obesity". Acupuncture in Medicine 36, n.º 1 (fevereiro de 2018): 52–55. http://dx.doi.org/10.1136/acupmed-2017-011366.
Texto completo da fonteResumo:
Addressing the global obesity epidemic requires innovative approaches that are also acceptable to affected individuals. There is growing evidence suggesting that food addiction, one contributor to obesity, bears many similarities to drug and alcohol addiction, presenting a potential role for addiction-focused acupuncture as a novel treatment modality. In this perspective article, we begin by briefly reviewing the evidence linking food and drug/alcohol addiction. We then describe the development of an acupuncture-based protocol for treating opioid addiction in Hong Kong in the 1970s and discuss the evidence base for acupuncture's efficacy in treating a range of substance use disorders. Next, we describe acupuncture's proposed mechanism of action in attenuating withdrawal and promoting abstinence. Finally, we note the dearth of studies specifically examining the effectiveness of acupuncture in treating food addiction and suggest that more research should focus in this area as part of the effort to combat rising rates of obesity worldwide.
26
Liu, Hsu-Jan, Sheng-Feng Hsu, Chang-Chi Hsieh, Tin-Yun Ho, Ching-Liang Hsieh, Chin-Chuan Tsai e Jaung-Geng Lin. "The Effectiveness of Tsu-San-Li (St-36) and Tai-Chung (Li-3) Acupoints for Treatment of Acute Liver Damage in Rats". American Journal of Chinese Medicine 29, n.º 02 (janeiro de 2001): 221–26. http://dx.doi.org/10.1142/s0192415x01000253.
Texto completo da fonteResumo:
This study investigated the effects of acupuncture on carbon tetrachloride (CCl4) induced acute liver injury in male rats (n = 36). The experimental groups were injected with CCl4 before, during, or after acupuncture therapy. Acupoints similar to the human Tsu-San-Li (St-36) and Tai-Chung (Li-3) were needled bilaterally. Rats treated with CCl4 had higher levels of serum glutamate-oxalate-transaminase (sGOT) and serum glutamate-pyruvate-transaminase (sGPT). Comparing the experimental groups, biochemical and pathological parameters of liver injury were significantly reduced when rats were acupunctured after, not before, CCl4-induced hepatotoxicity. Acupuncture at the Tsu-Sa-Li and Tai-Chung acupoints cannot prevent acute liver injury but may be effective in treating liver injury induced by carbon tetrachloride in rats.
27
Cabioglu, Mehmet Tugrul, e Gülnaz Arslan. "Neurophysiologic Basis of Back-Shu and Huatuo-Jiaji Points". American Journal of Chinese Medicine 36, n.º 03 (janeiro de 2008): 473–79. http://dx.doi.org/10.1142/s0192415x08005916.
Texto completo da fonteResumo:
Acupuncture, a method of traditional Chinese medicine that uses Back-Shu and Huatuo-Jiaji points, is especially effective for treating diseases of the visceral organs. Applying acupuncture on Back-Shu points affects visceral organs in many ways. For example, it dilates the bronchus, affects the heartbeat, stomach motility, urinary bladder contractions and so on. Acupuncture's effects can be explained as viscero-cutaneous, cutaneo-visceral, cutaneo-muscular, and viscero-muscular reflexes. Segmental dispersion of the sympathetic and parasympathetic systems is related to the location of Back-Shu points. Changes in visceral organs caused by application of acupuncture can be explained as modulation of the sympathetic and parasympathetic systems.
28
Fan, Jing-qi, Wei-jing Lu, Wei-qiang Tan, Xin Liu, Yu-ting Wang, Nan-bu Wang e Li-xing Zhuang. "Effectiveness of Acupuncture for Anxiety Among Patients With Parkinson Disease". JAMA Network Open 5, n.º 9 (21 de setembro de 2022): e2232133. http://dx.doi.org/10.1001/jamanetworkopen.2022.32133.
