Needle Acupuncture

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Matthias Karst - One of the best experts on this subject based on the ideXlab platform.

  • Needle Acupuncture in chronic poststroke leg spasticity
    Archives of physical medicine and rehabilitation, 2004
    Co-Authors: Matthias Fink, Jens D Rollnik, Michaela Bijak, Caroline Borstädt, Jan Däuper, Velina Guergueltcheva, Reinhard Dengler, Matthias Karst
    Abstract:

    Abstract Fink M, Rollnik JD, Bijak M, Borstadt C, Dauper J, Guergueltcheva V, Dengler R, Karst M. Needle Acupuncture in chronic poststroke leg spasticity. Arch Phys Med Rehabil 2004;85:667–672. Objective To determine whether Needle Acupuncture may be useful in the reduction of leg spasticity in a chronic state. Design Single-blind, randomized, placebo-controlled trial. Setting Neurologic outpatient department of a medical school in Germany. Participants Twenty-five patients (14 women) suffering from chronic poststroke leg spasticity with pes equinovarus deformity (Modified Ashworth Scale [MAS] score, ≥1), aged 38 to 77 years (mean ± standard deviation, 58.5±10.4y), were enrolled in the study. The mean time from stroke to inclusion in the study was approximately 5 years (mean, 65.4±48.3mo; range, 7–180mo). Interventions Participants were randomly assigned to placebo treatment (n=12) by using a specially designed placebo needling procedure, or verum treatment (n=13). Main outcome measures MAS score of the affected ankle, pain (visual analog scale), and walking speed. Results There was no demonstrated beneficial clinical effects from verum Acupuncture. After 4 weeks of treatment, mean MAS score was 3.3±0.9 in the placebo group versus 3.3±1.1 in the verum group. The neurophysiologic measure of H-reflex indicated a significant increase of spinal motoneuron excitability after verum Acupuncture (H-response/M-response ratio: placebo, .39±.19; verum, .68±.41; P Conclusions This effect might be explained by afferent input of A delta and C fibers to the spinal motoneuron. The results from our study indicate that Needle Acupuncture may not be helpful to patients with chronic poststroke spasticity. However, there was neurophysiologic evidence for specific Acupuncture effects on a spinal (segmental) level involving nociceptive reflex mechanisms.

  • Needle Acupuncture in Tension-Type Headache: A Randomized, Placebo-Controlled Study:
    Cephalalgia : an international journal of headache, 2001
    Co-Authors: Matthias Karst, Jens D Rollnik, Michaela Reinhard, P Thum, Birgitt Wiese, Matthias Fink
    Abstract:

    A study with Needle Acupuncture was performed in tension-type headache employing a new placebo Acupuncture method. Sixty-nine patients (mean age 48.1 years, sd = 14.1) fulfilling the International Headache Society criteria for tension-type headache were randomly assigned to verum or placebo condition. No significant differences between placebo and verum with respect to visual analogue scale and frequency of headache attacks could be observed immediately, 6 weeks and 5 months after the end of treatment. There was a significant but weak improvement in quality of life parameters (clinical global impressions, Nottingham Health Profile) after verum treatment. In decision tree analyses, the changes in clinical global impressions and headache frequency depended significantly on primary headache frequency with a limit value of 24.5 days headache per month. High values in the von Zerssen Depression Score resulted in high mean visual analogue scale values.

  • pressure pain threshold and Needle Acupuncture in chronic tension type headache a double blind placebo controlled study
    Pain, 2000
    Co-Authors: Matthias Karst, Jens D Rollnik, Matthias Fink, Michaela Reinhard, S Piepenbrock
    Abstract:

    Abstract In order to examine the role of muscular mechanisms in chronic tension-type headache a study with Needle Acupuncture was performed. Needle Acupuncture could be of therapeutic value because it has shown some positive effects in myofascial pain syndromes. We performed a double-blind, placebo-controlled study with 39 patients (mean age 49.0 years, SD=14.8) fulfilling the International Headache Society criteria for chronic tension-type headaches. Participants were randomly assigned to verum or placebo condition. Six weeks after end of treatment no significant differences between placebo and verum could be observed with respect to visual analogue scale and frequency of headache attacks. Nevertheless, pressure pain thresholds significantly increased for the verum group. The findings of our study support the hypothesis that peripheral mechanisms – such as increased muscle tenderness – only play a minor role in the pathogenesis of chronic tension-type headache.

