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Acupuncture in the management of pain of musculoskeletal and neurologic origin.

https://arctichealth.org/en/permalink/ahliterature200631
Source
Phys Med Rehabil Clin N Am. 1999 Aug;10(3):531-45, vii-viii
Publication Type
Article
Date
Aug-1999
Author
J Y Wong
L M Rapson
Author Affiliation
Acupuncture Foundation of Canada Institute, Toronto, Ontario, Canada.
Source
Phys Med Rehabil Clin N Am. 1999 Aug;10(3):531-45, vii-viii
Date
Aug-1999
Language
English
Publication Type
Article
Keywords
Acupuncture Analgesia - methods - standards
Canada
Female
Guidelines as Topic
Humans
Male
Musculoskeletal Diseases - complications - therapy
Nervous System Diseases - complications - therapy
Neuralgia - etiology - therapy
Pain Measurement
Pain, Intractable - etiology - therapy
Prognosis
Abstract
Acupuncture has been used as therapeutic treatment for the health of the Chinese people for more than 3000 years; it is a system for diagnosing and treating disease using fine needles inserted into specific points of the body. Acupuncture can treat a wide variety of conditions. This article discusses the use of acupuncture in the management of pain of musculoskeletal and neurologic origin, with a focus on pain in spinal cord injuries.
PubMed ID
10516974 View in PubMed
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Acupuncture treatment during labour--a randomised controlled trial.

https://arctichealth.org/en/permalink/ahliterature63646
Source
BJOG. 2002 Jun;109(6):637-44
Publication Type
Article
Date
Jun-2002
Author
Agneta Ramnerö
Ulf Hanson
Mona Kihlgren
Author Affiliation
Department of Obstetrics and Gynaecology, Orebro University Hospital, Sweden.
Source
BJOG. 2002 Jun;109(6):637-44
Date
Jun-2002
Language
English
Publication Type
Article
Keywords
Acupuncture Analgesia - methods
Adult
Analgesia, Epidural - statistics & numerical data
Female
Humans
Obstetric Labor Complications - therapy
Pain - prevention & control
Pain Measurement
Patient satisfaction
Pregnancy
Pregnancy outcome
Relaxation
Research Support, Non-U.S. Gov't
Risk factors
Abstract
OBJECTIVE: To investigate acupuncture treatment during labour with regard to pain intensity, degree of relaxation and outcome of the delivery. DESIGN: Randomised controlled trial. SETTING: Delivery ward at a tertiary care centre hospital in Sweden. POPULATION: Ninety parturients who delivered during the period April 12, 1999 and June 4, 2000. METHODS: Forty-six parturients were randomised to receive acupuncture treatment during labour as a compliment, or an alternative, to conventional analgesia. MAIN OUTCOME MEASURES: Assessments of pain intensity and degree of relaxation during labour, together with evaluation of delivery outcome. RESULTS: Acupuncture treatment during labour significantly reduced the need of epidural analgesia (12% vs 22%, relative risk [RR] 0.52, 95% confidence interval [CI] 0.30 to 0.92). Parturients who received acupuncture assessed a significantly better degree of relaxation compared with the control group (mean difference -0.93, 95% CI -1.66 to -0.20). No negative effects of acupuncture given during labour were found in relation to delivery outcome. CONCLUSIONS: The results suggest that acupuncture could be a good alternative or complement to those parturients who seek an alternative to pharmacological analgesia in childbirth. Further trials with a larger number of patients are required to clarify if the main effect of acupuncture during labour is analgesic or relaxing.
PubMed ID
12118641 View in PubMed
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[A retrospective analysis of the results of obstetric acupuncture at Frederiksberg Hospital]

