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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.
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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