Matthias Fink - One of the best experts on this subject based on the ideXlab platform.

  • Needle Acupuncture in chronic poststroke leg spasticity
    Archives of physical medicine and rehabilitation, 2004
    Co-Authors: Matthias Fink, Jens D Rollnik, Michaela Bijak, Caroline Borstädt, Jan Däuper, Velina Guergueltcheva, Reinhard Dengler, Matthias Karst
    Abstract:

    Abstract Fink M, Rollnik JD, Bijak M, Borstadt C, Dauper J, Guergueltcheva V, Dengler R, Karst M. Needle Acupuncture in chronic poststroke leg spasticity. Arch Phys Med Rehabil 2004;85:667–672. Objective To determine whether Needle Acupuncture may be useful in the reduction of leg spasticity in a chronic state. Design Single-blind, randomized, placebo-controlled trial. Setting Neurologic outpatient department of a medical school in Germany. Participants Twenty-five patients (14 women) suffering from chronic poststroke leg spasticity with pes equinovarus deformity (Modified Ashworth Scale [MAS] score, ≥1), aged 38 to 77 years (mean ± standard deviation, 58.5±10.4y), were enrolled in the study. The mean time from stroke to inclusion in the study was approximately 5 years (mean, 65.4±48.3mo; range, 7–180mo). Interventions Participants were randomly assigned to placebo treatment (n=12) by using a specially designed placebo needling procedure, or verum treatment (n=13). Main outcome measures MAS score of the affected ankle, pain (visual analog scale), and walking speed. Results There was no demonstrated beneficial clinical effects from verum Acupuncture. After 4 weeks of treatment, mean MAS score was 3.3±0.9 in the placebo group versus 3.3±1.1 in the verum group. The neurophysiologic measure of H-reflex indicated a significant increase of spinal motoneuron excitability after verum Acupuncture (H-response/M-response ratio: placebo, .39±.19; verum, .68±.41; P Conclusions This effect might be explained by afferent input of A delta and C fibers to the spinal motoneuron. The results from our study indicate that Needle Acupuncture may not be helpful to patients with chronic poststroke spasticity. However, there was neurophysiologic evidence for specific Acupuncture effects on a spinal (segmental) level involving nociceptive reflex mechanisms.

  • Needle Acupuncture in Tension-Type Headache: A Randomized, Placebo-Controlled Study:
    Cephalalgia : an international journal of headache, 2001
    Co-Authors: Matthias Karst, Jens D Rollnik, Michaela Reinhard, P Thum, Birgitt Wiese, Matthias Fink
    Abstract:

    A study with Needle Acupuncture was performed in tension-type headache employing a new placebo Acupuncture method. Sixty-nine patients (mean age 48.1 years, sd = 14.1) fulfilling the International Headache Society criteria for tension-type headache were randomly assigned to verum or placebo condition. No significant differences between placebo and verum with respect to visual analogue scale and frequency of headache attacks could be observed immediately, 6 weeks and 5 months after the end of treatment. There was a significant but weak improvement in quality of life parameters (clinical global impressions, Nottingham Health Profile) after verum treatment. In decision tree analyses, the changes in clinical global impressions and headache frequency depended significantly on primary headache frequency with a limit value of 24.5 days headache per month. High values in the von Zerssen Depression Score resulted in high mean visual analogue scale values.

  • pressure pain threshold and Needle Acupuncture in chronic tension type headache a double blind placebo controlled study
    Pain, 2000
    Co-Authors: Matthias Karst, Jens D Rollnik, Matthias Fink, Michaela Reinhard, S Piepenbrock
    Abstract:

    Abstract In order to examine the role of muscular mechanisms in chronic tension-type headache a study with Needle Acupuncture was performed. Needle Acupuncture could be of therapeutic value because it has shown some positive effects in myofascial pain syndromes. We performed a double-blind, placebo-controlled study with 39 patients (mean age 49.0 years, SD=14.8) fulfilling the International Headache Society criteria for chronic tension-type headaches. Participants were randomly assigned to verum or placebo condition. Six weeks after end of treatment no significant differences between placebo and verum could be observed with respect to visual analogue scale and frequency of headache attacks. Nevertheless, pressure pain thresholds significantly increased for the verum group. The findings of our study support the hypothesis that peripheral mechanisms – such as increased muscle tenderness – only play a minor role in the pathogenesis of chronic tension-type headache.

