Discussions on real-world acupuncture treatments for chronic low-back pain in older adults
Chronic low-back pain (CLBP) is one of the most common pain conditions. Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese...
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Veröffentlicht in: | Journal of integrative medicine 2019-03, Vol.17 (2), p.71-76 |
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container_title | Journal of integrative medicine |
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creator | Fan, Arthur Yin Ouyang, Hui Qian, Xinru Wei, Hui Wang, David Dehui He, Deguang Tian, Haihe Gong, Changzhen Matecki, Amy Alemi, Sarah Faggert |
description | Chronic low-back pain (CLBP) is one of the most common pain conditions. Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese Medicine Association (ATCMA) were interested in the recent grant on CLBP research announced by the National Center for Complementary and Integrative Health. The ATCMA experts held an online discussion on the subject of real-world acupuncture treatments for CLBP in older adults. Seven participants, each with more than 20 years of acupuncture practice, discussed their own unique clinical experience while another participant talked about the potential mechanism of acupuncture in pain management. As a result of the discussion, a picture of a similar treatment strategy emerged across the participants for CLBP in older adults. This discussion shows that acupuncture may have complicated mechanisms in pain management, yet it is effective for the treatment of chronic pain involving maladaptive neuroplasticity; therefore, it should be effective for CLBP in older adults. |
doi_str_mv | 10.1016/j.joim.2019.01.005 |
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Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese Medicine Association (ATCMA) were interested in the recent grant on CLBP research announced by the National Center for Complementary and Integrative Health. The ATCMA experts held an online discussion on the subject of real-world acupuncture treatments for CLBP in older adults. Seven participants, each with more than 20 years of acupuncture practice, discussed their own unique clinical experience while another participant talked about the potential mechanism of acupuncture in pain management. As a result of the discussion, a picture of a similar treatment strategy emerged across the participants for CLBP in older adults. This discussion shows that acupuncture may have complicated mechanisms in pain management, yet it is effective for the treatment of chronic pain involving maladaptive neuroplasticity; therefore, it should be effective for CLBP in older adults.</description><identifier>ISSN: 2095-4964</identifier><identifier>DOI: 10.1016/j.joim.2019.01.005</identifier><identifier>PMID: 30738771</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Acupuncture ; Acupuncture Points ; Acupuncture Therapy - economics ; Acupuncture Therapy - instrumentation ; Aged ; Aged, 80 and over ; Chronic Pain - therapy ; Discussion ; Female ; Guidelines as Topic ; Humans ; Low Back Pain - therapy ; Low-back pain ; Male ; Needles ; Older adults ; Practice Patterns, Physicians ; Pragmatic Clinical Trials as Topic ; Real world ; Treatment strategies</subject><ispartof>Journal of integrative medicine, 2019-03, Vol.17 (2), p.71-76</ispartof><rights>2019 Shanghai Changhai Hospital</rights><rights>Copyright © 2019 Shanghai Changhai Hospital. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-7de45c9976851ff8755914559e2eee555b319dd3f42f0e1548257e27cff89cc03</citedby><cites>FETCH-LOGICAL-c356t-7de45c9976851ff8755914559e2eee555b319dd3f42f0e1548257e27cff89cc03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30738771$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fan, Arthur Yin</creatorcontrib><creatorcontrib>Ouyang, Hui</creatorcontrib><creatorcontrib>Qian, Xinru</creatorcontrib><creatorcontrib>Wei, Hui</creatorcontrib><creatorcontrib>Wang, David Dehui</creatorcontrib><creatorcontrib>He, Deguang</creatorcontrib><creatorcontrib>Tian, Haihe</creatorcontrib><creatorcontrib>Gong, Changzhen</creatorcontrib><creatorcontrib>Matecki, Amy</creatorcontrib><creatorcontrib>Alemi, Sarah Faggert</creatorcontrib><title>Discussions on real-world acupuncture treatments for chronic low-back pain in older adults</title><title>Journal of integrative medicine</title><addtitle>J Integr Med</addtitle><description>Chronic low-back pain (CLBP) is one of the most common pain conditions. Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese Medicine Association (ATCMA) were interested in the recent grant on CLBP research announced by the National Center for Complementary and Integrative Health. The ATCMA experts held an online discussion on the subject of real-world acupuncture treatments for CLBP in older adults. Seven participants, each with more than 20 years of acupuncture practice, discussed their own unique clinical experience while another participant talked about the potential mechanism of acupuncture in pain management. As a result of the discussion, a picture of a similar treatment strategy emerged across the participants for CLBP in older adults. This discussion shows that acupuncture may have complicated mechanisms in pain management, yet it is effective for the treatment of chronic pain involving maladaptive neuroplasticity; therefore, it should be effective for CLBP in older adults.