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  • Research article2017-04-01

    Effect of Acupressure on Symptoms of Postoperative Ileus After Cesarean Section

    Faezeh Abadi1, Maryam Shahabinejad2, Foziyeh Abadi1, Majid Kazemi3*
    Abstract

    Postoperative ileus (POI) is a common complication after most abdominal surgeries including cesarean section. It is associated with longer hospitalization and increased medical costs. This study is a randomized controlled trial investigating the effect of acupressure, and low-cost noninvasive traditional treatment, on POI symptoms after cesarean section. A total of 120 patients were randomly divided into two groups; the treatment group received two sessions of acupressure (an hour after attending the women's division; and 3 hours after the first session), each lasting 20 minutes. The time of flatus and defecation, time to presence of bowel sounds, and duration of postoperative bed rest were monitored. Patients in the treatment group had a shorter time to presence of bowel sounds compared with those in the control group (p 

  • Abstract

    Primary dysmenorrhea is defined as cramping pain in the lower abdomen with no pelvic diseases, and it has a high prevalence in many countries. Acupressure is a widely used complementary treatment method for primary dysmenorrhea. This review examined experimental studies to determine the effects of acupressure on primary dysmenorrhea using the databases PubMed, Google Scholar, and CINAHL with the keywords “Acupressure” and “Dysmenorrhea”. There were 2227 records in the databases, and 330 articles were published between 1989 and March 2020. Experimental studies in the English language were reviewed according to the PRISMA guidelines. This review included 28 published studies that were assessed using the Jadad score for quality. The studies were categorized as studies of acupressure at the LR3 point (n = 4), at the SP6 point (n = 9), at auricular points (n = 5), at multiple points (n = 8), and with devices (n = 2). Moreover, studies of self-acupressure (n = 9) were identified. The studies demonstrated that acupressure could reduce menstrual symptoms, the severity and duration of menstrual pain, distress, and anxiety. Furthermore, it helped improve the quality of life and well-being of patients and provide psychological support and self-care. Acupressure is an inexpensive, easy-to-apply, and non-pharmacological treatment and is useful for reducing primary dysmenorrhea, and women can apply this method anywhere by themselves. However, high-quality randomized controlled trials with larger samples are necessary to establish the evidence for acupressure as an effective intervention.

  • Research Article2022-10-31

    Effect of Acupressure on Dental Anxiety in Children: a Pilot Study for a Randomized Clinical Trial

    Maria Eliza Consolação Soares1,*, Alessandra de Souza Araújo1, Isabela Carvalhaes Lagares Pinto1, Luiza Silveira Araújo Barbosa1, Maria Cristina Borsatto2, Rodrigo Galo3
    J Acupunct Meridian Stud 2022; 15(5): 307-313 https://doi.org/10.51507/j.jams.2022.15.5.307
    Abstract

    Background: Anxiety is an important problem in children in dental clinics. Acupressure may be a useful tool to assist in dental procedures in anxious children.Objectives: This pilot study was performed to examine the effects of acupressure on dental anxiety in children undergoing restorative procedures.Methods: Fourteen children aged 7-10 years and with at least one primary molar with caries on the dentine were included in the study. The participants also needed to score at least one point on the modified Venham Picture Test (VPTm) for the determination of anxiety. The children were randomly allocated to two groups: group A — non-documented points for the reduction of anxiety and induction of relaxation; group B — documented points (EX-HN3, Shen Men of auricular acupuncture). The anxiety scale was administered on three occasions: prior to the application of acupressure; immediately after sitting in the dental chair to undergo restorative treatment; and after removal of acupressure at the end of the restorative procedure. Heart rate (HR) was measured when each child sat in the dental chair, after the removal of carious tissue, and after the removal of acupressure.Results: After the procedure, HR (as an indicator of anxiety) was statistically significantly lower in group B than group A (p = 0.02). However, there was no significant difference between the groups regarding anxiety before and during the restorative procedure (VPTm and HR: p > 0.05).Conclusion: The children who received acupressure on documented points for the reduction of anxiety had a significantly lower HR after the restorative procedure. No significant between-group difference was found regarding anxiety measured using a psychometric evaluation (VPTm).

