Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update

Lim, Tiaw-Kee; Ma, Yan; Berger, Frédéric; Litscher, Gerhard

doi:10.3390/medicines5030063

Cited by 113 publications

(62 citation statements)

References 267 publications

(389 reference statements)

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“…The proved effective in alleviating problems of impaired social interaction and delayed verbal communication, regarding various intervention methodologies such as acupuncture, was needed. Traditionally, acupuncture and related techniques have been suggested for the management of cancer pain [27], while acupuncture for low back pain is one of the most commonly used non-pharmacological painrelieving techniques is also stated [28].…”

Section: Discussionmentioning

confidence: 99%

Acupuncture for Non-Verbal Autistic Children: Randomized Controlled Trial

Chen¹,

Liu²,

Liu³

et al. 2019

Neuropsychiatry

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ObjectiveTo study the efficacy, safety, and the alterations of brain neurochemical of short-term acupuncture for children with non-verbal autism spectrum disorder. MethodsStudy design: randomized, simple-blind, controlled trial. Non-verbal autistic children were randomly assigned to acupuncture group (n=24) or control group (n=19). The acupuncture group received 20 sessions for two acupoints on head [Temporal Anterior Oblique (MS6) under 2/5 and Temporal Posterior Oblique (MS7) under 2/5] over 4 weeks. Primary outcome measures comprised of Autism Treatment Evaluation Checklist (ATEC), Reynell Developmental Language Scale (RDLS), Pediatric Evaluation Disability Inventory (PEDI) and Clinical Global Impression-Improvement (CGI-I) scale. Secondary outcome measures included Gesell Development Diagnosis Scale (GDDS)/ Wechsler Preschool and Primary Scale of Intelligence-Fourth edition (WPPSI-IV)/Wechsler Intelligence Scale for Children-Fourth edition (WISC-IV), brain Magnetic Resonance Spectroscopy (MRS) and Weekly Parental Report. ResultsThere were significant ameliorations in the self-care (p=0.045) and self-care assistant (p=0.019) domains of PEDI, and CGI-I (p=0.003) in the acupuncture group, in contrast to control group. The significantly better social initiation (P=0.003), receptive language (p=0.002), pointing (p=0.036), imitation (p=0.025), and motor skills (p=0.036) were also revealed, regarding the Weekly Parental Report. As for the brain MRS, the acupuncture group showed significantly decreased the ratio of Choline /Creatine (p=0.037) at the left grey matter of Inferior frontal gurus and increased the concentrations of Creatine (p=0.036) at the right grey matter of superior temporal gurus. Mild side effects of irritability at initial sessions during acupuncture were found. ConclusionA short-term intensive acupuncture for selected points is helpful to improve specific functions of non-verbal autistic children, especially for self-care ability, which may be due to regulating cellular renewal and energy metabolism after acupuncture.Therefore, we performed randomized controlled trial of acupuncture for non-verbal autistic children to study the efficacy, safety, and also explore the changes of brain neurochemicals

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Section: Discussionmentioning

confidence: 99%

Acupuncture for Non-Verbal Autistic Children: Randomized Controlled Trial

Chen¹,

Liu²,

Liu³

et al. 2019

Neuropsychiatry

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show abstract

“…e evidence for acupuncture effectiveness in LBP also remains controversial [112]. On the one hand, unambiguous points (meridians) relating to LBP were determined, and the number of people taking advantage of acupuncture has increased significantly in recent years [113][114][115]. On the other hand, similar to assessing the effectiveness of manual therapy, there are controversies over the methodology of scientific works, unjustified comparison of the study population [116,117].…”

Section: Other Methods Used In Lbp Erapymentioning

confidence: 99%

Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics

Bitenc-Jasiejko

Konior²,

Lietz–Kijak

2020

Pain Research and Management

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Introduction. Lower back pain (LBP) is almost a problem of civilizations. Quite often, it is a consequence of many years of disturbed distribution of tension within the human body caused by local conditions (injuries, hernias, stenoses, spondylolisthesis, cancer, etc.), global factors (postural defects, structural integration disorders, lifestyle, type of activity, etc.), or systemic diseases (connective tissue, inflammation, tumours, abdominal aneurysm, and kidney diseases, including urolithiasis, endometriosis, and prostatitis). Therefore, LBP rehabilitation requires the use of integrated therapeutic methods, combining the competences of interdisciplinary teams, both in the process of diagnosis and treatment. Aim of the Study. Given the above, the authors of the article conducted meta-analysis of the literature in terms of integrated therapeutic methods, indicating the techniques focused on a holistic approach to the patient. The aim of the article is to provide the reader with comprehensive knowledge about treating LBP using noninterventional methods. Material and Methods. An extensive search for the materials was conducted online using PubMed, the Cochrane database, and Embase. The most common noninterventional methods have been described, as well as the most relevantly updated and previously referenced treatment of LBP. The authors also proposed noninvasive (measurable) diagnostic procedures for the functional assessment of the musculoskeletal system, including initial, systematic, and cross-sectional control. All figures and images have been prepared by the authors and are their property. Results. This review article goes beyond combining a detailed description of each procedure with full references, as well as a comprehensive discussion of this very complex and troublesome problem. Conclusions. Lower back pain is a serious health problem, and this review article will help educate physicians and physiotherapists dealing with LBP in the options of evidence-based treatment. Ultimately, the article introduces and postulates the need to systematize therapeutic procedures in LBP therapy, with a long-term perspective.

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“…With a 4-33% prevalence, lower back pain is the most common musculoskeletal disorder [47]. Even though it was named as the origin for most years lived with disability in 2016 [48], its cause remains unknown in up to 95% of the cases [49]. Therefore, despite receiving conventional pharmacological therapy, main topic patients tend to seek alternatives, such as acupuncture, for symptom relief.…”

Section: Acupuncture-about Popular Usage and Questionable Effect Sizesmentioning

confidence: 99%

A critical examination of the main premises of Traditional Chinese Medicine

Eigenschink

Dearing

Dablander

et al. 2020

Wien Klin Wochenschr

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Traditional Chinese Medicine (TCM) consists of a plethora of therapeutic approaches aiming to both characterize and treat diseases. Its utilization has gained significant popularity in the western world and is even backed by the World Health Organization's decision to include TCM diagnostic patterns into the new revision of the International Classification of Diseases code, the global standard for diagnostic health information. As these developments and potentially far-reaching decisions can affect modern healthcare systems and daily clinical work as well as wildlife conservation, its underlying factual basis must be critically examined. This article therefore provides an overview of the evidence underlying the basic TCM concepts, such as Qi, meridians, acupuncture, pulse and tongue diagnostics as well as traditional herbal treatments. Moreover, it discusses whether scientific literature on TCM reflects the current standard for evidence-based research, as described in good scientific practice and good clinical practice guidelines. Importantly, misinformation regarding the therapeutic efficacy of animal-derived substances has lead and currently leads to problems with wildlife preservation and animal ethics. Nevertheless, the (re-)discovery of artemisinin more than 50 years ago introduced a novel development in TCM: the commingling of Eastern and Western medicine, the appreciation of both systems. The need for more rigorous approaches, fulfilment of and agreement to current guidelines to achieve highquality research are of utmost relevance. Thereby, ancient knowledge of herbal species and concoctions may serve as a possible treasure box rather than Pandora's box.

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Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update

Cited by 113 publications

References 267 publications

Acupuncture for Non-Verbal Autistic Children: Randomized Controlled Trial

Acupuncture for Non-Verbal Autistic Children: Randomized Controlled Trial

Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics

A critical examination of the main premises of Traditional Chinese Medicine

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