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Chen X, Sun WJ, Wang JR, Cai YY, Yu XD. A systematic review and meta-analysis assessing the efficacy of Tuina for nocturnal enuresis in children. Front Pharmacol 2024; 15:1421130. [PMID: 38962315 PMCID: PMC11220183 DOI: 10.3389/fphar.2024.1421130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2024] [Accepted: 05/27/2024] [Indexed: 07/05/2024] Open
Abstract
Background: Desmopressin acetate (DDAVP) and behavioral interventions (BI) are cornerstone treatments for nocturnal enuresis (NE), a common pediatric urinary disorder. Despite the growing body of clinical studies on massage therapy for NE, comprehensive evaluations comparing the effectiveness of Tuina with DDAVP or BI are scarce. This study aims to explore the efficacy of Tuina in the management of NE. Methods: A systematic search of international databases was conducted using keywords pertinent to Tuina and NE. The inclusion criteria were limited to randomized controlled trials (RCTs) that evaluated NE treatments utilizing Tuina against DDAVP or BI. This meta-analysis included nine RCTs, comprising a total of 685 children, to assess both complete and partial response rates. Results: Tuina, used as a combination therapy, showed enhanced clinical efficacy and improved long-term outcomes relative to the control group. The therapeutic efficacy of Tuina was not directly associated with the number of acupoints used. Instead, employing between 11 and 20 acupoints appeared to have the most significant effect. Conclusion: The findings of this meta-analysis support the potential of Tuina as an adjunct therapy to enhance the sustained clinical efficacy of traditional treatments for NE. However, Tuina cannot completely replace DDAVP or BI in the management of NE. While this study illuminates some aspects of the effective acupoint combinations, further research is crucial to fully understand how Tuina acupoints contribute to the treatment of NE in children. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=442644, identifier CRD42023442644.
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Affiliation(s)
- Xin Chen
- Department of Developmental and Behavioral Pediatrics, Fujian Children’s Hospital(Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China
| | - Wei-jie Sun
- The First Clinical Medical College of Nanjing University of Chinese Medicine, Nanjing, China
| | - Jing-rong Wang
- Department of Developmental and Behavioral Pediatrics, Fujian Children’s Hospital(Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China
| | - Ying-ying Cai
- Department of Developmental and Behavioral Pediatrics, Fujian Children’s Hospital(Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China
| | - Xiao-dan Yu
- Department of Developmental and Behavioral Pediatrics, Fujian Children’s Hospital(Fujian Branch of Shanghai Children’s Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China
- Department of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China
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Xue Y, Wang X, Liu H, Yao A. Using acupuncture to increase the rate of success in close reduction of posterior atlantoaxial dislocation without fracture. Asian J Surg 2024; 47:2041-2042. [PMID: 38267274 DOI: 10.1016/j.asjsur.2024.01.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 01/05/2024] [Indexed: 01/26/2024] Open
Affiliation(s)
- Yuan Xue
- Shanxi University of Chinese Medicine, China; Shanxi Health Vocational College, China
| | - Xuan Wang
- Shanxi University of Chinese Medicine, China; Shanxi Health Vocational College, China
| | - Honglin Liu
- Shanxi University of Chinese Medicine, China; Shanxi Health Vocational College, China
| | - Aina Yao
- Shanxi Acupuncture and moxibustion hospital, Shanxi Institute of Acupuncture and moxibustion, China.