Texto completo da fonteResumo:
ImportanceOne of the ordinary manifestations of Parkinson disease (PD) is anxiety, which remains untreated. Anxiety is closely associated with the accelerated progression of PD. Efficacy of acupuncture for anxiety has been reported. However, to date, there are no data on acupuncture’s effectiveness on anxiety for patients with PD.ObjectiveTo investigate the effect of acupuncture vs sham acupuncture for treating anxiety in patients with PD.Design, Setting, and ParticipantsThis is randomized, double-blinded, clinical trial enrolled patients between June 20, 2021, and February 26, 2022. Final follow-up was April 15, 2022. Patients with Parkinson disease and anxiety were allocated randomly (1:1) to receive acupuncture or sham acupuncture for 8 weeks. Acupuncture operators, outcome measures evaluators, and statistical analysts were blinded to the grouping of patients. Patients were blinded to their own grouping during the study. This study took place in the Parkinson clinic of a hospital in China.InterventionsReal acupuncture or sham acupuncture for 8 weeks.Main Outcomes and MeasuresPrimary outcome was Hamilton Anxiety Scale (HAM-A) score. Secondary outcomes were scores on the Unified Parkinson Disease Rating Scale (UPDRS), 39-item Parkinson Disease Questionnaire (PDQ-39), and serum levels of the adrenocorticotropic hormone (ACTH) and cortisol (CORT).ResultsSeventy eligible patients were enrolled, including 34 women (48.5%) and 36 men (51.4%). Sixty-four patients (91%) completed the intervention and the 8-week follow-up, including 30 women (46.9%) and 34 men (53.1%) with a mean (SD) age of 61.84 (8.47) years. At the end of treatment, the variation of HAM-A score was 0.22 (95% CI, –0.63 to 1.07; P = .62) between the real acupuncture and sham acupuncture groups. At the end of follow-up, the real acupuncture group had a significant 7.03-point greater (95% CI, 6.18 to 7.88; P < .001) reduction in HAM-A score compared with the sham acupuncture group. Four mild adverse reactions occurred during the study.Conclusions and RelevanceThis study found acupuncture to be an effective treatment for anxiety in patients with PD. These findings suggest that acupuncture may enhance the wellbeing of patients who have Parkinson disease and anxiety.Trial RegistrationChinese Clinical Trial Registry: ChiCTR2100047253
29
Sjölund, Bengt H. "Acupuncture or acupuncture?" Pain 114, n.º 3 (abril de 2005): 311–12. http://dx.doi.org/10.1016/j.pain.2004.12.026.
Texto completo da fonte
30
Jiang, Song-he, Wen-zhan Tu, En-miao Zou, Jie Hu, Sai Wang, Jiang-ru Li, Wan-sheng Wang, Rong He, Rui-dong Cheng e Wei-jing Liao. "Neuroprotective Effects of Different Modalities of Acupuncture on Traumatic Spinal Cord Injury in Rats". Evidence-Based Complementary and Alternative Medicine 2014 (2014): 1–9. http://dx.doi.org/10.1155/2014/431580.
Texto completo da fonteResumo:
Spinal cord injury (SCI) can induce a series of histological, biochemical, and functional changes. Acupuncture is commonly used for SCI patients. Using male rats of spinal cord injury with the New York University (NYU) Impactor, we investigated the response of electroacupuncture (EA), manual acupuncture (MA), and transcutaneous acupoint electrical stimulation (TAES) at Shuigou (DU26) and Fengfu (DU16) acupoints to understand the effects and mechanisms of acupuncture in neuroprotection and neuronal function recovery after SCI. Histological study showed a restored neural morphology and an increase in the quantity of neurons after EA, MA, and TAES administrations. Acupuncture's antioxidation effects were demonstrated by alleviation of the post-SCI superoxide dismutase (SOD) activity increase and malondialdehyde (MDA) level decrease. The anti-inflammation effect of acupuncture was shown as the reduced expression of inflammatory cytokines including interleukin-1β(IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-α(TNF-α) when SCI was treated. And the antiapoptosis role was approved by TUNEL staining. Our data confirmed that the role of acupuncture in neuroprotection and dorsal neuronal function recovery after rat SCI, especially, EA stimulating at Shuigou (DU26) and Fengfu (DU16) can greatly promote neuronal function recovery, which may result from antioxidation, anti-inflammation, and antiapoptosis effects of acupuncture.
31
Hsu, Sheng-Feng, Chien-Yue Chen, Ming-Da Ke, Chien-Hsun Huang, Yuan-Ting Sun e Jaung-Geng Lin. "Variations of Brain Activities of Acupuncture to TE5 of Left Hand in Normal Subjects". American Journal of Chinese Medicine 39, n.º 04 (janeiro de 2011): 673–86. http://dx.doi.org/10.1142/s0192415x11009111.
Texto completo da fonteResumo:
This paper presents the evident effects of acupoint stimulation, using EEG (electroencephalogram) measurements. With acupuncture stimulation and the EEG measurement on the same meridian, EEG is able to accurately detect the effects of acupunctural point stimulation on brain waves. In this study, 24 subjects without heart or neural diseases were randomly separated into two groups of 12, named test and control groups. Similar procedures are performed; the subjects lay on a bed with eyes closed for ten minutes as the baseline. The test group received acupuncture at their Waiguan points (TE5) on their left hands for 20 minutes, while the control group did not. EEGs are recorded during pre-acupuncture, acupuncture stimulation and post-acupuncture stimulation periods. The EEG electrodes are at the T3, T4, O1 and O2 locations. Continuous wavelet transformation analysis is adopted; therefore, EEGs are divided into the following bands: δ (0.5–4HZ), θ (4–8HZ), α (8–13HZ) and β (13–30HZ). During acupuncture stimulation, the θ energy is increased and had statistical differences at all electrode points, T3, T4, O1 and O2. Upon removing the needle, the energy at the T3 and T4 points slowly declined and revealed obvious statistical differences. During acupuncture, only α energy has been noted to have statistical difference and it was increased at the T3 point. However, the energy was decreased and had no statistical difference after five minutes. Acupuncture is proven to be able to affect brain waves, as the stimulation might have changed the tissues between the cranium and scalp; therefore, the brain waves are detected more easily.