https://arctichealth.org/en/permalink/ahliterature63548
Source
Ugeskr Laeger. 2003 Mar 3;165(10):1023-7
Publication Type
Article
Date
Mar-3-2003
Author
Eileen Spellerberg
Steen L Smidt-Jensen
Author Affiliation
Fødeafdelingen, H:S Frederiksberg Hospital, DK-2000 Frederiksberg. eileen@spellerberg.net
Source
Ugeskr Laeger. 2003 Mar 3;165(10):1023-7
Date
Mar-3-2003
Language
Danish
Publication Type
Article
Keywords
Acupuncture Analgesia
Adult
Analgesia, Obstetrical - methods
Anxiety - therapy
English Abstract
Female
Humans
Obstetric Labor Complications - psychology - therapy
Pregnancy
Pregnancy Complications - psychology - therapy
Research Support, Non-U.S. Gov't
Retrospective Studies
Treatment Outcome
Abstract
INTRODUCTION: The use of obstetric acupuncture in Denmark is increasing but its use in routine clinical practice has not been evaluated. MATERIAL AND METHODS: This retrospective uncontrolled study comprises 691 women who attended Frederiksberg Hospital during pregnancy and delivery. Their mean age was 30.5 +/- 4.3 year, mean parity 1.3 +/- 0.6 (71.8% were primiparous), and the mean gestational age was 39 +/- 3.7 weeks. A total of 563 of the women (81.5%) were in labour. The effect of acupuncture was evaluated by the pregnant women alone for the pregnancy-related indications and by both women and midwifes for labour-related indications. RESULTS: The women had acupuncture based on 997 individual indications (mean 1.4 +/- 0.5). Twenty-two indications were used. 78.8% of all treatments were for pain relief or anxiety. The scores were highly correlated between women and midwives as 42.2 and 40.6%, respectively, indicated "full effect" and 33.3 and 33.4% indicated "some effect". The midwives' scores were independent of the women's age, parity, gestational age and indication(s). One possible side effect was observed (temporary dropfoot). DISCUSSION: In this study, routine obstetric acupuncture was perceived as equally effective by the women and midwifes. The method is simple, inexpensive and without significant adverse effects. It deserves a place in the midwives' armamentarium.
Notes
Comment In: Ugeskr Laeger. 2003 Apr 14;165(16):1693; author reply 169312756836
PubMed ID
12645408 View in PubMed
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Can acupuncture reduce the induction time of a local anaesthetic?--A pilot study.

https://arctichealth.org/en/permalink/ahliterature182809
Source
Acupunct Med. 2003 Sep;21(3):92-9
Publication Type
Article
Date
Sep-2003
Author
Palle Rosted
Mads Bundgaard
Author Affiliation
Weston Park Hospital, Sheffield, UK. Prosted@aol.com
Source
Acupunct Med. 2003 Sep;21(3):92-9
Date
Sep-2003
Language
English
Publication Type
Article
Keywords
Acupuncture Analgesia
Adult
Anesthesia, Dental - adverse effects
Anesthetics, Local - administration & dosage - adverse effects
Denmark
Female
Humans
Male
Nerve Block - adverse effects
Pain Measurement
Patient satisfaction
Pilot Projects
Prilocaine - administration & dosage - adverse effects
Time Factors
Treatment Outcome
Abstract
We report on a pilot study we undertook to investigate if segmental acupuncture treatment, given two minutes prior to a regional inferior dental block (ID) with Prilocaine Hydrochloride, would reduce the onset time of a local anaesthetic. Thirty healthy people, who needed a regional inferior dental block (ID) as part of dental treatment in the lower jaw, were randomly allocated to three groups. They received segmental acupuncture, heterosegmental superficial acupuncture, or standard treatment (regional inferior dental block) without acupuncture. In the segmental acupuncture group, acupuncture was given within the innervation of the trigeminal nerve. The needles were left in for two minutes, followed by a regional inferior dental block (ID). In the second group, acupuncture needles were inserted superficially in extra-segmental points and left in for two minutes without stimulation, followed by the regional inferior dental block. A control group received standard treatment only, of a regional inferior dental block. The concept 'pain free for dental work' was defined as 'patients reporting pins and needles in the lower lip' and measured by a drilling test. Patients who reported no pain during the drilling test were included in the study. The time from administration of the injection to the patients' reporting pins and needles was recorded by an independent dental nurse. All tested patients reported sufficient anaesthesia during the drilling test. In the segmental acupuncture group, anaesthesia was achieved after 62 seconds, compared to the heterosegmental superficial acupuncture group, who took 115 seconds and the control group, who received standard treatment only, and took 119 seconds. The difference between the segmental acupuncture group and the heterosegmental superficial acupuncture group was statistically significant (p
PubMed ID
14620304 View in PubMed
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[Complications and side-effects of acupuncture]

https://arctichealth.org/en/permalink/ahliterature53459
Source
Lik Sprava. 2003 Jul-Aug;(5-6):7-10
Publication Type
Article
Author
V D Musiienko
Source
Lik Sprava. 2003 Jul-Aug;(5-6):7-10
Language
Ukrainian
Publication Type
Article
Keywords
Acupuncture Analgesia
Acupuncture Therapy - adverse effects
Blood Vessels - injuries
Cardiac Tamponade - etiology
English Abstract
Hemorrhage - etiology
Humans
Needlestick Injuries - complications
Peripheral Nerves - injuries
Pneumothorax - etiology
Spinal Cord Injuries - etiology
Viscera - injuries
Abstract
In the review of the literature, an analysis of complications and adverse effects of acupuncture is given, ways for their prevention are outlined.
PubMed ID
14618792 View in PubMed
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Is the operative delivery rate in low-risk women dependent on the level of birth care? A randomised controlled trial.

