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Clinical observation on the treatment of lumbar intervertebral disc herniation with tuina and gravitational suspension combined with electroacupuncture and injection therapy
Oral Presentations / European Journal of Integrative Medicine 4S (2012) 9–123
31
OP-050
OP-051
Abdominal acupuncture and cervicobrachialgia: is it a real possibility for setting a double-blind trial in acupuncture research?
Clinical observation on the treatment of lumbar intervertebral disc herniation with tuina and gravitational suspension combined with electroacupuncture and injection therapy
Liguori Stefano, Liguori Aldo, Petti Filomena
Rinaldi Rinaldo, Liguori Aldo, Petti Filomena
Istituto Paracelso, Rome, Italy
Istituto Paracelso, Rome, Italy
Aim: The study aims to investigate whether Bo’s abdominal acupuncture can be used to reduce pain and could offer a technique which could be used as a process for double-blinding in acupuncture research. Methods: A total of 60 patients with unilateral cervicobrachialgia sine causa or without severe arthrosic alterations and without any other serious diseases were randomly divided in two groups: group A (n = 30) comprising 18 females and 12 males aged 25–57 years were treated with only one session of true Bo’s abdominal acupuncture and group B (n = 30), comprising 19 females and 11 males aged 31–60 years, were treated with only one session of sham abdominal acupuncture. Cervical hypomotility before treatment (T0) was assessed as: very serious (score 10), marked by rotation of the neck < 60◦ or flexion–extension < 30◦ serious (score 7) and with rotation < 80◦ or flexion–extension < 50◦ mild (score 3) if the above parameters were respectively < 90◦ and < 70◦ . Pain at T0 in both groups was assessed by a 1–10 score, on the basis of the visual analogue scale (VAS) by Scott-Huskisson. Results: Pain score and hypomotility score at T1 were compared with those at T0 and t-test for independent variables was used, to manage a statistical assessment of the results. In group A, the pain score was at T0 = 7.6 ± 0.77 and at T1 = 1.7 ± 0.70 (p < 0.001), whereas in group B, the pain score was at T0 = 7.93 ± 0.63 and at T1 = 7.23 ± 1.35 (p > 0.005). In group A, the hypomotility score was at T0 = 7.6 ± 1.22 while at T1 = 1.90 ± 1.47 (p < 0.001), whereas in group B, the hypomotility score was at T0 = 7.70 ± 1.29 and at T1 = 9.56 ± 1.06 (p > 0.40). At least, in this study the results show unequivocally that the true Bo’s abdominal acupuncture achieves better effects on cervical pain and hypomotility, compared with the control group. Discussion: In general terms, this study shows with a good degree of evidence that acupoints have definite effects on specific distant areas of the human body. Moreover, it underlines both the usefulness and the amazing and rapid effectiveness of Bo’s abdominal acupuncture.
Aim: The study aimed to investigate the clinical efficacy of tuina and gravitational suspension combined with electroacupuncture and injection therapy in treating herniation of a lumbar intervertebral disc. Methods: In the period September 2006-April 2010, 186 patients (135 males, 51 females, ranging in age between 32 and 64 years) with protrusion or herniation of a lumbar intervertebral disc were treated with a combined traditional Chinese medicine (TCM) approach, achieving very satisfactory results. Preliminary Tuina: Palm rubbing, pushing and rolling techniques, etc. were applied on the lumbar region and on lower limbs. Gravitational suspension: Vertical suspension of the patient by means of a particular apparatus developed by traditional Chinese orthopaedics was carried out, to widen the intervertebral spaces and to promote the reduction of lumbar hernia. Closing Tuina: Pressing and kneading techniques on the back and lower limbs of the patient, then rotating manipulation of the lumbar spine on both sides was applied. Electroacupuncture: Ashi points combined with Tunzhong (EX) and Tiaoyue (EX), treated with long needles, were selected as the main acupoints; auxiliary acupoints were selected according to the differentiation of syndromes: wind-cold type deficiency of qi of the kidney type blood stasis type. Injection therapy: A homeopathic medicine was bilaterally injected into the Huatuojiaji (EX-B2) points of the affected lumbar tract. Results: Completely resolved: a total of 107 patients (57.6%); markedly effective: 59 patients (31.7%); effective: 15 patients (8.0%); and failed: five patients (2.7%). Total effective rate: 97.3%. Conclusions: This non-surgical therapy is simple, well accepted by the patients and very effective. Although further investigations are necessary to clarify its mechanism, the available data allow the authors to consider it worthy of medical consideration. http://dx.doi.org/10.1016/j.eujim.2012.07.546
http://dx.doi.org/10.1016/j.eujim.2012.07.545
31
OP-050
OP-051
Abdominal acupuncture and cervicobrachialgia: is it a real possibility for setting a double-blind trial in acupuncture research?
