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  • Case Report2019-06-01

    Concurrent Effects of Dry Needling and Electrical Stimulation in the Management of Upper Extremity Hemiparesis

    Maryam S. Ghaffari1, Ardalan Shariat1*, Roshanak Honarpishe2, Azadeh Hakakzadeh1, Joshua A. Cleland3, Sepehr Haghighi4, Tohid S. Barghi1

    Abstract : Stroke is one of the leading causes of disability in western countries. A variety of rehabilitation programs for the treatment of patients after stroke have been proposed. We describe the outcomes of a 49-year-old female patient with a 5-year history of right upper extremity hemiparesis after stroke. Physical examination revealed a right wrist extensor strength grade of 1 according to the Medical Research Council Manual Muscle Testing scale, Stage 4 according to the Brunnstrom hand functional recovery, and Grade 1 in finger flexor and in wrist flexor according to the Modified Modified Ashworth Scale system of muscle spasticity. Magnetic resonance imaging taken immediately after the stroke was indicative of an abnormal signal in the left paraventricular and lentiform nucleus. After receiving a single session of dry needling and electrical stimulation, the patient had significant improvement including a strength grade of 3 for the right wrist extensor muscles, Stage 6 according to the Brunnstrom hand functional recovery, and Grade 0 in finger flexor and in wrist flexor according to the Modified Modified Ashworth Scale system of muscle spasticity. This case report found that dry needling combined with electrical stimulation may be effective in hand function recovery, wrist extensor muscles strength, and decreased wrist and finger spasticity.

    Abstract
  • Abstract : A number of studies have examined the accuracy and precision of acupuncture point location across various point location methods. Accuracy of point location is essential for safe, efficacious and reliable treatments and valid reproducible research outcomes. This review aims to identify, summarize, compare and critically appraise available empirical studies relating to the accuracy and precision of acupuncture point location. A comprehensive search of five electronic databases, World Journal of Traditional Chinese Medicine and Google scholar was performed for studies investigating accuracy and precision in acupuncture point location. 771 studies were screened of which 14 studies were identified, including 9 studies that investigated the localization of acupoints and 5 studies that examined the cun measurement system. Considerable variation in localization of acupoints was reported among qualified medical acupuncturists. Variation in point location among qualified non-medical acupuncturists is unknown due to lack of any identified study. The directional method was found to be significantly inaccurate and imprecise in all studies that evaluated the method. Suitability of other methods for clinical and research purposes and influencing factors such as education, training and experience were identified as topics for future studies.

    Abstract
  • Abstract : Equine acupuncture and herbal medicine are increasingly popular and have been anecdotally used in the treatment of a number of conditions. There is, however, a lack of data on the most commonly treated conditions in horses. The medical records of 164 horses presented exclusively for acupuncture and herbal therapy over a three-year period from October 2012 to October 2015 were evaluated from a mixed animal integrative medicine service at a veterinary academic teaching hospital. Horses were presented primarily for musculoskeletal conditions (62.0%), gastrointestinal disorders (9.5%), and anhydrosis (6.1%). Nearly half of all treated horses were geldings, and the mean age of treatment was 10.7 ± 6.5 years. The most common breeds were Warmbloods (28.2%), Quarter horses (20.2%), Thoroughbreds (17.8%), and Arabians (8.0%). Treatments included acupuncture (90.2%), herbal supplements (79.8%), electroacupuncture (69.9%), B12 injections (pharmacoacupuncture, 29.4%), or administration of autologous blood at acupuncture points (hemoacupuncture, 8.0%). Thirty-eight (38) different herbal formulas were recommended during the study period. Horses that were not provided herbal recommendations were more likely to present with gastrointestinal complaints (odds ratio = 11.2). Sex, breed, and presenting complaint had no or minimal impact on the types of treatments performed during the visit. However, data regarding patient characteristics and presenting complaints provide novel information which can be used to design prospective clinical trials.