https://arctichealth.org/en/permalink/ahliterature133019
Source
BJOG. 2011 Oct;118(11):1357-64
Publication Type
Article
Date
Oct-2011
Author
S. Bernitz
R. Rolland
E. Blix
M. Jacobsen
K. Sjøborg
P. Øian
Author Affiliation
Department of Obstetrics and Gynaecology at Østfold Hospital Trust, Fredrikstad, Norway. stiber@so-hf.no
Source
BJOG. 2011 Oct;118(11):1357-64
Date
Oct-2011
Language
English
Publication Type
Article
Keywords
Acupuncture Analgesia - statistics & numerical data
Adult
Anal Canal - injuries
Analgesia, Epidural - statistics & numerical data
Apgar score
Cesarean Section - statistics & numerical data
Female
Humans
Midwifery - statistics & numerical data
Norway
Obstetrics and Gynecology Department, Hospital - statistics & numerical data
Patient Transfer - statistics & numerical data
Postpartum Hemorrhage - epidemiology
Pregnancy
Risk factors
Vacuum Extraction, Obstetrical - statistics & numerical data
Young Adult
Abstract
To investigate possible differences in operative delivery rate among low-risk women, randomised to an alongside midwifery-led unit or to standard obstetric units within the same hospital.
Randomised controlled trial.
Department of Obstetrics and Gynaecology, Østfold Hospital Trust, Tromsø, Norway.
A total of 1111 women assessed to be at low risk at onset of spontaneous labour.
Randomisation into one of three birth units: the special unit; the normal unit; or the midwife-led unit.
Total operative delivery rate, augmentation, pain relief, postpartum haemorrhage, sphincter injuries and intrapartum transfer, Apgar score
Notes
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Cites: Cochrane Database Syst Rev. 2008;(4):CD00466718843666
Cites: BJOG. 2009 Mar;116(4):537-42; discussion 542-419250365
Cites: BMC Pregnancy Childbirth. 2009;9:2519545412
Comment In: BJOG. 2012 Feb;119(3):377; author reply 377-822239420
Erratum In: BJOG. 2011 Dec;118(13):1688
PubMed ID
21749629 View in PubMed
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[Obstetric analgesia in Norwegian hospitals]

https://arctichealth.org/en/permalink/ahliterature63161
Source
Tidsskr Nor Laegeforen. 2005 Sep 22;125(18):2504-6
Publication Type
Article
Date
Sep-22-2005
Author
Andreas Barratt-Due
Inger Hagen
Vegard Dahl
Author Affiliation
Anestesiavdelingen, Sykehuset Asker og Baerum, Postboks 83, 1309 Rud. barratt1@tiscali.no
Source
Tidsskr Nor Laegeforen. 2005 Sep 22;125(18):2504-6
Date
Sep-22-2005
Language
Norwegian
Publication Type
Article
Keywords
Acupuncture Analgesia - statistics & numerical data
Analgesia, Epidural - statistics & numerical data
Analgesia, Obstetrical - methods - statistics & numerical data - trends
Analgesics, Opioid - administration & dosage
Anesthesia, Spinal - statistics & numerical data
Attitude of Health Personnel
Cesarean Section
Comparative Study
English Abstract
Female
Humans
Norway
Pregnancy
Questionnaires
Abstract
BACKGROUND: Experience from our hospital has shown a significant increase in the use of epidural analgesia during labour. We wanted to see if this was a general trend in Norway, and wanted to find out for what kind of labour analgesia was offered in the different labour wards. MATERIAL AND METHOD: A questionnaire concerning obstetric analgesia and anaesthetic methods for caesarean section was sent to chief anaesthetists and head midwives in Norwegian hospitals. The information was compared to an identical questionnaire from 1996. In addition, data concerning obstetric analgesia was collected from the Norwegian Medical Birth Register. 77% of the anaesthetic departments and 88% of the labour wards responded to the questionnaire. RESULTS: The use of epidural analgesia was on an average 20.6% (range 0-40.5%), which is twice as much as in 1996. 75% answered that the parturients' wish for epidural analgesia was reason enough to give an epidural. 84% of caesarean sections were performed in regional anaesthesia and 16% were done in general anaesthesia. This represents a significant reduction in the use of general anaesthesia. 85% of the labour wards offered acupuncture, which is a tremendous increase compared to 1996. Systemic opioids are still widely used, and pethidine is still the most frequently used opioid. Pethidine's negative side effect profile has been widely focused on during the past decade. The hospital's information on the various analgesic methods available for labour analgesi, is clearly improved since 1996. CONCLUSION: Obstetric analgesia in Norwegian hospitals has improved substantially since the last survey.
PubMed ID
16186873 View in PubMed
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[Our general chronic pain (centers for treatment chronic pain: therapeutic and organizational work principles)].