32
Romero, Sally A. D., Eileen Jiang, Jason Bussell, Whitney Eriksen, Katherine N. Duhamel, Frances K. Barg e Jun J. Mao. "What makes one respond to acupuncture for insomnia? Perspectives of cancer survivors". Palliative and Supportive Care 18, n.º 3 (1 de outubro de 2019): 301–6. http://dx.doi.org/10.1017/s1478951519000762.
Texto completo da fonteResumo:
AbstractObjectiveLike any therapy, acupuncture is effective for some patients, while not helpful for others. Understanding from a patients' perspective what makes one respond or not to acupuncture can help guide further intervention development. This study aimed to identify factors that influence the perception of acupuncture's therapeutic effect among cancer survivors with insomnia.MethodWe conducted post-treatment semi-structured interviews with cancer survivors who were randomized to the acupuncture group in a clinical trial for the treatment of insomnia. Survivors were categorized into Responders and Non-Responders to acupuncture treatment based on the change in the Insomnia Severity Index with a reduction of eight points or greater as the cut-off for the response. An integrated approach to data analysis was utilized by merging an a priori set of codes derived from the key ideas and a set of codes that emerged from the data through a grounded theory approach. Codes were examined for themes and patterns.ResultsAmong 28 cancer survivors interviewed, 18 (64%) were classified as Responders. Participants perceived the ability to respond to acupuncture as dependent on treatment that effectively: (1) alleviated co-morbidities contributing to insomnia, (2) supported sleep hygiene practices, and (3) provided a durable therapeutic effect. Acupuncture treatment that did not address one of these themes often detracted from positive treatment outcomes and diminished perceived benefit from acupuncture.Significance of resultsWe identified patient-perceived contributors to response to acupuncture, such as co-morbid medical conditions, adequate support for sleep hygiene practices, and temporary therapeutic relief. Addressing these factors may improve the overall effectiveness of acupuncture for insomnia.
33
Bao, Ting, Susan Q. Li, Josh L. Dearing, Lauren A. Piulson, Christina M. Seluzicki, Robert Sidlow e Jun J. Mao. "Acupuncture versus Medication for Pain Management: A Cross-Sectional Study of Breast Cancer Survivors". Acupuncture in Medicine 36, n.º 2 (abril de 2018): 80–87. http://dx.doi.org/10.1136/acupmed-2017-011435.
Texto completo da fonteResumo:
Aim of the Study Breast cancer survivors who take aromatase inhibitors (AI) often suffer from chronic pain. Emerging evidence supports the use of acupuncture as an effective pain management strategy for this condition, but its acceptability among cancer survivors is unknown. We evaluated breast cancer survivors’ preferences for acupuncture as compared with medication use and identified factors predictive of this preference. Methods We conducted a cross-sectional study among breast cancer survivors who were currently, or had been, taking an AI. The primary outcome was degree of preference for acupuncture as compared with medication for pain management. We conducted multivariate logistic regression analyses to evaluate the effects of socioeconomic status (SES) factors and health beliefs on treatment preference. Results Among 592 participants, 160 (27.0%) preferred acupuncture, 153 (25.8%) preferred medication and 279 (47.1%) had no clear preference. In a multivariate analysis that only included SES, higher education and white race were significantly associated with greater preference for acupuncture. When health beliefs were added, SES effects were attenuated, while greater expectation of acupuncture's effect, lower perceived barriers to its use, higher social norm (endorsement from family members and healthcare professionals) related to acupuncture and higher holistic health beliefs were associated with greater preference for acupuncture. Conclusion We found similar rates of preference for acupuncture versus medication among breast cancer survivors for pain management. Specific attitudes and beliefs predicted such preferences, highlighting the importance of a patient-centred approach to align patient beliefs and preferences with therapeutic options for more effective pain management. Trial Registration Number NCT01013337; Results.
34
Wang, Shao-Jun, Hao-Yan Yang e Guo-Shuang Xu. "Acupuncture Alleviates Colorectal Hypersensitivity and Correlates with the Regulatory Mechanism of TrpV1 and p-ERK". Evidence-Based Complementary and Alternative Medicine 2012 (2012): 1–10. http://dx.doi.org/10.1155/2012/483123.
Texto completo da fonteResumo:
Here we used a mouse model of zymosan-induced colorectal hypersensitivity, a similar model of IBS in our previous work, to evaluate the effectiveness of the different number of times of acupuncture and elucidate its potential mechanism of EA treatment. Colorectal distension (CRD) tests show that intracolonic zymosan injection does, while saline injection does not, induce a typical colorectal hypersensitivity. EA treatment at classical acupoints Zusanli (ST36) and Shangjuxu (ST37) in both hind limbs for 15 min slightly attenuated and significantly blunted the hypersensitive responses after first and fifth acupunctures, respectively, to colorectal distention in zymosan treatment mice, but not in saline treatment mice. Western blot results indicated that ion channel and TrpV1 expression in colorectum as well as ERK1/2 MAPK pathway activation in peripheral and central nerve system might be involved in this process. Hence, we conclude that EA is a potential therapeutic tool in the treatment and alleviation of chronic abdominal pain, and the effectiveness of acupuncture analgesia is accumulative with increased number of times of acupuncture when compared to that of a single time of acupuncture.
