To observe the relation between the pain threshold and the therapeutic effects of acupuncture for sciatica.
90 sciatica patients were equally divided at random into the following 3 groups: a warming acupuncture group treated with the needles warmed by burning moxa, a western medicine group administered Nimesulide tablets and a point-injection group with Anisodamine injected. The pain threshold was tested before treatment and after the first, second and third treatment courses.
The warming acupuncture therapy showed better therapeutic effects than the other two groups with significant differences in the change of pain threshold and the improvement of clinical symptoms and signs (P<0.01).
Acupuncture can relieve the symptoms of sciatica with the increase of pain threshold.
"The control group, which had no TCM treatment experience, reported a QOL of 61.69%, while the experimental group, treated with TCM, reported a 77.25% post-treatment QOL score, which is notably higher. The results of this pilot analysis suggest that more definitive research in this area is merited.25–28 Clinical studies that compare the effects of different treatment protocols are probably the most reliable source of evidence, and may also demonstrate a dose-response relationship;29 hence they are more than welcome. "
[Show abstract][Hide abstract] ABSTRACT: The shift in age structure is having a profound impact, suggesting that the aged should be consulted as reporters on the quality of their own lives.
The aim of this research was to establish the possible impact of traditional Chinese medicine (TCM) techniques on the quality of life (QOL) of the elderly.
Two non-selected, volunteer groups of Rio de Janeiro municipality inhabitants: a control group (36 individuals), not using TCM, and an experimental group (28 individuals), using TCM at ABACO/Sohaku-in Institute, Brazil.
A questionnaire on elderly QOL devised by the World Health Organization, the WHOQOL-Old, was adopted and descriptive statistical techniques were used: mean and standard deviation. The Shapiro-Wilk test checked the normality of the distribution. Furthermore, based on its normality distribution for the intergroup comparison, the Student t test was applied to facets 2, 4, 5, 6, and total score, and the Mann-Whitney U rank test to facets 1 and 3, both tests aiming to analyze the P value between experimental and control groups. The significance level utilized was 95% (P < 0.05).
The experimental group reported the highest QOL for every facet and the total score.
The results suggest that TCM raises the level of QOL.
[Show abstract][Hide abstract] ABSTRACT: The needle-warming technique combines acupuncture and moxibustion, and it is commonly practised in China to relieve pain conditions. However, burning of moxa has many disadvantages. This study examined the temperature and safety profiles of such technique. First, skin temperature changes during needle-warming were examined in anesthetized animals to determine the safe distance for needle-warming moxibustion in human subjects. Then, the practical distance for needle-warming in human subjects were verified. Finally, the temperature profiles of the needle during needle-warming moxibustion were examined using an infrared camera. Our results show that during needle-warming moxibustion there is little heat being conducted into deep tissue via the shaft of the needle, and that the effective heating time to the acupoint is rather short compared to the period of moxibustion. These findings suggest that the needle-warming technique is an inefficient way of acupoint thermal stimulation and should be modified and improved using new technologies.
Evidence-based Complementary and Alternative Medicine 06/2012; 2012:168393. DOI:10.1155/2012/168393 · 1.88 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Objective
To highlight the effectiveness of traditional Chinese medicine (TCM) in controlling neuropathic pain (NP) and to assess the advantages it can offer compared with other conventional treatments of western medicine.
Systematic review after accessing MEDLINE and Cochrane Database of Systematic Reviews electronic databases using the terms “neuropathic pain”, “neuralgia” and “acupuncture”. Eighteen clinical trials carried out with humans affected with NP were included, written in English, Spanish or German and published over the last 15 years.
Response to TCM therapies was positive for NP on most of the analyzed clinical trials, reaching statistic significance only in 6 of them, where a 3.26±1.28 decrease in average visual analogue scale was observed after treatment. In 2 trials statistic significance was not reached, but alleviation of pain was reported compared to the situation before the treatment, and the control group experienced less pain in only one of the studies. A comparison could not be carried out for the remaining trials, but a minimization of pain on the treated group was also noted.
There is a positive response in most patients with NP included in published clinical trials, but further and broader studies are required in order to evidence the analgesic role of acupuncture in management of NP and its benefits with regard to other accepted treatments.
Revista Internacional de Acupuntura 09/2013; 7(4):109–118. DOI:10.1016/S1887-8369(13)70100-5
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