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Zhang B, Shi H, Cao S, Xie L, Ren P, Wang J, Shi B. Revealing the magic of acupuncture based on biological mechanisms: A literature review. Biosci Trends 2022; 16:73-90. [PMID: 35153276 DOI: 10.5582/bst.2022.01039] [Citation(s) in RCA: 25] [Impact Index Per Article: 12.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Bo Zhang
- School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Haojun Shi
- Second Clinical Medical College, Henan University of Traditional Chinese Medicine, Zhengzhou, China
| | - Shengnan Cao
- School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Liangyu Xie
- Department of Traditional Chinese Medicine Orthopedics, Neck-Shoulder and Lumbocrural Pain Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Pengcheng Ren
- Department of Traditional Chinese Medicine Orthopedics, Neck-Shoulder and Lumbocrural Pain Hospital Affiliated to Shandong First Medical University, Jinan, China
| | - Jianmin Wang
- School of Acupuncture and Tuina, Shandong University of Traditional Chinese Medicine, Jinan, China
| | - Bin Shi
- Department of Traditional Chinese Medicine Orthopedics, Neck-Shoulder and Lumbocrural Pain Hospital Affiliated to Shandong First Medical University, Jinan, China
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Jang DY, Oh KC, Jung ES, Cho SJ, Lee JY, Lee YJ, Kim CE, Yang IJ. Diversity of Acupuncture Point Selections According to the Acupuncture Styles and Their Relations to Theoretical Elements in Traditional Asian Medicine: A Data-Mining-Based Literature Study. J Clin Med 2021; 10:jcm10102059. [PMID: 34064891 PMCID: PMC8151004 DOI: 10.3390/jcm10102059] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Revised: 05/07/2021] [Accepted: 05/10/2021] [Indexed: 12/18/2022] Open
Abstract
Acupuncture point (AP) selections can vary depending on clinicians’ acupuncture style, and therefore, acupuncture style is an important factor in determining the efficacy of acupuncture treatment. However, few studies have examined the differences in AP selections according to the acupuncture styles and theoretical backgrounds causing the differences. We compared the AP prescriptions used for 14 diseases in three classical medical textbooks, Dongeuibogam (DEBG), Saamdoinchimgooyogyeol (SADI), and Chimgoogyeongheombang (CGGHB), which represent unique acupuncture styles and have affected clinicians during this time. AP prescriptions showed more diversity between textbooks than between types of diseases. Among the three textbooks, AP prescriptions of SADI were most different compared to those of DEBG and CGGHB. Importantly, we found each style can be more clearly explained by AP attributes than by the APs per se. Specifically, SADI, DEBG, and CGGHB preferred five transport points located on the limbs, APs of the extra meridians, and source points, respectively. This suggests the possibility that the theoretical diversity of acupuncture styles results in the heterogeneity of AP selections.
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Affiliation(s)
- Dong-Yeop Jang
- Department of Physiology, College of Korean Medicine, Gachon University, Seongnam 13120, Korea;
| | - Ki-Chang Oh
- College of Korean Medicine, Dongguk University, Gyeongju 38066, Korea; (K.-C.O.); (E.-S.J.); (S.-J.C.); (J.-Y.L.); (Y.-J.L.)
| | - Eun-Seo Jung
- College of Korean Medicine, Dongguk University, Gyeongju 38066, Korea; (K.-C.O.); (E.-S.J.); (S.-J.C.); (J.-Y.L.); (Y.-J.L.)
| | - Soo-Jin Cho
- College of Korean Medicine, Dongguk University, Gyeongju 38066, Korea; (K.-C.O.); (E.-S.J.); (S.-J.C.); (J.-Y.L.); (Y.-J.L.)
| | - Ji-Yun Lee
- College of Korean Medicine, Dongguk University, Gyeongju 38066, Korea; (K.-C.O.); (E.-S.J.); (S.-J.C.); (J.-Y.L.); (Y.-J.L.)
| | - Yeon-Jae Lee
- College of Korean Medicine, Dongguk University, Gyeongju 38066, Korea; (K.-C.O.); (E.-S.J.); (S.-J.C.); (J.-Y.L.); (Y.-J.L.)
| | - Chang-Eop Kim
- Department of Physiology, College of Korean Medicine, Gachon University, Seongnam 13120, Korea;
- Correspondence: (C.-E.K.); (I.-J.Y.); Tel.: +82-31-750-5416 (C.-E.K.); +82-54-770-2366 (I.-J.Y.)
| | - In-Jun Yang
- Department of Physiology, College of Korean Medicine, Dongguk University, Gyeongju 38066, Korea
- Correspondence: (C.-E.K.); (I.-J.Y.); Tel.: +82-31-750-5416 (C.-E.K.); +82-54-770-2366 (I.-J.Y.)
