Relief of chronic neck and shoulder pain by manual acupuncture to tender points—a sham-controlled randomized trial

Nabeta, Tomoyuki; Kawakita, Kenji

doi:10.1016/s0965-2299(02)00082-1

Cited by 100 publications

(66 citation statements)

References 21 publications

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“…In 2008, a modified acupuncture or acupuncture-withconstant manipulations treatment similar to trigger pointinjections was developed and proven to be effective in patients with fibromyalgia, 53 and another recent study on the therapeutic efficacy of modified acupuncture technique, screwed in-and-out, 54 showed that upper trapezius muscle trigger point irritability, measured as subjective pain intensity, pain threshold, and amplitude changes in endplate noise, could be suppressed after remote needling of acupuncture points. Nabeta and Kawakita 54 have reported that the acupuncture technique known as sparrow pecking provided significant pain relief at pain points immediately after treatment, and that the pressure-pain threshold tended to increase after treatment with this type of acupuncture.…”

Section: Mitidieri Et Almentioning

confidence: 99%

Effect of Acupuncture on Chronic Pelvic Pain Secondary to Abdominal Myofascial Syndrome Not Responsive to Local Anesthetic Block: A Pilot Study

Mitidieri

Gurian

Silva

et al. 2017

Medical Acupuncture

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Objective: Strong evidence shows that 85% of women with chronic pelvic pain (CPP) have musculoskeletal disorders, such as abdominal myofascial pain syndrome (AMPS). The aim of this research was to assess the efficacy of local acupuncture treatment for women with CPP secondary to AMPS unresponsive to treatment with trigger-point injection. Materials and Methods: This pilot study involved 17 women with moderate-to-severe AMPS-related CPP. Acupuncture treatments were given at abdominal-wall trigger points once per week for 10 consecutive weeks. Pain relief was assessed with a visual analogue scale (VAS), the McGill questionnaire, and pressure dynamometer. Quality of life and psychosocial function (risk for anxiety and depression) were evaluated using the Short-Form-36 questionnaire and the Hospital Anxiety and Depression scale. Assessments were performed at baseline and after 1, 3, and 6 months of treatment. Results: Both the VAS and McGill pain questionnaire showed significantly decreased pain intensity (VAS, P < 0.001; and McGill, P 0.049), and the effects were sustained even at 6 months after treatment. Conclusions: Acupuncture treatment was effective for the women who participated in this study, and the current authors believe that these preliminary results suffice to recommend performing randomized controlled trials.

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Section: Mitidieri Et Almentioning

confidence: 99%

Effect of Acupuncture on Chronic Pelvic Pain Secondary to Abdominal Myofascial Syndrome Not Responsive to Local Anesthetic Block: A Pilot Study

Mitidieri

Gurian

Silva

et al. 2017

Medical Acupuncture

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“…In the following, the term ''sham'' is used according to the description of the respective publication. Sham interventions were needling at non-acupuncture points with stimulation (17 out of 48; 35.4%) [24, 25, 30, 31, 35, 42-44, 50, 53, 62, 73, 83-85, 94, 95], without or with minimal stimulation (10 out of 48; 20.8%) [22,27,37,44,46,47,57,86,93,95], minimal or no intensity needle stimulation at classical acupuncture points (10 out of 48; 20.8%) [40,44,66,80,88,92,95,97,103,104], non-penetrating placebo needles (12 out of 48; 25%) [28,33,45,52,60,61,72,76,78,79,98,99], or treatment with an inactive laser pen (5 out of 48; 10.4%) [31,48,49,77,95]. In 25 of these 48 studies (52.1%) the effect on sensory thresholds was significantly larger in the verum than in the sham acupuncture group [25, 28, 31, 33, 37, 40, 46, 50, 52, 57, 60, 62, 72, 76, 78-80, 83-85, 88, 92, 93, 95, 97].…”

Section: Comparison Of Verum Acupuncture To Inert or Sham-control Promentioning

confidence: 99%

“…Most common conditions under investigation were myofascial pain, associated with the occurrence of MTrPs (8 out 35, 22.9%) [33,38,41,48,50,63,70,83], fibromyalgia (7 out of 35, 20%) [37,44,45,72,81,82,87], chronic neck and back pain (5 out of 35, 14.3%) [22,46,49,74,77], temporomandibular disorder (5 out of 35, 14.3%) [40,43,68,79,91], and experimentally induced delayed-onset muscle soreness (DOMS; 4 out of 35, 11.4%) [27,47,51,78]. PPT was also used as an outcome measure for the treatment effect of acupuncture in tension type headache [52,93], osteoarthritis of the knee [86], abdominal scar pain [62], plantar fasciitis [96], and syringomyelia [64].…”

