Acupuncture-Analgesia Following a Single Treatment Session in Chronic Whiplash is Unrelated to Autonomic Nervous System Changes: A Randomized Cross-over Trial

被引：1

作者：

De Kooning, Margot ^{[1
,2
,3
]}

Tobbackx, Yannick ^{[1
,5
]}

Meeus, Mira ^{[1
,8
,9
]}

Wauters, Lieven

Ickmans, Kelly ^{[1
,2
,3
]}

De Vilder, Peter ^{[6
]}

Roose, Johan ^{[7
]}

Verhaeghe, Tom ^{[7
]}

Nijs, Jo ^{[1
,2
,3
,4
]}

机构：

[1] Univ Antwerp, Pain Mot Res Grp, Fac Med & Hlth Sci, B-2020 Antwerp, Belgium

[2] Vrije Univ Brussel, Dept Human Physiol, Fac Phys Educ & Physiotherapy, BE-1090 Brussels, Belgium

[3] Vrije Univ Brussel, Dept Physiotherapy, Fac Phys Educ & Physiotherapy, BE-1090 Brussels, Belgium

[4] Univ Hosp Brussels, Dept Phys Med & Physiotherapy, Brussels, Belgium

[5] Ctr Chron Pain Treatment & Relaxat Therapy, Westerlo, Belgium

[6] Belgian Acupuncture Federat, Schoten, Belgium

[7] European Federat Oriental Med, Eigenbilzen, Belgium

[8] Univ Ghent, Fac Med & Hlth Sci, Dept Rehabil Sci & Physiotherapy, B-9000 Ghent, Belgium

[9] Univ Antwerp, Fac Med & Hlth Sci, Dept Rehabil Sci & Physiotherapy, Antwerp, Belgium

来源：

PAIN PHYSICIAN | 2015年 / 18卷 / 06期

关键词：

Acupuncture; chronic whiplash; autonomic nervous system; pain analgesia; heart rate variability; acupuncture analgesia; TEMPORAL SUMMATION; CHRONIC PAIN; CENTRAL HYPERSENSITIVITY; DISORDERS; MECHANISMS; EXERCISE; INHIBITION; RESPONSES; EDUCATION; MOVEMENT;

D O I：

暂无

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background: An acupuncture treatment can reduce pain sensitivity in patients with chronic whiplash associated disorders (WAD). But it has been hypothesized that many of the experimental results in acupuncture research could be interpreted as stress-induced analgesia. Objective: The present study aimed at examining whether acupuncture has an effect on the autonomic nervous system response in patients with chronic WAD and if this response is related to the pain inhibition after an acupuncture session. Study Design: Randomized crossover trial with blinded assessor. Setting: Two private practices. Methods: Thirty-nine patients with chronic WAD received 2 treatment sessions of identical duration, with acupuncture and relaxation therapy randomly crossed over in the 2 visits. The primary outcome measurement was the registration of autonomic nervous system parameters (heart rate, skin conductance, and heart rate variability parameters) during the administration of experimental pain. Endogenous analgesia was the secondary outcome. Results: Following one acupuncture treatment session, there was a significant change for 2 parameters: the heart rate was slightly reduced and the skin conductance was raised. Comparing the effects of acupuncture and relaxation, no differences were found with respect to the change in any of the autonomic parameters. Further, the reduction in pain sensitivity in response to acupuncture treatment was unrelated to any of the changes in autonomic measurements. Limitations: The results were observed after only one session of acupuncture. Conclusion: In patients with chronic WAD, in response to a single treatment session, no acupuncture specific effects on the autonomic response to pain assessment were present and the analgesia after one session of acupuncture is not caused by stress-induced analgesia but is more likely the result of an acupuncture specific reaction.

引用

页码：527 / 536

页数：10

共 45 条

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