Dry needling: a de-meridian style of acupuncture

Jin, Guishan; Jin, Louis Lei; Jin, Bonnie

doi:10.1016/s1003-5257(17)30001-6

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…Acupuncture has become an option for treating Parkinson's disease [33], Alzheimer's disease [34,35] and dementia [36,37], as supported by Chinese projects since the 1980s [38]. In particular, its effects on vascular dementia have shown improvements in memory, cerebral ischemia, hippocampus function, and synaptic plasticity, in the regulation of vasoactive substances and blood flow in the brain, in the prevention of excessive free radicals, the facilitation of angiogenesis, the inhibition of neuronal apoptosis, and in the modulation of neurotransmitter production, as well as increases in glucose metabolism [39][40][41][42][43][44], and the amelioration of cognitive impairment [45]: albeit Lee and colleagues [46] are hesitant regarding these outcomes.…”

Section: Introductionmentioning

confidence: 99%

How Can Acupuncture Be Used in Treating Dementia?

Cheng¹

2018

OBM Integr Complement Med

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(1) Background: Dementia erodes the quality of life of patients and their caregivers, and the growing dementia population threatens public finance in the health and social services. In addition to formal medical treatments, complementary and alternative medicine is applicable to dementia, in which acupuncture has become an option for prevention, remedy, and rehabilitation. Acupuncture is a traditional Chinese medical method that uses needle penetration at acupoints (specific points throughout the body which will be stimulated for therapeutic achievements), resulting in alleviating dementia symptoms; for example, enhancements in cognition, memory, language, behaviour, emotion, and self-care. (2) Methods: This narrative review analyses 44 clinical human-based studies conducted 1998-2017, pertaining to 3078 participants who were 45-100 years old in Austria, China, Hong Kong, Japan, and the USA. (3) Results: This review offers an overview of various methods of acupuncture (using acupuncture alone or combined with other therapies), and how they can be conducive to people inflicted by dementia. (4) Conclusions: This study also reveals future research directions to develop acupuncture, which offers a novel approach to health care practitioners and patients.

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Section: Introductionmentioning

confidence: 99%

How Can Acupuncture Be Used in Treating Dementia?

Cheng¹

2018

OBM Integr Complement Med

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“… 21 In contrast, 1 observational study reported that the pain threshold increased with persistent needle stimulation and induced an analgesic effect between 30 and 40 minutes. 22 With the dearth of standard acupuncture needle retention duration guidelines, trials have often used varying lengths (median of 30 minutes; range from 15 to 60 minutes). 23 …”

Section: Introductionmentioning

confidence: 99%

Acupuncture in Oncology: The Effectiveness of Acupuncture May Not Depend on Needle Retention Duration

Eade²,

Kneebone³

et al. 2017

Integr Cancer Ther

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Background. Guidelines surrounding optimum needle retention duration in acupuncture have not been established, despite a growing evidence base for acupuncture over recent decades. This retrospective study explored the effect of varying acupuncture needle retention durations in cancer patients. Method. Patients received either 2 (n = 35), 10 (n = 53), or 20 minutes (n = 54) of acupuncture once a week for 6 weeks. Outcomes of anxiety and depression, stress, fatigue, and quality of life (QOL), with the Hospital Anxiety and Depression Scale, Perceived Stress Scale, Functional Assessment of Cancer Therapy–Fatigue, and European Organization for Research and Treatment of Cancer Quality of Life, were measured at baseline and at 6 weeks following the intervention. Results. The mean age of participants was 58 years (n = 152). The majority were female, diagnosed with breast cancer. Depression, stress, fatigue, and QOL were significantly improved in all 3 groups at 6 weeks postintervention. No significant differences in all outcomes were found between the 3 groups (≤2 vs 10 minutes vs 20 minutes). There were no differences with the satisfaction of the acupuncture services and perceived efficacy of acupuncture among the 3 groups. More than 95% of participants indicated that they would recommend acupuncture to other cancer patients, friends, and their family members. Conclusion. The efficacy of acupuncture may not only depend on needle retention duration, but may also be associated with multiple factors. Considering the limitations of this study design, robust randomized controlled studies are warranted to confirm the findings.

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“…This design seems to lack the necessary stimulation time and frequency to achieve an optimal outcome. Modern studies have shown that the analgesic effect of acupuncture gradually reaches the climax only after about a 30-minute of needle retention period (26)(27). For patients with lower sensitivity, a stronger stimulus (such as adding EA), a longer needle-retention period (at least 30 minutes), or taking more frequent treatments (e.g.…”

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confidence: 99%

“…For patients with lower sensitivity, a stronger stimulus (such as adding EA), a longer needle-retention period (at least 30 minutes), or taking more frequent treatments (e.g. have acupuncture at least two times per week) is required (26)(27). In the trial design, it is apparent that these basic measures were not adopted.…”

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confidence: 99%

“…According to our experience (26)(27), in order to achieve a better outcome of acupuncture than painkillers, especially for the elderly patients with chronic moderate to severe knee pain, it is better to select regional reflex points (acupoints) with tenderness, or to apply more intensive needling methods, such as manipulations of deqi, multiple needles at a single point (28), or implementing EA, etc. Yet, all these important measures were not adopted in the trial protocol, inevitably resulting in the negative conclusion about acupuncture efficacy.…”

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confidence: 99%

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The paradox of acupuncture efficacy for chronic knee pain

Jin

Jin²,

Jin³

2015

Eur J Bio Med Res

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In a recent clinical trial, Hinman and colleagues concluded that "neither laser nor needle acupuncture conferred benefit over sham for pain or function in patients older than 50 years with moderate or severe chronic knee pain", which contradicts with NIH's recognition and the positive clinical experience of most acupuncturists. This review article highlights-major shortfalls from Hinman et al's clinical trial as follows. Laser acupuncture, defined as «low intensity laser therapy to acupuncture points", should not be labeled as acupuncture. A sham acupuncture control was not-set by the trialdesign. As for the trial design, there was a greater degree of randomness in selecting acupoints and inconsistencies of needling parameters among multiple subjects, acupuncture providers and facilities. Furthermore, the acupuncture needles used in this study were also too short to achieve any targeted efficacy, and the total number of treatments was insufficient, which is less than that commonly applied by most acupuncturists. In addition, the trial lacked observations or comparisons of short-term acupuncture efficacy. By revealing these shortfalls of Hinman et al's clinical trial, one may understand more about the paradox of acupuncture efficacy for chronic knee pain.

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Dry needling: a de-meridian style of acupuncture

Cited by 6 publications

References 5 publications

How Can Acupuncture Be Used in Treating Dementia?

How Can Acupuncture Be Used in Treating Dementia?

Acupuncture in Oncology: The Effectiveness of Acupuncture May Not Depend on Needle Retention Duration

The paradox of acupuncture efficacy for chronic knee pain

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