Clinical observation on the treatment of lumbar intervertebral disc herniation with tuina and gravitational suspension combined with electroacupuncture and injection therapy
Liguori Stefano, Liguori Aldo, Petti Filomena
Rinaldi Rinaldo, Liguori Aldo, Petti Filomena
Istituto Paracelso, Rome, Italy
Istituto Paracelso, Rome, Italy
Aim: The study aims to investigate whether Bo’s abdominal acupuncture can be used to reduce pain and could offer a technique which could be used as a process for double-blinding in acupuncture research. Methods: A total of 60 patients with unilateral cervicobrachialgia sine causa or without severe arthrosic alterations and without any other serious diseases were randomly divided in two groups: group A (n = 30) comprising 18 females and 12 males aged 25–57 years were treated with only one session of true Bo’s abdominal acupuncture and group B (n = 30), comprising 19 females and 11 males aged 31–60 years, were treated with only one session of sham abdominal acupuncture. Cervical hypomotility before treatment (T0) was assessed as: very serious (score 10), marked by rotation of the neck < 60◦ or flexion–extension < 30◦ serious (score 7) and with rotation < 80◦ or flexion–extension < 50◦ mild (score 3) if the above parameters were respectively < 90◦ and < 70◦ . Pain at T0 in both groups was assessed by a 1–10 score, on the basis of the visual analogue scale (VAS) by Scott-Huskisson. Results: Pain score and hypomotility score at T1 were compared with those at T0 and t-test for independent variables was used, to manage a statistical assessment of the results. In group A, the pain score was at T0 = 7.6 ± 0.77 and at T1 = 1.7 ± 0.70 (p < 0.001), whereas in group B, the pain score was at T0 = 7.93 ± 0.63 and at T1 = 7.23 ± 1.35 (p > 0.005). In group A, the hypomotility score was at T0 = 7.6 ± 1.22 while at T1 = 1.90 ± 1.47 (p < 0.001), whereas in group B, the hypomotility score was at T0 = 7.70 ± 1.29 and at T1 = 9.56 ± 1.06 (p > 0.40). At least, in this study the results show unequivocally that the true Bo’s abdominal acupuncture achieves better effects on cervical pain and hypomotility, compared with the control group. Discussion: In general terms, this study shows with a good degree of evidence that acupoints have definite effects on specific distant areas of the human body. Moreover, it underlines both the usefulness and the amazing and rapid effectiveness of Bo’s abdominal acupuncture.
Aim: The study aimed to investigate the clinical efficacy of tuina and gravitational suspension combined with electroacupuncture and injection therapy in treating herniation of a lumbar intervertebral disc. Methods: In the period September 2006-April 2010, 186 patients (135 males, 51 females, ranging in age between 32 and 64 years) with protrusion or herniation of a lumbar intervertebral disc were treated with a combined traditional Chinese medicine (TCM) approach, achieving very satisfactory results. Preliminary Tuina: Palm rubbing, pushing and rolling techniques, etc. were applied on the lumbar region and on lower limbs. Gravitational suspension: Vertical suspension of the patient by means of a particular apparatus developed by traditional Chinese orthopaedics was carried out, to widen the intervertebral spaces and to promote the reduction of lumbar hernia. Closing Tuina: Pressing and kneading techniques on the back and lower limbs of the patient, then rotating manipulation of the lumbar spine on both sides was applied. Electroacupuncture: Ashi points combined with Tunzhong (EX) and Tiaoyue (EX), treated with long needles, were selected as the main acupoints; auxiliary acupoints were selected according to the differentiation of syndromes: wind-cold type deficiency of qi of the kidney type blood stasis type. Injection therapy: A homeopathic medicine was bilaterally injected into the Huatuojiaji (EX-B2) points of the affected lumbar tract. Results: Completely resolved: a total of 107 patients (57.6%); markedly effective: 59 patients (31.7%); effective: 15 patients (8.0%); and failed: five patients (2.7%). Total effective rate: 97.3%. Conclusions: This non-surgical therapy is simple, well accepted by the patients and very effective. Although further investigations are necessary to clarify its mechanism, the available data allow the authors to consider it worthy of medical consideration. http://dx.doi.org/10.1016/j.eujim.2012.07.546
http://dx.doi.org/10.1016/j.eujim.2012.07.545