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Out-of-hospital Auricular Acupressure in Elder Patients with Hip Fracture: A Randomized Double-blinded Trial. Acad Emer Med

Department of Anesthesiology and Intensive Care, University of Vienna, Vienna, Austria.
Academic Emergency Medicine (Impact Factor: 2.2). 02/2006; 13(1):19-23. DOI: 10.1197/j.aem.2005.07.014
Source: PubMed

ABSTRACT Auricular acupressure is known to decrease the level of anxiety in patients during ambulance transport. The purpose of this randomized, double-blind, sham control study was to determine whether auricular acupressure can decrease not only the level of anxiety but also the level of pain in a group of elder patients with acute hip fracture.
With the assistance of the Vienna Red Cross, 38 patients with acute hip fracture were enrolled into this study. Patients were randomized into two study groups: the true intervention group and the sham control group. Subjects in the true intervention group (n = 18) received bilateral auricular acupressure at three auricular acupressure points for hip pain. Patients in the sham group (n = 20) received bilateral auricular acupressure at sham points. Baseline demographic information, anxiety level, pain level, blood pressure, and heart rate were obtained before the administration of the appropriate acupressure intervention. The level of anxiety, level of pain, hemodynamic profiles, and level of satisfaction were reassessed once the patients arrived at the hospital.
Patients in the true intervention groups had less pain (F = 28, p = 0.0001) and anxiety (F = 4.3, p = 0.018) and lower heart rate (F = 18, p = 0.0001) on arrival at the hospital than did patients in the sham control group. As a result, the patients in the true intervention group reported higher satisfaction in the care they received during the ride to the hospital.
The authors encourage physicians, health care providers, and emergency rescuers to learn this easy, noninvasive, and inexpensive technique for its effects in decreasing anxiety and pain during emergency transportation.

