• Title/Summary/Keyword: acupuncture stimulation

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Effect of the Electro-acupuncture Stimulation into the Multifidus on Subjective Pain and Lumbar Flexibility in Patients with Chronic Low Back Pain (만성요통 환자의 다열근에 적용한 전침이 통증 및 유연성에 미치는 효과)

  • Jang, Won-Seok;Park, Hung-Ki;Kim, Keun-Joo
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.3
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    • pp.185-192
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    • 2008
  • Purpose : The purpose of this study is to examine the effect of the electro-acupuncture stimulation into the multifidus for the lumbar flexibility improvement and pain reduction. The subjects were consisted of 20 women patients with chronic low back pain. Methods : 20 women patients with chronic low back pain voluntary participated for the research. 15 minute electro-acupuncture stimulation(frequency: 4Hz, Intensity: below threshold of pain) with Infra-red therapy, 3 times a week during 6 weeks period. Acupuncture application given to the patients' trigger point of the multifidus. The Application of multifidus was L3, L4, L5 spinal vertebra levels Short form McGill pain questionnaire (SFMPQ) was used to measure patient's pain level. Lumbar flexibility measurement was trunk flexion and trunk extension. Global Perceived Effect Scale(GPES) was used to measure recovery or worse of patient's condition. Results : SFMPQ was after treatment showed significantly decreased more than before stimulation treatment (P<.05). Lumbar flexibility was after treatment showed significantly increase more than before treatment(P<.05). GPES was after treatment showed significantly increased more than before treatment(p<.05). Conclusion : This study will be used as treatment method of patient with chronic LBP. The multifidus muscle in chronic LBP patients clinical significance. Most of chronic LBP patients have multifidus contraction pattern. So chronic LBP patients necessary multifidus muscle release treatment.

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The Effects of Automatically Controlled Rotating Acupuncture on Thermal Allodynia in a Rat Model of Neuropathic Pain: Mediation by Endogenous Opioid System (신경병증성 통증에 대한 자동염전침의 진통효과 및 opioid 기전)

  • Park, Jung-Hyuk;Kim, Sun-Kwang;Na, Hyo-Suk;Moon, Hak-Jin;Min, Byung-Il;Kim, Ki-Hong;Rhim, Sung-Soo;Lee, Soon-Geul;Lee, Sang-Hoon
    • Journal of Acupuncture Research
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    • v.23 no.5
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    • pp.23-29
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    • 2006
  • Objectives : The present study was conducted to evaluate the effects of automatically controlled rotating acupuncture (ACRA) on thermal allodynia in neuropathic pain rats, and to examine whether the endogenous opioid system mediates the effects of ACRA. Methods : For the neuropathic surgery, the right superior caudal trunk was resected at the level between S1 and S2 spinal nerves innervating the tail. Two weeks after the nerve injury, ACRA stimulation with 4 different stimulation conditions (i.e., angle and frequency of rotation: 90o+1Hz, 90o+1/4Hz, 360o+/1Hz, and 360o+1/4Hz) was delivered to the Zusanli (ST36) acupoint for 15 min. The behavioral signs of thermal allodynia were evaluated by the tail immersion test (i.e., immersing the tail in cold $(4^{\circ}C)$ or warm $(4^{\circ}C)$ water and measuring the latency to an abrupt tail movement) before and after the stimulation. In an additional set of experiments, we examined the effects of naloxone (opioid Results : ACRA stimulations under all of the conditions above significantly relieved thermal antagonist, 2mg/kg, i.p.) on the action of ACRA stimulation. allodynia. There is no difference in the anti-allodynic effects among the 4 stimulation conditions. In addition, the effect of ACRA on thermal allodynia was reversed by naloxone pretreatment. Conclusion : These results indicate that ACRA stimulations have relieving effects on thermal allodynia in neuropathic pain rats, irrespective of stimulation parameters, and that this is mediated by the endogenous opioid system.

