Effects of Auricular Acupuncture-Like Transcutaneous Electric Nerve Stimulation on Pain Levels Following Wound Care in Patients with Burns: A Pilot Study

Lewis, S. M.; Clelland, Jo Ann; Knowles, Cheryl J; Jackson, James R.; Dimick, Alan R.

doi:10.1097/00004630-199007000-00010

Cited by 47 publications

(24 citation statements)

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“…Yeh et al in 2014 performed review 15 of ear acupuncture for immediate pain relief (15 minutes) in non-ED conditions and documented 2 acupuncture versus sham studies involving the changing of burns dressings 42 and chronic distal extremity pain. 43 Both studies showed significant but small effect-size differences favoring ear acupuncture (SMD = 0.37 and 0.34, respectively).…”

Section: Effectiveness Across Study Groupsmentioning

confidence: 99%

Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Jan

Aldridge

Rogers

et al. 2017

Medical Acupuncture

112

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Objective: Ear acupuncture might be the form of acupuncture best suited to improving acute pain management in the emergency department (ED). The primary aim of this review was to assess the analgesic efficacy of ear acupuncture in the ED. Secondary outcomes included measures of patient satisfaction, adverse effects, cost, administration techniques, and reduction of medication usage. Methods: Seven databases and Google Scholar were searched up to April 27, 2017, using MeSH descriptors for three overarching themes (ear acupuncture, pain management, and emergency medicine). Meta-analyses were performed in 3 comparator groups: (1) ear acupuncture versus sham; (2) ear acupuncture-as-adjunct to standard care; and (3) ear acupuncture (both as sole therapy and adjuvant) versus control to calculate the standardized mean difference (SMD) and weighted mean difference (WMD) for pain scores out of 10. Results: Six randomized controlled trials and 2 observational studies, totaling 458 patients, were retrieved after exclusions. The meta-analysis used data from 4 randomized studies representing 286 patients. The above 3 comparator groups resulted in SMDs of 1.69, 1.68, and 1.66, and WMDs of 2.47, 2.84, and 2.61 respectively, all favoring acupuncture. Battlefield (ear) acupuncture was the most commonly used technique. There were no significant adverse effects and patient satisfaction improved. Results regarding if acupuncture reduced medication use were equivocal. Significant study bias and heterogeneity were found. Conclusions: While study numbers are limited, ear acupuncture, either as stand-alone or as-an-adjunct technique, significantly reduced pain scores and has potential benefits for use in the ED. Further studies will define acupuncture's role and if it reduces use of analgesic medications.

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Section: Effectiveness Across Study Groupsmentioning

confidence: 99%

Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Jan

Aldridge

Rogers

et al. 2017

Medical Acupuncture

112

View full text Add to dashboard Cite

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“…One (1) study, however, did not provide enough data to be included in the meta-analysis. 17 The pain etiologies studied were the following: hip fracture 17 ; biliary colic 38 ; wound debridement in burn patients 42 ; and acute pain from a variety of different pain etiologies among patients in an emergency care center. 18 We rated only one study as good quality.…”

Section: Acute Painmentioning

confidence: 99%

“…2C). 18, 42 The results comparing SMD for decrease in pain from baseline to end of study between treatment and control group favor auriculotherapy (SMD 1.35; 95% CI: 0.08, 2.64; two studies). There was significant heterogeneity between these two studies (Q-value ¼ 6.94, p < 0.001).…”

Section: Acute Painmentioning

confidence: 99%

Auriculotherapy for Pain Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Asher

Jonas

Coeytaux

et al. 2010

The Journal of Alternative and Complementary Medicine

161

130

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Objectives: Side-effects of standard pain medications can limit their use. Therefore, nonpharmacologic pain relief techniques such as auriculotherapy may play an important role in pain management. Our aim was to conduct a systematic review and meta-analysis of studies evaluating auriculotherapy for pain management. Design: MEDLINE, Ò ISI Web of Science, CINAHL, AMED, and Cochrane Library were searched through December 2008. Randomized trials comparing auriculotherapy to sham, placebo, or standard-of-care control were included that measured outcomes of pain or medication use and were published in English. Two (2) reviewers independently assessed trial eligibility, quality, and abstracted data to a standardized form. Standardized mean differences (SMD) were calculated for studies using a pain score or analgesic requirement as a primary outcome. Removal of poor quality studies did not alter the conclusions. Significant heterogeneity existed among studies of acute and chronic pain, but not perioperative pain. Conclusions: Auriculotherapy may be effective for the treatment of a variety of types of pain, especially postoperative pain. However, a more accurate estimate of the effect will require further large, well-designed trials.

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“…Results were an average VAS score of 2.5 in the treatment group and 4.3 in the control group, a significant difference between groups ( p < 0.002). 17 Barker et al 18 published results from 38 patients with hip fracture who received either auricular or sham acupressure administered by an ambulance paramedic. Pain was assessed on a 100-mm VAS.…”

Section: Overview Of Clinical Studies Of Acupuncture and Painmentioning

confidence: 99%

DoD–NCCAM/NIH Workshop on Acupuncture for Treatment of Acute Pain

Edwards

Belard

Glowa

et al. 2013

The Journal of Alternative and Complementary Medicine

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The Department of Defense (DoD) and the National Center for Complementary and Alternative Medicine (NCCAM) at the National Institutes of Health (NIH) cosponsored a workshop that explored the possible benefits of acupuncture treatment for acute pain. One goal of the workshop was to establish a roadmap to building an evidence base on that would indicate whether acupuncture is helpful for treating active-duty military personnel experiencing acute pain.The workshop highlighted brief presentations on the most current research on acupuncture and acute pain mechanisms. The impact of various modifiers (stress, genetics, population, phenotypes, etc.) on acute pain pathways and response to acupuncture treatment was discussed.Additional presentations focused on common neural mechanisms, an overview of real-world experience with using acupuncture to treat traumatic acute pain, and best tools and methods specific for acupuncture studies. Three breakout groups addressed the gaps, opportunities, and barriers to acupuncture use for acute pain in military and trauma settings. Different models of effectiveness research and optimal research designs for conducting trials in acute traumatic pain were also discussed.

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Effects of Auricular Acupuncture-Like Transcutaneous Electric Nerve Stimulation on Pain Levels Following Wound Care in Patients with Burns: A Pilot Study

Cited by 47 publications

References 0 publications

Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Does Ear Acupuncture Have a Role for Pain Relief in the Emergency Setting? A Systematic Review and Meta-Analysis

Auriculotherapy for Pain Management: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

DoD–NCCAM/NIH Workshop on Acupuncture for Treatment of Acute Pain

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