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Author (up) Bernateck, M.; Becker, M.; Schwake, C.; Hoy, L.; Passie, T.; Parlesak, A.; Fischer, M. J.; Fink, M.; Karst, M.
Title Adjuvant auricular electroacupuncture and autogenic training in rheumatoid arthritis: a randomized controlled trial. Auricular acupuncture and autogenic training in rheumatoid arthritis Type of Study RCT
Year 2008 Publication Forschende Komplementärmedizin = Research in complementary medicine Abbreviated Journal Forsch Komplementmed
Volume 15 Issue 4 Pages 187-193
Keywords CAM Control; Acupuncture; AcuTrials; Anesthesia; Arthritis; Auricular Acupuncture; Auricular Electroacupuncture; RCT; Arthritis, Rheumatoid; Semi-Individualized Acupuncture Protocol; Symptom Based Point Selection; Restricted Modalities, Acupuncture Only
Abstract BACKGROUND: In contrast to psychological interventions the usefulness of acupuncture as an adjuvant therapy in rheumatoid arthritis (RA) has not yet been demonstrated. OBJECTIVE: The efficacy of auricular electroacupuncture (EA) was directly compared with autogenic training (AT). METHODS: Patients with RA (n = 44) were randomized into EA or AT groups. EA and lessons in AT were performed once weekly for 6 weeks. Primary outcome measures were the mean weekly pain intensity and the disease activity score 28 (DAS 28); secondary outcome measures were the use of pain medication, the pain disability index (PDI), the clinical global impression (CGI) and pro-inflammatory cytokine levels, which were assessed during the study period and 3 months after the end of treatment. RESULTS: At the end of the treatment and at 3-month follow-up a clinically meaningful and statistically significant improvement (p < 0.05) could be observed in all outcome parameters and both groups. In contrast to the AT group, the onset of these effects in the EA group could already be observed after the 2nd treatment week. In the 4th treatment week the EA group reported significantly less pain than the AT group (p = 0.040). After the end of treatment (7th week) the EA group assessed their outcome as significantly more improved than the AT group (p = 0.035). The erythrocyte sedimentation rate in the EA group was significantly reduced (p = 0.010), and the serum concentration of tumor necrosis factor-alpha was significantly increased compared to the AT group (p = 0.020). CONCLUSIONS: The adjuvant use of both EA and AT in the treatment of RA resulted in significant short- and long-term treatment effects. The treatment effects of auricular EA were more pronounced
Address Department of Anesthesiology, Pain Clinic, Hannover, Germany. bernateck.michael@mh-hannover.de
Publisher
Language Number of Treatments 6
Treatment Follow-up 12 Weeks Frequency 1/WK Number of Participants 44
Time in Treatment 6 Weeks Condition Arthritis, Rheumatoid
Disease Category Arthritis OCSI Score
Notes Approved no
Call Number Serial 71
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