35
Shan, Yi, Zhi-qun Wang, Zhi-lian Zhao, Mo Zhang, Shi-lei Hao, Jian-yang Xu, Bao-ci Shan, Jie Lu e Kun-cheng Li. "An fMRI Study of Neuronal Specificity in Acupuncture: The Multiacupoint Siguan and Its Sham Point". Evidence-Based Complementary and Alternative Medicine 2014 (2014): 1–6. http://dx.doi.org/10.1155/2014/103491.
Texto completo da fonteResumo:
Clarifying the intrinsic mechanisms of acupuncture’s clinical effects has recently been gaining popularity. Here, we choose the Siguan acupoint (a combination of bilateral LI4 and Liv3) and its sham point to evaluate multiacupoint specificity. Thirty-one healthy volunteers were randomly divided into real acupoint (21 subjects) and sham acupoint (10 subjects) groups. Our study used a single block experimental design to avoid the influence of posteffects. Functional magnetic resonance imaging data were acquired during acupuncture stimulation. Results showed extensive increase in neuronal activities with Siguan acupuncture and significant differences between stimulation at real and sham points. Brain regions that were activated more by real acupuncture stimulation than by sham point acupuncture included somatosensory cortex (the superior parietal lobule and postcentral gyrus), limbic-paralimbic system (the calcarine gyrus, precuneus, cingulate cortex, and parahippocampal gyrus), visual-related cortex (the fusiform and occipital gyri), basal ganglia, and the cerebellum. In this way, our study suggests Siguan may elicit specific activities in human brain.
36
Miller, David W., Eric J. Roseen, Jennifer A. M. Stone, Paula Gardiner, Juli Olson, Shellie Rosen, Peter Wayne, Robert Davis e Remy Coeytaux. "Incorporating Acupuncture Into American Healthcare: Initiating a Discussion on Implementation Science, the Status of the Field, and Stakeholder Considerations". Global Advances in Health and Medicine 10 (janeiro de 2021): 216495612110425. http://dx.doi.org/10.1177/21649561211042574.
Texto completo da fonteResumo:
Introduction The field of implementation science is the study of methods that promote the uptake of evidence-based interventions into healthcare policy and practice. While acupuncture has gained significant traction in the American healthcare landscape, its journey has been somewhat haphazard and non-linear. Methods In June 2019, a group of thirty diverse stakeholders was convened by the Society for Acupuncture Research with the support of a Patient Centered Outcomes Research Institute, Eugene Washington Engagement Award. This group of stakeholders represented a diverse mix of patients, providers, academicians, researchers, funders, allied health professionals, insurers, association leaders, certification experts, and military program developers. The collective engaged in discussion that explored acupuncture’s status in healthcare, including reflections on its safety, effectiveness, best practices, and the actual implementation of acupuncture as seen from diverse stakeholder viewpoints. Objectives A primary goal was to consider how to utilize knowledge from the field of implementation science more systematically and intentionally to disseminate information about acupuncture and its research base, through application of methods known to implementation science. The group also considered novel challenges that acupuncture may present to known implementation processes. Findings This article summarizes the initial findings of this in-person meeting of stakeholders and the ongoing discussion among the subject matter experts who authored this report. The goal of this report is to catalyze greater conversation about how the field of implementation science might intersect with practice, access, research, and policymaking pertaining to acupuncture. Core concepts of implementation science and its relationship to acupuncture are introduced, and the case for acupuncture as an Evidence Based Practice (EBP) is established. The status of the field and current environment of acupuncture is examined, and the perspectives of four stakeholder groups––patients, two types of professional practitioners, and researchers––are explored in more detail.
37
MacPherson, Hugh. "Evidence-Based Acupuncture? a Challenge Ahead". Asian Medicine 1, n.º 1 (16 de janeiro de 2005): 147–61. http://dx.doi.org/10.1163/157342105777996755.
Texto completo da fonteResumo:
Acupuncture's increasingly widespread use has been paralleled by calls for more rigorous evidence of its effectiveness. In this article, some of the challenges of developing a strong evidence base are explored. As acupuncture is a complex intervention, a case is made for the appropriateness and relevance of pragmatic rather than experimental randomised controlled trials in the evaluation of acupuncture. Within this context there remain key challenges associated with ensuring treatment within a trial is sufficiently flexible, so that it can match the expected variability in patients, that outcomes measures capture the broader range of changes that can be experienced by patients, and that the therapeutic relationship is not compromised by the trial design. The central theme is the importance of protecting the integrity of the acupuncture, and the underlying principles upon which it is based.
38
Calandruccio, Amy. "Acupuncture Effects on COVID -19 Long- Hauler Syndrome". Journal of Alternative, Complementary & Integrative Medicine 10, n.º 1 (31 de janeiro de 2024): 1–8. http://dx.doi.org/10.24966/acim-7562/100444.
Texto completo da fonteResumo:
This study provides a foundation for future acupuncture research for COVID-19 long-hauler syndrome for the symptoms of dysgeusia, anosmia, and brain fog. Dissemination of information on acupuncture’s efficacy is needed.