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Chia KL, Teoh JH, Haberberger RV. Neuroanatomical relationship between Jingbi and the brachial plexus. Acupunct Med 2020; 39:226-231. [PMID: 32735123 DOI: 10.1177/0964528420938373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND This study examined the stratified anatomy of the traditional acupuncture point Jingbi and the neuroanatomical relationship between Jingbi and the brachial plexus, and investigated neural pathways that could be affected by acupuncture stimulation at Jingbi. METHODS Twelve dissected specimens were used to study the pathway of an acupuncture needle inserted at Jingbi. The stratified anatomy and the neuroanatomical relationship between Jingbi and the brachial plexus were studied. Our samples were grouped by gender and cause of death for comparative analysis. RESULTS All needles (n = 24, on both sides of a total of 12 cadavers) punctured the anterior scalene muscle medial to the brachial plexus and external jugular vein, lateral to the phrenic nerve and internal jugular vein, and superior to the clavicle and subclavian artery/vein. The depth of needle insertion at Jingbi on the right side of male samples was 28.0 (interquartile range (IQR), 22.5-30.8) mm, which was approximately 8 mm deeper than for female subjects (p < 0.05). The needle was 3.0 (IQR, 2.0-5.0) mm and 7.0 (IQR, 5.5-8.0) mm medial to the brachial plexus on the left and right sides, respectively. CONCLUSION Deep needle insertion at Jingbi can puncture the anterior scalene muscle. The mechanism of action of acupuncture stimulation at Jingbi might be related to its close relationship with the brachial plexus. Significant differences in needling depth were observed when our samples were grouped by gender. More studies are needed.
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Affiliation(s)
- Kwan Leung Chia
- Anatomy and Histology, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.,Chinese Medicine South Australia Incorporated, Adelaide, SA, Australia
| | - Jian Hung Teoh
- College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
| | - Rainer Viktor Haberberger
- Anatomy and Histology, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
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Pellegrini DZ, Müller TR, Fonteque JH, de Souza LP, de Souza AF, Joaquim JGF. Equine acupuncture methods and applications: A review. EQUINE VET EDUC 2020. [DOI: 10.1111/eve.12928] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- D. Z. Pellegrini
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - T. R. Müller
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - J. H. Fonteque
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - L. P. de Souza
- Department of Veterinary Medicine Agroveterinary Sciences Center Santa Catarina State University (CAV/UDESC) Lages SC Brazil
| | - A. F. de Souza
- Faculty of Veterinary Medicine and Animal Science University of São Paulo (FMVZ/USP) São Paulo SP Brazil
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Ding N, Liu X, Chen N, Jiang J, Zhao H, Li Z, Zhang J, Liu C. Lack of association between acupoint sensitization and microcirculatory structural changes in a mouse model of knee osteoarthritis: A pilot study. JOURNAL OF BIOPHOTONICS 2019; 12:e201800458. [PMID: 30740905 PMCID: PMC7065615 DOI: 10.1002/jbio.201800458] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2018] [Revised: 02/01/2019] [Accepted: 02/06/2019] [Indexed: 05/05/2023]
Abstract
As a stimulating point in acupuncture, acupoint has unique microcirculatory features, and its dynamics vary greatly depending on health status. Acupoint sensitization is defined as the transformation of an acupoint from a "silenced status" (healthy) to an "activated status" (disease). Our previous study demonstrated that acupoint sensitization is associated with an increase in the level of local blood perfusion. However, the structural changes in microcirculation during acupoint sensitization have yet to be elucidated because the high-resolution microcirculation imaging of acupoints has been difficult to obtain. In this study, the structural changes in microcirculation at the Zusanli (ST36), Yanglingquan (GB34) and nonacupoint sites on days 0, 7 and 21 were dynamically observed during acupoint sensitization in an experimental knee osteoarthritis mouse model by using optical-resolution photoacoustic microscopy. The results showed that no significant differences in microvessel density, the distribution of vessel diameters or vascular tortuosity were observed at the GB34, ST36 or nonacupoint sites among days 0, 7 and 21. We proposed that acupoint sensitization may not be associated with the structural changes in microcirculation and that the microcirculatory changes during acupoint sensitization are more likely to be functional. The functional characteristics of the sensitized acupoints warrant further investigation.
