ABSTRACT
In The 63rd Annual Congress of JSAM (Ehime 2014), the Committee for Safe Acupuncture of Research Department in the Japan Society of Acupuncture and Moxibustion (JSAM) conducted a workshop entitled "The Regional Anatomy Q&A for safety needling"which provided information on organ damage and neurological injuries that may occur after acupuncture treatments. This workshop stated the need for improvements in safe practices of acupuncture.<BR>This workshop was divided into three parts:(1) results of questionnaire surveys conducted in Japan for acupuncturists on their clinical experience of adverse events and for orthopaedic doctors on their clinical experience of patients who suffered adverse events after acupuncture treatment;(2) a literature search of severe adverse events e.g., pneumothorax and neurological injuries, associated with acupuncture treatment in Japan;(3) the regional anatomy of the upper part of the body, which is based on several anatomical studies on acupoints. <BR>The incidence of severe adverse events is considered to be very low during all acupuncture treatments;however, the real incidence is estimated to be higher than the number of case reports in the literature. In order to prevent severe adverse events, regional anatomical knowledge of needling points is very important, and furthermore, safe needling techniques are required. <BR>We hope that this workshop can aid in enhancing the knowledge and techniques and contribute to safe practices of acupuncture.
ABSTRACT
[Objective]To investigate the effectiveness of acupuncture in the control of lower back pain of sailors that participated in the National Sports Festival of Japan to assess whether or not acupuncture can be used as a pre and post race treatment.<BR>[Methods]The study was conducted at the National Sports Festival of Japan sailing games. The focus was on sailor's complaints of lower back pain. Acupuncture treatment for lower back pain was executed pre and/or post race, and the respective therapeutic effect was evaluated. Acupuncture was executed by several techniques and on several points of the lower back. <BR>The depth of insertion was the most critical criteria and must be shallow. The insertion depth of the study was approximately 5 mm. <BR>Acupuncture points were chosen by the therapist. The insertion point was selected based on characteristics such as tenderness and induration of tissue. As needed, the dermis was stimulated continuously utilizing the acupuncture needle. The effect of acupuncture treatment was evaluated using the Visual Analog Scale (VAS).<BR>[Results]Lower back pain in sailors was alleviated by acupuncture and decreased by a VAS value (p < 0.01). The result was the same in pre and/or post race patients. Organic disease was confirmed in 19.0%of the patients. Both lumbar disc herniation and isthmic spondylolisthesis were diagnosed. There were no adverse events.<BR>[Conclusion]Acupuncture was an effective treatment method and as such can be used as a method of treatment of sailors at pre or post race. However, to attain the maximum efficacy, the depth of the needle insertion must be shallow.
ABSTRACT
[Purpose]The purpose of this paper is to examine whether or not the Press Tack Needle (PTN) treatment enhances the recovery process from muscle fatigue which assists in the therapeutic exercise rehabilitation process. By using the PTN, this paper investigates the recovery effect of the fatigued muscle. Randomized controlled trials were used to compare outcomes. <BR>[Method]Twenty-nine healthy male adults were chosen as subjects. However, crossover study was used to compare the PTN group and the sham group. After two sets of arm curl exercises with isotonic contraction at 10%weight of maximum voluntary contraction, the decrease percentage of exercise repetition was calculated. A PTN or sham was inserted at the posterior cervical region using the double masking method. After the intervention of the PTN or sham needle, the subjects were asked which intervention was inserted into them. A Kappa statistics value was used to evaluate the validity of the sham group and a Visual Analog Scale (VAS) was used to determine the upper arm fatigue. <BR>[Result]The Kappa statistic value was 0.17. The decrease percentage of the exercise repetition of the PTN group was 35.4±20.1%, and of the sham group was 45.1±11.1%. The PTN group indicated a significantly smaller percentage than the sham group (p<0.01). Both groups showed no difference in Upper arm fatigue. <BR>[Conclusion]The PTN seems to help in recovery from muscle fatigue. It is thought that by inserting the PTN, somato-automomic reflex was induced to promote the increase of blood flow in to the muscle. Faster recovery of physical function of the patient can be possible as well as the improvement of QOL. In conclusion, this investigation showed that the PTN treatment method can be useful in assisting in therapeutic exercise rehabilitation.