39
Zhu, Qianyin, Tingyu Mu, Die Dong, Lingshan Chen, Jiayi Xu e Cuizhen Shen. "Renin-angiotensin system mechanism underlying the effect of auricular acupuncture on blood pressure in hypertensive patients with phlegm-dampness constitution: Study protocol for a randomized controlled trial". PLOS ONE 19, n.º 2 (1 de fevereiro de 2024): e0294306. http://dx.doi.org/10.1371/journal.pone.0294306.
Texto completo da fonteResumo:
Background Phlegm-dampness constitution is a traditional Chinese medicine constitution typically associated with essential hypertension. Previous studies have demonstrated that auricular acupuncture effectively decreases blood pressure and adjusts the constitution. However, the mechanism underlying auricular acupuncture’s effect is poorly understood. Methods A non-blinded, randomized controlled trial will be undertaken between September 2022 and May 2023. Eighty essential hypertensive patients with a phlegm-dampness constitution will be randomly allocated to one of two groups. The intervention group will receive eight weeks of auricular acupuncture and regular use of antihypertensive drugs, while the control group will only receive antihypertensive drugs. The primary outcome will be any mean differences in office systolic blood pressure. The secondary outcomes investigations will include proteins of the renin-angiotensin system, office blood pressure of different genotypes, and phlegm-dampness constitution scores. Discussion By demonstrating how auricular acupuncture affects the renin-angiotensin system, this research will offer significant new information on the mechanism underlying the action of auricular acupuncture in hypertension. Moreover, the results will provide crucial clinical information on the associations between renin-angiotensin system gene polymorphisms and the antihypertensive effects of auricular acupuncture. Trial registration Registered at the chictr.org.
40
Kim, Yoon Sang. "The Impact of Acupuncture and Moxibustion on the Microenvironment". Science Insights 41, n.º 2 (29 de julho de 2022): 599–603. http://dx.doi.org/10.15354/si.22.re072.
Texto completo da fonteResumo:
Acupuncture therapy is an essential part of traditional Chinese medicine that is being recognized by an increasing number of countries due to its convenience, effectiveness, and low risk of adverse reactions. The microenvironment is important in the occurrence, development, treatment, and rehabilitation of diseases, and has recently become a focus of research in the field of various diseases. Acupuncture’s therapeutic effect on the human body begins in the microenvironment (acupoints) and ends in the microenvironment (lesions). Many reports on the mechanism of acupuncture and moxibustion are written with the impact of acupuncture on the microenvironment of different systems or parts in mind. Several diseases that have been widely reported in recent years, such as osteoarthritis, spinal cord injury, and tumors, have been chosen as examples.
41
Moldenhauer, Sonja, Miriam Burgauner, Rainer Hellweg, Andreas Lun, Holger Kiesewetter, Abdulgabar Salama e Anja Moldenhauer. "Traditional Chinese Whole-Body Acupuncture Mobilizes CD133(+)CD34(−) Cells". Blood 112, n.º 11 (16 de novembro de 2008): 5405. http://dx.doi.org/10.1182/blood.v112.11.5405.5405.
Texto completo da fonteResumo:
Abstract The objective of this study was to analyze the effects of traditional Chinese acupuncture for spinal cord lesions on the mobilization of stem cells. Therefore, 14 healthy study participants were acupunctured and gave blood samples before, immediately after as well as 24 and 48 hours after acupuncture. At these time points, the frequency of CD133, CD34, CD4, CD14, CD19 and CD45 positive cells were determined by flow cytometry. Furthermore, serum concentrations of matrix metalloproteinases (MMP) 8 and 9, brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), stroma-derived factor (SDF) 1 and granulocyte-colony stimulating factor (G-CSF) were measured by enzyme-linked immunosorbent assays. CD133(+)34(−) cells were significantly increased 48 hours after acupuncture (29.1±5.8% versus 11.4±4.8%, p= 0.015), which was paralleled by significant decreases of BDNF (7.5±1 ng/ml versus 10.8±1.6 ng/ml, p= 0.013) and MMP-9 serum levels (46.4±2.6ng/ml versus 42.5±2.4 ng/ml, p= 0.009). Values in non-treated controls were not affected. No changes in SDF-1, NGF, interleukin-6 and G-CSF concentrations occurred. In conclusion, acupuncture does mobilize non-hematopoietic CD133(+) cells.
42
Ko, Hsing Fang, Ching-Hsiu Chen, Kai-Ren Dong e Hsien-Chang Wu. "Effects of Acupuncture on Postoperative Pain After Total Knee Replacement: Systematic Literature Review and Meta-Analysis". Pain Medicine 22, n.º 9 (21 de junho de 2021): 2117–27. http://dx.doi.org/10.1093/pm/pnab201.
