PubMed · 15555152
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Maurits van Tulder, Bart Koes. 2003. Low back pain and sciatica (chronic).. https://pubmed.ncbi.nlm.nih.gov/15555152/
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OBJECTIVE: The principal author has, during the last 4 years, given 45 1-day courses in acupuncture involving 450 dentists arranged under the umbrella of continuous post-graduate dental education. There is a paucity of evidence in the published dental literature regarding the outcomes after such courses, and the objective of this work was to analyse the outcome after a 1-day acupuncture course. MATERIALS AND METHODS: In co-operation with the individual post-graduate centres, a questionnaire was posted to all participants to ascertain whether; (a) the dentist has taken up acupuncture; (b) how often acupuncture was used; (c) any reasons for not incorporating acupuncture into the daily practice. To further evaluate the quality of the course, the following questions were addressed; (d) overall rating of the course; (e) the relevance of the course, assessed on a scale from 1 to 6 (1, highly unfavourable; 6, very high favourable). MAIN OUTCOME: A total of 209 (51.6%) questionnaires were returned, although 15 (3.7%) were subsequently excluded. The male:female ratio of respondents was 3:2, with an average age of 42 and 19 years of experience in dental practice. As many as 46% of respondents had incorporated acupuncture into their practice and 19% reported using acupuncture several times a month. The conditions treated were control of the gag reflex, stress management, sinusitis, headache and facial pain. The main reasons for not taking up acupuncture was 'the dentist never actually got round to starting' (83%) and lack of appropriate patients (60%). Regarding the evaluation of the course, the assessment forms were obtained from 47% of the participants. Participants from all centres rated the course in the top end, 5.3 of 6.0 possible.
This article reviews randomized control trials (RCTs) undertaken in stroke rehabilitation in the year 2005. A Medline search generated 31 RCTs in stroke rehabilitation in the year 2005 in the English language. These trials were primarily efficacy studies of a number of treatments: medications such as folate, vitamin B12 and bisphosphonates in preventing osteoporotic related hip fractures, compression stockings in preventing deep vein thrombosis (DVT), use of mechanical robots and positioning of the upper limb to help improve function; and, transcranial magnetic coil stimulation, acupuncture and neural tissue transplant to enhance motor recovery in post-stroke patients.
AIM: To investigate whether manual acupuncture at representative acupoints in different parts of the body can modulate responses of gastric motility in rats and regular effects in different acupoint stimulation. METHODS: The gastric motor activity of rats was recorded by the intrapyloric balloon. The changes of gastric motility induced by the stimulation were compared with the background activity in intragastric pressure and/or waves of gastric contraction recorded before any stimulation. Morphological study was also conducted by observing the Evans dye extravasation in the skin after mustard oil injection into the intragastric mucous membrane to certify cutaneous innervations of blue dots related to gastric segmental innervations. RESULTS: In all six rats that received mustard oil injections into intragastric mucosa, small blue dots appeared in the skin over the whole abdomen, but mainly in peri-midline upper- and middle- abdomen and middle-back, a few in thigh and groin. It may speculate that cutaneous innervations of blue dots have the same distribution as gastric segmental innervations. Acu-stimulation in acupoints of head-neck, four limbs, upper chest-dorsum and lower-dorsum induced markedly augmentation of gastric motility (acupoints on head-neck such as St-2: n = 16, 105.19 +/- 1.36 vs 112.25 +/- 2.02 and St-3: n = 14, 101.5 +/- 1.75 vs 109.36 +/- 1.8; acupoints on limbs such as Sp-6: n = 19, 100.74 +/- 1.54 vs 110.26 +/- 3.88; St-32: n = 17, 103.59 +/- 1.64 vs 108.24 +/- 2.41; St-36: n = 16, 104.81 +/- 1.72 vs 110.81 +/- 2.74 and Li-11: n = 17, 106.47 +/- 2.61 vs 114.77 +/- 3.77, P < 0.05-0.001). Vigorous inhibitory regulations of gastric motility induced by acu-stimulation applied in acupoints on whole abdomen and middle-dorsum were significantly different as compared with the controls before acu-stimulation (abdomen acupoints such as Cv-12: n = 11, 109.36 +/- 2.09 vs 101 +/- 2.21; Cv-6: n = 18, 104.39 +/- 1.42 vs 91.83 +/- 3.22 and St-21: n = 12, 107 +/- 2.97 vs 98.58 +/- 2.81; acupoints on middle-dorsum such as Bl-17: n = 19, 100.63 +/- 1.4 vs 92.21 +/- 2.07 and Bl-21: n = 19, 103.84 +/- 1.48 vs 97.58 +/- 2.16, P < 0.05-0.001). CONCLUSION: Regular regulatory effects of facilitation and inhibition on gastric motility appear to be somatotopically organized in the acupoints of whole body, and the effective regularity of site-special acupoints on gastric motility is involved in segmental innervations between stomach and acupoints.