  • Research Article2023-08-31

    Effect of Acupressure on Pain during Inferior Alveolar Nerve Block Injection in Children Aged 5-10 Years Old - An Experimental Study

    Ayushi Shashikant Gurharikar, Devendra Nagpal*, Prabhat Singh Yadav, Purva Chaudhari, Kavita Hotwani, Gagandeep Lamba
    J Acupunct Meridian Stud 2023; 16(4): 127-132 https://doi.org/10.51507/j.jams.2023.16.4.127
    Abstract

    Background: Acupressure, which is related to acupuncture, is a noninvasive therapy suitable for use in children. However, data examining acupressure’s effects on the pain of local anesthetic injection in children are sparse.Objectives: The purpose of this study was to evaluate acupressure’s effects on the pain of local anesthetic injection in children.Methods: This randomized, double-blind, parallel-group clinical study included 37 5- to 10-year-olds who had an inferior alveolar nerve block (IANB) for a mandibular extraction and were randomized to one of two groups: acupressure (study group) or non-acupressure (control group). The Wong-Baker FACES Pain Rating Scale (WBFPS) and the Sound, Eye, Motor (SEM) scale were utilized for subjective and objective pain assessment during injection.Results: The objective and subjective assessment of pain during injection significantly differed between the groups, with the acupressure group displaying lower scores.Conclusion: Acupressure at the extra one point (EX-HN1) reduced pain during IANB injection in 5- to 10-year-olds and can be used as an adjunct to conventional measures like topical anesthesia to reduce pain.

  • Research Article2024-10-31

    Auriculotherapy for Labour Pain Management: a Systematic Review and Meta-Analysis

    Velan Arumugam1, Arthi Balakrishnan2, V. Venugopal3, Poonguzhali S4, Gayathri Annamalai1, Prabu Narasimman5, S. T. Venkateswaran6, Maheshkumar Kuppusamy7,*
    J Acupunct Meridian Stud 2024; 17(5): 158-164 https://doi.org/10.51507/j.jams.2024.17.5.158
    Abstract

    Importance: Labor pain presents significant challenges during childbirth, necessitating effective pain management strategies. Auriculotherapy, a non-pharmacological intervention targeting specific ear points, has been explored as a potential solution for alleviating labor pain.Objective: This systematic review and meta-analysis aimed to evaluate the efficacy of auriculotherapy in reducing labor pain intensity and improving maternal satisfaction.Data Resources: The electronic databases PubMed, Scopus, ScienceDirect, and Cochrane Library were searched from inception until December 2023 for randomized controlled trials (RCTs) investigating auriculotherapy as an intervention for labor pain management.Study Selection: Two authors independently conducted literature selection based on predefined criteria (i.e., RCTs assessing auriculotherapy for labor pain management).Data Extraction and Synthesis: Data extraction was performed independently by two authors, and a random-effects model was used for meta-analysis. The pooled mean difference (MD), with a 95% confidence interval (CI), was calculated to estimate the effect size.Main Outcome(s) and Measure(s): The primary outcome was labor pain intensity measured on the visual analog scale.Results: Meta-analysis of five RCTs involving 451 patients revealed a significant reduction in labor pain following auriculotherapy compared with no treatment (MD, –1.78; 95% CI, –2.62 to –0.93). However, significant heterogeneity was observed among the included studies (I2, 87%; p < 0.01).Conclusions and Relevance: Despite the observed heterogeneity, this meta-analysis suggests that auriculotherapy holds promise as a non-pharmacological intervention for alleviating labor pain. Further investigation is warranted to refine auriculotherapy protocols and assess its long-term effects, thereby enhancing its potential as a viable option for labor pain management.

