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In this Issue

In this Issue Highlights 1,2,3 doi:10.1136/acupmed-2017-011368 David John Carr Welcome to the first issue of diversity of acupuncture practice; its disease exploring the contribution of Acupuncture in Medicine of 2017, fascinating methodology can no peroxisome proliferator activated which begins with two interesting doubt be extrapolated to many other receptor γ, which sheds further light review articles. The first, which is domains of acupuncture. on the potential mechanisms of also incidentally this month’s editor’s These reviews are followed by two action underlying the effects of acu- choice article, is a conventional sys- secondary analyses of published ran- puncture in this condition, thus tematic review and meta-analysis that domised controlled trials (RCTs). extending the findings of other comes courtesy of the integrative MacPherson et al. extend the recent preclinical studies on this medical research group at Stanford follow-up period of their high quality topic. This is followed by two University who, together with collea- RCT of acupuncture for irritable other rodent experiments highlight- gues in China, set out to evaluate the bowel syndrome, published in BMC ing the critical role of the medial pre- potential role of acupuncture for the Gastroenterology back in 2012, out optic area of the hypothalamus in management of post-stroke hiccups. to 24 months, in order to explore mediating the beneficial effects of EA Although ultimately limited by the the longer-term (likely non-specific) on reproductive function following methodological quality of a relatively effects of the acupuncture interven- ovariectomy, and the role of small number of included trials, their tion and the associated interaction N-methyl-D-asparate (NMDA) recep- findings indicate that acupuncture with the practitioner. Although no tors in mediating the effect of EA on may help induce the cessation of sustained effect of acupuncture was pain in fibromyalgia, a condition for hiccups when used as an adjunct to observed at the new two-year time which verum acupuncture has recently pharmacological therapy including point, their updated mathematical been demonstrated to outperform baclofen, sodium valproate, anisoda- model further highlighted the benefi- sham. We endwitha case series of mine hydrobromide and atropine. cial effects seen at the original study’s myofascial trigger point dry needling Though no definite conclusions time points, commensurate with the in patients affected by both sleep could be drawn, their tentative find- findings of the authors’ original bruxism and temporomandibular ings are encouraging and contribute report. This is followed by another disorders. to an ever-growing literature on analysis by Yeung et al. examining multi-modal treatment approaches to potential factors that might predict stroke rehabilitation, where acupunc- the response to acupuncture amongst REFERENCES ture may induce a number of positive RCT participants with insomnia; the 1 Vados L, Ferreira A, Zhao S, et al. effects. The second review, by authors report that higher educa- Effectiveness of acupuncture combined Clark et al. takes a rather different tional levels are associated with with rehabilitation for treatment of acute or subacute stroke: a systematic form, presenting a critical interpret- greater therapeutic benefit.Following review. Acupunct Med 2015; 33:180–7 ive synthesis that effectively “brain- these secondary analyses, we have 2 Liu CH, Hsieh YT, Tseng HP, et al. storms” the entire topic of two excellent surveys. Firstly, Mayor Acupuncture for a first episode of acute acupuncture for plantar heel pain and Bovey present the findings of ischaemic stroke: an observer-blinded beyond simple assessment of effect- what is arguably the largest-ever randomised controlled pilot study. iveness, which was previously international survey of acupuncture Acupunct Med 2016;34:349–355 addressed by the authors’ earlier practitioners on the topic of electroa- 3 Lai X, Ren J, Lu Y, et al. Effects of (conventional) systematic review on cupuncture (EA) and reveal interest- acupuncture at HT7 on glucose the same subject, which appeared in ing patterns of EA use with respect to metabolism in a rat model of the pages of this journal in 2012. practitioner demographics, profes- Alzheimer’s disease: an 18F-FDG-PET This new paper offers numerous sional background and geographical study. Acupunct Med 2016;34:215–22 novel insights and highlights the distribution. Secondly, Lee et al. 4 Guo HD, Zhu J, Tian JX, et al. explore and confirm a potential rela- Electroacupuncture improves memory tionship between the use of acupunc- and protects neurons by regulation of New York University School of Medicine, ture and the phenomenon of “pain the autophagy pathway in a rat model New York, NY, USA; UCL Institute for Women’s catastrophising” (the tendency to of Alzheimer’s disease. Acupunct Med Health, University College London, London, UK; exaggerate and misinterpret the 3 2016;34:449–456. Institute of Medical and Biomedical Education, experience of pain) in breast cancer 5 Vas J, Santos-Rey K, Navarro-Pablo R, St George’s, University of London, London, UK survivors. Elsewhere in this issue you et al, Acupuncture for fibromyalgia in Correspondence to Dr David Carr, NYU School of will find a new basic science report primary care: a randomised controlled Medicine, 550 First Avenue, New York, NY 10016, USA; dcarr@bmj.com in a rodent model of Alzheimer’s trial. Acupunct Med 2016;34:257–66. PB Carr DJ. Acupunct Med 2017;35:1. doi:10.1136/acupmed-2017-011368 1 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Acupuncture in Medicine SAGE

In this Issue

Acupuncture in Medicine , Volume 35 (1): 1 – Feb 1, 2017

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References (5)

