Acupuncture can result in clinically significant results for the treatment of shoulder impingement syndrome. In a randomised trial carried out in Spain, 68 participants received either true acupuncture (TA) or sham acupuncture (SA) at non-acupoints. The treatment was carried out over four weeks, with participants receiving one session per week. The results showed significant differences between the two groups. Immediately after the treatment, pain intensity was found to have decreased by 44.13 millimetres on a Visual Analogue Scale (VAS) in the TA group, compared with 19.84 millimetres for SA. Three months later, this between-group difference was still apparent (87.58 millimetres for TA versus 20 millimetres). Shoulder function scores also showed clinically meaningful changes in support of TA.
Acupuncture treatment of shoulder impingement syndrome: A randomized controlled trial. Complement Ther Med. 2016 Apr;25:92-7.

28. July 2016 · Comments Off · Categories: Acupuncture, Gulf War Illness

American investigators conclude that individualised acupuncture treatment appears to offer significant relief for veterans with Gulf War Illness (GWI). GWI is a complex, poorly understood illness, characterised by multiple symptoms including fatigue, sleep and mood disturbances, cognitive dysfunction and musculoskeletal pain. In a pragmatic trial, 104 veterans with symptoms of GWI were randomised to either six months of biweekly acupuncture treatments, (Group 1) or two months on a waiting list followed by weekly acupuncture treatments (Group 2). Each subject received an individualised TCM diagnosis and treatment protocol (including both acupuncture and related therapies) designed to address their unique pattern of individual symptoms. Greater clinically and statistically significant improvements in physical symptoms and pain scores were observed for Group 1 at month six compared to Group 2.
The Effectiveness of Individualized Acupuncture Protocols in the Treatment of Gulf War Illness: A Pragmatic Randomized Clinical Trial. PLoS One. 2016 Mar 31;11(3):e0149161.

14. July 2016 · Comments Off · Categories: Acupuncture, Fybromyalgia
05. July 2016 · Comments Off · Categories: Acupuncture, Breast Cancer, Hot Flushes

Acupuncture in association with enhanced self-care is an effective integrative intervention for managing hot flushes and improving quality of life in women with breast cancer, according to Italian researchers. A pragmatic, randomised controlled trial compared acupuncture plus enhanced self-care versus enhanced self-care alone in 190 women with breast cancer. Both groups received a booklet with information about climacteric syndrome and its management, to be followed for at least 12 weeks. In addition, the acupuncture group received 10 l acupuncture treatment sessions. Evaluation of tongue and pulse was performed at each session and acupuncture was performed at three common acupoints (Sanyinjiao SP-6, Quchi L.I.-11 and Guanyuan REN-4), plus others chosen according to the specific TCM pattern diagnosed. Acupuncture plus enhanced self-care was associated with a significantly lower hot flush score than enhanced self-care alone at the end of treatment, and at three- and six-month post-treatment follow-up. Acupuncture was also associated with fewer climacteric symptoms and higher quality of life in vasomotor, physical and psychosocial domains.
Acupuncture As an Integrative Approach for the Treatment of Hot Flashes in Women With Breast Cancer: A Prospective Multicenter Randomized Controlled Trial (AcCliMaT). J Clin Oncol. 2016 Mar 28. pii: JCO632893. [Epub ahead of print].

05. July 2016 · Comments Off · Categories: Acupuncture, Menopause

Research from the USA suggests that acupuncture can lead to a significant reduction in vasomotor symptoms (VMS) in menopausal women. In a pragmatic randomised trial, 209 menopausal women were randomised to receive up to 20 acupuncture treatments within the first six months (acupuncture group) or the second six months (wait-list control group) of the 12-month study period. VMS frequency was found to have declined by 36.7% at six months in the acupuncture group and increased by 6% in the control group. At 12 months, the reduction in VMS from baseline in the acupuncture group was 29.4%, suggesting that the treatment effect was maintained. Statistically significant clinical improvement was observed after three acupuncture treatments, and maximal clinical effects occurred after a median of eight treatments. Persistent improvements were also seen in many quality of life-related outcomes in the acupuncture group relative to the control group. Acupuncture in Menopause (AIM) study: a pragmatic, randomized controlled trial. Menopause. 2016 Mar 18. [Epub ahead of print].
In contrast, an Australian study found that standardised acupuncture was not superior to sham for women with moderately severe menopausal hot flushes (HFs). Three hundred and twenty seven women experiencing at least seven moderate HFs daily, who met criteria for the Chinese medicine diagnosis of Kidney yin deficiency, were randomly assigned to either standardised TCM acupuncture designed to treat Kidney yin deficiency or non-insertive sham acupuncture at non-acupoints. At the end of eight weeks of treatment (10 treatments), mean HF scores were 15.36 in the acupuncture group and 15.04 in the sham group. Acupuncture for Menopausal Hot Flashes: A Randomized Trial. Ann Intern Med. 2016 Feb 2;164(3):146-54. doi: 10.7326/M15-1380.