    Abstract
  • Research Article2019-04-01

    Abstract : The aim of this study was determining the effect of acupressure on the severity of pain associated with intramuscular injections of magnesium sulfate administered by the Z-track technique in patients with eclampsia and preeclampsia. Forty-eight patients participated in this single-group clinical trial, which was conducted in three stages. For each patient, three intramuscular injections were administered by the Z-track technique. The first injection was administered by the conventional method. The second injection at a sham control point and the third injection using acupressure (BL32) were administered. Pain severity was measured on a visual analogue scale. The mean pain intensity was 7.22 in the first, 4.75 in the second and 1.94 in the third injections (p < 0.001). The results of the study showed that acupressure at the BL32 point before intramuscular injection of magnesium sulfate significantly reduced the injection-related pain.

    Abstract
  • International Scientific Acupuncture and Meridian Symposium (ISAMS) 2019 Conference Abstracts2020-04-01
    JAMS

    Abstract : Purpose As science and medicine evolves, the average life span of mankind is rapidly being extended. The growing population of the elderly and interest towards well-being is stimulating growth of the complementary medicine market. Acupuncture is one of the most popular treatments to the patients seeking complementary medicine. As patient population receiving acupuncture increases worldwide, needs for a standardized clinical guideline is growing. Among the many diseases treated by acupuncture, musculoskeletal disorders rank the top. The objective of this study is to establish Korean Medicine clinical guideline for non-specific chronic low back pain. Methods A task force team to establish the guideline was composed. Literature review was done in order to search for evidence of safety and efficacy of acupuncture and other Korean Medicine treatments. A survey was done in order to find out how Korean medical doctors derive pattern identification for acupuncture and herbal prescriptions in treating non-specific chronic low back pain. Then, based on the results of literature review and survey, a conference meeting of experts was held. Through the Delphi method, a draft of the acupuncture clinical guideline for non-specific chronic low back pain was established. Now the review board, composed of experts of musculoskeletal disorders, public health, statistics, and representatives of patients are modifying the draft. Results Evidence of safety and efficacy of acupuncture treatment for musculoskeletal disorders was established. A standard or pattern identification was derived. A draft of Korean Medicine clinical guideline for non-specific chronic low back pain was established. Conclusions More rigorous, well designed and large scaled RCTs are in need to improve the quality and make modifications this clinical guideline.

    Abstract
  • International Scientific Acupuncture and Meridian Symposium (ISAMS) 2019 Conference Abstracts2020-04-01
    JAMS

    Abstract : Objective Although studies on the efficacy of acupuncture treatment have been published in various fields, an understanding of the mechanisms is still insufficient. In particular, some studies on signal transmission have been conducted, but there is little research on the energy transmission. In this study, we observed changes in electrical energy by measuring the biopotential on acupuncture points. Methods The biopotential of five transport points and nearby nonacupuncture points in twelve meridians was measured. The measurement was continuously performed for 10 minutes 4 times (sections 1, 2, 3, and 4) with a 5-minute rest between each measurement. In the acupuncture stimulation experiment, the needle was inserted after section 1 and removed after section 3. After preprocessing the recorded data, the changes in the biopotential level and variability due to acupuncture stimulation were examined, and the biopotential difference between the acupuncture and the nonacupuncture points was compared. Results The biopotential tended to increase after acupuncture stimulation at well, brook, and stream points but tended to decrease at river and sea points. Additionally, the variability in biopotential increased considerably after acupuncture stimulation, which means that the electrical activity of the acupuncture point was increased by acupuncture stimulation. Finally, the biopotential of the brook point was lower than that of the nonacupuncture point beside it, whereas the biopotential of the river point was higher than that of the nonacupuncture point beside it. These results suggested that an electric field at the brook point was formed in the direction from the nonacupuncture point to the acupuncture point and reversed at the river point. Conclusion The distribution and changes in biopotential at five transport points are consistent with the energy flow theory in Korean medicine. Thus, the study on biopotentials can provide a foundation for research on energy flow mechanisms in Korean medicine.