Section: Ppt Assessed In Pain Disordersmentioning

confidence: 99%

“…Nine of these reported the PPT to be significantly elevated [33,40,41,43,51,64,78,79,83], and one study found no significant PPT increase [50]. Among the 26 studies (74.3%) that assessed the effectiveness of an acupuncture series, 18 (69.2%) showed a PPT increase after treatment [37,38,46,50,52,62,63,68,70,72,74,77,81,82,86,87,91,93] while six studies (23.1%) observed no effect of acupuncture on the PPT [22,27,[47][48][49]96]. The outcome of two studies was rated as unclear, because the analysis was performed by combining data of all groups [44,45].…”

Section: Ppt Assessed In Pain Disordersmentioning

confidence: 99%

“…In all other studies (34 out of 35, 97.1%) algometers with different tip sizes (between 0.28 and 3.14 cm 2 ) were used to determine the PPT. In 23 studies, algometers were equipped with a rubber tip of 1 cm 2 or larger [27, 33, 37, 38, 40, 41, 44-48, 50, 62, 68, 70, 74, 79, 81, 82, 86, 87, 91, 96], while in five studies tips of smaller sizes were used [49,51,52,72,83,93]. In five articles no information was given about the characteristics of the algometer [22,43,63,77,78].…”

Section: Ppt Assessed In Pain Disordersmentioning

confidence: 99%

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Effects of Acupuncture on Sensory Perception: A Systematic Review and Meta-Analysis

Baeumler¹,

Fleckenstein²,

Takayama

et al. 2015

Deutsche Zeitschrift für Akupunktur

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Background: The effect of acupuncture on sensory perception has never been systematically reviewed; although, studies on acupuncture mechanisms are frequently based on the idea that changes in sensory thresholds reflect its effect on the nervous system. Methods: Pubmed, EMBASE and Scopus were screened for studies investigating the effect of acupuncture on thermal or mechanical detection or pain thresholds in humans published in English or German. A meta-analysis of high quality studies was performed. Results: Out of 3007 identified articles 85 were included. Sixty five studies showed that acupuncture affects at least one sensory threshold. Most studies assessed the pressure pain threshold of which 80% reported an increase after acupuncture. Significant short-and long-term effects on the pressure pain threshold in pain patients were revealed by two meta-analyses including four and two high quality studies, respectively. In over 60% of studies, acupuncture reduced sensitivity to noxious thermal stimuli, but measuring methods might influence results. Few but consistent data indicate that acupuncture reduces pin-prick like pain but not mechanical detection. Results on thermal detection are heterogeneous. Sensory threshold changes were equally frequent reported after manual acupuncture as after electroacupuncture. Among 48 sham-controlled studies, 25 showed stronger effects on sensory thresholds through verum than through sham acupuncture, but in 9 studies significant threshold changes were also observed after sham acupuncture. Overall, there is a lack of high quality acupuncture studies applying comprehensive assessments of sensory perception.

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Acupuncture for Chronic Pain

et al. 2012

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Background Although acupuncture is widely used for chronic pain, there remains considerable controversy as to its value. We aimed to determine the effect size of acupuncture for four chronic pain conditions: back and neck pain, osteoarthritis, chronic headache, and shoulder pain. Methods We conducted a systematic review to identify randomized trials of acupuncture for chronic pain where allocation concealment was determined unambiguously to be adequate. Individual patient data meta-analyses were conducted using data from 29 of 31 eligible trials, with a total of 17,922 patients analyzed. Results In the primary analysis including all eligible trials, acupuncture was superior to both sham and no acupuncture control for each pain condition (all p<0.001). After exclusion of an outlying set of trials that strongly favored acupuncture, the effect sizes were similar across pain conditions. Patients receiving acupuncture had less pain, with scores 0.23 (95% C.I. 0.13, 0.33), 0.16 (95% C.I. 0.07, 0.25) and 0.15 (95% C.I. 0.07, 0.24) standard deviations lower than sham controls for back and neck pain, osteoarthritis, and chronic headache respectively; the effect sizes in comparison to no acupuncture controls were 0.55 (95% C.I. 0.51, 0.58), 0.57 (95% C.I. 0.50, 0.64) and 0.42 (95% C.I. 0.37, 0.46). These results were robust to a variety of sensitivity analyses, including those related to publication bias. Conclusions Acupuncture is effective for the treatment of chronic pain and is therefore a reasonable referral option. Significant differences between true and sham acupuncture indicate that acupuncture is more than a placebo. However, these differences are relatively modest, suggesting that factors in addition to the specific effects of needling are important contributors to the therapeutic effects of acupuncture.

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Relief of chronic neck and shoulder pain by manual acupuncture to tender points—a sham-controlled randomized trial

Cited by 100 publications

References 21 publications

Effect of Acupuncture on Chronic Pelvic Pain Secondary to Abdominal Myofascial Syndrome Not Responsive to Local Anesthetic Block: A Pilot Study

Effect of Acupuncture on Chronic Pelvic Pain Secondary to Abdominal Myofascial Syndrome Not Responsive to Local Anesthetic Block: A Pilot Study

Effects of Acupuncture on Sensory Perception: A Systematic Review and Meta-Analysis

Acupuncture for Chronic Pain

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