Jens D Rollnik - One of the best experts on this subject based on the ideXlab platform.

  • Needle Acupuncture in chronic poststroke leg spasticity
    Archives of physical medicine and rehabilitation, 2004
    Co-Authors: Matthias Fink, Jens D Rollnik, Michaela Bijak, Caroline Borstädt, Jan Däuper, Velina Guergueltcheva, Reinhard Dengler, Matthias Karst
    Abstract:

    Abstract Fink M, Rollnik JD, Bijak M, Borstadt C, Dauper J, Guergueltcheva V, Dengler R, Karst M. Needle Acupuncture in chronic poststroke leg spasticity. Arch Phys Med Rehabil 2004;85:667–672. Objective To determine whether Needle Acupuncture may be useful in the reduction of leg spasticity in a chronic state. Design Single-blind, randomized, placebo-controlled trial. Setting Neurologic outpatient department of a medical school in Germany. Participants Twenty-five patients (14 women) suffering from chronic poststroke leg spasticity with pes equinovarus deformity (Modified Ashworth Scale [MAS] score, ≥1), aged 38 to 77 years (mean ± standard deviation, 58.5±10.4y), were enrolled in the study. The mean time from stroke to inclusion in the study was approximately 5 years (mean, 65.4±48.3mo; range, 7–180mo). Interventions Participants were randomly assigned to placebo treatment (n=12) by using a specially designed placebo needling procedure, or verum treatment (n=13). Main outcome measures MAS score of the affected ankle, pain (visual analog scale), and walking speed. Results There was no demonstrated beneficial clinical effects from verum Acupuncture. After 4 weeks of treatment, mean MAS score was 3.3±0.9 in the placebo group versus 3.3±1.1 in the verum group. The neurophysiologic measure of H-reflex indicated a significant increase of spinal motoneuron excitability after verum Acupuncture (H-response/M-response ratio: placebo, .39±.19; verum, .68±.41; P Conclusions This effect might be explained by afferent input of A delta and C fibers to the spinal motoneuron. The results from our study indicate that Needle Acupuncture may not be helpful to patients with chronic poststroke spasticity. However, there was neurophysiologic evidence for specific Acupuncture effects on a spinal (segmental) level involving nociceptive reflex mechanisms.

  • Drukpijndrempel en naaldacupunctuur bij chronische spanningachtige hoofdpijn – Een dubbelblind, placebogecontroleerd onderzoek
    Stimulus, 2002
    Co-Authors: Mathias Karst, Jens D Rollnik
    Abstract:

    Pressure pain threshold and Needle Acupuncture in chronic tension-type headache – a double-blind placebo-controlled study [Pain 2000;88:199-203] Om de rol van de musculaire mechanismen bij chronische spanningachtige hoofdpijn na te gaan werd een studie uitgevoerd met naaldacupunctuur. Naaldacupuntuur heeft mogelijk therapeutische waarde omdat er positieve effecten van zijn waargenomen bij myofasciale pijnsyndromen. Wij voerden een dubbelblind placebogecontroleerd onderzoek uit bij 39 patiënten (gemiddelde leeftijd 49,0 jaar; sd = 14,8), die voldeden aan de criteria van de International Headache Society voor chronische spanningachtige hoofdpijn. De deelnemers werden willekeurig verdeeld over twee groepen: een groep die een reële behandeling kreeg (behandelgroep) en een groep die met placebo werd behandeld (placebogroep).

