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Author Fan, Y.; Wu, Y.
Title Effect of electroacupuncture on muscle state and infrared thermogram changes in patients with acute lumbar muscle sprain Type of Study RCT
Year 2015 Publication Journal of Traditional Chinese Medicine = Chung i tsa Chih Ying wen pan / Sponsored by All-China Association of Traditional Chinese Medicine, Academy of Traditional Chinese Medicine Abbreviated Journal J Tradit Chin Med
Volume 35 Issue 5 Pages 499-506
Keywords AcuTrials; RCT; Back Pain; Low Back Pain, Acute; Musculoskeletal Diseases; Electroacupuncture; Acu Versus Usual Care; Semi-Individualized Acupuncture Protocol; Symptom Based Point Selection; Acupuncture Only; Usual Care Control, Pharmaceutical; Infrared Thermogram; Force-Displacement Value; FDV; Acute Lumbar Sprain; Acute Lumbar Muscle Strain; Ashi Acupuncture Style; TCM Acupuncture Style
Abstract OBJECTIVE: To observe the effect of electroacupuncture (EA) on force-displacement value (FDV) of muscle state and the temperature index of infrared thermogram in patients with acute lumbar muscle sprain. METHODS: Patients with acute lumbar muscle sprain were randomly divided into a medication group and an EA group. The medication group (n = 60) were treated with diclofenac sodium dual release enteric-coated capsules, 75 mg per day for 7 days. The EA group (n = 60) received EA at bilateral Houxi (SI 3), Jiaji (EX-B2), and Ashi points, at 20-30 mm depth and 10-25 Hz frequency for 20 min daily for 7 days. Muscle states were determined by measuring FDVs of the bilateral lumbar muscle with a Myotonometer fast muscle state detector. The temperature index of the lumbar skin was measured before and after treatment with a Fluke Ti30 non-refrigerated focal plane infrared thermal imaging detector. RESULTS: There were no significant pre-treatment differences between the medication group and the EA group in mean FDV (P = 0.052) or temperature index of the lumbar skin (P = 0.25). The cure rate was 63.3% in the EA group and 53.3% in the medication group. The total efficacy in the EA group (93.3 %) was not significantly different from that in the medication group (86.6 %, P = 0.204). After treatment, the mean FDV of the lumbar muscle significantly increased in both groups (P < 0.05 for both groups); the FDV increase in the EA group was significantly higher than in the medication group (P = 0.015). The temperature index was also significantly increased in both groups (P < 0.05 for both groups); the infrared thermogram in the EA group indicated significantly greater recovery compared to the medication group (P = 0.026). CONCLUSION: Both EA and diclofenac sodium markedly improved acute lumbar sprain, but EA better improved the rehabilitation and regeneration of FDVs and temperature index of infrared thermogram of the muscle.
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Language English Number of Treatments 7
Treatment Follow-up Frequency >1/WK Number of Participants 120
Time in Treatment 1 Week Condition Low Back Pain, Acute
Disease Category Back Pain OCSI Score
Notes PMID:26591678 Approved yes
Call Number OCOM @ refbase @ Serial 2011
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