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Affiliation(s)
- Ning Ding
- School of Acupuncture, Moxibustion and TuinaBeijing University of Chinese MedicineBeijingChina
| | - Xiaoxiao Liu
- School of Acupuncture, Moxibustion and TuinaBeijing University of Chinese MedicineBeijingChina
| | - Ningbo Chen
- Research Laboratory for Biomedical Optics and Molecular ImagingShenzhen Institutes of Advanced Technology, Chinese Academy of SciencesShenzhenChina
- School of Mechanical and Electrical EngineeringGuangzhou UniversityGuangzhouChina
| | - Jing Jiang
- School of NursingBeijing University of Chinese MedicineBeijingChina
| | - Huangxuan Zhao
- Research Laboratory for Biomedical Optics and Molecular ImagingShenzhen Institutes of Advanced Technology, Chinese Academy of SciencesShenzhenChina
- School of Biomedical EngineeringCapital Medical UniversityBeijingChina
| | - Zhigang Li
- School of Acupuncture, Moxibustion and TuinaBeijing University of Chinese MedicineBeijingChina
| | - Jianhui Zhang
- School of Mechanical and Electrical EngineeringGuangzhou UniversityGuangzhouChina
| | - Chengbo Liu
- Research Laboratory for Biomedical Optics and Molecular ImagingShenzhen Institutes of Advanced Technology, Chinese Academy of SciencesShenzhenChina
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Acupuncture Points and Perforating Cutaneous Vessels Identified Using Infrared Thermography: A Cross-Sectional Pilot Study. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE 2019; 2019:7126439. [PMID: 31015854 PMCID: PMC6448333 DOI: 10.1155/2019/7126439] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 02/20/2019] [Accepted: 03/07/2019] [Indexed: 11/17/2022]
Abstract
Aims To evaluate the presence of perforating cutaneous vessels (PCV) in different lower limb acupuncture points (AP) using thermography. Material and Methods An analytical cross-sectional study was performed on the two lower limbs (n=6) of volunteer subjects. In total, 144 AP and 144 control points (CP) were analysed, one for each AP. First, the AP and CP were located on each individual. Subsequently, both the real and thermographic images were created. In the real images, the location of the AP and the established CP were highlighted with boxes. FLIR Tools Plus and Physio Thermal Imaging software were used to merge the real image with the AP and the CP and to merge the thermographic image with the PCV. By superimposing both images, we were able to verify the presence of PCV among the AP and CP. Results PCV were identified in 87.5% of the 144 AP examined and in 18.1% of the respective CP. All the AP had a higher percentage of PCV compared to their respective CP, with statistically significant differences in all points, except for ST33 and ST34. The probability of finding PCV in AP was 11 times higher than the probability of not finding it. Discussion Thermography may serve as a useful tool in the assessment and treatment of patients using acupuncture. The presence of PCV in the area of the acupuncture needle insertion could partially influence the effects generated by the acupuncture technique from the vascular autonomic point of view. Conclusions There is a high proportion of PCV in the AP area located in the lower limb.
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Tuckey C, Kohut S, Edgar DW. Efficacy of acupuncture in treating scars following tissue trauma. Scars Burn Heal 2019; 5:2059513119831911. [PMID: 30886746 PMCID: PMC6415480 DOI: 10.1177/2059513119831911] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Abstract
INTRODUCTION Anecdotally, acupuncture is used in the treatment of scar tissue in order to improve scar quality and reduce symptoms of pain and pruritus. Unlike conditions such as lower back pain, knee osteoarthritis and migraines, there are no systematic reviews to confirm treatment efficacy. This systematic literature review aims to assess the current level of evidence for the use of acupuncture for treating abnormal scars such as hypertrophic or other symptomatic scars. METHODS A comprehensive database search was performed followed by reviewing reference lists, grey literature databases and Google Scholar. Study quality was assessed using the Oregon CONSORT STRICTA instrument (OCSI) for clinical trials and the Joanna Briggs Institute (JBI) checklist for case reports. RESULTS The search strategy discovered five case studies, one retrospective cohort study, one cohort study and three clinical trials that investigated the use of acupuncture for scars. Studies rated as low to moderate quality (26-50%) on the OCSI checklist due to lack of detailed reporting, use of non-validated outcome measures and heterogeneity of participant cohorts. Three case studies rated as moderate quality (5-6/8) and two as low quality (<2/8) on the JBI checklist. DISCUSSION All studies reported positive outcomes for the use of acupuncture for scar symptoms; however, treatment frequency, duration, number of treatments and points used varied between studies. CONCLUSION Acupuncture for the treatment of abnormal scars has a low level of evidence thus requiring further well-designed, controlled trials to be performed. Recommended treatment protocols for future studies have been provided.
