Laser Acupuncture before Heel Lancing for Pain Management in Healthy Term Newborns: A Randomised Controlled Trial

Abbasoğlu, Aysel; Cabıoğlu, Mehmet Tuğrul; Tugcu, Ali Ulas; Yapakçı, Ece; Tekindal, Mustafa Agâh; Tarcan, Aylin

doi:10.1136/acupmed-2015-010765

Cited by 23 publications

(78 citation statements)

References 31 publications

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“…Significant pain reduction has been demonstrated in two studies, one with laser acupuncture with 30 mW at LI 4 and Shen Men and the other with light needling at Yin Tang [ 13 , 14 ]. One study with acupressure showed equal pain scores and one higher pain scores in neonates treated with laser acupuncture with 10 mW at Yin Tang [ 15 , 16 ]. The latest study showed significant pain reduction with NESAP combined with oral sucrose solution [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…Five other studies investigated acupuncture for pain prevention before heel lance. The first trial demonstrated a significant reduction of pain score PIPP (Premature Infant Pain Profile) [ 13 ], one of these showed a reduction of pain score NIPS (Neonatal Infant Pain Scale) and crying duration [ 14 ], one illustrated a reduced cry and treatment duration [ 15 ], one showed no effect concerning NIPS [ 16 ], and the latest trial demonstrated significantly higher PIPP scores only with NESAP (noninvasive stimulation of acupuncture points) and lower PIPP scores with NESAP combined with sucrose solution [ 17 ]. The most frequently used acupuncture point in these trials was Large Intestine 4 (Abbreviation: LI 4, in Chinese: He Gu) [ 10 – 13 ].…”

Section: Introductionmentioning

confidence: 99%

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Laser Acupuncture at Large Intestine 4 Compared with Oral Glucose Administration for Pain Prevention in Healthy Term Neonates Undergoing Routine Heel Lance: Study Protocol for an Observer‐Blinded, Randomised Controlled Clinical Trial

Stadler

Avian²,

Posch

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Background Nonpharmacological strategies have actually become more important in neonatal pain management during routinely applied minor painful procedures. However, commonly used nonpharmacological strategies are inferior to orally administered sweet solutions. Therefore, we will compare laser acupuncture, as a recent nonpharmacological method, with the standard care of oral glucose solution for pain prevention. Methods Ninety-five healthy term neonates will be allocated into one of two groups. Before routine heel lance for metabolic screening, one group will receive laser acupuncture at acupuncture point Large Intestine 4 (LI 4) bilaterally for 60 seconds per point (acupuncture group) and the other will receive the standard care with orally administered glucose solution (glucose group). The complete procedure of blood sampling will be recorded on video, excluding the intervention before heel lance. A paediatric nurse, blinded with respect to the allocation, will evaluate these video recordings and determine the Premature Infant Pain Profile (PIPP) for each neonate. Primary outcome will be the mean difference in PIPP scores between groups. Discussion This observer-blinded randomised controlled trial has been designed to explore potential advantages of laser acupuncture in the management of neonatal pain because more data are required to provide information about its efficacy and safety. Trial Registration This trial is registered with DRKS00010122.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Laser Acupuncture at Large Intestine 4 Compared with Oral Glucose Administration for Pain Prevention in Healthy Term Neonates Undergoing Routine Heel Lance: Study Protocol for an Observer‐Blinded, Randomised Controlled Clinical Trial

Stadler

Avian²,

Posch

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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“…For heel lancing pain in infants, LA was shown to be less effective than oral sucrose [2]. However, this study had numerous limitations including using only one acupoint, no comparison as an adjunct pain tool in the control group, and the low 0.3 J dose per point.…”

Section: Discussionmentioning

confidence: 99%

Laser acupuncture reduces pain in pediatric kidney biopsies: a randomized controlled trial

Oates

Benedict²,

Sun³

et al. 2016

PAIN

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Evaluate laser acupuncture as an adjuvant therapy in pain management during percutaneous kidney biopsy procedure in children and adolescents. This prospective, double-blinded, randomized controlled trial enrolled patients aged 7-26 years admitted to a children’s hospital for percutaneous kidney biopsy. Patients received laser acupuncture to treatment points (acupuncture group) or sham points (control group) prior to the procedure. Laser delivered a dose of 42 J/cm2 over 10 acupoints. Patients and parents rated the pain during and after the biopsy, and change in pain scores were calculated for each patient. Anxiety, vital signs, sedation medication, and patient’s biopsy experience were secondary outcomes. Sixty-nine treatments (33 acupuncture group, 36 control group) were eligible for analysis. Patients in the acupuncture group reported a significantly improved change in pain score after the biopsy compared to the controls (0.8 vs −0.5, ρ=0.044). Patients in the acupuncture group had a statistically significant decrease in procedure vital signs including heart rate (−1.8 vs 5.6, ρ=0.043) and respiratory rate (−2.4 vs 0.4, ρ=0.045) when compared to controls. Parents also perceived a correspondingly greater improvement in their child’s pain for those in the acupuncture group compared to the controls (2.3 vs 0.3, ρ=0.04). Adjunctive laser acupuncture significantly improved pain after pediatric percutaneous kidney biopsies.

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“…Abbasoglu et al [15] indicated that laser acupuncture (LA) with 1.125 microjoules of energy at the Yintang point two minutes prior to heel lancing is less effective than oral sucrose for reducing the discomfort of this procedure. We found shorter procedure time in the LA group compared to the oral sucrose group, but longer crying time and worse NIPS scores in the LA group.…”

Section: Methodsmentioning

confidence: 99%

Our Experience in Neonatal Acupressure and Acupuncture

Abbasoğlu¹,

Cabıoğlu²

2016

OALib

Self Cite

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We want to share our experience about acupuncture and acupressure in newborns as a treatment modality. Researches have shown that acupressure and acupuncture are effective for headaches, stress control or obesity. Our studies and experiences about acupressure and acupuncture use in newborns and adults suggest that alternative and complementary medicine could be a promising treatment modality to be used with modern medicine. We studied in which diseases and how we can use these treatment modalities in newborns. We summarised our studies about acupuncture and acupressure effect for minor painful procedures and skin perfusion and thought that this could be a new treatment modality. Further research is needed to evaluate effective modes and doses for pain control in newborns.

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Laser Acupuncture before Heel Lancing for Pain Management in Healthy Term Newborns: A Randomised Controlled Trial

Abstract: KA14/09.

Cited by 23 publications

References 31 publications

Laser Acupuncture at Large Intestine 4 Compared with Oral Glucose Administration for Pain Prevention in Healthy Term Neonates Undergoing Routine Heel Lance: Study Protocol for an Observer‐Blinded, Randomised Controlled Clinical Trial

Laser Acupuncture at Large Intestine 4 Compared with Oral Glucose Administration for Pain Prevention in Healthy Term Neonates Undergoing Routine Heel Lance: Study Protocol for an Observer‐Blinded, Randomised Controlled Clinical Trial

Laser acupuncture reduces pain in pediatric kidney biopsies: a randomized controlled trial

Our Experience in Neonatal Acupressure and Acupuncture

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