ISSN / EISSN: 19336586 / 19336594
Published by: Mary Ann Liebert Inc
Total articles ≅ 1,101
Latest articles in this journal
Medical Acupuncture; https://doi.org/10.1089/acu.2022.0046
Background: Painful peripheral neuropathy is a condition that may be associated with diabetes as well as other causes of neuropathy. Common treatments for the pain include topical application of capsaicin as well as using oral medications, typically gabapentin. The results are variable and rarely provide substantial lasting relief. Cases: This report describes how a simple and easy to perform acupuncture technique—interosseous membrane stimulation—was used to treat painful neuropathy in 3 patients: 1 with painful diabetic neuropathy; 1 with idiopathic painful neuropathy; and 1 with painful neuropathy caused by exposure to Agent Orange while serving in Vietnam. Results: The 3 patients had much relief from the pain associated with their neuropathy for several weeks at a time. With regular treatments, sustained relief was obtained any without the addition of new medication. Conclusions: Interosseous membrane stimulation is safe, simple, and effective for treatment of painful neuropathy. This treatment should be considered for patients who are suffering with painful neuropathy.
Medical Acupuncture; https://doi.org/10.1089/acu.2023.29225.editorial
Medical Acupuncture; https://doi.org/10.1089/acu.2022.0072
Medical Acupuncture; https://doi.org/10.1089/acu.2022.29223.cfp
Medical Acupuncture; https://doi.org/10.1089/acu.2022.0059
Objective: The aim of this study was to examine the effect of cerebral blood flow (CBF) in the frontopolar cortex (FPC) during mental arithmetic tasks by 0.2 mA electroacupuncture (EA) stimulation of the trigeminal nerve's ophthalmic branch. Materials and Methods: This study was a crossover, randomized clinical trial. The participants (19) were divided into a control and an EA group, and both groups performed 10-minute mental-arithmetic tasks. Subsequently, the control group was seated for 5 minutes, while the EA group received EA stimulated at 0.2 mA, 100 Hz, for 5 minutes. Then, the mental-arithmetic tasks were repeated. The primary outcome was oxygenated hemoglobin (OxyHb) levels in the FPC during the mental-arithmetic tasks. Data from 15 of the original 19 participants were analyzed. Results: EA stimulation elevated OxyHb levels significantly. In the right FPC, this occurred in channel (Ch) 4 and 6 (P < 0.05) and Ch 3 (P < 0.01). In the left FPC, this occurred in Ch 10 and 15 (P < 0.05) and Ch 11 and 14 (P < 0.01). EA stimulation affected Ch 11 especially. There was also a significant positive correlation between OxyHb levels during the mental-arithmetic tasks in Ch 11 and changes in the numbers of answers and correct answers (ρ = 0.48; P < 0.05). Conclusions: These results suggest that 0.2 mA EA stimulation increased OxyHb levels in the FPC, particularly associated with increased CBF in the left FPC. Furthermore, the OxyHb levels in the left FPC positively correlated with the changes in the numbers of answers and correct answers.
Medical Acupuncture; https://doi.org/10.1089/acu.2022.0003
Objective: Plantar fasciopathy has a lifetime prevalence of 10% in the general population and can have a significant impact on quality of life. This research was conducted determine if a quick and simple acupuncture technique + a home-exercise program would reduce pain and improve function more than a home-exercise program alone. Materials and Methods: A randomized controlled trial was conducted at 2 U.S. Air Force military treatment facilities. Department of Defense beneficiaries ≥18 years' old with PF were recruited; 94 subjects were randomized to home exercise only (control) or home exercise + acupuncture (intervention). The intervention group had a acupuncture every 2 weeks for 4 treatments. There was no blinding. Patients initially in the control group were allowed to cross over to acupuncture after the initial 12-week study. Primary outcomes were pain reduction and improved functioning. Scores were obtained at baseline, each visit, and 6 weeks post-treatment. Results: The control group had a 21% reduction in pain scores (p < 0.05) at the study's end. The intervention group had a >50% reduction in pain score immediately after acupuncture during the visits (p < 0.05) and a 37% reduction at the study's end (p < 0.01). Subjects who crossed over to acupuncture had a >50% reduction of pain score acutely and a 30% reduction at 12 weeks post-acupuncture (p < 0.05). Function scores improved but were not statistically different (p = 0.535). Conclusions: A simple acupuncture technique acutely reduced pain by >50% in plantar fasciopathy and, when combined with a home-exercise program, achieved greater sustained clinically significant reduction in pain at 12 weeks than a home-exercise program alone.
