Acupuncture Analgesia: I. The Scientific Basis

Wang, Shuming; Kain, Zeev N.; White, Paul F.

doi:10.1213/01.ane.0000277493.42335.7b

Cited by 226 publications

(132 citation statements)

References 61 publications

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“…Activation of the hypothalamus triggers release of endorphins and allows for systemic pain relief. 9,16 Mechanistically, Cheng suggested that the specific effects of electrical stimulation may be a function of the frequency of electrical stimulation. 17 Reports about mice suggest that different receptors appear to be stimulated by different currents, with low frequencies between 2 and 15 Hz activating endorphin pathways, while higher frequencies may lead to release of norepinephrine and/or serotonin without analgesia.…”

Section: Discussionmentioning

confidence: 99%

“…Noninvasive acupuncture was applied, using four self-adhesive electrodes to the baby's lower extremities at the following acupuncture points: Zusanli (ST 36); Sanyinjiao (SP 6); Taixi (KI 3); and Kunlun (BL 60). [6][7][8][9] The placement of the electrodes was determined by an anesthesiologist who had acupuncture experience. The TENS unit was turned on and the infant received NESAP for 10 minutes prior to the heel stick.…”

Section: Yates Et Almentioning

confidence: 99%

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Safety of Noninvasive Electrical Stimulation of Acupuncture Points During a Routine Neonatal Heel Stick

Kracht¹,

Yates

Mitchell

et al. 2015

Deutsche Zeitschrift für Akupunktur

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Background: Hospitalized infants may undergo frequent painful procedures with inadequate pain relief. Alternative pain relief interventions are needed. Objective: The aim of this research was to determine the safety of noninvasive electrical stimulation of acupuncture points (NESAP) in neonates who were receiving routine heel sticks. Design: This was a descriptive study performed to assess the safety of using a transcutaneous electrical nerve stimulation (TENS) unit to deliver NESAP to neonates. Setting/Subjects: The subjects were healthy newborn infants < 3 days old before hospital discharge. Intervention: The intervention was NESAP delivered via a TENS unit, administered before, during, and after heel stick. The electrodes of the TENS unit were applied at four acupuncture points. Settings were gradually increased: 6 infants received 1.0 mA, 2 Hz; the second 6 infants received 2.0 mA, 10 Hz; and the last 18 infants received 3.5 mA, 10 Hz. Main Outcome Measures: Three main measures were used: (1) skin assessment (2) vital signs; (3) pain scores using the Premature Infant Pain Profile (PIPP). Results: There were no significant changes in vital signs during and after NESAP. There were no changes in PIPP scores in the first 12 infants after initiation of NESAP. A slight but nonsignificant increase in PIPP scores (from 2.65 to 3.5 on a scale of 0-18) occurred in the last 18 infants. There were no adverse events during or after NESAP. Conclusions: NESAP is safe for infants with low settings on a TENS unit.

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Section: Discussionmentioning

confidence: 99%

Section: Yates Et Almentioning

confidence: 99%

Safety of Noninvasive Electrical Stimulation of Acupuncture Points During a Routine Neonatal Heel Stick

Kracht¹,

Yates

Mitchell

et al. 2015

Deutsche Zeitschrift für Akupunktur

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“…electro-acupuncture (EA), or standard care without acupuncture (SC). The study protocol followed the CONSORT [24] and STRICTA [25] recommendations and the rationale of acupuncture was based on Western medical theories [26][27][28]. A full description of the study design [23] and the primary results have been published previously [7], and the trial was registered at ClinicalTrials.gov: NCT01197950.…”

Section: Methodsmentioning

confidence: 99%

Acupuncture with manual and electrical stimulation for labour pain: a two month follow up of recollection of pain and birth experience

Vixner¹,

Mårtensson²,

Schytt³

2016

Deutsche Zeitschrift für Akupunktur

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Background: In a previous randomised controlled trial we showed that acupuncture with a combination of manual-and electrical stimulation (EA) did not affect the level of pain, as compared with acupuncture with manual stimulation (MA) and standard care (SC), but reduced the need for other forms of pain relief, including epidural analgesia. To dismiss an under-treatment of pain in the trial, we did a long-term follow up on the recollection of labour pain and the birth experience comparing acupuncture with manual stimulation, acupuncture with combined electrical and manual stimulation with standard care. Our hypothesis was that despite the lower frequency of use of other pain relief, women who had received EA would make similar retrospective assessments of labour pain and the birth experience 2 months after birth as women who received standard care (SC) or acupuncture with manual stimulation (MA). Methods: Secondary analyses of data collected for a randomised controlled trial conducted at two delivery wards in Sweden. A total of 303 nulliparous women with normal pregnancies were randomised to: 40 min of MA or EA, or SC without acupuncture. Questionnaires were administered the day after partus and 2 months later.

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“…[1] Transcutaneous Electrical Nerve Stimulation (TENS) stimulates nerve endings by electrical stimulation and works on gate theory of pain relief. [2] The analgesic effect of TENS has been found to be dependent on duration, intensity, frequency of stimulation and location of electrodes. [3] While previous systemic review, Reeve et al concluded that there is little if any evidence in favour of TENS for postoperative analgesia.…”

Section: Introductionmentioning

confidence: 99%

Comparative Evaluation of Transcutaneous Electrical Nerve Stimulation (Tens) v/S Non-Steroidal Anti-Inflammatory Drugs (Nsaids) for Postoperative Pain Management in Open Cholecystectomy

Ranga¹,

Yadav²,

Garg³

et al. 2016

jemds

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BACKGROUNDPain is not only an unpleasant sensation but also increases morbidity of any operation like atelectasis, ileus, requirement of intensive care and increase in hospital stay. By neuro-modulation based on the gate control theory, we can achieve the similar results as with pharmaceutics without their side effects. Aim of this study was to compare the Non-Steroidal Anti-Inflammatory Drug (NSAID) with Transcutaneous Nerve Stimulation (TENS) in terms of postoperative pain and duration of pain relief by using a visual analogue scale.

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Acupuncture Analgesia: I. The Scientific Basis

Cited by 226 publications

References 61 publications

Safety of Noninvasive Electrical Stimulation of Acupuncture Points During a Routine Neonatal Heel Stick

Safety of Noninvasive Electrical Stimulation of Acupuncture Points During a Routine Neonatal Heel Stick

Acupuncture with manual and electrical stimulation for labour pain: a two month follow up of recollection of pain and birth experience

Comparative Evaluation of Transcutaneous Electrical Nerve Stimulation (Tens) v/S Non-Steroidal Anti-Inflammatory Drugs (Nsaids) for Postoperative Pain Management in Open Cholecystectomy

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