Implementierung von Ohrakupunktur nach dem NADA-Protokoll bei geriatrischen Patienten mit einer depressiven Episode

Geib, Janina; Rieger, Monika A.; Joos, Stefanie; Eschweiler, Gerhard W.; Metzger, Florian

doi:10.1007/s00391-016-1047-8

Cited by 5 publications

(8 citation statements)

References 24 publications

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Section: Discussionmentioning

confidence: 99%

“…After conducting a thorough search, we identified only one study that investigated the application of the NADA ear acupuncture protocol in assessing QOL according to the SF-36 questionnaire among older adults suffering from depression [ 31 ]. However, this study did not include an assessment of pain [ 31 ]. The German study of Geib et al involved 20 psychogeriatric patients with major depression attending a daytime clinic and showed high acceptance of NADA ear acupuncture among all participants [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, this study did not include an assessment of pain [ 31 ]. The German study of Geib et al involved 20 psychogeriatric patients with major depression attending a daytime clinic and showed high acceptance of NADA ear acupuncture among all participants [ 31 ]. Authors reported significant improvements in depression scores and in the QOL (SF-36 questionnaire) compared to the control group [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

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NADA Ear Acupuncture and Medical Acupuncture for Pain- and Health-Related Quality of Life among Older Patients with Chronic Nonspecific Low Back Pain: A Prospective Clinical Trial

Rybicka,

Gąsowski,

Przeklasa-Muszyńska

et al. 2024

Brain Sciences

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Background: The purpose of this study was to investigate the efficacy and safety of the NADA (National Acupuncture Detoxification Association)-standardized ear acupuncture protocol in comparison to medical acupuncture (MA) in the treatment of chronic nonspecific low back pain (LBP) in older adults. Methods: This was a prospective, clinical, single center, open label, comparative study. A total of 60 older patients with chronic nonspecific LBP were enrolled in the study. The patients were divided into two groups. The MA group received treatment with medical acupuncture (MA), while the NADA group received NADA ear acupuncture once a day for 20 min, for a total of 10 sessions. The co-primary outcome measures were the reduction in pain intensity evaluated by the Numeric Rating Scale (NRS) compared to baseline and improvement in patients’ quality of life (QOL) assessed in the SF-36 questionnaire before and after treatment; this was compared between the two groups. Results: After two weeks of treatment, a significant reduction compared to baseline was observed in the NRS scores following treatment with medical acupuncture as well as after the utilization of NADA ear acupuncture protocol: NRS score for average pain experienced by the patients over the previous week (NRSa) MA: p = 0.002; NADA: p < 0.001, maximum NRS score in the past week (NRSm) MA: p < 0.001; NADA: p < 0.001, and NRS score at the time of examination (NRSe) MA: p = 0.001; NADA: p < 0.001. Reduction of the NRSa score compared to baseline was significantly greater in the NADA group (p = 0.034). Significant improvements in the QOL of patients according to the SF-36 questionnaire compared to baseline were observed in the MA group in the following domains: PF (p = 0.003), RP (p = 0.002), SF (p = 0.041), RE (p = 0.005), MH (p = 0.043), HT (p = 0.013), PCS (p = 0.004), and MCS (p = 0.025); and in the NADA group, in the following domains: PF (p = 0.004), RP (p = 0.048), BP (p = 0.001), VT (p = 0.035), RE (p = 0.006), MH (p < 0.001), HT (p = 0.003), PCS (p < 0.001), and MCS (p < 0.001). There were minor complications observed in 35% of patients (total of 20 participants); 31% (9 patients) in the MA group and 39% (11 patients) in the NADA group. These were minor and quickly resolved, including insertion point pain, minor bleeding after needle removal, and one instance of fainting. No patients in either group reported worsening of LBP. These complications occurred in 4.14% of MA sessions (12 times/290 sessions) and in 6.07% of NADA acupuncture sessions (16 times/280 sessions). Conclusion: The outcomes of this study suggest that both MA and NADA ear acupuncture could be a valuable and personalized component of a comprehensive approach to managing chronic nonspecific LBP in older patients. Incorporation of MA and NADA ear acupuncture into the clinical management of chronic nonspecific LBP in elderly patients has the potential to reduce pain intensity and improve the overall quality of life of affected individuals. However, further studies are needed to confirm our findings.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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NADA Ear Acupuncture and Medical Acupuncture for Pain- and Health-Related Quality of Life among Older Patients with Chronic Nonspecific Low Back Pain: A Prospective Clinical Trial