  • Needle Acupuncture in Tension-Type Headache: A Randomized, Placebo-Controlled Study:
    Cephalalgia : an international journal of headache, 2001
    Co-Authors: Matthias Karst, Jens D Rollnik, Michaela Reinhard, P Thum, Birgitt Wiese, Matthias Fink
    Abstract:

    A study with Needle Acupuncture was performed in tension-type headache employing a new placebo Acupuncture method. Sixty-nine patients (mean age 48.1 years, sd = 14.1) fulfilling the International Headache Society criteria for tension-type headache were randomly assigned to verum or placebo condition. No significant differences between placebo and verum with respect to visual analogue scale and frequency of headache attacks could be observed immediately, 6 weeks and 5 months after the end of treatment. There was a significant but weak improvement in quality of life parameters (clinical global impressions, Nottingham Health Profile) after verum treatment. In decision tree analyses, the changes in clinical global impressions and headache frequency depended significantly on primary headache frequency with a limit value of 24.5 days headache per month. High values in the von Zerssen Depression Score resulted in high mean visual analogue scale values.

  • pressure pain threshold and Needle Acupuncture in chronic tension type headache a double blind placebo controlled study
    Pain, 2000
    Co-Authors: Matthias Karst, Jens D Rollnik, Matthias Fink, Michaela Reinhard, S Piepenbrock
    Abstract:

    Abstract In order to examine the role of muscular mechanisms in chronic tension-type headache a study with Needle Acupuncture was performed. Needle Acupuncture could be of therapeutic value because it has shown some positive effects in myofascial pain syndromes. We performed a double-blind, placebo-controlled study with 39 patients (mean age 49.0 years, SD=14.8) fulfilling the International Headache Society criteria for chronic tension-type headaches. Participants were randomly assigned to verum or placebo condition. Six weeks after end of treatment no significant differences between placebo and verum could be observed with respect to visual analogue scale and frequency of headache attacks. Nevertheless, pressure pain thresholds significantly increased for the verum group. The findings of our study support the hypothesis that peripheral mechanisms – such as increased muscle tenderness – only play a minor role in the pathogenesis of chronic tension-type headache.

S Piepenbrock - One of the best experts on this subject based on the ideXlab platform.

  • pressure pain threshold and Needle Acupuncture in chronic tension type headache a double blind placebo controlled study
    Pain, 2000
    Co-Authors: Matthias Karst, Jens D Rollnik, Matthias Fink, Michaela Reinhard, S Piepenbrock
    Abstract:

    Abstract In order to examine the role of muscular mechanisms in chronic tension-type headache a study with Needle Acupuncture was performed. Needle Acupuncture could be of therapeutic value because it has shown some positive effects in myofascial pain syndromes. We performed a double-blind, placebo-controlled study with 39 patients (mean age 49.0 years, SD=14.8) fulfilling the International Headache Society criteria for chronic tension-type headaches. Participants were randomly assigned to verum or placebo condition. Six weeks after end of treatment no significant differences between placebo and verum could be observed with respect to visual analogue scale and frequency of headache attacks. Nevertheless, pressure pain thresholds significantly increased for the verum group. The findings of our study support the hypothesis that peripheral mechanisms – such as increased muscle tenderness – only play a minor role in the pathogenesis of chronic tension-type headache.

Hongbo Song - One of the best experts on this subject based on the ideXlab platform.

  • Stuck-moving Needle Acupuncture myofascial trigger point to treat idiopathic frozen shoulder: study protocol for a randomized controlled trial.
    Trials, 2020
    Co-Authors: Yang Bai, Ying Wang, Bo Chen, Yinan Qin, Qianqian Lei, Hailong Zhao, Qian Fan, Yali Wang, Hongbo Song
    Abstract:

