Acupuncture on Clinical Symptoms and Urodynamic Measurements in Spinal-Cord- Injured Patients with Detrusor Hyperreflexia

Honjo, Hisashi; Naya, Yoshio; Ukimura, Osamu; Kojima, Munekado; Miki, Tsuneharu

doi:10.1159/000064874

Cited by 38 publications

(30 citation statements)

References 8 publications

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“…28 Meanwhile, two other good-quality RCTs, although underpowered, reported nonsignificant results, 29,30 while two relatively inferior-quality studies reported significance. 31,32 Meanwhile, most acupuncture studies for bladder control in patients with spinal-cord injury, including two RCTs 33,34 and two case series, 35,36 indicated favorable outcomes despite limited quality. All in all, the recommendation rating for pain and bladder control in patients with spinal-cord injury is close to C with potential toward B.…”

Section: Acupuncture For Selected Neurologic Disorders: An Overview Omentioning

confidence: 99%

The Status and Future of Acupuncture Clinical Research

Park

Linde

Manheimer

et al. 2008

The Journal of Alternative and Complementary Medicine

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On November 8-9, 2007, the Society for Acupuncture Research (SAR) hosted an international conference to mark the tenth anniversary of the landmark National Institutes of Health Consensus Development Conference on Acupuncture. More than 300 acupuncture researchers, practitioners, students, funding agency personnel, and health policy analysts from 20 countries attended the SAR meeting held at the University of Maryland School of Medicine, Baltimore, MD. This paper summarizes important invited lectures in the area of clinical research. Specifically, included are: a review of the recently conducted German trials and observational studies on low-back pain (LBP), gonarthrosis, migraine, and tension-type headache (the Acupuncture Research Trials and the German Acupuncture Trials, plus observational studies); a systematic review of acupuncture treatment for knee osteoarthritis (OA); and an overview of acupuncture trials in neurologic conditions, LBP, women's health, psychiatric disorders, and functional bowel disorders. A summary of the use of acupuncture in cancer care is also provided. Researchers involved in the German trials concluded that acupuncture is effective for treating chronic pain, but the correct selection of acupuncture points seems to play a limited role; no conclusions could be drawn about the placebo aspect of acupuncture, due to the design of the studies. Overall, when compared to sham, acupuncture did not show a benefit in treating knee OA or LBP, but acupuncture was better than a wait-list control and standard of care, respectively. In women's health, acupuncture has been found to be beneficial for patients with premenstrual syndrome, dysmenorrhea, several pregnancy-related conditions, and nausea in females who have cancers. Evidence on moxibustion for breech presentation, induction of labor, and reduction of menopausal symptoms is still inconclusive. In mental health, evidence for acupuncture's efficacy in treating neurologic and functional bowel disorder is still inconclusive. For chronic cancer-related problems such as pain, acupuncture may work well in stand-alone clinics; however, for acute or treatment-related symptoms, integration of acupuncture care into a busy and complex clinical environment is unlikely, unless compelling evidence of a considerable patient benefit can be established.

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Section: Acupuncture For Selected Neurologic Disorders: An Overview Omentioning

confidence: 99%

The Status and Future of Acupuncture Clinical Research

Park

Linde

Manheimer

et al. 2008

The Journal of Alternative and Complementary Medicine

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show abstract

“…7) for overactive bladder; and they demonstrated that urinary incontinence and urgency caused by overactive or unstable bladder, along with improvement in urodynamic measurements such as bladder capacity, were improved (94). In urodynamic measurements of spinal cordinjured patients, acupuncture could be another valuable therapeutic alternative for the treatment of urinary incontinence caused by detrusor hyperreflexia (95). In patients with benign prostatic hyperplasia (BPH), Kitakoji et al reported that acupuncture stimulation to bilateral BL33 was effective for BPH (stage I) patients (96).…”

Section: Effects Of Acupuncture On Urological Disordersmentioning

confidence: 99%

How Do Acupuncture and Moxibustion Act? – Focusing on the Progress in Japanese Acupuncture Research –

et al. 2006

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Abstract. The mechanisms of action of acupuncture and moxibustion as reported by Japanese researchers are reviewed. The endogenous opioid-mediated mechanisms of electroacupuncture (EA) as used in China are well understood, but these are only one component of all mechanisms of acupuncture. These studies emphasize the similarity of the analgesic action of EA to various sensory inputs to the pain inhibition mechanisms. In Japanese acupuncture therapy, careful detection of the acupuncture points and fine needling technique with comfortable subjective sensation are considered important. The role of polymodal receptors (PMR) has been stressed based on the facts that PMRs are responsive to both acupuncture and moxibustion stimuli, thermal sensitivity is essential in moxibustion therapy, and the characteristics of acupuncture points and trigger points are similar to those of sensitized PMRs. Acupuncture and moxibustion are also known to affect neurons in the brain reward systems and blood flow in skin, muscle, and nerve. Axon reflexes mediated by PMRs might be a possible mechanism for the immediate action of acupuncture and moxibustion. Reports on the curative effects of acupuncture on various digestive and urological disorders are also reviewed briefly.

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“…A needle was inserted into each side of the foramina sufficiently deep for its tip to be close to the sacral periosteum (50-60 mm); the bilateral needles were then rotated reciprocally, with manual change in rotary direction, for 10 min. 7 The treatment was repeated once a week for 4 weeks.…”

Section: Acupuncturementioning

confidence: 99%

Treatment of monosymptomatic nocturnal enuresis by acupuncture: A preliminary study

Honjo¹,

Kawauchi²,

Ukimura³

et al. 2002

Int J of Urology

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Objectives : This study was designed to clarify the clinical usefulness of acupuncture as a treatment option for monosymptomatic nocturnal enuresis, and evaluate the mechanisms of its effect. Methods : Subjects comprised 15 patients (10 males, 5 females) with monosymptomatic nocturnal enuresis who were treated by acupuncture using a disposable stainless steel needle (0.3 mm in diameter, 60 mm in length) inserted into bilateral BL-33 (Zhongliao) points on the skin of the third posterior sacral foramina and rotated manually for 10 min reciprocally. Bladder capacities and number of wet nights per week were compared before and after treatment. Patients in whom wet nights decreased 50% or more compared with the baseline were considered responders. Results : Nocturnal enuresis improvement rates following acupuncture treatment were 40% (6/15) just after treatment and 47% (7/15) 2 months after. In 6 responders, just after treatment the nocturnal bladder capacity (NBC) increased significantly, from 201 mL to 334 mL ( P < 0.05). No side-effects were recognized throughout the treatment period. Conclusion : Acupuncture may be beneficial in the treatment of nocturnal enuresis by increasing NBC, and provide a promising alternative to conventional therapies for monosymptomatic nocturnal enuresis.

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Acupuncture on Clinical Symptoms and Urodynamic Measurements in Spinal-Cord- Injured Patients with Detrusor Hyperreflexia

Cited by 38 publications

References 8 publications

The Status and Future of Acupuncture Clinical Research

The Status and Future of Acupuncture Clinical Research

How Do Acupuncture and Moxibustion Act? – Focusing on the Progress in Japanese Acupuncture Research –

Treatment of monosymptomatic nocturnal enuresis by acupuncture: A preliminary study

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