Effects of Verum Acupuncture Compared to Placebo Acupuncture on Quantitative EEG and Heart Rate Variability in Healthy Volunteers

Streitberger, Konrad; Steppan, Jochen; Maier, Christoph; Hill, Holger; Backs, Johannes; Plaschke, Konstanze

doi:10.1089/acm.2007.0552

Cited by 62 publications

(50 citation statements)

References 35 publications

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“…This is consistent with another study also conducted with healthy adults. The study reported that acupuncture significantly increased HF and decreased both the LF/HF ratio and heart rate [16]. The result supports the hypothesis that acupuncture affects parasympathetic activity.…”

Section: Introductionsupporting

confidence: 77%

“…The overall effect was not significant ( = 1.26, = 0.21). Results in Chang et al [24] and Streitberger et al [16] did not support that effect of acupuncture while Hsu et al [27], Hsu et al [27], Kim et al [28], and Li et al [29] did. However, the overall effect (diamond) was insignificant and crossed the line of no effect.…”

Section: Lf/hf Ratio (9 Studies)mentioning

confidence: 89%

“…There were 40 subjects in acupuncture group and 40 in sham/control group. The heterogeneity ( 2 = 0.15, df = 1, = 0.70) was not significant while the 2 was 0% because there was only one Chang et al [24] Chang et al [30] Chang et al [30] Chang et al [25] Chang et al [25] Chang et al [25] Chang et al [25] Kim et al [28] Li et al [29] Streitberger et al [16] Kurono et al [31] Kurono et al [31] Figure 4: Forest plot of the effects of acupuncture on HF for healthy subjects. Chang et al [30] Chang et al [25] Chang et al [25] Chang et al [25] Chang et al [25] Kim et al [28] Li et al [29] Kurono et al [31] Kurono et al [31] Figure 5: Forest plot of the effects of acupuncture on LF for healthy subjects.…”

Section: Low Frequency (1 Study)mentioning

confidence: 99%

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Effect of Acupuncture on Heart Rate Variability: A Systematic Review

ChungJoanne¹

2014

The Journal of Alternative and Complementary Medicine

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Aim. To summarize all relevant trials and critically evaluate the effect of acupuncture on heart rate variability (HRV). Method. This was a systematic review with meta-analysis. Keyword search was conducted in 7 databases for randomized controlled trials (RCTs). Data extraction and risk of bias were done. Results. Fourteen included studies showed a decreasing effect of acupuncture on low frequency (LF) and low frequency to high frequency ratio (LF/HF ratio) of HRV for nonhealthy subjects and on normalized low frequency (LF norm) for healthy subjects. The overall effect was in favour of the sham/control group for high frequency (HF) in nonhealthy subjects and for normalized high frequency (HF norm) in healthy subjects. Significant decreasing effect on HF and LF/HF ratio of HRV when acupuncture was performed on ST36 among healthy subjects and PC6 among both healthy and nonhealthy subjects, respectively. Discussion. This study partially supports the possible effect of acupuncture in modulating the LF of HRV in both healthy and nonhealthy subjects, while previous review reported that acupuncture did not have any convincing effect on HRV in healthy subjects. More published work is needed in this area to determine if HRV can be an indicator of the therapeutic effect of acupuncture.

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Section: Introductionsupporting

confidence: 77%

Section: Lf/hf Ratio (9 Studies)mentioning

confidence: 89%

Section: Low Frequency (1 Study)mentioning

confidence: 99%

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Effect of Acupuncture on Heart Rate Variability: A Systematic Review

ChungJoanne¹

2014

The Journal of Alternative and Complementary Medicine

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“…(ii) The VA (verum acupuncture) group received acupuncture with a 0.25640-mm stainless steel needle (Asia Med, Munich, Germany) at LI4, which is situated between the first two metacarpal bones on the dorsal side of both hands at the top of the muscle belly (figure provided) [36]. …”

Section: Item 2bmentioning

confidence: 99%

“…(ii) The VA (verum acupuncture) group received acupuncture with a 0.25640-mm stainless steel needle (Asia Med, Munich, Germany) at LI4 [36].…”

Section: Item 2gmentioning

confidence: 99%

Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): Extending the CONSORT Statement