    Background There are evidence for the efficacy of Acupuncture treatment for chronic shoulder pain, however, it remains unclear the best Acupuncture modes for effective treatment. We compared the effect of the myofascial trigger point (MTrp) stuck-moving Needle Acupuncture with that of common Acupuncture treatments. Further, we evaluated the efficacy and safety of stuck-moving Needle Acupuncture for the MTrp in improving pain and range of motions in patients with idiopathic frozen shoulder. The aim of present study is to select an effective therapy for patients with idiopathic frozen shoulder. Methods Randomized controlled trial will be conducted in the three clinical centers of Qingyang Traditional Chinese Medicine Hospital, Qingyang Xifeng district People's Hospital, and Qingyang Second People's Hospital in China from February 2020 to January 2021. One hundred and eight frozen shoulder patients will be recruited and randomized into one of three groups in a 1:1:1 ratio of the stuck-moving Needle Acupuncture group, common Acupuncture control group, and physical exercise control group. This trial will include a 1-week baseline period, a 3-week treatment period, and a 12-week follow-up period. During the 3 weeks of the treatment period, patients will receive nine sessions of Acupuncture. The primary outcome will be related to change in the Visual Analogue Scale (VAS) and measurement of range of joint motion (ROM) from the baseline period to the 12-week follow-up period. Secondary outcome measures will include measurement of pressure pain threshold (PPT), pressure pain tolerance (PTT), Oxford Shoulder Score (OSS), 36-item short form survey, and patient satisfaction evaluation. Adverse events also will be recorded for safety assessment. Discussion The results of this trial will allow us to compare the difference in efficacy between stuck-moving Needle Acupuncture MTrP with that of common Acupuncture treatments. The findings from this trial will be published in the peer-reviewed journals. Trial registration Acupuncture-Moxibustion Clinical Trial Registry (ChiMCTR1900002862) and Chinese Clinical Trial Registry (ChiCTR1900028452). Registered on 22 December 2019. http://www.chictr.org.cn/showproj.aspx?proj=47354.

  • Stuck-moving Needle Acupuncture the Myofascial Triggers Point to treat Idiopathic Frozen Shoulder: study protocol for a randomized controlled trial
    2020
    Co-Authors: Yang Bai, Ying Wang, Bo Chen, Yinan Qin, Qianqian Lei, Hailong Zhao, Qian Fan, Yali Wang, Hongbo Song
    Abstract:

    Abstract Background: There are evidence for the efficacy of Acupuncture treatment for chronic shoulder pain, however, it remains unclear the best Acupuncture modes for effective treatment. We compared the effect of the myofascial trigger point (MTrp) Stuck-moving Needle Acupuncture with that of common Acupuncture treatments. Further, we evaluated the efficacy and safety of stuck-moving Needle Acupuncture for the MTrp in improving pain and range of motions in patients with idiopathic frozen shoulder. The aim of present study is to select an effective therapy for patients with idiopathic frozen shoulder.Methods: Randomized controlled trial will be conducted in the three clinical centers of Qingyang Traditional Chinese Medicine Hospital, Qingyang Xifeng district People's Hospital and Qingyang Second People's Hospital in China from February 2020 to January 2021. One-hundred and eight frozen shoulder patients will be recruited and randomized into one of three groups in a 1:1:1 ratio of the Stuck-moving Needle Acupuncture group, Common Acupuncture control group and physical exercise control group. This trial will include a 1-week baseline period, a 3-weeks of the treatment period, and a 12-weeks of the follow-up period. During the 3-weeks of the treatment period, patients will receive nine sessions of Acupuncture. The primary outcome will be related to change in the Visual Analogue Scale (VAS) and measurement of range of joint motion (ROM) from the baseline period to the 12-week follow-up period. Secondary outcome measures will include, measurement of Pressure Pain Threshold (PPT), Pressure Pain Tolerance (PTT) Oxford Shoulder Score (OSS), 36-item Short Form survey and Patient satisfaction evaluation. Adverse events also will be recorded for safety assessment.Discussion: The results of this trial will allow us to compare the difference in efficacy between Stuck-moving Needle Acupuncture MTrP with that of common Acupuncture treatments. The findings from this trial will be published in the peer-reviewed journals.Trial registration: Acupuncture-Moxibustion Clinical Trial Registry (ChiMCTR1900002862) and Chinese Clinical Trial Registry (ChiCTR1900028452). registered on 22, Dec. 2019

  • Stuck-moving Needle Acupuncture the Myofascial Triggers Point to treat Idiopathic Frozen Shoulders: study protocol for a randomized controlled trial
    2020
    Co-Authors: Yang Bai, Ying Wang, Bo Chen, Yinan Qin, Qianqian Lei, Hailong Zhao, Qian Fan, Yali Wang, Hongbo Song
    Abstract:

    Abstract Background: There are evidence for the efficacy of Acupuncture treatment for chronic shoulder pain, however, it remains unclear the best Acupuncture modes for effective treatment. We compared the effect of the myofascial trigger point (MTrp) Stuck-moving Needle Acupuncture with that of common Acupuncture treatments. Further, we evaluated the efficacy and safety of stuck-moving Needle Acupuncture for the MTrp in improving pain and range of motions in patients with idiopathic frozen shoulder. The aim of present study is to select an effective therapy for patients with idiopathic frozen shoulder.Methods: Randomized controlled trial will be conducted in the three clinical centers of Qingyang Traditional Chinese Medicine Hospital, Qingyang Xifeng district People's Hospital and Qingyang Second People's Hospital in China from February 2020 to January 2021. One-hundred and eight frozen shoulder patients will be recruited and randomized into one of three groups in a 1:1:1 ratio of the Stuck-moving Needle Acupuncture group, Common Acupuncture control group and physical exercise control group. This trial will include a 1-week baseline period, a 3-weeks of the treatment period, and a 12-weeks of the follow-up period. During the 3-weeks of the treatment period, patients will receive nine sessions of Acupuncture. The primary outcome will be related to change in the Visual Analogue Scale (VAS) and measurement of range of joint motion (ROM) from the baseline period to the 12-week follow-up period. Secondary outcome measures will include, measurement of Pressure Pain Threshold (PPT), Pressure Pain Tolerance (PTT) Oxford Shoulder Score (OSS), 36-item Short Form survey and Patient satisfaction evaluation. Adverse events also will be recorded for safety assessment.Discussion: The results of this trial will allow us to compare the difference in efficacy between Stuck-moving Needle Acupuncture MTrP with that of common Acupuncture treatments. The findings from this trial will be published in the peer-reviewed journals.Trial registration: Acupuncture-Moxibustion Clinical Trial Registry (ChiMCTR1900002862) and Chinese Clinical Trial Registry (ChiCTR1900028452). registered on 22, Dec. 2019

  • Stuck-moving Needle Acupuncture the Myofascial Triggers Point to treat Idiopathic Frozen Shoulders: study protocol for a randomized controlled trial
    2020
    Co-Authors: Yang Bai, Ying Wang, Bo Chen, Qianqian Lei, Hailong Zhao, Qian Fan, Yali Wang, Hongbo Song, Maomao Cheng
    Abstract:

    Abstract Background There are evidences for the efficacy of Acupuncture treatment for chronic shoulder pain, however it remains unclear the best Acupuncture modes for effective treatment. We compared the effect of myofascial trigger point (MTrp) Stuck-moving Needle Acupuncture with that of common Acupuncture treatments. Further, we evaluated the efficacy and safety of stuck-moving Needle Acupuncture for the MTrp in improving pain and range of motions in patients with idiopathic frozen shoulder. The ultimate aim of the study is to select an effective therapy for patients with idiopathic frozen shoulder. Methods Randomized controlled trial will be conducted in the 3 clinical centers of Qingyang Traditional Chinese Medicine Hospital, Qingyang Xifeng district People's Hospital and Qingyang Second People's Hospital in China from February 2020 to January 2021. One-hundred and eight frozen shoulder patient will be recruited and randomized into one of three groups in a 1:1:1 ratio of the Stuck-moving Needle Acupuncture group, Common Acupuncture control group and physical exercise control group. This trial will include a 1-week baseline period, a 3-weeks of treatment period, and a 12-weeks of follow-up period. During the 3-weeks of treatment period, patients will receive 9 sessions of Acupuncture. The primary outcome will be related to change in the Visual Analogue Scale (VAS) and Measurement of range of joint motion (ROM) from baseline period to the 12-week follow-up period. Secondary outcome measures will include, measurement of Pressure Pain Threshold (PPT), Pressure Pain Tolerance (PTT) Oxford Shoulder Score (OSS), 36-item Short Form survey and Patient satisfaction evaluation. Adverse events also will be recorded for safety assessment. Discussion The results of this trial will allow us to compare the difference in efficacy between Stuck-moving Needle Acupuncture MTrP with that of common Acupuncture treatments. The findings from this trial will be published in the peer-reviewed journals. Trial registration: Acupuncture-Moxibustion Clinical Trial Registry (ChiMCTR1900002862) and Chinese Clinical Trial Registry (ChiCTR1900028452). registered on 22, Dec. 2019