  • Research Article2024-12-31

    Acupressure as an Effective Method for Improving Sexual Function in Depressant Women Treated with Selective Serotonin Reuptake Inhibitor: a Randomized Clinical Trial

    Nazir Hashemi Mohammad-Abad1, Sahar Zafari2, Seyed-Abdolvahab Taghavi2,*, Fatemeh Zafari2, Elahe Karimi2, Arezoo Hosseini2, Fatemeh Rezaei2, Marcello Iriti3, Fatemeh Bazarganipour4,*
    J Acupunct Meridian Stud 2024; 17(6): 196-205 https://doi.org/10.51507/j.jams.2024.17.6.196
    Abstract

    Importance: Sexual dysfunction in individuals suffering from depression may be both a symptom of the disorder and a side effect of antidepressants. To date, and to our knowledge, no randomized controlled trials have demonstrated the effectiveness of acupressure on sexual function in women of reproductive age who take antidepressants.Objective: This study aims to evaluate the effect of acupressure on sexual function in women of reproductive age taking Selective Serotonin Reuptake inhibitors (SSRIs).Methods: A randomized clinical trial with a control group. In total, 115 women taking antidepressants and suffering from sexual dysfunction were recruited from Shahid Rajaee Hospital in Yasuj, Iran. They were enrolled based on the inclusion criteria and were randomly assigned to either the acupressure (intervention) or control group. Pressure was applied to subjects in the intervention group at the PC6 and SP6 acupoints, and at placebo points P1 and P2 in the control group. Treatments were administered in a sitting position, twice weekly, for two months. Sexual function was assessed using the Female Sexual Function Index at baseline and after the eight-week intervention period.Results: The acupressure group showed significant improvements in desire, orgasm intensity, satisfaction, and total sexual function score compared with the control group (p< 0.05).Conclusions and Relevance: This study provides important evidence for supporting the use of acupressure at these specific points to improve sexual function in women taking SSRIs. Acupressure may be a practical and effective intervention for mitigating antidepressant-induced sexual function.

Journal Info

JOURNAL OF MICROBIOLOGY AND BIOTECHNOLOGY
Vol.17 No.6
December, 2024

pISSN 2005-2901
eISSN 2093-8152

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  • Brief Report2023-12-31

    Effect of Needling at Selected Acupuncture Points (GB39, BL17, LR13) on Hemoglobin Levels in Anemia: a Randomized Placebo Controlled Study

    K. Gayathri Devi1, A. Mooventhan1,2,*, N. Mangaiarkarasi1, N. Manavalan3
    J Acupunct Meridian Stud 2023; 16(6): 263-267 https://doi.org/10.51507/j.jams.2023.16.6.263
    Abstract

    Iron deficiency anemia (IDA) is an important public health issue in India. This study was performed to determine the impact of acupuncture at the GB39, BL17, and LR13 points on hemoglobin levels, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and red cell distribution width (RDW) in people with IDA. One hundred women with IDA were randomly allocated to the acupuncture group (AG) or placebo control group (PCG). For 30 minutes per day, daily for 2 weeks, the AG received acupuncture at GB39, BL17, and LR13, while the PCG received needling at non-acupuncture points. Outcomes were assessed before and after the intervention. We found a significant increase (p < 0.001) in hemoglobin level (AG 10.39-11.38 g/dl, effect size 0.785; PCG 10.58-10.40 g/dl, effect size 0.191), MCH (AG 25.69-27.50 fl, effect size 0.418; PCG 27.43-27.23 fl, effect size 0.058), and RDW (AG 15.12-16.41 fl, effect size 0.626; PCG 14.91-14.94 fl, effect size 0.017) in the AG compared to the PCG. Results suggest that needling at the GB39, BL17, and LR13 acupuncture points is more effective in treating people with IDA than needling at non-acupuncture points.

  • Review Article2023-12-31
    JAMS

    Acupuncture in Sports Medicine

    George G.A. Pujalte1,2,*, Michael Malone3, Akhil Mandavalli1, Davong David Phrathep4, Neil P. Shah5, Adam I. Perlman6
    J Acupunct Meridian Stud 2023; 16(6): 239-247 https://doi.org/10.51507/j.jams.2023.16.6.239
    Abstract