    Abstract
  • International Scientific Acupuncture and Meridian Symposium (ISAMS) 2019 Conference Abstracts2020-04-01
    JAMS

    Abstract : Objective Methamphetamine (METH) is one of the representative drugs abused world widely and the reinforcing effect is exerted by the increase of dopamine (DA) release in the mesolimbic system. Acupuncture has been used for thousands of years to treat diverse disease including neuropsychiatric problems and been shown to be effective in the suppression of intravenous METH self-administration. Ja-Geum-Jung, a kind of herbal formula of Korean medicine, was reported to be effective for the atopic dermatitis. The present investigated if the combination of acupuncture and Ja-Geum-Jung could be better than alone treatment. Materials and methods Male Sprague-Dawley rats were given methamphetamine (1 mg/kg) intraperitoneally and the locomotor activity and ultrasound vocalization (USV) expression were measured. Electrophysiological methods were used to investigate a possible neuronal mechanism in the brain. Results Ja-Geum-Jung attenuated METH induced increases in the locomotor activity and USV. Acupuncture enhanced these effects showing a synergistic effect in the combination with Ja-Geum-Jung. Also, amygdala was shown to be involved in these effects. Conclusion Combination of acupuncture and herbal formula has been demonstrated to make better effects than alone treatment on the METH, in parallel with the experience of thousands of years in the Eastern Asia.

    Abstract
  • Research Article2020-03-26
    JAMS

    Effectiveness of manual and electrical needle stimulation in acupuncture for chronic nonspecific low back pain: a randomized controlled trial

    Josielli Comachio1*, Carla Coelho Oliveira1, Ilton Fagner Rodrigues Silva1, Mauricio Oliveira Magalhães21, Amélia Pasqual Marques1

    Abstract : AimThe aim of this study was to investigate effectiveness of electroacupuncture (EA) and manual acupuncture (MA) on pain and disability in patients with chronic low back.MethodsA total of 66 randomly allocated patients diagnosed with chronic LBP were assigned to receive either 12 sessions of acupuncture or electr LINK Word.Document.12 D:MYFILESELSEVIERJAMS00000470PREPTUDJAMS_470_tud.docx OLE_LINK1 a r Sao Paulooacupuncture. The primary outcomes measurements were intensity pain (NRS) and disability (RMQ). All main analysis followed the intention-to-treat principle.ResultsThe groups reported improvements posttreatment in intensity pain and disability respectively; however, no differences between groups were observed. Regarding the secondary outcomes, we observed a between-group difference only for kinesiophobia in favor of the manual acupuncture group (difference = −4.1 points, 95% CI = −7.0 to −1.1). The results were maintained after 3 months of follow-up. Contrary to our hypothesis, however, EA did not result in a better outcome compared with MA treatment.ConclusionThe study does not provide evidence that an electroacupuncture is superior to acupuncture treatment. Both therapies had similar efficacy in reducing pain and disability for chronic nonspecific low back pain.

    Abstract
  • Research Article2020-03-20
    JAMS

    Effectiveness of Acupuncture in Dental Surgery: A Randomized Clinical Trial Crossover Study

    Maria L.B. Gila*, Luide M.R.F. Marinhob, Márcio de Moraesb, Ronaldo S. Wadaa, Francisco C. Groppoc, Jorge E. Satod, Maria da L.R. de Sousaa*

    Abstract : AimThe objective of this crossover clinical study was to evaluate the effectiveness of energy regulation with acupuncture in clinical occurrences in impacted lower third molar surgeries.MethodsThe sample consisted of 22 patients with two impacted third molars, in symmetrical position; divided into two groups: Test Group with real energy regulation group and sham group with acupuncture without energy regulation function. The extraction was performed 30 days apart. Energy flow (Ryodoraku Method) and energy regulation performed before extraction were measured. Heart rate (HR) and Blood Pressure (BP) were evaluated before and after energy regulation and after surgery, residual edema was measured by facial measurements (angle of the mandible to tragus (A-T); angle of the mandible to labial commissure (A-LC); angle of the mandible to the wing of the nose (A-WN); angle of the mandible to the corner of the eye (A-CE); angle of the mandible to the chin (AC); and mouth opening by the interincisal distance, before and after seven days of surgery. To quantify intraoperative bleeding (ml), blood was aspirated along with the saline solution using a portable vacuum pump adaptor. The amount of saline solution used was subtracted from the final amount of aspirated fluid.ResultsMean of bleeding was lower in test group (p = 0.0392). There were significant differences between groups in facial distances: A-LC (p = 0.010), A-WN (p = 0.030) and A-C (p = 0.008).ConclusionEnergy regulation with real acupuncture was effective in reducing postoperative residual edema and intraoperative bleeding.