Rybicka,

Gąsowski,

Przeklasa-Muszyńska

et al. 2024

Brain Sciences

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“…Other authors from the USA reported that NADA acupuncture is a simple, standardized, 1–5 point auricular needling protocol that is increasingly recognized as a universally useful intervention in the treatment of addictions [16]. Researchers from the Medical University of Graz in Austria (TCM Research Center Graz) used NADA ear acupuncture in an adolescent patient with phantom limb pain after surgery for osteosarcoma [17] and authors from Germany implemented the method in geriatric patients suffering from major depression [18,19]. Significant pre–post improvements indicated a potential benefit [18].…”

mentioning

confidence: 99%

“…Researchers from the Medical University of Graz in Austria (TCM Research Center Graz) used NADA ear acupuncture in an adolescent patient with phantom limb pain after surgery for osteosarcoma [17] and authors from Germany implemented the method in geriatric patients suffering from major depression [18,19]. Significant pre–post improvements indicated a potential benefit [18]. Impulsivity has characteristics that are manifested clinically in behaviors such as disinhibition, poor self-control, lack of deliberation, thrill seeking, and risk-taking.…”

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confidence: 99%

Ear Acupuncture according to the NADA (National Acupuncture Detoxification Association)

Litscher

2019

Medicines

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This editorial is a brief report on the National Acupuncture Detoxification Association (NADA) ear acupuncture and is intended to briefly summarize the main scientific work. The complementary addiction-detoxification auricular acupuncture method has not been sufficiently experimentally explored in many areas. There have been clinical studies, some of which contradict the success. A total of 27 referenced publications were found that refer to the method that has existed for many decades and should be briefly listed here.

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Getting Well Is More Than Gaining Weight – Patients’ Experiences of a Treatment Program for Anorexia Nervosa Including Ear Acupuncture

Olsson

Landgren

2020

Issues in Mental Health Nursing

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This study illuminates how 25 in-patients who were treated for anorexia nervosa in a highly specialized clinic for eating disturbances in Sweden experienced the treatment program. The program included structured eating, medication, restrictions in physical activity and supportive dialogues. Patients were also offered semi-standardized NADA ear acupuncture as a complement to relieve stress, anxiety and tension. In total, 46 interviews were analysed qualitatively using latent content analysis. The results showed how participants strived with their slow transition towards recovery. The novelty of integrating acupuncture in psychiatric treatment makes this study interesting. Acupuncture was experienced to relieve anxiety and somatic symptoms through the whole process. Further research is needed to evaluate the effect of acupuncture on the patient's subjective sense of well-being when used as an adjunct to usual care. Background Anorexia nervosa (AN) is a serious illness with significant comorbidity and high mortality. AN can be described as a destructive way of dealing with emotions, and anxiety is very common among persons with AN (Wildes, Ringham, & Marcus, 2010). Several other psychiatric symptoms such as depression and sleep problems, and physical symptoms like gastrointestinal issues (Fairburn & Harrison, 2003), cardiac arrhythmia and osteoporosis (NICE, 2017) co-occur in eating disorders. Recovery from AN is a long process (NICE, 2017). The evidence for psychological and pharmacological treatment in AN is weak and recommendations in national guidelines are conflicting (NICE, 2017; WFSBP, 2011). CBT is effective but expensive, in short supply and could not be offered to persons who do not want to cooperate. Medication should not be used as the sole treatment (NICE, 2017) and there is an increased risk for side effects of pharmacologic therapies in persons with AN due to the somatic comorbidities (NICE, 2017; Strober & Johnson, 2012). National guidelines recommend outpatient care as a first-line therapy setting (Hilbert, Hoek, & Schmidt, 2017). When outpatient care is not sufficient a higher level of care is needed. Sometimes even involuntary commitment and forced feeding is necessary in order to prevent starvation to death (Hilbert et al., 2017; NICE, 2017). Environmental stress, for example from being in a hospital setting and locked in, increases anxiety (Strober & Johnson, 2012). A recent systematic review (Murray, Quintana, Loeb, Griffiths, & Le Grange, 2019) including 35 RCTs evaluating a variety of treatments for AN, concluded that the interventions had a short-term effect on weight but not at follow-up, and that specialized treatments brought no advantage over comparator interventions in psychological symptoms. The findings in a meta-synthesis of 14 qualitative studies on experienced recovery from AN (Stockford, Stenfert Kroese, Beesley, & Leung, 2019) indicates that recovery is a complex psychological process. Identified themes were having a fragmented sense of self, making an active decision towards rec...

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Implementierung von Ohrakupunktur nach dem NADA-Protokoll bei geriatrischen Patienten mit einer depressiven Episode

Cited by 5 publications

References 24 publications

NADA Ear Acupuncture and Medical Acupuncture for Pain- and Health-Related Quality of Life among Older Patients with Chronic Nonspecific Low Back Pain: A Prospective Clinical Trial

NADA Ear Acupuncture and Medical Acupuncture for Pain- and Health-Related Quality of Life among Older Patients with Chronic Nonspecific Low Back Pain: A Prospective Clinical Trial

Ear Acupuncture according to the NADA (National Acupuncture Detoxification Association)

Getting Well Is More Than Gaining Weight – Patients’ Experiences of a Treatment Program for Anorexia Nervosa Including Ear Acupuncture

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