2008
DOI: 10.1136/aim.26.2.111
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Abstract: Many different styles of acupuncture practice exist, and lack of agreement on the optimal acupuncture treatment for any particular condition may mean that some patients do not receive the best treatment. This uncertainty also makes the negative results of sham controlled trials difficult to interpret. Unless we can be sure that both adequate acupuncture and an inactive sham were used in a particular trial, then that trial should not be interpreted as dismissing acupuncture for that condition. Acupuncture prac… Show more

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Cited by 165 publications
(133 citation statements)
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“…Thus, the next step in a future study is to elucidate whether there is a different response on MSNA between different stimulation techniques e.g., manual acupuncture and low-frequency EA, and to find out optimal dose, e.g., number of needles, stimulation intensity, and frequency. Comparison with low-frequency EA and manual acupuncture, in which the needles are inserted and manually but not electrically stimulated, will be very important, in addition to an "attention control" without needles (77). When comparing different stimulation modalities, e.g., needle insertion with and without electrical stimulation, the microneurographic technique for evaluating efferent sympathetic outflow, may provide a powerful tool for studying underlying mechanisms of action.…”
Section: Limitationsmentioning
confidence: 99%
“…Thus, the next step in a future study is to elucidate whether there is a different response on MSNA between different stimulation techniques e.g., manual acupuncture and low-frequency EA, and to find out optimal dose, e.g., number of needles, stimulation intensity, and frequency. Comparison with low-frequency EA and manual acupuncture, in which the needles are inserted and manually but not electrically stimulated, will be very important, in addition to an "attention control" without needles (77). When comparing different stimulation modalities, e.g., needle insertion with and without electrical stimulation, the microneurographic technique for evaluating efferent sympathetic outflow, may provide a powerful tool for studying underlying mechanisms of action.…”
Section: Limitationsmentioning
confidence: 99%
“…Clinical randomized control studies though are needed to confirm this potential effect. These studies will be challenging as they are difficult to design for many reasons such as differences in stimulating techniques, variety of sham procedures and acupuncture points used, number and duration of treatments used [White et al 2008]. Also one needs to overcome the particularly potent placebo effect in acupuncture studies [Linde et al 2010] and thus double-blind studies are almost impossible to perform or design [Florakis et al 2008].…”
Section: Statinsmentioning
confidence: 99%
“…6 There are good reporting criteria for acupuncture trials, but criteria for assessing the quality of acupuncture interventions in clinical research or the representation of real-world practice of acupuncture within study designs are lacking. 4,7 The dose in trials of acupuncture has at times been described as low or inappropriate but is seldom assessed in systematic reviews of acupuncture trials. 8 This article examines the research evaluating acupuncture for cancer-related fatigue (CRF) to determine what characteristics of treatment may contribute to a quality acupuncture intervention.…”
Section: Introductionmentioning
confidence: 99%
“…These characteristics affect the effectiveness, efficacy, and cost of an acupuncture treatment. 4 Underpinning dosage are the many different traditions of acupuncture-Japanese, traditional Chinese medicine (TCM), Korean, and dry needling. The heterogeneity of acupuncture is a formidable challenge in a clinical trial setting.…”
Section: Introductionmentioning
confidence: 99%