Texto completo da fonteResumo:
Abstract Objective To identify the analgesic effectiveness of acupuncture after total knee replacement by systematic review. Methods A search of randomized controlled trials was conducted in five English medical electronic databases and five Chinese databases. Two reviewers independently searched in five English medical electronic databases and five Chinese databases. Two reviewers independently retrieved related studies, assessed the methodological quality, and extracted data with a standardized data form. Meta-analyses were performed with all-time-points meta-analysis. Results A total of seven studies with 891 participants were included. The meta-analysis results indicated that acupuncture had a statistically significant influence on pain relief (standardized mean difference = −0.705, 95% CI −1.027 to −0.382, P = 0.000). The subgroup analysis results showed that acupuncture’s effects on analgesia had a statistically significant influence (standardized mean difference= −0.567, 95% CI −0.865 to −0.269, P = 0.000). The main acupuncture points that produced an analgesic effect when they were used after total knee replacement included the Xuehai, Liangqiu, Dubi, Neixiyan, Yanglingquan, and Zusanli points. Electroacupuncture frequency ranged between 2 and 100 Hz. Conclusions As an adjunct modality, the use of acupuncture is associated with reduced pain and use of analgesic medications in postoperative patients. In particular, ear acupuncture 1 day before surgery could reduce analgesia .
43
Hsu, Wei-Ti, Chieh-Min Hsu, Shao-Chi Hung e Shih-Ya Hung. "Acupuncture Improves Sleep Disorders and Depression among Patients with Parkinson’s Disease: A Meta-Analysis". Healthcare 11, n.º 14 (17 de julho de 2023): 2042. http://dx.doi.org/10.3390/healthcare11142042.
Texto completo da fonteResumo:
Parkinson’s disease (PD) is associated with a range of non-motor symptoms that lack effective treatments. Acupuncture is a popular alternative therapy for PD patients that has been shown to improve motor symptoms. However, the efficacy of acupuncture in treating non-motor symptoms has remained controversial. The goal of our study was to systematically assess the existing evidence for acupuncture’s efficacy in treating PD non-motor symptoms of sleep disorders, depression, anxiety, and fatigue. We conducted a meta-analysis of clinical trials by searching Pubmed, Embase, CINAHL, and Web of Science as electronic databases to evaluate acupuncture treatment for PD non-motor symptoms. Thirteen clinical trials met our inclusion criteria, and their methodological quality was assessed using the modified Jadad scale, indicating a moderate overall quality. Our results showed that acupuncture improved PD-related sleep disorders and depression but had no effect on anxiety and fatigue. Our meta-analysis suggests that acupuncture can be used as a complementary treatment for sleep disturbances and depression in PD patients and may exhibit a dual therapeutic effect on motor and non-motor symptoms. However, further well-designed clinical trials with larger sample sizes are needed to confirm these findings. Overall, our study highlights the potential of acupuncture as a viable complementary therapy for the treatment of PD non-motor symptoms of sleep disorders and depression, which can improve the quality of life of PD patients.
44
Wolf, N. "The effectiveness of acupuncture treatment in IVF: A critical narrative review". Complementary Medicine: Education and Research 1, n.º 1 (fevereiro de 2024): 59–71. http://dx.doi.org/10.62415/prrs4381.
Texto completo da fonteResumo:
Assisted reproductive technologies, particularly in vitro fertilization, have become integral in addressing infertility concerns. Despite advancements in IVF, challenges persist, leading to exploration of adjunctive therapies. Acupuncture has gained interest as a complementary intervention for individuals undergoing in vitro fertilization. This narrative review synthesises existing literature, critically evaluating methodologies and outcomes of studies investigating acupuncture's role in IVF. The review aimed to provide a nuanced perspective on acupuncture's effectiveness in assisted reproduction, focusing on pregnancy rates, implantation success, and live birth rates. A comprehensive literature search was conducted on databases such as PubMed and Embase, limited to English studies published in the last 10 years. A narrative synthesis approach was employed to summarize findings, addressing variations in study designs and reported outcomes. The results encompass ten selected studies, employing diverse participant numbers and research designs. Manual acupuncture was the predominant technique, with one study utilising electroacupuncture and another incorporating moxibustion. This diversity necessitates a thorough examination to draw meaningful conclusions regarding acupuncture's impact on IVF outcomes. The critical review contributes to the ongoing discourse on integrating traditional and modern therapeutic modalities, fostering a comprehensive understanding of acupuncture's potential synergy with IVF for successful pregnancies.
45
Jiang, Jing, Zidong Wang, Ruxia Yu, Jiayi Yang, Qiucheng Wang, Guoqing Wu, Yilin Tao et al. "Visualization of Microcirculation at Acupoints in vivo of Alzheimer’s Disease Animal Model with Photoacoustic Microscope: A Pilot Study". Journal of Alzheimer's Disease Reports 8, n.º 1 (8 de abril de 2024): 561–74. http://dx.doi.org/10.3233/adr-230193.