    Acupuncture is gaining popularity and wider acceptance as a treatment modality within the field of sports medicine. Our objective was to provide a comprehensive review of the existing literature pertaining to acupuncture in sports medicine to shed light on approaches utilized in acupuncture while revealing its personalized nature and its impact on athletes’ preparation, performance, and recovery. We evaluated acupuncture research in the context of medicine and sports-related injury treatment, assessing its impact on athletic performance across demographics of athletes. Athletes participating in most sports have shown positive outcomes from acupuncture interventions. Acupuncture improves peak oxygen levels, maximum heart rate, delayed-onset muscle soreness, pain, swelling, explosive force production, and joint mobility. Furthermore, the efficacy of acupuncture appears to be similar regardless of age and sex. Lastly, the acceptance of acupuncture is influenced by cultural factors, with Western and traditional East Asian cultures exhibiting distinct perspectives on its rationale and mechanisms of action. Traditional East Asian acupuncturists typically employ qi and meridian theories in their acupuncture practices, with the recent incorporation of Western concepts. Acupuncture shows promise as an effective treatment for musculoskeletal pain and neuropathies in athletes across different age groups and for addressing injuries in various sports. Our comprehensive review will enhance our understanding of acupuncture’s potential as a complementary or distinct therapeutic approach compared to conventional therapies. Additionally, our review explores its specific applications within different sports and delves into the cultural dimensions involved in integrating this practice into modern sports medicine.

  • Case Report2023-04-30

    Integrative Strategy with Ayurveda and Electro-Acupuncture in Hemifacial Spasm: a Case Report

    Akshatha K Bhat1,*, Venugopalan Krishna kumar2, Jim Daniel Johnson3
    J Acupunct Meridian Stud 2023; 16(2): 65-69 https://doi.org/10.51507/j.jams.2023.16.2.65
    Abstract

    We report a primary hemifacial spasm that started four years ago with sudden twitching of the face towards the right side. It was diagnosed as a hemifacial spasm by a neurologist and prescribed with Zeptol 100 mg 0.5 tablet BID for two weeks, followed by two sittings of Botox injection in a gap of 1 year. A year later, it reappeared more severely, driving her towards an integrative treatment modality. Ayurveda treatments including Nasya, Ksheera dhooma, internal medications, and Rasona navaneetha prayoga were administered. GV20, GB14, EX-HN5, ST3, ST4, ST6, TE17, LI4, and GB34 were selected for electro-acupuncture. The scores of hemifacial spasm grading and quality of life scale were 9 and 20 (before), 6 and 16 (after treatment), and 4 and 10 (follow-up after six months), respectively. This integrative approach was safe and has shown an improvement in hemifacial spasm.

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  • Review Article2023-12-31
    JAMS

    Acupuncture in Sports Medicine

    George G.A. Pujalte1,2,*, Michael Malone3, Akhil Mandavalli1, Davong David Phrathep4, Neil P. Shah5, Adam I. Perlman6
    J Acupunct Meridian Stud 2023; 16(6): 239-247 https://doi.org/10.51507/j.jams.2023.16.6.239
    Abstract

    Acupuncture is gaining popularity and wider acceptance as a treatment modality within the field of sports medicine. Our objective was to provide a comprehensive review of the existing literature pertaining to acupuncture in sports medicine to shed light on approaches utilized in acupuncture while revealing its personalized nature and its impact on athletes’ preparation, performance, and recovery. We evaluated acupuncture research in the context of medicine and sports-related injury treatment, assessing its impact on athletic performance across demographics of athletes. Athletes participating in most sports have shown positive outcomes from acupuncture interventions. Acupuncture improves peak oxygen levels, maximum heart rate, delayed-onset muscle soreness, pain, swelling, explosive force production, and joint mobility. Furthermore, the efficacy of acupuncture appears to be similar regardless of age and sex. Lastly, the acceptance of acupuncture is influenced by cultural factors, with Western and traditional East Asian cultures exhibiting distinct perspectives on its rationale and mechanisms of action. Traditional East Asian acupuncturists typically employ qi and meridian theories in their acupuncture practices, with the recent incorporation of Western concepts. Acupuncture shows promise as an effective treatment for musculoskeletal pain and neuropathies in athletes across different age groups and for addressing injuries in various sports. Our comprehensive review will enhance our understanding of acupuncture’s potential as a complementary or distinct therapeutic approach compared to conventional therapies. Additionally, our review explores its specific applications within different sports and delves into the cultural dimensions involved in integrating this practice into modern sports medicine.

