Battlefield acupuncture to treat low back pain in the emergency department

Fox, Lindsay; Murakami, Masaji; Danesh, Houman; Manini, Alex F.

doi:10.1016/j.ajem.2018.02.038

Cited by 40 publications

(51 citation statements)

References 7 publications

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“…However, the magnitude of the effect of BFA is uncertain. Current studies report con dence intervals that include MCIDs between intervention and control groups, but lack blinded of outcomes assessors [17,19,21]. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions.…”

Section: Discussionmentioning

confidence: 97%

“…BFA may be an effective adjunct to physical therapy to reduce pain and opioid utilization in patients with acute pain [17,19,21]. However, the magnitude of the effect of BFA is uncertain.…”

Section: Discussionmentioning

confidence: 99%

“…While no adverse events were reported, medication use was also not impacted [17]. In a study of 30 patients presenting to an emergency department with low back pain, the addition of BFA to standard care resulted in signi cantly reduced pain when compared with standard care alone [19]. Conversely, in a study of 233 patients following lower extremity surgery, BFA applied within 30 minutes of arrival to the post-anesthesia care unit did not result in signi cantly reduced pain, reduced opioid use, or improved quality of life when compared with standard of care or placebo treatments [20].…”

Section: Introductionmentioning

confidence: 97%

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The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

Crowell

Brindle

Mason

et al. 2020

Preprint

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Introduction: There is a large incidence of shoulder instability among active young athletes and military personnel. Shoulder stabilization surgery is the commonly employed intervention for treating individuals with instability. Following surgery, a substantial proportion of individuals experience acute post-operative pain, which is usually managed with opioid pain medications. Unfortunately, the extended use of opioid medications can have adverse effects that impair function and reduce military operational readiness, but there are currently few alternatives. However, Battlefield Acupuncture (BFA) is a minimally invasive therapy demonstrating promise as a non-pharmaceutical intervention for managing acute post-operative pain.Methods: This is a single-blind randomized clinical trial featuring a 2x5 mixed-model factorial design. The two independent variables are intervention (2 levels; standard physical therapy and standard physical therapy plus Battlefield Acupuncture) and time (5 levels; 24-hours, 48-hours, 72-hours, 1-week, and 4-weeks post shoulder stabilization surgery). The primary dependent variable is worst and average pain as measured on the Visual Analog Scale. Secondary outcomes include medication usage, Profile of Mood States, and Global Rating of Change.Discussion: The magnitude of the effect of BFA is uncertain; current studies report confidence intervals of between group differences that include MCIDs between intervention and control groups. The results of this study may help determine if BFA is an effective adjunct to physical therapy in reducing pain and opioid usage in acute pain conditions. Trial registration: ClinicalTrials.gov, NCT04094246. Registered 16 September 2019, http://clinicaltrials.gov/NCT04094246.

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Section: Discussionmentioning

confidence: 97%

“…BFA may be an effective adjunct to physical therapy to reduce pain and opioid utilization in patients with acute pain [17,19,21]. However, the magnitude of the effect of BFA is uncertain.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

See 1 more Smart Citation

The Effectiveness of Battlefield Acupuncture in Addition to Standard Physical Therapy Treatment after Shoulder Surgery: A Protocol for a Randomized Clinical Trial

Crowell

Brindle

Mason

et al. 2020

Preprint

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show abstract

“…Because the symptoms and signs are not specific, PTE has been named as "the chameleon". Together with this, the prevalent co-morbidities cause a delay in the correct diagnosis thereby postponing the necessary timely treatment (that can be life-saving) [1]. From the number of patients who die because of PTE, the majority do so prior to reaching the hospital [2].…”

Section: Resuscitation Group Should Be a Part Of All Pulmonary Thrombmentioning

confidence: 99%

“…We read with great interest a recent publication on the use of battlefield acupuncture (BFA) to treat low back pain (LBP) in the emergency department [1]. This is a pilot interventional study illustrating the feasibility of using ear acupuncture as a modality to alleviate symptoms of LBP.…”

mentioning

confidence: 99%