PMID- 12667970
OWN - NLM
STAT- MEDLINE
DCOM- 20030610
LR  - 20220318
IS  - 0965-2299 (Print)
IS  - 0965-2299 (Linking)
VI  - 11
IP  - 1
DP  - 2003 Mar
TI  - The impact of site specificity and needle manipulation on changes to pain 
      pressure threshold following manual acupuncture: a controlled study.
PG  - 11-21
AB  - OBJECTIVES: To investigate the contribution of two principal features that 
      underlie traditional Chinese acupuncture: site specificity and application of 
      needle manipulation. DESIGN: Thirteen volunteers completed a randomised, dual 
      blind (subject and assessor) repeated measures study involving five 
      interventions. Pressure pain threshold (PPT) was measured with an algometer, 
      before and after intervention at 10 sites (acupoints and nonacupoints) across the 
      body. INTERVENTIONS: Deep needling, with or without manual needle rotation, 
      applied to the acupoint Large Intestine 4 (LI4) or to a nonacupoint located on 
      the medial side of the second metacarpal. Inactive laser to LI4 was used as a 
      control. All interventions were administered for 21 min. MAIN OUTCOME MEASURES: 
      Percentage change in PPT from preintervention baseline at the 10 sites during the 
      18 min immediately following intervention. RESULTS: Statistically significant 
      increases from preintervention PPT means were obtained at all 10 sites following 
      needling of LI4 with manipulation compared with one site after needling LI4 
      without manipulation. Needling the nonacupoint led to statistically significant 
      increases at six sites when manipulation was present compared with none in the 
      absence of manipulation. No significant changes in mean PPT followed inactive 
      laser. Needling LI4 with manipulation produced mean increases that were 
      statistically significantly greater than those for the other interventions with 
      one exception: needling the nonacupoint with manipulation was as effective as 
      needling LI4 with manipulation at one measurement site only. CONCLUSIONS: Both 
      manipulation and site of needling contributed significantly to the elevation of 
      PPT following acupuncture. Distribution of effects on PPT did not support either 
      neural segmental or Traditional Chinese Medicine channel theories. Psychological 
      and physiological nonspecific effects appeared to play a minimal role in changes 
      to PPT.
FAU - Zaslawski, C J
AU  - Zaslawski CJ
AD  - Faculty of Science, University of Technology-Sydney, PO Box 123, Broadway 2007, 
      Sydney, Australia.
FAU - Cobbin, D
AU  - Cobbin D
FAU - Lidums, E
AU  - Lidums E
FAU - Petocz, P
AU  - Petocz P
LA  - eng
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - Scotland
TA  - Complement Ther Med
JT  - Complementary therapies in medicine
JID - 9308777
SB  - IM
MH  - *Acupuncture Points
MH  - Acupuncture Therapy/instrumentation/methods
MH  - Adaptation, Physiological
MH  - Adult
MH  - Double-Blind Method
MH  - Electroacupuncture/methods
MH  - Female
MH  - Humans
MH  - Male
MH  - *Needles
MH  - Pain Measurement/*methods
MH  - Pain Threshold/*physiology
MH  - Pressure
MH  - *Rotation
EDAT- 2003/04/02 05:00
MHDA- 2003/06/11 05:00
CRDT- 2003/04/02 05:00
PHST- 2003/04/02 05:00 [pubmed]
PHST- 2003/06/11 05:00 [medline]
PHST- 2003/04/02 05:00 [entrez]
AID - S0965229902001164 [pii]
AID - 10.1016/s0965-2299(02)00116-4 [doi]
PST - ppublish
SO  - Complement Ther Med. 2003 Mar;11(1):11-21. doi: 10.1016/s0965-2299(02)00116-4.