Press tack needle stimulation for blunt chest trauma: a randomized double-blind control trial

Abstract

Introduction Blunt chest trauma is often associated with severe pain, reduced lung function and decreased sleep quality. This study aims to investigate the immediate and long-term effect of acupuncture on these factors using a randomized control double-blind design. Methods A total of 72 patients were randomized into 2 groups: Treatment group (press tack acupuncture) and Control group (press tack placebo). The face rating scale, numerical rating scale, portable incentive spirometer, Verran Snyder-Halpern sleep scale were measured at baseline, immediately after the intervention, and at the 4th day, with 2 weeks and 3 months follow-ups. Results There were no significant changes between the groups at the baseline measurements, with the exception of high blood pressure comorbidity. Immediately after the intervention and On the 4th day follow-up, the patients in the treatment group showed a significantly lower face rating scale when compared to the control (P < 0.05). There were no significant changes in any of the other measurements between the groups (P > 0.05). Subgroup analysis revealed that the numerical rating scale (NRS) for turn over on 4th day was reduced significantly in the treatment group of patients without lung contusion(P < 0.05). For Patients without pleural drainage, cough NRS in the treatment group was significantly reduced in the 2 weeks follow-up(P < 0.05). Conclusion This study showed that press tack acupuncture effects on pain reduction was inconclusive. However, future studies on the effect of acupuncture on blunt chest trauma patients are needed. Clinical registration number clinicaltirl.gov (NCT04318496)

Comprehensive Review of Current Pain Management in Rib Fractures With Practical Guidelines for Clinicians

“…22 Another nonmedication study in rib fracture patients was the use of press tack acupuncture for the relief of pain. 23 Unfortunately, the results of this study were inconclusive as they were related to pain reduction. An intriguing noninvasive method showing great promise in the use of pulsed ultrasound to reduce pain and disability and increase fracture healing in rib fractures.…”