7. Pain. 2009 Dec 15;147(1-3):60-6.
 Clinical and endocrinological changes after electro-acupuncture treatment in patients with osteoarthritis of the knee.
Ahsin S, Saleem S, Bhatti AM, Iles RK, Aslam M. Department of Physiology, Army Medical College Rawalpindi , Rawalpindi , Pakistan . ahsinsadia@hotmail.com Comment in: Pain. 2009 Dec 15;147(1-3):11-2.
Neurobiological mechanisms invoking the release of endogenous opioids and depression of stress hormone release are believed to be the basis of acupuncture analgesia. This study compared plasma beta-endorphin and cortisol levels with self assessment scores of intensity of pain, before and after 10 days of electro-acupuncture treatment in patients suffering from chronic pain as a result of osteoarthritis knees. Forty patients of either sex over 40 years with primary osteoarthritis knee were recruited into a single-blinded, sham-controlled study.
For electro-acupuncture group the points were selected according to the Traditional Chinese Medicine Meridian Theory. In the sham group needles were inserted at random points away from true acupoints and no current was passed. Both groups were treated for 10 days with one session every day lasting for 20-25min. Pre- and post-treatment Western Ontario and McMaster Universities (WOMAC) index of osteoarthritis knee and Visual Analogue Scale (VAS) for pain were recorded and blood samples were taken for the measurement of plasma cortisol and beta-endorphin levels. Following electro-acupuncture treatment there was a significant improvement in WOMAC index and VAS (p=0.001), a significant rise in plasma beta-endorphin (p=0.001), and a significant fall in plasma cortisol (p=0.016). In conclusion electro-acupuncture resulted in an improvement in pain, stiffness and disability. Of clinical importance is that an improvement in objective measures of pain and stress/pain associated biomarkers was shown above that of a sham treatment; hence demonstrating acupuncture associated physiological changes beyond that of the placebo effects. |
Voltar aos artigos de fevereiro de 2010
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| O CMBA é a instituição oficial dos médicos acupunturistas brasileiros |
| SMBA e AMBA são instituições particulares sem vínculo oficial com o CMA. |
| A primeira federada do CMA constituída e reconhecida no Brasil foi o CMA-SP. |
| Não há possibilidade de mais de um representante por estado, reconhecido pelo CMBA |
| O CMA-SP é a instituição oficial dos médicos acupunturistas do Estado de São Paulo. |
| O boleto referente à cobrança da anuidade do CMBA ( parcela do CMBA e do CMA-estadual) de 2010 é a única contribuição oficial. |
OBJETIVOS:
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| 1. Renovação |
| 2. Trabalhar pelo embasamento científico da Acupuntura e pelos princípios éticos |
| 3. Excluir a vaidade, a questão racial e a política, que não seja exclusivamente em prol da especialidade de acupuntura |
| 4. Promoção de eventos e reestruturação das regionais |
ASSOCIADO
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Rua: Itapeva, 574 - Cj. 71/A
Bela Vista - São Paulo- SP
CEP 01332-000
Tel.- Fax: (11) 2639-7036
ou envie para cmasp2010@bol.com.br |
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