    Abstract
  • International Scientific Acupuncture and Meridian Symposium (ISAMS) 2019 Conference Abstracts2020-04-01
    JAMS

    Abstract : Saam acupuncture (SA) is a unique acupuncture treatment based on traditional Korean medical principles. The traditional theory about yin and yang, five elements, meridians are used in the application of SA. In particular, it uses the combination of five shu points for deficiency and excess of the meridians. After the diagnosis is made, the doctor principally selects four acupuncture points located below the elbow and knee joint and this makes SA an especially convenient and strong effective tool to patients. SA is a popular and safe treatment intervention widely applied in clinical practice to manage various conditions including musculoskeletal pain, mental disorder, and chronic, functional diseases. There are several previous studies related to SA for peripheral neuropathy, hwa-byung, amyotrophic Lateral Sclerosis, and so on. Pubmed and Korean databases were searched for clinical studies about SA treatment, and published articles related to SA and clinical trials, case studies are presented in this review.

    Abstract

Journal Info

JOURNAL OF MICROBIOLOGY AND BIOTECHNOLOGY
February, 2021
Vol.14 No.1

pISSN 2005-2901
eISSN 2093-8152

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  • International Scientific Acupuncture and Meridian Symposium (ISAMS) 2019 Conference Abstracts2020-04-01

    Abstract : Respiratory inflammation is a frequent and fatal pathologic state encountered in veterinary medicine. Although diluted bee venom (dBV) has potent anti-inflammatory effects, the clinical use of dBV is limited to several chronic inflammatory diseases. The present study was designed to propose an acupoint dBV treatment as a novel therapeutic strategy for respiratory inflammatory disease. Experimental pleurisy was induced by injection of carrageenan into the left pleural space in mouse. The dBV was injected into a specific lung meridian acupoint (LU5) or into an arbitrary non-acupoint located near the midline of the back in mouse. The inflammatory responses were evaluated by analyzing inflammatory indicators in pleural exudate. The dBV injection into the LU5 acupoint significantly suppressed the carrageenan-induced increase of pleural exudate volume, leukocyte accumulation, and myeloperoxidase activity. Moreover, dBV acupoint treatment effectively inhibited the production of IL-1β, but not TNF-α in the pleural exudate. On the other hand, dBV treatment at non-acupoint did not inhibit the inflammatory responses in carrageenan-induced pleurisy. The present results demonstrate that dBV stimulation in the LU5 lung meridian acupoint can produce significant anti-inflammatory effects on carrageenan-induced pleurisy suggesting that dBV acupuncture may be a promising alternative medicine therapy for respiratory inflammatory diseases.

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  • Research Article2020-02-01

    Abstract : This study investigates whether visual deprivation influences participants' accuracy in differentiating between real and sham acupuncture needles. It also evaluates the relative contributions of tactile, visual, and auditory cues that participants use in their decision-making processes. In addition, a simple sensory decision-making model for research using acupuncture sham devices as comparative controls is proposed. Forty healthy individuals underwent two conditions (blindfolded and sighted) in random sequence. Four sham and four real needles were randomly applied to the participants' lower limb acupoints (ST32 to ST39). Participants responded which needle type was applied. Participants then verbally answered a questionnaire on which sensory cues influenced their decision-making. The proportion of correct judgments, P(C), was calculated to indicate the participants' accuracy in distinguishing between the needle types. Visual deprivation did not significantly influence the participants' discrimination accuracy. Tactile cues were the dominant sensory modality used in decision-making, followed by visual and auditory cues. Sharp and blunt sensations were associated with the real and sham needles, respectively, for both conditions. This study confirmed that tactile cues were the main sensory modalities used in participant decision-making during acupuncture administration. Also, short-term blindfolding of participants during procedures will unlikely influence blinding effectiveness. Clinical trial registration number Not applicable. This study does not fall under the definition of a clinical trial under the ICMJE guidelines.

