A Pilot Clinical Study on the Accuracy and Safety of Ultrasound-guided Gyeontonghyeol (BP-LE6) Acupuncture: A Prospective Randomized, Single Blinded Crossover Study

Kim, Jong Uk; Kim, Bo Hyun; Kim, Seok Hee; Shin, Jin Hyeon; Choi, Yoo Min; Song, Beom Yong; Yook, Tae-Han; Jeon, Young‐Joo; Lee, Sang-Hun

doi:10.13045/jar.2019.00325

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Recent studies have suggested that using ultrasonography may be helpful for avoiding adverse event following acupuncture treatments and educational efficacy [ 19 , 20 , 21 , 22 , 23 ]. In the results of this study, it was also possible to predict the tendency of the ANIR to appear deeper when the BMI of subjects increased, but it was difficult to know whether the liver was damaged when the acupuncture needle was actually inserted.…”

Section: Discussionmentioning

confidence: 99%

An Observational Study Using Ultrasound to Assess Allowable Needle Insertion Range of Acupoint CV12

et al. 2022

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Background: Abdominal organ injuries are a rarely reported complication when deep acupuncture needling is applied to the abdomen. In order to ascertain the allowable needle insertion range (ANIR) of the abdomen region, we selected acupoint CV12, which is commonly used for treating gastric disease, and ANIR was measured with an ultrasound device. Method: Eighty-five healthy volunteers were recruited, of which 83 cases of ultrasound images were obtained. To investigate the prediction factor of ANIR, we also measured several anthropometric factors. Results: The average ANIR was 25.3 ± 10.2; generally, the ANIRs of females were thicker than those of males; and the liver was observed in 62.7% subjects’ ultrasound images. The non-observed group showed thicker ANIR and higher BMI than the liver-observed group. Conclusion: There are reliable variables that make it possible to predict the ANIR. It is advised to refer to anthropometric factors in needling acupoint CV12 to avoid complications with the acupuncture treatment. However, individual differences are not negligible when applying deep needling. Thus, if the risk is not judged before or during the procedure, practitioners could consider the patient’s ANIR on CV12 when applying acupuncture by examining the individual anatomical structures using ultrasound and considering internal organ positions to prevent adverse events due to acupuncture.

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Section: Discussionmentioning

confidence: 99%

An Observational Study Using Ultrasound to Assess Allowable Needle Insertion Range of Acupoint CV12

et al. 2022

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“…Ultrasonography may also be beneficial in minimizing side events during acupuncture treatments as well as educational benefits of correct needle positioning [14][15][16][17]. This study is significant in that it is the first study to analyze the needling depth and anatomical characteristics of acupoint CV23 using ultrasound.…”

Section: Menmentioning

confidence: 98%

An Observational Study on the Anatomical Characteristics of Acupoint CV23 (Lianquan) with Ultrasonography

Chu¹,

Park²,

Kim³

et al. 2023

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Background: Acupoint CV23 is one of the most commonly used acupoints for the treatment of post-stroke dysphagia and tongue pain. However, care must be taken during the procedure to consider the position of glands and blood vessels in the subcutaneous space of the acupoint. Needling depths to the geniohyoid muscle reportedly range from 0.4 to 3.3 cm. Using ultrasound imaging, we aimed to observe the anatomical characteristics around acupoint CV23 to derive a safe needling depth.Methods: Ultrasound images of acupoint CV23 accessed from the Standard Ultrasound Image of Acupoint database were retrospectively analyzed for 30 participants aged in their 20s and 30s (15 male, 15 female), and the depth from the skin to the geniohyoid muscle was measured. Correlations between the needling depth and anthropometric factors (such as neck circumference) were analyzed.Results: The average needling depth to the geniohyoid muscle was 1.59 ± 0.49 cm (male; 1.43 ± 0.52 cm, female, 1.75 ± 0.42 cm, <i>p</i> = 0.03). The geniohyoid muscle, anterior digastric muscles, and genioglossus muscle were observed in the subcutaneous area of acupoint CV23, and a risk of sublingual gland damage needs to be considered for oblique insertion of the acupuncture needle. No statistically significant correlations between the needling depth and anthropometric factors were observed.Conclusion: Acupoint CV23 has a relatively shallow needling depth, and considering the presence of blood vessels and glands in the sublingual space, visualizing the surrounding anatomical structures using ultrasound was helpful to ensure safe needling practice.

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“…맹검하에 시행하는 자침에 대해 효과성과 안전성 차이를 비교 하는 연구, 초음파 유도하 자침이 효과적이라는 증례 보고가 다수 확인되고 있다 [25][26][27]31,32,83,84) . 저자들은 향후 연구 방향을…”

Section: 현재 국내외 연구에서는 초음파 유도하에 시행하는 자침과unclassified

Current Insights and Updates in Ultrasound-Guided Acupuncture: A Comprehensive Review and Status Report

Chu,

Park,

Kang

et al. 2023

Journal of Korean Medical Society of Acupotomology

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Background: Ultrasound-guided acupuncture has gained significance in diverse medical applications, particularly in enhancing the accuracy and safety of procedures. This technique has shown promising results in clinical effectiveness and safety compared to traditional methods. Methods: We conducted a comprehensive review of studies involving ultrasound-guided acupuncture, analyzing its accuracy and clinical impact. We explored various conditions, such as musculoskeletal pain syndromes, trigger finger, knee osteoarthritis, and more, to compare the efficacy of ultrasound-guided acupuncture against conventional techniques. Results: Ultrasound-guided acupuncture demonstrated enhanced accuracy in targeting specific anatomical structures, thereby improving the precision and effectiveness of the treatment. Studies highlighted its superiority in reducing complications and recurrence rates, particularly in conditions like trigger finger and knee osteoarthritis. Conclusion:The development and application of ultrasound technology in guiding acupuncture procedures offer a safer and more effective approach to clinical practice. As ultrasound technology continues to advance, its integration with acupuncture can further refine and standardize protocols, potentially influencing future research and establishing standardized guidelines for practice.

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A Pilot Clinical Study on the Accuracy and Safety of Ultrasound-guided Gyeontonghyeol (BP-LE6) Acupuncture: A Prospective Randomized, Single Blinded Crossover Study

Cited by 4 publications

References 6 publications

An Observational Study Using Ultrasound to Assess Allowable Needle Insertion Range of Acupoint CV12

An Observational Study Using Ultrasound to Assess Allowable Needle Insertion Range of Acupoint CV12

An Observational Study on the Anatomical Characteristics of Acupoint CV23 (Lianquan) with Ultrasonography

Current Insights and Updates in Ultrasound-Guided Acupuncture: A Comprehensive Review and Status Report

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