  • Brief Report2023-12-31

    Effect of Needling at Selected Acupuncture Points (GB39, BL17, LR13) on Hemoglobin Levels in Anemia: a Randomized Placebo Controlled Study

    K. Gayathri Devi1, A. Mooventhan1,2,*, N. Mangaiarkarasi1, N. Manavalan3
    J Acupunct Meridian Stud 2023; 16(6): 263-267 https://doi.org/10.51507/j.jams.2023.16.6.263
    Abstract

    Iron deficiency anemia (IDA) is an important public health issue in India. This study was performed to determine the impact of acupuncture at the GB39, BL17, and LR13 points on hemoglobin levels, mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and red cell distribution width (RDW) in people with IDA. One hundred women with IDA were randomly allocated to the acupuncture group (AG) or placebo control group (PCG). For 30 minutes per day, daily for 2 weeks, the AG received acupuncture at GB39, BL17, and LR13, while the PCG received needling at non-acupuncture points. Outcomes were assessed before and after the intervention. We found a significant increase (p < 0.001) in hemoglobin level (AG 10.39-11.38 g/dl, effect size 0.785; PCG 10.58-10.40 g/dl, effect size 0.191), MCH (AG 25.69-27.50 fl, effect size 0.418; PCG 27.43-27.23 fl, effect size 0.058), and RDW (AG 15.12-16.41 fl, effect size 0.626; PCG 14.91-14.94 fl, effect size 0.017) in the AG compared to the PCG. Results suggest that needling at the GB39, BL17, and LR13 acupuncture points is more effective in treating people with IDA than needling at non-acupuncture points.

  • Research Article2023-06-30

    Ziwuliuzhu Acupuncture Modulates Clock mRNA, Bmal1 mRNA and Melatonin in Insomnia Rats

    Ao Huang1, Gefang Xiao2, Yiliu Chen1, Zuying Hu1, Pin-Hsuan Lee1, Yusen Huang1, Zifeng Zhuang1, Yuling Zhang1, Peng Qing2,*, Canghuan Zhao2,*
    J Acupunct Meridian Stud 2023; 16(3): 109-118 https://doi.org/10.51507/j.jams.2023.16.3.109
    Abstract

    Background: In clinics, Ziwuliuzhu acupuncture is widely considered an effective method of treating insomnia; however, there is currently limited information available regarding its possible mechanisms. Although the method of Ziwuliuzhu acupuncture possesses a unique rhythmic pattern.Objectives: In this study, we have creatively combined the traditional Chinese medicine of Ziwuliuzhu with a modern biological rhythm to investigate the internal mechanism of insomnia.Methods: Pathological tissue from the hypothalamus was analyzed using hematoxylin–eosin staining. The level of TNF (tumor necrosis factor)-α in the SCN (suprachiasmatic nucleus) area of the hypothalamus was detected in situ using the TUNEL fluorescence staining assay. The concentration of hypothalamic melatonin was detected using the enzyme-linked immunosorbent assay (ELISA). The mRNA expression of Clock and Bmal1 was measured using RT-qPCR.Results: In the Ziwuliuzhu acupuncture groups, the structural damage in the hypothalamic neurons was alleviated compared to the model group and the expression of inflammatory factors was reduced. The mRNA expression levels of Clock and Bmal1 were significantly increased (p < 0.05). The concentration of melatonin was significantly increased (p < 0.001). Although there were no significant differences between the treatment groups (diazepam group, Nazi group, Najia group, and routine group) (p > 0.05).Conclusion: Ziwuliuzhu acupuncture alleviated neuronal damage and modulated the inflammatory reaction in the hypothalamus of rats with insomnia. Moreover, Ziwuliuzhu acupuncture increased the expression levels of Clock and Bmal1 mRNA, and MT content. This study has potentially highlighted one of the mechanisms through which Ziwuliuzhu acupuncture can be used to treat insomnia.

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