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A Comparative Study of the Effects between Mountain-burning Fire Method and Heaven-penetrating Cooling Method at $Zusanli$($ST_{36}$) on Thermographic Change (족삼리(足三里)($ST_{36}$)혈(穴) 자침(刺鍼) 후 시행한 소산화법(燒山火法)과 투천량법(透天凉法)이 체표온도 변화에 미치는 영향 비교)

  • Im, Jeong-Gyun;Lee, Hyung-Geol;Jung, Da-Jung;Yook, Tae-Han;Kim, Jong-Uk
    • Journal of Acupuncture Research
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    • v.29 no.2
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    • pp.1-8
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    • 2012
  • Objectives : This study was performed to compare the effects between Mountain-burning fire method and Heaven-penetrating cooling method on thermographic change. Materials and Methods : The experiment was conducted to 20 students of College of Oriental Medicine, Woosuk University from July 12, 2011 to July 26, 2011. Acupuncture stimulation was applied at left $Zusanli$($ST_{36}$) with Mountain-burning fire method in A group(n=10) and Heaven-penetrating cooling method in B group (n=10). To estimate thermographic change, temperature of left $Zusanli$($ST_{36}$), $Shuigou$($GV_{26}$), $Zhongwan$($CV_{12}$) were measured by DITI(digital infrared thermographic image) before acupuncture stimulation and 30sec, 10min after needle removal. Results : In A group, the temperature of left $Zusanli$($ST_{36}$), $Shuigou$($GV_{26}$), $Zhongwan$($CV_{12}$) were decreased at 30sec after needle removal, statistically. And the temperature of $Zusanli$($ST_{36}$), $Zhongwan$($CV_{12}$) were decreased at 10min after needle removal, statistically. In B group, the temperature of $Zusanli$($ST_{36}$), $Zhongwan$($CV_{12}$) were decreased at 10min after needle removal, statistically. But, there was no significant difference between two groups on thermographic change, statistically Conclusions : Acupuncture stimulation applied at left $Zusanli$($ST_{36}$) with Mountain-burning fire method has more widespread effects than Heaven-penetrating cooling method. But further studies will be needed such as thermographic change with no stimulation and with more subjects.

The Nuclear Medical Study on the Effect of ST36 Electroacupuncture on Cerebral Blood Flow (족삼리(足三里) 전침자극(電針刺戟)이 뇌혈류(腦血流)에 미치는 영향(影響)에 관한 핵의학적(核醫學的) 고찰(考察))

  • Kim, Il-du;Oh, Hei-hong;Song, Ho-chun;Bom, Hee-seung;Byun, Jae-yung;Ahn, Soo-gi
    • Journal of Acupuncture Research
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    • v.18 no.2
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    • pp.18-26
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    • 2001
  • Purpose : To evaluate the effects of electroacupuncture on regional cerebral blood flow (rCBF) at acupoints suggested by oriental medicine to be related to the treatment of cerebrovascuiar diseases. Materials and Methods : Rest/electroaeupuncture-stimulation Tc-99m ECD brain SPECT using a same-dose subtraction method was performed on 5 normal male volunteers (age range from 27 to 30 years) using electroacupuncture at acupoint, ST 36. In the control study, needle location was chosen on a non-meridian focus 1cm posterior to the right fibular head. All images were spatially normalized and the differences between rest and acupuncture stimulation were statistically analyzed using SPM$^{(R)}$ for Windows$^{(R)}$. Results : Electroacupuncture applied at ST36 increased rCBF in the left hemisphere, that is, the left parietal lobe(angular gyrus), the left temporal lobe, the left inferior frontal lobe around rectus gyrus and the left cerebellar hemisphere, a part of the left inferior frontal lobe. In the control stimulation, no significant rCBF increase was observed. Conclusion : The results demonstrate that electroacupuncture increases rCBF in the contralateral cerebral hemisphere.

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Korean Medicine Treatment for Chronic Atypical Chest Pain Diagnosed as Coronary Artery Disease: A Case Report (관상동맥질환으로 진단된 만성 비정형 흉통의 한의진료 경과 : 증례보고)

  • Kim, Eunmi;Jo, Hee-Geun
    • The Journal of Internal Korean Medicine
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    • v.41 no.4
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    • pp.688-698
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    • 2020
  • Background: The aim of this study was to determine the overall effects and the clinical effect of Korean medicine treatment on chronic atypical chest pain. Case Report: A 56-year-old male patient suffering from chronic atypical chest pain was treated with herbal medicine and acupuncture. We used the Baseline Dyspnea Index (BDI), Pittsburgh Sleep Quality Index (PSQI), and a verbal numerical rating score (VNRS) to assess the patient's symptoms. The administration of the new herbal medicine and local acupuncture point stimulation improved the chest pain and dyspnea symptoms. No side effects were observed during the treatment. Conclusions: The study findings suggest that Korean medicine treatments, such as herbal medicine and local acupuncture point stimulation, may be effective as treatments for atypical chest pain and secondary symptoms in patients with coronary artery disease.

