The therapeutic efficacy of somatic acupuncture is not increased by auriculotherapy: A randomised, blind control study in cervical myofascial pain

Ceccherelli, Francesco; Tortora, P; Nassimbeni, Cecilia; Casale, Roberto; Gagliardi, Giuseppe; Giron, Giampiero

doi:10.1016/j.ctim.2005.05.005

Cited by 27 publications

(23 citation statements)

References 19 publications

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“…41 Therefore, only six acupuncture studies for acute neck pain/whiplash were reviewed. Harmful adverse events were rarely reported, and four studies testing electroauricular acupuncture, 42 laser acupuncture, 43 and distant acupuncture 44,45 reported a significant effect compared to SA, while in the other studies, the results of laser, 46 dry needling, 44 and auricular acupuncture 47 were reported to be negative. After weighing the benefits and risks, a rating between B and C was suggested.…”

Section: Acupuncture For Selected Neurologic Disorders: An Overview Omentioning

confidence: 99%

The Status and Future of Acupuncture Clinical Research

Park

Linde

Manheimer

et al. 2008

The Journal of Alternative and Complementary Medicine

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On November 8-9, 2007, the Society for Acupuncture Research (SAR) hosted an international conference to mark the tenth anniversary of the landmark National Institutes of Health Consensus Development Conference on Acupuncture. More than 300 acupuncture researchers, practitioners, students, funding agency personnel, and health policy analysts from 20 countries attended the SAR meeting held at the University of Maryland School of Medicine, Baltimore, MD. This paper summarizes important invited lectures in the area of clinical research. Specifically, included are: a review of the recently conducted German trials and observational studies on low-back pain (LBP), gonarthrosis, migraine, and tension-type headache (the Acupuncture Research Trials and the German Acupuncture Trials, plus observational studies); a systematic review of acupuncture treatment for knee osteoarthritis (OA); and an overview of acupuncture trials in neurologic conditions, LBP, women's health, psychiatric disorders, and functional bowel disorders. A summary of the use of acupuncture in cancer care is also provided. Researchers involved in the German trials concluded that acupuncture is effective for treating chronic pain, but the correct selection of acupuncture points seems to play a limited role; no conclusions could be drawn about the placebo aspect of acupuncture, due to the design of the studies. Overall, when compared to sham, acupuncture did not show a benefit in treating knee OA or LBP, but acupuncture was better than a wait-list control and standard of care, respectively. In women's health, acupuncture has been found to be beneficial for patients with premenstrual syndrome, dysmenorrhea, several pregnancy-related conditions, and nausea in females who have cancers. Evidence on moxibustion for breech presentation, induction of labor, and reduction of menopausal symptoms is still inconclusive. In mental health, evidence for acupuncture's efficacy in treating neurologic and functional bowel disorder is still inconclusive. For chronic cancer-related problems such as pain, acupuncture may work well in stand-alone clinics; however, for acute or treatment-related symptoms, integration of acupuncture care into a busy and complex clinical environment is unlikely, unless compelling evidence of a considerable patient benefit can be established.

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Section: Acupuncture For Selected Neurologic Disorders: An Overview Omentioning

confidence: 99%

The Status and Future of Acupuncture Clinical Research

Park

Linde

Manheimer

et al. 2008

The Journal of Alternative and Complementary Medicine

View full text Add to dashboard Cite

show abstract

“…Most rationales referred to neurochemical effects [11,12,14,17,18,20e22,24,31,32,38,41e43, 45,52,55,57,59,60,63,71,73,75,79,83], but also autonomic regulation [10,22,30,39], neuromuscular [40,70], or other neuromodulating effects [16,46,49,50] …”

Section: Resultsmentioning

confidence: 99%

“…Relying on traditional acupuncture point indications to differentiate exposures resulted in statistically significant differences in four studies [11,20,49,83]. Relying on stimulation techniques to differentiate exposures resulted in statistically significant differences in four studies [39,49,60,71], but adding auricular acupuncture to body acupuncture resulted in no statistically significant reduction in cervical myofascial pain [16].…”

Section: Acupuncture Controlsmentioning

confidence: 97%

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Traditional acupuncture theories yield null outcomes: a systematic review of clinical trials

Moffet

2008

Journal of Clinical Epidemiology

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“…Ceccherelli et al, 13 have recently published a randomised controlled trial where body acupuncture in combination with auricular acupuncture was compared to body acupuncture alone in 62 patients with myofascial cervical pain. In both groups the reduced pain intensity level was statistically significant compared to before treatment, but no statistically significant inter-group difference was found.…”

Section: ;2mentioning

confidence: 99%

Are Auricular Maps Reliable for Chronic Musculoskeletal Pain Disorders?: A Double-Blind Evaluation

Andersson

Persson²,

Carlsson

2007

Acupunct Med

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Aim To examine the proposed somatotopic relation between the regions in which patients report musculoskeletal pain and tender points located on the external ears according to a map based on commonly used auricular acupuncture maps. Methods Twenty-five patients (16 women) from a chronic pain clinic were included. Patients were asked, before examination of the external ears, if they had past or present musculoskeletal pain in any of 11 body regions. An ear map, collapsed into 11 zones representing the musculoskeletal system, was used. The ear examiner was blinded to the patients' pain conditions, medical history and ongoing treatment. Patients communicated with the examiner only to express if tenderness was present in the external ear on palpation using a spring-loaded pressure stylus commonly used for auricular acupuncture. The degree of tenderness was registered on a 5-point scale and dichotomised (no tenderness or tenderness). Agreements between the patients' painful body regions and tenderness in the external ear zones were presented as percentage, kappa values, sensitivity and specificity. Results The 25 patients reported 116 past or present musculoskeletal pain regions and had 110 tender ear zones. No statistically significant agreements were found between the painful body regions and the corresponding tender ear zones. Conclusions Our results did not show agreements between patients' reported musculoskeletal pain regions and tender zones in the external ears assessed according to commonly used maps in auricular acupuncture using a pressure stylus. However, very tender points occur on the external ear in a population with chronic musculoskeletal pain.

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The therapeutic efficacy of somatic acupuncture is not increased by auriculotherapy: A randomised, blind control study in cervical myofascial pain

Cited by 27 publications

References 19 publications

The Status and Future of Acupuncture Clinical Research

The Status and Future of Acupuncture Clinical Research

Traditional acupuncture theories yield null outcomes: a systematic review of clinical trials

Are Auricular Maps Reliable for Chronic Musculoskeletal Pain Disorders?: A Double-Blind Evaluation

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