Electroacupuncture versus manual acupuncture in the treatment of plantar heel pain syndrome: study protocol for an upcoming randomised controlled trial

Wang, Weiming; Liu, Yan; Zhao, Jie; Jiao, Ruimin; Liu, Zhishun

doi:10.1136/bmjopen-2018-026147

Cited by 8 publications

(9 citation statements)

References 40 publications

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“…Although EA and manual acupuncture may have different therapeutic effects via different mechanisms, EA seems to have a faster and better analgesic effect than that of manual acupuncture. [21] In this trial, a three-armed design will be applied to investigate the effects of EA and LA for comparison with SLA in neuroimmune modulation and clinical outcomes for patients with major trauma. With this design, SLA treatment meets all requirements to produce the same non-specific effects as LA treatment, which can verify the efficacy of the selected acupoints.…”

Section: Discussionmentioning

confidence: 99%

The effects of electroacupuncture and laser acupuncture therapy for patients with major trauma

et al. 2021

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Background: Major trauma is the leading cause of death in the young population. The inflammatory and anti-inflammatory responses are associated with posttraumatic morbidity and mortality; however, it is not fully clear how to reestablish the homeostasis in patients with major trauma. Methods: This study will be a prospective, randomized, placebo-controlled, partially double-blinded, three-armed trial. One hundred eighty participants diagnosed with major trauma will be randomly assigned to an electroacupuncture (EA), a laser acupuncture (LA), or a sham laser acupuncture group in a 1:1:1 ratio. All participants will undergo EA, LA, or sham laser acupuncture intervention once a day on 5 acupoints (LI4, PC6, ST36, SP6, and EX-HN1) for 14 consecutive days after enrollment. The primary outcome measure will be the length of hospital stay. Secondary outcomes will be inflammatory mediators, including serum C-reactive protein, interleukin (IL)-6, tumor necrosis factor-α, IL-1β, and IL-10. Clinical outcomes will be numeric rating scale scores for pain, sequential organ failure assessment, ICU length of stay, 30-day mortality, and WHO Disability Assessment Schedule. Data will be analyzed by chi -square test or t test for pairwise comparisons, as well as one-way ANOVA followed by post hoc Tukey method between groups. Objectives: The aim of this protocol is to investigate the clinical effects of EA and LA on major trauma. Trial registration: ClinicalTrials.gov Identifier: NCT04970433. Registered on July 21, 2021.

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Section: Discussionmentioning

confidence: 99%

The effects of electroacupuncture and laser acupuncture therapy for patients with major trauma

et al. 2021

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“…Trial procedures have been described in detail elsewhere. 13 The study followed the Consolidated Standards of Reporting Trials (CONSORT) 14 reporting guideline.…”

Section: Methodsmentioning

confidence: 99%

Comparison of electroacupuncture and manual acupuncture for patients with plantar heel pain syndrome: a randomized controlled trial

et al. 2020

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Background: Plantar heel pain syndrome (PHPS), also known as plantar fasciitis, affects millions of people worldwide. Electroacupuncture (EA) and manual acupuncture (MA) are the two acupuncture modalities frequently used for PHPS in the clinical setting. However, which modality is more effective has yet to be determined. Objective: To examine whether EA is more effective than MA with regards to pain relief for patients with PHPS. Methods: Participants were randomly assigned (1:1) to receive 12 treatment sessions of EA or MA over 4 weeks with 24 weeks of follow-up. The primary outcome was the proportion of treatment responders, defined as patients with at least a 50% reduction from baseline in the worst pain intensity experienced during the first steps in the morning after a 4-week treatment, measured using a visual analogue scale (VAS, 0–100; higher scores signify worse pain). Analysis was by intention-to-treat. Results: Ninety-two patients with a clinical diagnosis of PHPS were enrolled from 29 July 2018 through 28 June 2019. Of the patients, 78 (85%) completed the treatment and follow-up. The primary outcome occurred in 54.8% (23/42) of the EA group compared to 50.0% (21/42) of the MA group after the 4-week treatment (difference –4.76, 95% confidence interval, –26.10 to 16.57, P = 0.662). There were no significant between-group differences for any secondary outcomes after 4 weeks of treatment and at 16 weeks and 28 weeks of follow-up. There were no serious treatment-related adverse events in either group. Conclusion: Among patients with PHPS, EA did not have a better effect with respect to relieving pain intensity than MA at week 4, although both EA and MA appeared to have positive temporal effects, with decreased heel pain and improved plantar function. Trial registration number: ChiCTR1800016531 (Chinese Clinical Trial Registry).

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“…The acupuncture protocol was developed by the consensus of three experts based on the meridian theory of TCM and was used in our previous trial. 21 Licensed acupuncturists with more than 2 years of acupuncture experience will perform the treatment. We will apply needles to two Ashi points (the two most severe tender points in the most sensitive area over the anteromedial aspect of the heels, according to the participant's perceived pain on palpation) as well as the Chengshan (BL57), Taixi (KI3) and Kunlun (BL60) acupoints in this trial.…”

Section: Acupuncture Groupmentioning

confidence: 99%

Efficacy of acupuncture versus sham acupuncture or waitlist control for patients with chronic plantar fasciitis: study protocol for a two-centre randomised controlled trial

Wang

Liu

et al. 2020

BMJ Open

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IntroductionPlantar fasciitis (PF) is reported to be the most common cause of plantar heel pain. Acupuncture has been used for patients experiencing PF, but evidence of the efficacy of acupuncture on PF is limited. The primary objective of this trial is to compare combined acupuncture and sham acupuncture (SA) versus waitlist control for improving the level of pain experienced by patients suffering from chronic PF.Methods and analysisThis will be a two-centre, parallel-group, sham and no-treatment controlled, assessor-blinded randomised trial. We will randomly allocate 120 participants with chronic PF to acupuncture, SA and waitlist control groups at a ratio of 2:1:1. Participants in the acupuncture and SA groups will receive a 30 min acupuncture or SA treatment for a total of 12 sessions over 4 weeks, with a 12-week follow-up. Participants in the waitlist control group will not undergo treatment for a period of 16 weeks but instead will have the option of 4 weeks (12 sessions) of acupuncture free of charge at the end of the follow-up period. The primary outcome will be the treatment response rate 4 weeks after randomisation, assessed as a minimum of 50% improvement in the worst pain intensity during the first steps in the morning compared with the baseline. All analyses will be performed with a two-sided p value of <0.05 considered significant following the intention-to-treat principle.Ethics and disseminationThe study has been approved by the Ethical Committee of the Guang’anmen Hospital, China Academy of Chinese Medical Sciences (approval no. 2019-210-KY). The results will be disseminated through presentation at a peer-reviewed medical journal, the relevant conferences and scientific meetings.Trial registrationNCT04185259.

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Electroacupuncture versus manual acupuncture in the treatment of plantar heel pain syndrome: study protocol for an upcoming randomised controlled trial

Cited by 8 publications

References 40 publications

The effects of electroacupuncture and laser acupuncture therapy for patients with major trauma

The effects of electroacupuncture and laser acupuncture therapy for patients with major trauma

Comparison of electroacupuncture and manual acupuncture for patients with plantar heel pain syndrome: a randomized controlled trial

Efficacy of acupuncture versus sham acupuncture or waitlist control for patients with chronic plantar fasciitis: study protocol for a two-centre randomised controlled trial

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