05. July 2016 · Comments Off · Categories: Cancer, Tai Chi Chuan

Tai chi is an effective intervention for managing fatigue in patients with lung cancer undergoing chemotherapy, a Chinese study has found. Ninety-six patients were randomised to either tai chi, or low-impact exercise (control intervention), practiced for one hour, every other day for 12 weeks. At six weeks and 12 weeks, the tai chi group reported lower fatigue scores compared with the control group.
Tai Chi Exercise for Cancer-Related Fatigue in Patients with Lung Cancer Undergoing Chemotherapy: A Randomized Controlled Trial. J Pain Symptom Manage. 2015 Dec 22. pii: S0885-3924(15)00989-6.

05. July 2016 · Comments Off · Categories: Acupuncture, Exercise

Acupuncture can accelerate the relief of post-exercise fatigue by regulating energy metabolism and attenuating the effects of oxidative stress on body tissues, according to a pilot study by Chinese scientists. Fourteen athletes undertook a series of exhaustive physical exercises followed by a short-term rest, and were then treated with acupuncture (TA group) or enjoyed an extended rest (TR group). The TA group received 30 minutes of needling at Zusanli ST-36, Weizhong BL-40, Guanyuan REN-4 and Shenshu BL-23. Nuclear magnetic resonance-based metabolomics analysis was applied to investigate the metabolic profiles of urine samples collected from the athletes before exercise, before and after acupuncture, or during the extended rest. The results indicated that levels of key metabolites in the Krebs cycle and glycolysis (such as lactate, succinate, pyruvate and citrate), which had been disturbed by exercise, recovered significantly faster in the athletes treated with acupuncture compared with those who took rest.
The Intervention Effects of Acupuncture on Fatigue Induced by Exhaustive Physical Exercises: A Metabolomics Investigation. Evid Based Complement Alternat Med. 2015;2015:508302.

05. July 2016 · Comments Off · Categories: Tai Chi Chuan

Tai chi can improve physical performance in people suffering from a variety of chronic health conditions, according to a systematic review carried out in Canada. Thirty-three studies involving 1584 participants and covering four common chronic conditions – cancer, osteoarthritis (OA), heart failure (HF) and chronic obstructive pulmonary disease (COPD) – met the authors’ inclusion criteria. Meta-analyses showed that tai chi improved or showed a tendency to improve physical performance outcomes, including six-minute walking distance (6MWD) and knee extensor strength, in all four chronic conditions. Tai chi also improved disease-specific symptoms of pain and stiffness in OA.
The effect of Tai Chi on four chronic conditions-cancer, osteoarthritis, heart failure and chronic obstructive pulmonary disease: a systematic review and meta-analyses. Br J Sports Med. 2015 Sep 17. pii: bjsports-2014-094388.

05. July 2016 · Comments Off · Categories: Breast Cancer, Chemotherapy, Qigong

A preliminary study from Taiwan suggests that both static and moving forms of qigong practice are beneficial for breast cancer patients undergoing chemotherapy. A quasi-experimental design was applied to the study of 95 females who were receiving chemotherapy for breast cancer. Participants were assigned to three groups; the control group undertook a post-surgical exercise programme; the non-sporting qigong (NSQG) group performed a meditative breathing exercise while either sitting or standing; and the sporting qigong (SQG) group performed tai chi-like moving qigong exercises. Patients performed their exercises for at least 30 minutes, three times per week for 12 weeks. At one and three months after beginning the program, patients in the SQG group showed lower frailty scores than those in the control group. At three months from baseline, patients in the NSQG group also reported lower frailty scores and higher mental QOL than those in the control group.
Effects of non-sporting and sporting qigong on frailty and quality of life among breast cancer patients receiving chemotherapy. Eur J Oncol Nurs. 2015 Nov 21. pii: S1462-3889(15)30043-0..

05. July 2016 · Comments Off · Categories: Arthritis, Rheumatoid Arthritis, Tai Chi Chuan

Tai chi can improve endothelial dysfunction and arterial stiffness in elderly women with rheumatoid arthritis (RA). Korean investigators assigned 56 female RA patients to either a weekly tai chi exercise group, or a control group who received general information about the benefits of exercise. At the end of the three-month intervention period, flow-mediated dilatation (FMD, a measure of endothelial function) was found to have significantly increased in the tai chi group compared with the control group. In addition, brachial-ankle pulse wave velocity (baPWV, a measure of arterial stiffness) and total serum cholesterol also decreased significantly in the tai chi group.
The beneficial effects of Tai Chi exercise on endothelial function and arterial stiffness in elderly women with rheumatoid arthritis. Arthritis Res Ther. 2015 Dec 24;17(1):380.