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Affiliation(s)
- Cathy Tuckey
- School of Physiotherapy, The University of Notre Dame Australia, Australia
| | - Susan Kohut
- School of Clinical Sciences, Auckland University of Technology, New Zealand
| | - Dale W Edgar
- School of Physiotherapy, The University of Notre Dame Australia, Australia
- Burn Injury Research Node, The University of Notre Dame Australia, Fremantle, Western Australia
- Institute of Health Research, The University of Notre Dame Australia
- Fiona Wood Foundation, Murdoch, Western Australia
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Tail Nerve Electrical Stimulation and Electro-Acupuncture Can Protect Spinal Motor Neurons and Alleviate Muscle Atrophy after Spinal Cord Transection in Rats. Neural Plast 2017; 2017:7351238. [PMID: 28744378 PMCID: PMC5506460 DOI: 10.1155/2017/7351238] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2016] [Revised: 03/08/2017] [Accepted: 03/19/2017] [Indexed: 01/12/2023] Open
Abstract
Spinal cord injury (SCI) often results in death of spinal neurons and atrophy of muscles which they govern. Thus, following SCI, reorganizing the lumbar spinal sensorimotor pathways is crucial to alleviate muscle atrophy. Tail nerve electrical stimulation (TANES) has been shown to activate the central pattern generator (CPG) and improve the locomotion recovery of spinal contused rats. Electroacupuncture (EA) is a traditional Chinese medical practice which has been proven to have a neural protective effect. Here, we examined the effects of TANES and EA on lumbar motor neurons and hindlimb muscle in spinal transected rats, respectively. From the third day postsurgery, rats in the TANES group were treated 5 times a week and those in the EA group were treated once every other day. Four weeks later, both TANES and EA showed a significant impact in promoting survival of lumbar motor neurons and expression of choline acetyltransferase (ChAT) and ameliorating atrophy of hindlimb muscle after SCI. Meanwhile, the expression of neurotrophin-3 (NT-3) in the same spinal cord segment was significantly increased. These findings suggest that TANES and EA can augment the expression of NT-3 in the lumbar spinal cord that appears to protect the motor neurons as well as alleviate muscle atrophy.
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Quiroz-González S, Torres-Castillo S, López-Gómez RE, Jiménez Estrada I. Acupuncture Points and Their Relationship with Multireceptive Fields of Neurons. J Acupunct Meridian Stud 2017; 10:81-89. [DOI: 10.1016/j.jams.2017.01.006] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2016] [Revised: 01/17/2017] [Accepted: 01/17/2017] [Indexed: 01/27/2023] Open
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Dommerholt J, Finnegan M, Hooks T, Grieve R. A critical overview of the current myofascial pain literature - September 2016. J Bodyw Mov Ther 2016; 20:879-892. [PMID: 27814870 DOI: 10.1016/j.jbmt.2016.09.010] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
This edition of the overview of the current myofascial pain literature includes 24 studies, case reports and systematic and narrative reviews. Surprisingly, five of the 24 papers were difficult to read and interpret mostly because of a poor mastery of the English language. It is somewhat surprising that journal editors and reviewers would accept papers that are needlessly difficult to read and not direct the authors to language services or others who could improve the quality of the writings. Of course, it is exciting that researchers and clinicians from all over the world continue to focus on myofascial pain and attempt to shed new light on the complexity of the problem to improve the clinical decision-making process and eventually clinical approaches and outcomes. There were no new papers on manual therapies, but many focused on dry needling.
