A pilot study using a single blind placebo controlled trial into the efficacy and specificity of the acupuncture point CV24 in controlling the gag reflex to premint dental treatment (impression taking)

2012 ◽  
Author(s):  
Tom Thayer
Keyword(s):  
Pilot Study ◽  
Dental Treatment ◽  
Controlled Trial ◽  
Acupuncture Point ◽  
Gag Reflex ◽  
Single Blind

Does Needling Sensation (de qi) Affect Treatment Outcome in Pain? Analysis of Data from a Larger Single-blind, Randomised Controlled Trial

2010 ◽  
Vol 28 (3) ◽  
pp. 120-125 ◽  
Author(s):  
Peter White ◽  
Philip Prescott ◽  
George Lewith
Keyword(s):  
Pain Relief ◽  
Controlled Trial ◽  
Acupuncture Point ◽  
Pain Reduction ◽  
Trial Methodology ◽  
Real Acupuncture ◽  
Significant Difference ◽  
Randomised Controlled ◽  
Single Blind ◽  
De Qi

Background Insertion of an acupuncture needle into an acupuncture point typically generates a range of sensations called ‘ de qi’. Most acupuncturists are taught that obtaining de qi is important when treating patients with pain but this can be quite uncomfortable for patients. Objective This study assesses the importance of the strength of de qi, on the clinical outcome in osteoarthritic pain. Method This study was part of a larger randomised, single-blind, multifactorial trial involving three interventions: real acupuncture (RA), Streitberger needle (SN) and mock electrical stimulation for the treatment of patients with osteoarthritis (OA) of the hip and knee. Patients were treated twice a week for 4 weeks. The two outcomes relevant to this study were pain reduction assessed by visual analogue scale and the Park needling sensation questionnaire, both measured at completion of the study. Two arms of the trial were analysed (RA and SN). Reduction in pain was correlated against strength of de qi for both RA and SN. Those who felt de qi were compared with those who did not. Results 147 patients were recruited to the study (140 completed) with a mean pain reduction of 15.2 mm and mean de qi score of 6.2. There was no significant correlation between the strength of de qi and improvement in pain (p=0.49). There was also no significant difference in pain relief (p=0.52) between those who felt de qi and those who did not using the de qi subscale of the Park questionnaire. Conclusion These data suggest that the presence and intensity of de qi has no effect on the pain relief obtained for patients with OA. This result may have implications for both acupuncture treatment and for future trial methodology.

scholarly journals Acupuncture for Relief of Gag Reflex in Patients Undergoing Transoesophageal Echocardiography—A Protocol for a Randomized Placebo-Controlled Trial

Medicines ◽  
2020 ◽  
Vol 7 (4) ◽  
pp. 17
Author(s):  
Taras I. Usichenko ◽  
Irina Müller-Kozarez ◽  
Stephan Knigge ◽  
Raila Busch ◽  
Mathias Busch
Keyword(s):  
Rating Scale ◽  
Controlled Trial ◽  
Acupuncture Point ◽  
Transoesophageal Echocardiography ◽  
Control Group ◽  
Placebo Acupuncture ◽  
Real Acupuncture ◽  
Registration Number ◽  
Gag Reflex ◽  
Ischemic Attack

Background: Gagging during transesophageal echocardiography examination (TEE) can be distressing and even dangerous for patients. The needling of acupuncture point CV24 was described to be effective in reducing the gag reflex during TEE in patients with ischemic stroke or transient ischemic attack. Methods: We describe a proposal for a prospective, randomized, patient, practitioner and assessor-blinded, single-center trial with two arms/groups; real acupuncture will be compared to placebo acupuncture. A total of 60 (30 per group) patients scheduled for elective TEE in order to exclude a cardiac embolic source, endocarditis or for valve failure evaluation will be recruited according to patients’ selection criteria and receive either indwelling fixed intradermal needles at acupoints CV24 and bilateral PC6 or placebo needles at the same areas. Patients, the practitioners who will perform the TEE procedure, and the assessor of the outcome measures will be unaware of the group’s (real or placebo) allocation. Results: The primary outcome is the intensity of gagging, measured using verbal rating scale (VRS-11) from 0 = no gagging to 10 = intolerable gagging. Secondary outcomes include the incidence of gagging, the use of rescue medication, patients’ satisfaction with relief of unwanted side effects during TEE procedure, success of patients’ blinding (patients’ opinion to group allocation), heart rate and oxygen saturation measured by pulse oxymetry. Conclusions: To study the effects of acupuncture against gagging during TEE, we test the needling of acupoints CV24 and PC6 bilaterally. A placebo acupuncture is used for the control group. Trial registration number: NCT NCT0382142.

scholarly journals Acupuncture for relief of gag reflex in patients undergoing transesophageal echocardiography – a protocol for a randomized sham-controlled trial

2019 ◽  
Author(s):  
Taras Usichenko ◽  
Irina Mueller-Kozarez ◽  
Stephan Knigge ◽  
Klaus Hahnenkamp ◽  
Raila Busch ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Rating Scale ◽  
Controlled Trial ◽  
Acupuncture Point ◽  
Sham Acupuncture ◽  
Control Group ◽  
Placebo Acupuncture ◽  
Real Acupuncture ◽  
Gag Reflex ◽  
Failure Evaluation

Abstract Background Gagging during transesophageal echocardiography examination (TEE) can be both distressing and even dangerous for patients. Needling of acupuncture point CV24 was described to be effective in reducing of gag reflex during TEE in patients with ischemic stroke or transient ischemic attack.Methods/Design We describe a proposal for a prospective randomized, patient, practitioner and assessor-blinded, single-center trial with two arms/groups: real acupuncture will be compared to placebo acupuncture. A total of 60 (30 per group) patients scheduled for elective TEE in order to exclude a cardiac embolic source, endocarditis or for valve failure evaluation will be recruited according to patients’ selection criteria and receive either indwelling fixed intradermal needles at acupoints CV24 and bilateral PC6 or sham acupuncture at the same sites. Patients undergoing TEE, practitioners performing TEE, and the outcome assessors will be unaware of group (real or placebo) allocation. The primary outcome is the intensity of gagging, measured using verbal rating scale (VRS-11) from 0 = no gagging to 10 = intolerable gagging. Secondary outcomes include the incidence of gagging, the use of rescue medication, patients’ satisfaction with relief of unwanted side effects during the TEE procedure, success of patients’ blinding (patients’ opinion to group allocation), heart rate and oxygen saturation measured by pulse oxymetry.Discussion To study the effects of acupuncture to reduce gagging during TEE we test needling of the acupoints CV24 and PC6 bilaterally. Placebo acupuncture is used for the control group.

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