Publisher
SAGE
Copyright
© 2017 British Medical Acupuncutre Society
ISSN
0964-5284
eISSN
1759-9873
DOI
10.1136/acupmed-2017-011368
Publisher site
See Article on Publisher Site

Abstract

Highlights 1,2,3 doi:10.1136/acupmed-2017-011368 David John Carr Welcome to the first issue of diversity of acupuncture practice; its disease exploring the contribution of Acupuncture in Medicine of 2017, fascinating methodology can no peroxisome proliferator activated which begins with two interesting doubt be extrapolated to many other receptor γ, which sheds further light review articles. The first, which is domains of acupuncture. on the potential mechanisms of also incidentally this month’s editor’s These reviews are followed by two action underlying the effects of acu- choice article, is a conventional sys- secondary analyses of published ran- puncture in this condition, thus tematic review and meta-analysis that domised controlled trials (RCTs). extending the findings of other comes courtesy of the integrative MacPherson et al. extend the recent preclinical studies on this medical research group at Stanford follow-up period of their high quality topic. This is followed by two University who, together with collea- RCT of acupuncture for irritable other rodent experiments highlight- gues in China, set out to evaluate the bowel syndrome, published in BMC ing the critical role of the medial pre- potential role of acupuncture for the Gastroenterology back in 2012, out optic area of the hypothalamus in management of post-stroke hiccups. to 24 months, in order to explore mediating the beneficial effects of EA Although ultimately limited by the the longer-term (likely non-specific) on reproductive function following methodological quality of a relatively effects of the acupuncture interven- ovariectomy, and the role of small number of included trials, their tion and the associated interaction N-methyl-D-asparate (NMDA) recep- findings indicate that acupuncture with the practitioner. Although no tors in mediating the effect of EA on may help induce the cessation of sustained effect of acupuncture was pain in fibromyalgia, a condition for hiccups when used as an adjunct to observed at the new two-year time which verum acupuncture has recently pharmacological therapy including point, their updated mathematical been demonstrated to outperform baclofen, sodium valproate, anisoda- model further highlighted the benefi- sham. We endwitha case series of mine hydrobromide and atropine. cial effects seen at the original study’s myofascial trigger point dry needling Though no definite conclusions time points, commensurate with the in patients affected by both sleep could be drawn, their tentative find- findings of the authors’ original bruxism and temporomandibular ings are encouraging and contribute report. This is followed by another disorders. to an ever-growing literature on analysis by Yeung et al. examining multi-modal treatment approaches to potential factors that might predict stroke rehabilitation, where acupunc- the response to acupuncture amongst REFERENCES ture may induce a number of positive RCT participants with insomnia; the 1 Vados L, Ferreira A, Zhao S, et al. effects. The second review, by authors report that higher educa- Effectiveness of acupuncture combined Clark et al. takes a rather different tional levels are associated with with rehabilitation for treatment of acute or subacute stroke: a systematic form, presenting a critical interpret- greater therapeutic benefit.Following review. Acupunct Med 2015; 33:180–7 ive synthesis that effectively “brain- these secondary analyses, we have 2 Liu CH, Hsieh YT, Tseng HP, et al. storms” the entire topic of two excellent surveys. Firstly, Mayor Acupuncture for a first episode of acute acupuncture for plantar heel pain and Bovey present the findings of ischaemic stroke: an observer-blinded beyond simple assessment of effect- what is arguably the largest-ever randomised controlled pilot study. iveness, which was previously international survey of acupuncture Acupunct Med 2016;34:349–355 addressed by the authors’ earlier practitioners on the topic of electroa- 3 Lai X, Ren J, Lu Y, et al. Effects of (conventional) systematic review on cupuncture (EA) and reveal interest- acupuncture at HT7 on glucose the same subject, which appeared in ing patterns of EA use with respect to metabolism in a rat model of the pages of this journal in 2012. practitioner demographics, profes- Alzheimer’s disease: an 18F-FDG-PET This new paper offers numerous sional background and geographical study. Acupunct Med 2016;34:215–22 novel insights and highlights the distribution. Secondly, Lee et al. 4 Guo HD, Zhu J, Tian JX, et al. explore and confirm a potential rela- Electroacupuncture improves memory tionship between the use of acupunc- and protects neurons by regulation of New York University School of Medicine, ture and the phenomenon of “pain the autophagy pathway in a rat model New York, NY, USA; UCL Institute for Women’s catastrophising” (the tendency to of Alzheimer’s disease. Acupunct Med Health, University College London, London, UK; exaggerate and misinterpret the 3 2016;34:449–456. Institute of Medical and Biomedical Education, experience of pain) in breast cancer 5 Vas J, Santos-Rey K, Navarro-Pablo R, St George’s, University of London, London, UK survivors. Elsewhere in this issue you et al, Acupuncture for fibromyalgia in Correspondence to Dr David Carr, NYU School of will find a new basic science report primary care: a randomised controlled Medicine, 550 First Avenue, New York, NY 10016, USA; dcarr@bmj.com in a rodent model of Alzheimer’s trial. Acupunct Med 2016;34:257–66. PB Carr DJ. Acupunct Med 2017;35:1. doi:10.1136/acupmed-2017-011368 1

Journal

Acupuncture in MedicineSAGE

Published: Feb 1, 2017

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