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A longitudinal study of the reliability of acupuncture deqi sensations in knee osteoarthritis.

Spaeth RB, Camhi S, Hashmi JA, Vangel M, Wasan AD, Edwards RR, Gollub RL, Kong J - Evid Based Complement Alternat Med (2013)

Bottom Line: We found that, compared with sham acupuncture, real acupuncture (combining high and low doses) produced significant improvement in knee pain (P = .025) and function in sport (P = .049).Overall perceived sensation (MASS Index) (P = .014), ratings of soreness (P = .002), and aching (P = .002) differed significantly across acupuncture groups.Compared to sham acupuncture, real acupuncture reliably evoked stronger deqi sensations and led to better clinical outcomes when measured in a chronic pain population.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA 02129, USA.

ABSTRACT
Deqi is one of the core concepts in acupuncture theory and encompasses a range of sensations. In this study, we used the MGH Acupuncture Sensation Scale (MASS) to measure and assess the reliability of the sensations evoked by acupuncture needle stimulation in a longitudinal clinical trial on knee osteoarthritis (OA) patients. The Knee injury and Osteoarthritis Outcome Score (KOOS) was used as the clinical outcome. Thirty OA patients were randomized into one of three groups (high dose, low dose, and sham acupuncture) for 4 weeks. We found that, compared with sham acupuncture, real acupuncture (combining high and low doses) produced significant improvement in knee pain (P = .025) and function in sport (P = .049). Intraclass correlation analysis showed that patients reliably rated 11 of the 12 acupuncture sensations listed on the MASS and that heaviness was rated most consistently. Overall perceived sensation (MASS Index) (P = .014), ratings of soreness (P = .002), and aching (P = .002) differed significantly across acupuncture groups. Compared to sham acupuncture, real acupuncture reliably evoked stronger deqi sensations and led to better clinical outcomes when measured in a chronic pain population. Our findings highlight the MASS as a useful tool for measuring deqi in acupuncture research.

No MeSH data available.


Related in: MedlinePlus

Standardized acupuncture protocol. (a) Real and sham acupuncture points. Low-dose real acupuncture was applied on ST35 and Xiyan (extra point). High-dose acupuncture group was applied to four additional points: GB34, SP9, GB39, and SP6. Six sham acupuncture points were used for the sham acupuncture group. (b) Acupuncture stimulation paradigm for both real and placebo acupunctures, indicating the timeline of intermittent needle stimulation during each acupuncture treatment. Six 10-second periods of manual needle rotation (M) were separated by 30 seconds of rest. The manual stimulation series (M1–6) was repeated a total of 4 times, twice prior to administering the first MASS, and an additional 2 times prior to the second MASS.
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fig2: Standardized acupuncture protocol. (a) Real and sham acupuncture points. Low-dose real acupuncture was applied on ST35 and Xiyan (extra point). High-dose acupuncture group was applied to four additional points: GB34, SP9, GB39, and SP6. Six sham acupuncture points were used for the sham acupuncture group. (b) Acupuncture stimulation paradigm for both real and placebo acupunctures, indicating the timeline of intermittent needle stimulation during each acupuncture treatment. Six 10-second periods of manual needle rotation (M) were separated by 30 seconds of rest. The manual stimulation series (M1–6) was repeated a total of 4 times, twice prior to administering the first MASS, and an additional 2 times prior to the second MASS.

Mentions: High- and low-dose acupuncture groups differed only in the number of acupoints stimulated. In the high-dose group, 6 needles were inserted at 6 acupoints (see Figure 2(a)), and each point was stimulated 4 times. In the low-dose group, 2 needles were inserted, and each point was stimulated a total of 12 times. The total length of the treatment remained constant across all treatment groups. All other treatment parameters, as described below, were held constant (Figure 2(b)).


A longitudinal study of the reliability of acupuncture deqi sensations in knee osteoarthritis.

Spaeth RB, Camhi S, Hashmi JA, Vangel M, Wasan AD, Edwards RR, Gollub RL, Kong J - Evid Based Complement Alternat Med (2013)

Standardized acupuncture protocol. (a) Real and sham acupuncture points. Low-dose real acupuncture was applied on ST35 and Xiyan (extra point). High-dose acupuncture group was applied to four additional points: GB34, SP9, GB39, and SP6. Six sham acupuncture points were used for the sham acupuncture group. (b) Acupuncture stimulation paradigm for both real and placebo acupunctures, indicating the timeline of intermittent needle stimulation during each acupuncture treatment. Six 10-second periods of manual needle rotation (M) were separated by 30 seconds of rest. The manual stimulation series (M1–6) was repeated a total of 4 times, twice prior to administering the first MASS, and an additional 2 times prior to the second MASS.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3713327&req=5

fig2: Standardized acupuncture protocol. (a) Real and sham acupuncture points. Low-dose real acupuncture was applied on ST35 and Xiyan (extra point). High-dose acupuncture group was applied to four additional points: GB34, SP9, GB39, and SP6. Six sham acupuncture points were used for the sham acupuncture group. (b) Acupuncture stimulation paradigm for both real and placebo acupunctures, indicating the timeline of intermittent needle stimulation during each acupuncture treatment. Six 10-second periods of manual needle rotation (M) were separated by 30 seconds of rest. The manual stimulation series (M1–6) was repeated a total of 4 times, twice prior to administering the first MASS, and an additional 2 times prior to the second MASS.
Mentions: High- and low-dose acupuncture groups differed only in the number of acupoints stimulated. In the high-dose group, 6 needles were inserted at 6 acupoints (see Figure 2(a)), and each point was stimulated 4 times. In the low-dose group, 2 needles were inserted, and each point was stimulated a total of 12 times. The total length of the treatment remained constant across all treatment groups. All other treatment parameters, as described below, were held constant (Figure 2(b)).

Bottom Line: We found that, compared with sham acupuncture, real acupuncture (combining high and low doses) produced significant improvement in knee pain (P = .025) and function in sport (P = .049).Overall perceived sensation (MASS Index) (P = .014), ratings of soreness (P = .002), and aching (P = .002) differed significantly across acupuncture groups.Compared to sham acupuncture, real acupuncture reliably evoked stronger deqi sensations and led to better clinical outcomes when measured in a chronic pain population.

View Article: PubMed Central - PubMed

Affiliation: Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA 02129, USA.

ABSTRACT
Deqi is one of the core concepts in acupuncture theory and encompasses a range of sensations. In this study, we used the MGH Acupuncture Sensation Scale (MASS) to measure and assess the reliability of the sensations evoked by acupuncture needle stimulation in a longitudinal clinical trial on knee osteoarthritis (OA) patients. The Knee injury and Osteoarthritis Outcome Score (KOOS) was used as the clinical outcome. Thirty OA patients were randomized into one of three groups (high dose, low dose, and sham acupuncture) for 4 weeks. We found that, compared with sham acupuncture, real acupuncture (combining high and low doses) produced significant improvement in knee pain (P = .025) and function in sport (P = .049). Intraclass correlation analysis showed that patients reliably rated 11 of the 12 acupuncture sensations listed on the MASS and that heaviness was rated most consistently. Overall perceived sensation (MASS Index) (P = .014), ratings of soreness (P = .002), and aching (P = .002) differed significantly across acupuncture groups. Compared to sham acupuncture, real acupuncture reliably evoked stronger deqi sensations and led to better clinical outcomes when measured in a chronic pain population. Our findings highlight the MASS as a useful tool for measuring deqi in acupuncture research.

No MeSH data available.


Related in: MedlinePlus