    Abstract
  • Impact Shot2020-10-01

    Herbal Transformation by Fermentation

    Chang-Gue Son 1, *, Sam-Keun Lee 2, In-Kyu Choi 2, Eun-Su Jang 1, Kee-Jung Bang 3

    Abstract : We herein show a dramatic change of herbal properties of the composition as well as function via fermentation of Cynanchi atrati Radix (family Asclepiadaceae). Cynanchi atrati Radix showed a high cytotoxicity against B16-F10 melanoma cell line, but the function of Cynanchi atrati Radix was completely changed into anti-melanin activity at very low concentration after Lactobacillus -fermentation. In addition, the compounds were drastically changed as shown in HPLC-based profile. Furthermore, this transformation has been achieved by only Lactobacillus -fermentation. This study proposes an strategy which we need to consider in the herb-derived material researches including pharmacopuncture.

    Abstract
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  • Research Paper2020-10-01

    The Effects of Auriculotherapy on Shoulder Pain After a Cesarean Section

    Abedini Maryam 1, Aminzadeh Fariba 2, Manshoori Azita 2, Bakhtar Babak 3, Sadeghi Tabandeh 4, *

    Abstract : Background: Postcesarean section shoulder pain caused by constrained upper extremity movement limits the maternal activities of breastfeeding and neonatal care. Objectives: This study aims at investigating the effects of auriculotherapy on shoulder pain after a cesarean section. Methods: In this randomized controlled trial, 90 candidates for a cesarean section were selected according to the inclusion and exclusion criteria and randomly allocated into control and intervention groups by the minimization method. In the intervention group, ear seeds were placed on shoulder and muscle relaxation points from two hours prior to surgery until 24 hours after it. In the control group, ear seeds were placed on placebo points. Shoulder pain was assessed on a numerical pain scale in 1, 6, and 24 hours after surgery. Results: There was no significant difference between the two groups 1 and 6 hours after surgery. However, there was a significant difference between the two groups 24 hours after surgery and the mean pain score was lower in the intervention group (independent t-test, p < 0.001). Conclusion: The use of auriculotherapy is recommended for the prevention and alleviation of shoulder pain after a cesarean section.

    Abstract
  • International Scientific Acupuncture and Meridian Symposium (ISAMS) 2019 Conference Abstracts2020-04-01

    Abstract : With thousands of years evolution, the human body has developed self-healing properties to recover from disorders. Theoretically, many alternative medicines may work to activate / enhance this self-regulation process. In my talk, I will introduce recent studies on the effects and brain mechanisms of acupuncture, mind-body exercise (Tai Chi and Baduanjin), and imagery on both experimental and chronic pain. Findings of these studies suggest that different alternative interventions may share a common network through which to relieve pain.

  • International Scientific Acupuncture and Meridian Symposium (ISAMS) 2019 Conference Abstracts2020-04-01

    Abstract : Sports injuries are very common, not only among professional athletes, but moreso among those professionals and students who would like to maintain an active lifestyle but only have time during weekends for their favorite sports. These athletic injuries may range from minor sprains to actual muscle tears that require weeks of anti-inflammatory treatment. Age-old acupuncture and moxibustion techniques can actually provide better and faster pain relieving methods that can also facilitate healing with minimal intervention. After the initial application of sports medicine protocols for the acutely injured athlete, immediate daily follow up treatments with moxybustion and acupuncture helps in getting the athlete back to training earlier and more comfortably than any medication currently employed by the conventional physiatrist. A perfect example of the multiplicatory effect of east meets west in the field of sports medicine.

    Abstract
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