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Affiliation(s)
- Jan Dommerholt
- Bethesda Physiocare, Bethesda, MD, USA; Myopain Seminars, Bethesda, MD, USA.
| | - Michelle Finnegan
- Bethesda Physiocare, Bethesda, MD, USA; Myopain Seminars, Bethesda, MD, USA.
| | - Todd Hooks
- New Orleans Pelicans, New Orleans, LA, USA.
| | - Rob Grieve
- Department of Allied Health Professions, Faculty of Health and Applied Sciences, University of the West of England, Blackberry Hill, Bristol, United Kingdom.
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A study to investigate needle insertion at Shenshu (BL23) to puncture psoas major muscle. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2016; 14:128-33. [PMID: 26988434 DOI: 10.1016/s2095-4964(16)60246-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE It is unknown whether the psoas major muscle, thought to be a key muscle for treatment of lower back pain, can be punctured at Shenshu (BL23). METHODS Twelve dissected specimens were used for studying the needling pathway of BL23 by perpendicularly inserting the depth-measuring blade of a vernier caliper at BL23. Dimensions of psoas muscle were measured. Correlation studies were conducted. In addition, our samples were grouped by gender and underlying medical conditions for analysis. RESULTS Half (50%) of the needle insertions successfully punctured psoas muscle. The mean depth of needle insertion to puncture psoas muscle (Dmin) in the group with short-term underlying medical conditions was 38.0 mm (interquartile range 29.0-51.8 mm), approximately 6 mm deeper than 32.0 (29.3-42.5) mm in the group with long-term health problems (P = 0.041). The cross-sectional area (CSA) of psoas muscle in the former group was on average approximately 1.5 times that of the latter group (P = 0.04). When the data were analysed by gender, the thickness of psoas muscle in the male group was 19.0 (6.5-24.0) mm compared to 19.5 (5.8-34.8) mm in the female group (P = 0.02). The age in the female group (P = 0.04) and the body length of the total group (P =0.04) negatively correlated to Dmin. CONCLUSION Needle insertion at BL23 might be able to puncture psoas muscle. Differences in the CSA of psoas muscle and Dmin were observed in groups with short-term and long-term underlying medical conditions.
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Pereira G, Athayde F, Martins da Encarnação AP. Interscalene brachial plexus blockade does not guarantee complete C8-T1 root block. Acupunct Med 2016; 34:156-7. [PMID: 26582641 DOI: 10.1136/acupmed-2015-010996] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/24/2015] [Indexed: 11/04/2022]
Affiliation(s)
- Gustavo Pereira
- Department of Anesthesiology, Hospital de Braga, Braga, Portugal
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Goh YL, Liu J, Zhao B. Use of the Layer Analysis Method of the Yellow Emperor's Inner Classic in modern society. J Acupunct Meridian Stud 2014; 7:331-6. [PMID: 25499567 DOI: 10.1016/j.jams.2014.02.004] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2014] [Revised: 02/01/2014] [Accepted: 02/05/2014] [Indexed: 11/24/2022] Open
Abstract
This article introduces the Layer Analysis Method of the Yellow Emperor's Inner Classic text to revive its use in modern acupuncture and medicine. This is a crucial concept, especially for the diagnosis and treatment of diseases by acupuncture. First, the rise and decline of this method is explored. Second, the differentiation of this method is described by symptoms, the affected organs, and the stage of the disease. Third, the treatment method is summarized into four categories: (1) equipment, (2) technique, (3) acupoint, and (4) pathology. The resemblance of the Layer Analysis Method to modern clinical applications is worth examining. The sinew layer is especially fascinating with its similarity to the Anatomy Trains' track. The skin, vessel, muscle, and bone layers have their respective resemblances to their counterparts in modern medicine. The holism concept of traditional Chinese medicine (TCM) is demonstrated throughout the Layer Analysis Method theory. In addition, the Layer Analysis Method of the Yellow Emperor's Inner Classic should be reconsidered and complemented by channel-collateral pattern differentiation for acupuncturists to achieve better clinical results. Future research on acupuncture should consider this theory with the channel-collateral pattern differentiation theory.
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Affiliation(s)
- You Li Goh
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China; School of Biological Sciences, Nanyang Technological University, Singapore, Singapore
| | - Juntian Liu
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China
| | - Baixiao Zhao
- School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine, Beijing, China.
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