Texto completo da fonteResumo:
Background: Alzheimer’s disease may be effectively treated with acupoint-based acupuncture, which is acknowledged globally. However, more research is needed to understand the alterations in acupoints that occur throughout the illness and acupuncture treatment. Objective: This research investigated the differences in acupoint microcirculation between normal mice and AD animals in vivo. This research also examined how acupuncture affected AD animal models and acupoint microcirculation. Methods: 6-month-old SAMP8 mice were divided into two groups: the AD group and the acupuncture group. Additionally, SAMR1 mice of the same month were included as the normal group. The study involved subjecting a group of mice to 28 consecutive days of acupuncture at the ST36 (Zusanli) and CV12 (Zhongwan) acupoints. Following this treatment, the Morris water maze test was conducted to assess the mice’s learning and memory abilities; the acoustic-resolution photoacoustic microscope (AR-PAM) imaging system was utilized to observe the microcirculation in CV12 acupoint region and head-specific region of each group of mice. Results: In comparison to the control group, the mice in the AD group exhibited a considerable decline in their learning and memory capabilities (p < 0.01). In comparison to the control group, the vascular in the CV12 region and head-specific region in mice from the AD group exhibited a considerable reduction in length, distance, and diameter r (p < 0.01). The implementation of acupuncture treatment had the potential to enhance the aforementioned condition to a certain degree. Conclusions: These findings offered tangible visual evidence that supports the ongoing investigation into the underlying mechanisms of acupuncture’s therapeutic effects.
46
Abad-Alegrìa, Francisco, Carlos Pomaròn, Cristina Aznar, Cristina Muñoz e Sonia Adelantado. "Objective Assessment of the Sympatholytic Action of Nei-Kuan Acupoint". American Journal of Chinese Medicine 29, n.º 02 (janeiro de 2001): 201–10. http://dx.doi.org/10.1142/s0192415x0100023x.
Texto completo da fonteResumo:
From animal experiments and clinical trials, we can think that acupuncture of Nei-Kuan (EH-6) is effective in the control of some vegetative functions. We have tried to determine the real reach of these assumptions by means of simple quantitative measurement methods, such as detection of cardiac frequency and systolic and diastolic blood pressure, and the sympathetic electrical response. The experiments were performed on 29 healthy volunteers. Basal values of these parameters were recorded, and also after orthodox Nei-Kuan acupuncture, non-acupunctural point puncture, supine lying by 15 min, Chü-Tze (EH-3) acupuncture and bipolar electrical stimulus of the median nerve at the Nei-Kuan level in the wrist. Such conditions were designed to evaluate non-specific puncture, repose and direct median nerve stimulation influences in the effects of Nei-Kuan acupuncture. We conclude that Nei-Kuan acupuncture strongly inhibits sympathetic tone, with reduction of cardiac frequency, systolic blood pressure and an important reduction of the amplitude of the sympathetic electrical response; the latency of the electrical response was also prolonged. Some weak effects on blood pressure and cardiac frequency were observed also, as non-specific effects of puncture and median nerve stimulation. From previous anatomical data, we hypothesize that the level of such actions is suprametameric, with strong implication of the diencephalon and cerebral cortex.
47
Djumaeva, Naylya, Gulnara Akhundjanova, Leyla Djumaeva e Dilbar Urunova. "Electrodermal measurement of acupuncture points for testing daily doses of sofosbuvir in patients with chronic hepatitis C virus infection". InterConf, n.º 31(147) (20 de março de 2023): 383–99. http://dx.doi.org/10.51582/interconf.19-20.03.2023.040.
Texto completo da fonteResumo:
Acupuncture has been practiced widely for treating different medical conditions. The basis of the acupuncture method is the doctrine of acupuncture points, one of the features of which is their unique electrical properties on the measurement of which the methods of electropuncture diagnostics are based. The purpose of the study was to explore the possibilities of a medicament testing technique for determining daily doses of the antiviral drug Sofosbuvir and comparing the tested daily doses of Sofosbuvir with the level of viral load in the blood of patients with chronic hepatitis C virus infection. Medicament testing of Sofosbuvir was performed on two points of point of acupunctures. This pilot study included 61 patients diagnosed with chronic hepatitis C virus infection. Electrodermal measurement points of acupuncture of Liver meridian and EAV Circulation meridian and the correlation between tested doses of Sofosbuvir and viral load in the patients’ blood were analyzed. The points of acupuncture of Liver and EAV Circulation meridians demonstrated the possibility to apply them as measuring points to determine daily doses of Sofosbuvir. Patients with chronic hepatitis C virus infection showed a significant positive correlation between tested daily doses of Sofosbuvir and viral load, which was gradually lost with an increase in viral load. The mean values of the tested doses of Sofosbuvir did not vary in different PA and significantly differed depending on viral load. This study showed that points of acupuncture serve as a diagnostic window in a process of medicament testing and can help to determine the daily doses of the antiviral drugs and also serve as an indirect method for assessing the level of viral load in patients with chronic hepatitis C virus infection. There is the correlation between the tested doses of Sofosbuvir and viral load levels in these patients.
48
Song, Zhongtao, Qingyuan Huang, Yuxia Guo, Xiaodong Song, Xuan Zhang e Huajun Xiao. "Xingnao Kaiqiao Acupuncture Method Combined with Temporal Three-Needle in the Treatment of Acute Ischemic Stroke: A Randomized Controlled Trial". Computational Intelligence and Neuroscience 2022 (29 de junho de 2022): 1–7. http://dx.doi.org/10.1155/2022/8145374.