The nuclear medical study on the effect of Hap-Kok(LI4) Acupuncture on cerebral blood flow (합곡(合谷) 침자(鍼刺)가 뇌혈류에 미치는 영향에 대한 핵의학적 고찰)

  • Yang Yoo-Sun;Kim Sung-Jin;Hwang Yoo-Jin;Lyu Dong-Soo;Kim Min-Ja;Cho Eun-Hee;Kim Hyun-Jung;Yang Myeong-Bok;Lee Beung-Cheul;Lee In;Lee Geon-Mok
    • Journal of Acupuncture Research
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    • v.18 no.6
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    • pp.93-104
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    • 2001
  • Objective : To localize and compare the cerebral regions- activated by the the stimulation of traditional and burning acupunctures in right Hap-Kok (LI4) acupoints. Methods : Thirty-four healthy normal volunteers (19 males, 15 females, age 31${\pm}$11 years) were studies by rest/acupuncture Tc-99m HMPAO SPECT using same-dose sequential injection method using right Hap-Kok(LI4), traditional and burning acupunctures. All images were spatially normalized and the differences between rest and acupuncture activation state were statistically analyzed using SPM 96. Results : Statistical analysis of the effect by the stimulation using traditional acupuncture in right L14 showed regional cerebral perfusion increase in right inferior frontal lobe, right straight gyrus, left anterolateral frontal lobe, left anteroinferior temporal lobe, left posterior temporal lobe, and left cerebellum. In the stimulation using burning acupuncture in right LI4, regional cerebral perfusion increased in right posterior prefrontal lobe, right precental gyrus, right postcentral gyrus, right poteroinferior temporal lobe, left precentral gyrus, left Broca's area, left anterior parietal lobe, left posterior prefrontal lobe, and left cerebellum. In right LA, diffuse perfusion increase were noted in the both inferior frontal lobe by traditional acupuncture compared to burning acupuncture. Conclusion : The results localized the cerebral areas showed the effect of the acupuncture on cerebral blood flow. The effects of traditional and burning acupunctures on cerebral blood flow were similar in right Hap-Kok (LI4) acupoints. But the effects of traditional acupunctures on cerebral blood flow are stronger than those of burning acupunctures on cerebral blood flow.

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Comparative Literature Review of Floating Acupuncture: Compared to Meridian Muscle, Myofascial Pain Syndrome and Wrist-Ankle Acupuncture (부침 이해를 위한 문헌 비교: 경근, 근막동통이론, 완과침 그리고 부침)

  • Cheoung Su Kim;Yeon Kyeong Nam;Piao Quanyu;Seung Bum Yang;Jae-Hyo Kim;O Sang Kwon
    • Korean Journal of Acupuncture
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    • v.40 no.2
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    • pp.33-43
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    • 2023
  • Objectives : Floating acupuncture (FA) is a kind of newly developed acupuncture technique that contains its own apparatus. The technique has unique points that the body of the acupuncture needle stays intradermal space and manipulation is performed by shaking the needle horizontally; after manipulation, part of the needle remained in the intradermal space for 2~3 days. FA is not a common acupuncture methodology while various clinical study claims its efficacy on musculoskeletal disorders. In this study, the authors aimed to enhance the use of FA by comparing related theories. Methods : The authors reviewed classics, books, and articles related to FA, Meridian Muscle (MM), Myofascial Pain Syndrome (MPS), and Wrist-Ankle Acupuncture (WAA), and compared its characteristics by related theory, related symptoms, apparatus, and performing procedures. Results : FA was related and had various common parts with MM, MPS, and WAA, however, there were unique parts in the manipulation, apparatus, and stimulation location. FA is based on MM and MPS which pointing 'ashi points' or 'trigger points' as a treating target while FA does not stimulate the points directly. FA also targets subcutaneous space by inserting the needle horizontally as WAA does, while FA remains the needle handle part in the subcutaneous area for 2~3 days for more stimulation. Conclusions : FA has a unique manipulation procedure and potential benefit for musculoskeletal disorders despite the crude theological base written by Fu himself. Thus, developing a new explanation and patient-friendly methodology/apparatus is required for further down-to-earth studies.