https://arctichealth.org/en/permalink/ahliterature203552
Source
Anesteziol Reanimatol. 1998 Sep-Oct;(5):54-9
Publication Type
Article
Author
V N Tsibuliak
O I Zagorul'ko
S S Kartavenko
Source
Anesteziol Reanimatol. 1998 Sep-Oct;(5):54-9
Language
Russian
Publication Type
Article
Keywords
Acupuncture Analgesia
Analgesia - methods
Chronic Disease
Cost-Benefit Analysis
Humans
Moscow
Pain - diagnosis
Pain Clinics - economics - organization & administration
Pain Management
Pain Measurement
Abstract
Management of chronic pain is now not only medical but a very important social and economic problem. The approaches to its management in specialized pain control centers are discussed basing on the 20-year experience of the first such center in Russia: pain control clinic with therapeutic and diagnostic center "Integrative Medicine" at Research Center of Surgery. The problems of personnel for such pain control centers, cost-effect issues, diagnostic and therapeutic methods including an advanced technique, resonance electropuncture analgesia and therapy, are reviewed.
PubMed ID
9866251 View in PubMed
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Performance of acupuncture as labor analgesia in the clinical setting.

https://arctichealth.org/en/permalink/ahliterature82480
Source
Acta Obstet Gynecol Scand. 2006;85(4):441-3
Publication Type
Article
Date
2006
Author
Nesheim Britt-Ingjerd
Kinge Ragnhild
Author Affiliation
Department of Obstetrics, Ullevaal University Hospital, University of Oslo, Norway. brittin@medisin.uio.no
Source
Acta Obstet Gynecol Scand. 2006;85(4):441-3
Date
2006
Language
English
Publication Type
Article
Keywords
Acupuncture Analgesia
Adult
Analgesia, Epidural
Female
Humans
Labor Pain - therapy
Multivariate Analysis
Pregnancy
Retrospective Studies
Treatment Outcome
Abstract
BACKGROUND: Three randomized controlled trials have shown that acupuncture during labor can reduce the use of epidural analgesia and meperidine. To supplement these trials, we have designed an observational study to answer the research question: "Do laboring women in a normal hospital setting who receive acupuncture require less epidural analgesia than those who do not receive acupuncture?" METHODS: Setting: Delivery ward of a tertiary care University hospital in Norway. Subjects: All attempted vaginal labors during the period 01.12.99-31.12.03 (n = 17,741). Statistical analysis: Multivariate logistic regression analysis. RESULTS: The dependent variable in the regression analysis was use of epidural analgesia. The independent variables were: use of acupuncture, use of nitrous oxide, use of meperidine, parity, ethnicity, age, duration of pregnancy, type of labor (induced or not), and duration of first stage of labor. In the multivariate analysis the odds ratio for having an epidural was 0.6 (95% CI 0.5-0.7) for the patients having acupuncture compared to those not having acupuncture. CONCLUSIONS: Women having acupuncture as labor analgesia in the clinical setting have a reduced use of epidural analgesia.
PubMed ID
16612706 View in PubMed
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[Use of alternative medicine in Norwegian hospitals].

https://arctichealth.org/en/permalink/ahliterature185952
Source
Tidsskr Nor Laegeforen. 2003 Mar 6;123(5):631-3
Publication Type
Article
Date
Mar-6-2003
Author
Laila Johansdatter Salomonsen
Sameline Grimsgaard
Vinjar Fønnebø
Author Affiliation
Nasjonalt forskningssenter innen komplementaer og alternativ medisin, NAFKAM Farmasibygget Universitetet i Tromsø 9037 Tromsø. laila@farmasi.uit.no
Source
Tidsskr Nor Laegeforen. 2003 Mar 6;123(5):631-3
Date
Mar-6-2003
Language
Norwegian
Publication Type
Article
Keywords
Acupuncture Analgesia - utilization
Adult
Complementary Therapies - methods - standards - utilization
Female
Hospitals - statistics & numerical data
Humans
Male
Norway
Professional Competence
Questionnaires
PubMed ID
12683190 View in PubMed
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10 records – page 1 of 1.