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    • "Auricular acupuncture has also been used for the treatment of verruca plana or flat warts in a randomized work. Studies have suggested that auricular acupuncture alone can relieve pain and anxiety in the pre-hospital transport phase of hip fracture (Usichenko et al, 2005, Barker et al, 2006), reduce acute pain due to a variety of causes in the emergency department setting (Goertz et al, 2006), and in patient with cancer (Alimi et al, 2003). A systematic review of auriculotherapy for peri-operative pain has concluded its efficacy (Usichenko et al, 2008). "
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    ABSTRACT: Meridian system of acupuncture has been deciphered as the fractal continuum of neurovascular bundles and its smaller branches. Hence, based on the proposed theory, the important sensory organ of ears should be able to exert its influence on visceral organs and peripheral limbs. The aim is to verify possible correlation between the external ear stimulation and the muscle of biceps brachii via electromyograms (EMGs). A region between the points of elbow and shoulder in the scaphoid fossa (upper arm) was chosen. Before the recording of surface EMG signals, each subject was asked to carry out maximum voluntary isometric contractions (MVIC) of the arm. Due to the necessity of having an appropriate control group for this type of study, the same volunteers served as control. Consequently, each subject performed the three treatments of control, sham, and acupressure in random order. EMG signals were recorded. Results indicate that the acupressure with finger of a specific point possibly with a somatopic relation to the biceps brachii muscle can, in a man, modify the response of the EMG associated with the muscle while the response of the acupressure of a sham point has different responses. Moreover, the MVIC parameters were higher in acupressure treatment than control and sham treatments for both subjects. In conclusion, the analysis of the findings reported permits to speculate that the stimulation with the fingers of region between the points of elbow and shoulder in the scaphoid fossa of the ear presents electromyographic response related to the biceps brachii muscle.
    African Journal of Traditional, Complementary and Alternative Medicines 07/2014; 11(3):30-37. DOI:10.4314/ajtcam.v11i3.6 · 0.56 Impact Factor
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    • "Auricular acupuncture has also been used for the treatment of verruca plana or flat warts in a randomized work. Studies have suggested that auricular acupuncture alone can relieve pain and anxiety in the pre-hospital transport phase of hip fracture (Usichenko et al, 2005, Barker et al, 2006), reduce acute pain due to a variety of causes in the emergency department setting (Goertz et al, 2006), and in patient with cancer (Alimi et al, 2003). A systematic review of auriculotherapy for peri-operative pain has concluded its efficacy (Usichenko et al, 2008). "
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    ABSTRACT: Background: Chinese meridian system of acupuncture has recently been deciphered as the fractal continuum of neurovascular bundles and its smaller branches. The corresponding acupuncture mechanism of therapeutics has been attributed to the magneto-electric inductive effects of the meridian system via chaotic wave of nerve innervations and blood flow. Hence, based on the proposed theory, the important sensory organ of the ears should be able to exert its influence on visceral organs and peripheral limbs. This investigation aims to verify if such a possible correlation exists between an external region of the ear and the muscle of biceps brachii in the French auriculotherapy. Materials and Methods: A region between the points of elbow and shoulder in the scaphoid fossa (upper arm), was chosen. Before the recording of surface electromyograms (EMGs), of the muscle of biceps brachii, two subjects were asked to carry out maximum voluntary isometric contractions (MVICs), of the arm. In addition, the same volunteers would be served as control group. Consequently, each subject was required to perform the three treatments of control, sham, and acupressure in random order. EMG signals were recorded for later analysis. Results: Results indicate that the acupressure with finger at a specific point which bears possibly with a somatopic relation to the biceps brachii muscle can, in a man, modify the response of the EMGs associated with the corresponding muscle while the response of the acupressure of a sham point has different responses. Moreover, the MVIC parameters were higher in acupressure treatment than those of control and sham treatments for both subjects. Conclusion: In conclusion, the analysis of the findings permits us to speculate that the stimulation with the fingers in the scaphoid fossa of the ear presents electromyographic responses related to the biceps brachii muscle. Hence, the mechanism of French auriculotherapy could be derived from the same principle as that of the Chinese acupuncture.
    African Journal of Traditional, Complementary and Alternative Medicines 01/2014; 11(3):30-37. · 0.56 Impact Factor
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    • "Once applied by a trained therapist, participants can self-manage at home by applying pressure to the seeds and thus requiring fewer office visits. APA has shown promising analgesic effects in dysmenorrheal [21] [22] [23], postoperative pain [24] [25] [26], hip fracture [27], low back pain [28] [29], and pain from bone marrow aspiration [30]. Our preliminary open-pilot trial of APA found that 64 participants who received 1 week of APA for CLBP reported a 46% reduction in their " worst pain, " 54% reduction in their " average pain, " and a 56% reduction in their " overall pain severity " after 7 days of APA treatment [20]. "
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    ABSTRACT: Objectives. This prospective, randomized clinical trial (RCT) was designed to investigate the feasibility and effects of a 4-week auricular point acupressure (APA) for chronic low back pain (CLBP). Methods. Participants were randomized to either true APA (true acupoints with taped seeds on the designated ear points for CLBP) or sham APA (sham acupoints with taped seeds but on different locations than those designated for CLBP). The duration of treatment was four weeks. Participants were assessed before treatment, weekly during treatment, and 1 month following treatment. Results. Participants in the true APA group who completed the 4-week APA treatment had a 70% reduction in worst pain intensity, a 75% reduction in overall pain intensity, and a 42% improvement in disability due to back pain from baseline assessment. The reductions of worst pain and overall pain intensity in the true APA group were statistically greater than participants in the sham group (P < 0.01) at the completion of a 4-week APA and 1 month followup. Discussion. The preliminary findings of this feasibility study showed a reduction in pain intensity and improvement in physical function suggesting that APA may be a promising treatment for patients with CLBP.
    Evidence-based Complementary and Alternative Medicine 02/2013; 2013:196978. DOI:10.1155/2013/196978 · 1.88 Impact Factor
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