</description><subject>Acupuncture</subject><subject>Acupuncture Points</subject><subject>Acupuncture Therapy - economics</subject><subject>Acupuncture Therapy - instrumentation</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic Pain - therapy</subject><subject>Discussion</subject><subject>Female</subject><subject>Guidelines as Topic</subject><subject>Humans</subject><subject>Low Back Pain - therapy</subject><subject>Low-back pain</subject><subject>Male</subject><subject>Needles</subject><subject>Older adults</subject><subject>Practice Patterns, Physicians</subject><subject>Pragmatic Clinical Trials as Topic</subject><subject>Real world</subject><subject>Treatment strategies</subject><issn>2095-4964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LxDAQhnNQ3GXdP-BBcvTSmrRN04AXWT9B8KIXL6GbTDG1bWqSuvjvTdnVo2HIwPDMC_MgdEZJSgktL9u0taZPM0JFSmhKCDtCy4wIlhSiLBZo7X1L4qvKkuXiBC1ywvOKc7pEbzfGq8l7YweP7YAd1F2ys67TuFbTOA0qTA5wiPPQwxA8bqzD6t3ZwSjc2V2yrdUHHmsz4Fi20-Bwracu-FN03NSdh_Whr9Dr3e3L5iF5er5_3Fw_JSpnZUi4hoIpIXhZMdo0FWdM0CJ-kAEAY2ybU6F13hRZQ4CyosoYh4yryAqlSL5CF_vc0dnPCXyQfbwJuq4ewE5eZlQUlHEuZjTbo8pZ7x00cnSmr923pETOKmUrZ5VyVikJlVFlXDo_5E_bHvTfyq_ECFztAYhXfhlw0isDgwJtHKggtTX_5f8A3u6HbA</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Fan, Arthur Yin</creator><creator>Ouyang, Hui</creator><creator>Qian, Xinru</creator><creator>Wei, Hui</creator><creator>Wang, David Dehui</creator><creator>He, Deguang</creator><creator>Tian, Haihe</creator><creator>Gong, Changzhen</creator><creator>Matecki, Amy</creator><creator>Alemi, Sarah Faggert</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201903</creationdate><title>Discussions on real-world acupuncture treatments for chronic low-back pain in older adults</title><author>Fan, Arthur Yin ; Ouyang, Hui ; Qian, Xinru ; Wei, Hui ; Wang, David Dehui ; He, Deguang ; Tian, Haihe ; Gong, Changzhen ; Matecki, Amy ; Alemi, Sarah Faggert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-7de45c9976851ff8755914559e2eee555b319dd3f42f0e1548257e27cff89cc03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acupuncture</topic><topic>Acupuncture Points</topic><topic>Acupuncture Therapy - economics</topic><topic>Acupuncture Therapy - instrumentation</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chronic Pain - therapy</topic><topic>Discussion</topic><topic>Female</topic><topic>Guidelines as Topic</topic><topic>Humans</topic><topic>Low Back Pain - therapy</topic><topic>Low-back pain</topic><topic>Male</topic><topic>Needles</topic><topic>Older adults</topic><topic>Practice Patterns, Physicians</topic><topic>Pragmatic Clinical Trials as Topic</topic><topic>Real world</topic><topic>Treatment strategies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fan, Arthur Yin</creatorcontrib><creatorcontrib>Ouyang, Hui</creatorcontrib><creatorcontrib>Qian, Xinru</creatorcontrib><creatorcontrib>Wei, Hui</creatorcontrib><creatorcontrib>Wang, David Dehui</creatorcontrib><creatorcontrib>He, Deguang</creatorcontrib><creatorcontrib>Tian, Haihe</creatorcontrib><creatorcontrib>Gong, Changzhen</creatorcontrib><creatorcontrib>Matecki, Amy</creatorcontrib><creatorcontrib>Alemi, Sarah Faggert</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of integrative medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fan, Arthur Yin</au><au>Ouyang, Hui</au><au>Qian, Xinru</au><au>Wei, Hui</au><au>Wang, David Dehui</au><au>He, Deguang</au><au>Tian, Haihe</au><au>Gong, Changzhen</au><au>Matecki, Amy</au><au>Alemi, Sarah Faggert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Discussions on real-world acupuncture treatments for chronic low-back pain in older adults</atitle><jtitle>Journal of integrative medicine</jtitle><addtitle>J Integr Med</addtitle><date>2019-03</date><risdate>2019</risdate><volume>17</volume><issue>2</issue><spage>71</spage><epage>76</epage><pages>71-76</pages><issn>2095-4964</issn><abstract>Chronic low-back pain (CLBP) is one of the most common pain conditions. Current clinical guidelines for low-back pain recommend acupuncture for CLBP. However, there are very few high-quality acupuncture studies on CLBP in older adults. Clinical acupuncture experts in the American Traditional Chinese Medicine Association (ATCMA) were interested in the recent grant on CLBP research announced by the National Center for Complementary and Integrative Health. The ATCMA experts held an online discussion on the subject of real-world acupuncture treatments for CLBP in older adults. Seven participants, each with more than 20 years of acupuncture practice, discussed their own unique clinical experience while another participant talked about the potential mechanism of acupuncture in pain management. As a result of the discussion, a picture of a similar treatment strategy emerged across the participants for CLBP in older adults. This discussion shows that acupuncture may have complicated mechanisms in pain management, yet it is effective for the treatment of chronic pain involving maladaptive neuroplasticity; therefore, it should be effective for CLBP in older adults.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>30738771</pmid><doi>10.1016/j.joim.2019.01.005</doi><tpages>6</tpages></addata></record> |
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subjects | Acupuncture Acupuncture Points Acupuncture Therapy - economics Acupuncture Therapy - instrumentation Aged Aged, 80 and over Chronic Pain - therapy Discussion Female Guidelines as Topic Humans Low Back Pain - therapy Low-back pain Male Needles Older adults Practice Patterns, Physicians Pragmatic Clinical Trials as Topic Real world Treatment strategies |
title | Discussions on real-world acupuncture treatments for chronic low-back pain in older adults |
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