Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency.
Objectives: The objective of this study was to investigate whether typical acupuncture methods such as needle placement, needle stimulation, and treatment frequency were important factors in fibromyalgia symptom improvement. Design/settings/subjects: A single-site, single-blind, randomized trial of...
| Publicado en: | Journal of Alternative & Complementary Medicine Vol. 11; no. 4; pp. 663 - 672 |
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| Autores principales: | , , , , , , , , , |
| Formato: | clinical trial equations & formulas pictorial research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Aug2005
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106373928&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106373928 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10755535 C1G jtl: Journal of Alternative & Complementary Medicine issn: 10755535 maglogo: N pubinfo: dt: Aug2005 vid: 11 iid: 4 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 106373928 18072510 2009041633 10.1089/acm.2005.11.663 NLM16131290 106373928 ppf: 663 ppct: 9 formats: tig: atl: Treatment of fibromyalgia with formula acupuncture: investigation of needle placement, needle stimulation, and treatment frequency. aug: au: Harris RE Tian X Williams DA Tian TX Cupps TR Petzke F Groner KH Biswas P Gracely RH Clauw DJ affil: Department of Internal Medicine, Division of Rheumatology, University of Michigan, Chronic Pain and Fatigue Research Center, 24 Frank Lloyd Wright Drive, P.O. Box 385, Ann Arbor, MI 48106; reharris@med.umich.edu sug: subj: Acupuncture Fibromyalgia Therapy Needles Analysis of Variance Chi Square Test Convenience Sample Data Analysis Software Descriptive Statistics Factorial Design Fatigue Fisher's Exact Test Funding Source Health Status Indicators Pain Measurement Paired T-Tests Purposive Sample Questionnaires Random Assignment Repeated Measures Research Subject Recruitment Sample Size Short Form-36 Health Survey (SF-36) Single-Blind Studies Human ab: Objectives: The objective of this study was to investigate whether typical acupuncture methods such as needle placement, needle stimulation, and treatment frequency were important factors in fibromyalgia symptom improvement. Design/settings/subjects: A single-site, single-blind, randomized trial of 114 participants diagnosed with fibromyalgia for at least 1 year was performed. Intervention: Participants were randomized to one of four treatment groups: (1) T/S needles placed in traditional sites with manual needle stimulation (n = 29): (2) T/0 traditional needle location without stimulation (n = 30); (3) N/S needles inserted in nontraditional locations that were not thought to be acupuncture sites, with stimulation (n = 28); and (4) N/0 nontraditional needle location without stimulation (n = 2 7). All groups received treatment once weekly, followed by twice weekly, and finally three times weekly, for a total of 18 treatments. Each increase in frequency was separated by a 2-week washout period. Outcome measures: Pain was assessed by a numerical rating scale, fatigue by the Multi-dimensional Fatigue Inventory, and physical function by the Short Form-36. Results: Overall pain improvement was noted with 25%-35% of subjects having a clinically significant decrease in pain; however this was not dependent upon 'correct' needle stimulation (t = 1.03; p = 0.307) or location (t = 0.76; p = 0.450). An overall dose effect of treatment was observed, with three sessions weekly providing more analgesia than sessions once weekly (t = 2.10; p = 0.039). Among treatment responders, improvements in pain, fatigue, and physical function were highly codependent (all p </= 0.002). Conclusions: Although needle insertion led to analgesia and improvement in other somatic symptoms, correct needle location and stimulation were not crucial. pubtype: Academic Journal doctype: clinical trial equations & formulas pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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