Transcutaneous electrical nerve stimulation, acupuncture, and spinal cord stimulation on neuropathic, inflammatory and, non-inflammatory pain in rat models

  • Sato, Karina Laurenti;Sanada, Luciana Sayuri;da Silva, Morgana Duarte;Okubo, Rodrigo;Sluka, Kathleen A.
    • The Korean Journal of Pain
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    • v.33 no.2
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    • pp.121-130
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    • 2020
  • Background: Transcutaneous electrical nerve stimulation (TENS), manual acupuncture (MA), and spinal cord stimulation (SCS) are used to treat a variety of pain conditions. These non-pharmacological treatments are often thought to work through similar mechanisms, and thus should have similar effects for different types of pain. However, it is unclear if each of these treatments work equally well on each type of pain condition. The purpose of this study was to compared the effects of TENS, MA, and SCS on neuropathic, inflammatory, and non-inflammatory pain models. Methods: TENS 60 Hz, 200 ㎲, 90% motor threshold (MT), SCS was applied at 60 Hz, an intensity of 90% MT, and a 0.25 ms pulse width. MA was performed by inserting a stainless-steel needle to a depth of about 4-5 mm at the Sanyinjiao (SP6) and Zusanli (ST36) acupoints on a spared nerve injury (SNI), knee joint inflammation (3% carrageenan), and non-inflammatory muscle pain (intramuscular pH 4.0 injections) in rats. Mechanical withdrawal thresholds of the paw, muscle, and/or joint were assessed before and after induction of the pain model, and daily before and after treatment. Results: The reduced withdrawal thresholds were significantly reversed by application of either TENS or SCS (P < 0.05). MA, on the other hand, increased the withdrawal threshold in animals with SNI and joint inflammation, but not chronic muscle pain. Conclusions: TENS and SCS produce similar effects in neuropathic, inflammatory and non-inflammatory muscle pain models while MA is only effective in inflammatory and neuropathic pain models.

A Case Report of Radial Nerve Palsy Patients with Locating Yangming Channel (내경(內徑)의 독취양명이론(獨取陽明理論)으로 치료(治療)한 요골신경마비(撓骨神經痲痺) 환자 7례(例)에 대한 증례보고)

  • Kim, Eun-Mi;Park, Young-Soo;Heo, Yoon-Kyoung;Song, Hyong-Gun;Choi, Ka-Won;Kim, Jung-Ho;Kim, Young-Il;Hong, Kwon-Eui;Yim, Yun-Kyoung;Lee, Hyun
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.167-174
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    • 2005
  • Objectives : The purpose of this study is to report the patients with radial nerve palsy, who inproved by oriental medical treatment Methods & Results : The patients were hospitalized Dept. of Acupunture & Moxibustion, College of Oriental Medicine, Daejeon University from 1st, Mar. 2005 to 31th. Aug. 2005, and treated with Acupuncture and Electrical Stimulation theraphy, Herbal medication, Oriental physical therapy. To evaluate the wrist drop and numbness of fingers, Visual Analogue Scale(VAS) and the measurement of wrist circumstance are used. As the result, symptoms are improved remarkably Conclusion : Patients were treated for 4.1 weeks(average). 6 cases were excellent and 1 case was good.

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Comparison of Superficial and Deep Acupuncture in the Treatment of Ankle sprain : A Randomized Controlled Trial-Pilot study (무작위 대조 시험을 통한 족관절 염좌의 자침 중 심자와 천자의 비교 연구-준비 조사)

  • Park, Jun-sung;Kim, Woo-young;Baek, Seung-tae;Lee, Seung-deok;Kim, Kap-sung
    • Journal of Acupuncture Research
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    • v.21 no.5
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    • pp.137-147
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    • 2004
  • Objective : The aim of the study was to compare the therapeutic effect of the superficial and in-depth insertion of acupuncture needles in the treatment of patients with ankle sprain. Design : A prospective randomized single-blind study of superficial and deep acupuncture was conducted. Setting : The study was conducted in the Kang-nam Oriental Hosp. of Dong-Guk University. Patients: The study comprised 14 patients with ankle sprain who were divided into two groups (A and B). Intervention : In group A, the needle was introduced in the skin at a depth of 2 mm, whereas in group B the needle was placed deeply into muscular tissue or the articular capsule at a depth more than 1.5 Cm The treatment was planned for a duration of 1 week, 3 times. Outcome Measures : The intensity of pain was evaluated with the Ankle grade pain chart(AGPC) before and after treatment and at the 1-week follow-up examination. The AGPC includes Swelling, Tenderness, Exudation, Bruise, Medial/Lateral. stability test, Anterior drawer test, Squeeze test, Bearing weight, Pressure Algometer, Walking state and VAS. Results : Although at the end of the treatment there was no evidence of significant statistical differences between the two different groups, Pain reduction(VAS) was greater in the group treated with deep acupuncture. A statistical difference existed between the two groups at the 1 week follow up, with a better result in the deeply stimulated group in VAS. Conclusion : Clinical results show that deep stimulation has a better analgesic effect when compared with superficial stimulation in pain reduction(VAS, Visual analogic scale).

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