Manual acupuncture for neuromusculoskeletal disorders: The selection of stimulation parameters and corresponding effects

Abstract

As a minimally invasive method of physical stimulation, manual acupuncture (MA) is used globally as a sort of therapy for neuromusculoskeletal disorders. In addition to selecting appropriate acupoints, acupuncturists should also determine the stimulation parameters of needling, such as the manipulation (lifting-thrusting or twirling), needling amplitude, velocity, and stimulation time. At present, most studies focus on acupoint combination and mechanism of MA, the relationship between stimulation parameters and their therapeutic effects, as well as the influence on mechanism of action are relatively scattered, and lack of systematic summary and analysis. This paper reviewed the three types of stimulation parameters of MA, their common options and values, corresponding effects and potential mechanisms of action. The purpose of such efforts is to provide a useful reference for the dose-effect relationship of MA and the quantification and standardization of its clinical treatment of neuromusculoskeletal disorders to further promote the application of acupuncture in the world.

Manual Acupuncture Manipulation Recognition Method via Interactive Fusion of Spatial Multiscale Motion Features

“…Then, the collected original RGB video signal dataset was segmented and cropped. In the actual data acquisition and communication with acupuncturists, we found that for a standard manipulation, the operation time of the twisting and lifting cycle was usually about 1 s [37]. Therefore, we chose 1 s as an MAM sequence cycle in constructing the dataset.…”

“…Generally, in the attention mechanism-based methods [37], the query matrix Q is used to denote the information that the model is concerned with at the current moment, the key matrix K is used to denote the information that matches Q, and the value matrix V contains the actual information in the input sequence.…”