Medical Acupuncture; https://doi.org/10.1089/acu.2022.0052
Objective: Knee flexion exercise is a type of exercise therapy for improving knee-joint muscle strength. Among the knee extensors, the vastus medialis muscle is less active and prone to disuse atrophy. The effects of press needle acupuncture include vasodilation, which may affect blood flow in the vastus medialis. This study examined the effects of exercise stimulation + press needle stimulation on muscle blood flow. Materials and Methods: Conducted in Teikyo Heisei University, Tokyo, Japan, this randomized controlled trial involved 30 healthy adults in 3 groups (10 who did not receive stimulation, 10 who received exercise stimulation only, and 10 who received press needle stimulation + exercise stimulation). The stimulations were applied once per week, for 3 weeks. After resting for 10 minutes, the nonstimulated group rested for 2 additional minutes, and the other 2 groups performed knee flexion and extension exercises considered to be “very very hard on the Borg rating.” After this activity, the 2 stimulation groups rested for 10 minutes. Press needle stimulation was applied on the vastus medialis muscles of both thighs in the combination stimulation group. Results: The combination group had a smaller decrease in muscle tissue oxygen saturation and an increase in total hemoglobin, compared to the exercise only stimulation group. Conclusions: Press needle stimulation during exercise may dilate muscle blood vessels. Future studies should examine the effectiveness of this stimulation for age-specific and knee diseases.
Medical Acupuncture, Volume 34, pp 351-352; https://doi.org/10.1089/acu.2022.29220.editorial
Medical Acupuncture, Volume 34, pp 371-379; https://doi.org/10.1089/acu.2021.0085
Objective: This study investigated the feasibility and effectiveness of preoperative electroacupuncture (EA), given within 30 minutes before surgery, on postoperative gastrointestinal dysfunction (PGD) in patients undergoing open gastrectomy. Materials and Methods: Patients (N = 60) undergoing open gastrectomy were allocated randomly to a usual care (UC) group (n = 30) or an EA group (n = 30). Patients in the EA group were given bilateral EA on ST-36 (Zusanli), ST-37 (Shangjuxv), and ST-39 (Xiajuxv) within 30 minutes before the surgery. The UC group had no acupuncture treatment. Primary outcomes were feasibility of recruitment, retention, acceptability, and patients' global satisfaction. Secondary outcomes included time to first flatus, defecation, liquid diet, incidence and severity of abdominal distension (AD), and incidence of postoperative nausea (PON) and postoperative vomiting (POV). EA-related adverse events were recorded. Results: Of the 61 recruited patients, 1 declined to participate and 60 were randomized into the 2 study groups. All participants completed the interventions. On the acceptability questionnaire, participants' acceptance of EA was statistically improved after the treatment (P < 0.001). Global satisfaction was higher in the EA group (P < 0.001) at 8 (range: 7–8) versus the UC group at 6 (range: 5–7), and the proportion of patients with at least good satisfaction (numerical scale of more than 7 of 10) reached 80% in the EA group. Compared to the UC group, the EA group had a shorter time to first flatus (EA: 57.67 ± 23.09 hours versus 71.27 ± 17.78 hours; P = 0.013). There were no significant differences in time to first defecation (P = 0.081) and liquid diet (P = 0.068), AD (P = 0.436), PON (P = 0.667), or POV (P = 1.000). EA-related adverse events were similar in the 2 groups (P = 1.000). Conclusions: EA is feasible, acceptable to patients, and associated with higher postoperative satisfaction in patients undergoing open gastrectomy. A large multicentered trial is needed to test the effectiveness of EA on PGD.
Medical Acupuncture, Volume 34, pp 410-412; https://doi.org/10.1089/acu.2022.29221.cpl