MacPherson

Altman

Hammerschlag

et al. 2010

Medical Acupuncture

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IntroductionThe STRICTA (Standards for Reporting Interventions in Clinical Trials of Acupuncture) reporting guidelines, first published in 2001 [1][2][3][4][5][6][7][8][9], were designed to improve the completeness and transparency of reporting of interventions in controlled trials of acupuncture, in order that such trials may be more accurately interpreted and readily replicated. STRICTA comprised a checklist that expanded the generic content of Item 4 of the CONSORT statement [10,11], which relates to the reporting of the intervention.A survey of authors of clinical trials and systematic reviews was subsequently conducted to determine the usefulness of STRICTA in helping them write their reports [12]. In addition, a survey of 90 acupuncture trials was undertaken to assess whether use of the STRICTA checklist was associated with improved reporting over time [13]. The results of these initiatives led to conclusions that most STRICTA items were found to be necessary and easy to use, though some were seen as poorly reported, ambiguous or possibly redundant, and a number of suggestions were made for additional items. A revision of STRICTA was therefore proposed.Meanwhile, extensions to CONSORT have been developed to cover the reporting of non-pharmacological treatments [14,15] and pragmatic trials [16]. Since there are acupuncture specific aspects to reporting not covered by these extensions, it was decided that STRICTA should be revised in a manner congruent with CONSORT and its extensions for non-pharmacological treatments and pragmatic trials.The combination of these developments led to an agreement between the CONSORT Group and the STRICTA Group, in collaboration with the Chinese Cochrane Centre and the Chinese Centre for Evidence-based Medicine, to revise STRICTA as a formal extension to CONSORT. The revision processes have been described in more detail elsewhere [17]. This paper describes the outcome in terms of a new checklist, updated explanations, and published examples of good reporting. MethodsIn the summer of 2008, a group of 47 experts from the original STRICTA Group, the CONSORT Group, the World Federation of Acupuncture and Moxibustion Societies, the Acupuncture Trialists ' Collaboration [18], the Society for Acupuncture Research [19], and clinical trial authors were surveyed [12]. The experts were from 15 countries, 41 had academic positions, 31 were acupuncturists, 18 were involved with journals, such as board members, 15 were physicians, and 11 had been involved previously in developing reporting guidelines. These experts were consulted in regard to a draft of revised STRICTA items that had evolved from previous research [12,13]. Feedback was collated and forwarded (with permission) to those invited to a consensus development workshop, the next phase of the revision process.Twenty-one individuals attended a workshop in Freiburg, Germany, in October 2008. The attendees included experts in epidemiology, trial methodology, statistics, and medical journal editing. Just over half the participants were ...

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Effects of Acupuncture on Autonomic Nervous Function and Prefrontal Cortex Activity

Sakatani

Kitagawa

Aoyama

et al. 2009

Advances in Experimental Medicine and Biology

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Acupuncture is helpful in treating various diseases, including autonomic nervous system (ANS) dysfunction caused by mental stress. On the other hand, the frontal lobe is suggested to play an important role in stress responses by modulating the ANS. The aim of the study was to evaluate the effects of acupuncture on ANS and frontal lobe activities. We investigated 18 normal adults. We measured the activity of prefrontal cortex (PFC) caused by real acupuncture (WHO-LI4) and sham acupuncture, employing optical topography. To evaluate ANS function, we analyzed heart rate variability (HRV). Analysis of HRV revealed a decrease of the LF/HF ratio, and an increase of the HF power by real acupuncture, indicating a shift to parasympathetic dominancy. Acupuncture also caused cerebral blood oxygenation changes in both directions, that is, an increase and/or a decrease of oxyhemoglobin (Oxy-Hb) in the bilateral PFC. However, the Oxy-Hb change was not correlated with HRV parameters in the majority of cases. One of the possible explanations of the poor correlations might be that the PFC activity induced by acupuncture is not closely linked with ANS function.

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Effects of Verum Acupuncture Compared to Placebo Acupuncture on Quantitative EEG and Heart Rate Variability in Healthy Volunteers

Cited by 62 publications

References 35 publications

Effect of Acupuncture on Heart Rate Variability: A Systematic Review

Effect of Acupuncture on Heart Rate Variability: A Systematic Review

Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): Extending the CONSORT Statement

Effects of Acupuncture on Autonomic Nervous Function and Prefrontal Cortex Activity

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