Texto completo da fonteResumo:
Objective. The objective of this study was to investigate the difference between the clinical effectiveness of two acupuncture methods in the treatment of acute ischemic stroke (AIS) and provide more evidence-based medical evidence of acupuncture’s effectiveness in stroke rehabilitation. Methods. We conducted an outcome assessor-and data analyst-blinded, randomized, and controlled trial. Seventy-two participants were randomly allocated to the observation group and control group with a 1 : 1 allocation ratio by the generating of a random number table.The observation group received the “Xingnao kaiqiao” acupuncture method combined with “Temporal three needles,” and the control group received conventional acupuncture “Scalp acupuncture” combined with the traditional “body acupuncture” method. The acupuncture treatment was performed once per day for one week by trained acupuncturists. Both groups underwent secondary prevention of cerebral infarction and received a 3-months’ followup. After a 1-week acupuncture intervention, the changes of NIHSS (National Institutes of Health Stroke Scale) scores, Percent Change and Absolute Change of NIHSS scores, MBI (Modified Barthel Index), and the rate of MBI ≥ 80 in two groups were observed. After 3 months’ followup, the mRS (Modified Ranking Scale) and the clinical efficacy of the two groups were compared. Results. The apparent efficiency rate of the observation group was 63.9%, higher than 19.4% of the control group, and the difference was significant ( P < 0.05 ). After treatment, NIHSS scores, Percent Change, and Absolute Change of NIHSS scores in the observation group had a significant reduction than the control group (all P < 0.05 ). MBI in the observation group increased significantly more than in the control group ( P < 0.05 ), but the rate of MBI ≥ 80 in the two groups was not significantly different ( P > 0.05 ). After 3 months’ of followup, the mRS score frequencies of the observation group were not statistically different from the control group ( P > 0.05 ). The rate of mRS scores of 0–1 in the observation and control group were 55.6% and 38.9%, and there was no significant difference either ( P > 0.05 ). Conclusion. Compared with “Scalp acupuncture” combined with “body acupuncture,” “Xingnao kaiqiao” acupuncture method combined with “Temporal three-needle” had superiority in the improvement of neurological deficit, potential functional disability, and score of basic activities of daily living. As to the independent rate to basic activities of daily living and good prognosis of 3 months, there were no statistical differences.
49
Ohshiro, Toshio. "ACUPUNCTURE, LASER ACUPUNCTURE, AND LLLT". LASER THERAPY 2, n.º 4 (1990): 147–48. http://dx.doi.org/10.5978/islsm.90-ed-04.
Texto completo da fonte
50
Kim, Jundong, Soon-Kyeong Kwon, In-Seon Lee, Mijung Yeom, Dae-Hyun Hahm, Hi-Joon Park e Kyuseok Kim. "Effect of Acupuncture on Gut-Brain Axis Parameters in Patients with Atopic Dermatitis: A Study Protocol for a Randomized, Participant- and Assessor-Blind, Sham-Controlled Trial". Evidence-Based Complementary and Alternative Medicine 2021 (4 de setembro de 2021): 1–11. http://dx.doi.org/10.1155/2021/5584247.
Texto completo da fonteResumo:
Atopic dermatitis (AD) is a relapsing and remitting chronic inflammatory skin disease for which a variety of etiological factors are involved. Treatment strategies should be multifaceted and have few side effects. In this respect, acupuncture has become increasingly popular as a safe, consistently effective, and drug-free therapy that treats multiple AD symptoms. We aim to not only verify the effectiveness of acupuncture but also suggest patient-specific response determinants and a new underlying mechanism implicating the gut-brain axis. We have designed a randomized, participant-blinded, sham-controlled clinical trial for 60 mild to moderate AD patients. In a previous study, we observed that the clinical skin symptoms of AD were closely associated with gastrointestinal (GI) symptoms. From these findings, we developed an intervention with six acupuncture points: three for AD symptoms and three for GI symptoms. Also, since high responders and low responders to the acupuncture treatment could be identified in the previous study, we now aim to explore response-determining factors, with a particular focus on GI symptoms. Therefore, we will precisely evaluate not only AD symptoms using the SCORAD, EASI, and DLQI tools, but also GI symptoms using the GSRS, TDS, BSFS, and AR tools and abdominal examination. AD develops in association with complicated pathophysiological factors, such as skin barrier function, genetic susceptibility, and immunological factors. Moreover, the underlying mechanism by which acupuncture treatment works has not been clearly elucidated. We, therefore, will conduct a simultaneous cross-sectional study with a sample of 40 healthy individuals, wherein potential indicators, such as fMRI, gut microbiota, and serum TARC and ATX, will be investigated to determine the gut-brain axis-associated mechanism of acupuncture. We expect that the results of this study could provide important clinical evidence for the effects of acupuncture and help elucidate the therapeutic mechanisms that underlie acupuncture’s efficacy in AD treatment. This trial is registered with https://clinicaltrials.gov/ct2/show/KCT0005422 (Trial registration: Korean Clinical Trial Registry (http://cris.nih.go.kr; registration number: KCT0005422); date of registration: September 23, 2020).