Title: Physiological impact of nanoporous acupuncture needles: Laser Doppler perfusion imaging in healthy volunteers

Journal Article · · PLoS ONE
ORCiD logo [1];  [2];  [3];  [4];  [4];  [4];  [2]; ORCiD logo [2];  [2];  [2];  [3];  [2];  [5]
  1. Kyung Hee Univ., Seoul (South Korea); OSTI
  2. Kyung Hee Univ., Seoul (South Korea); College of Korean Medicine, Seoul (South Korea)
  3. Daegu Gyeongbuk Institute of Science and Technology (DGIST), Daegu (South Korea)
  4. Kyung Hee Univ., Seoul (South Korea)
  5. Anglia Ruskin Univ., Cambridge (United Kingdom)

Recently, porous acupuncture (PA), which is anodized to increase its surface area for higher stimulation intensity, was developed and showed significantly improved therapeutic effects with more comfort as compared with original acupuncture (OA) in vivo. However, the impact of PA on the change of local blood flow as well as its efficacy and acceptability has not yet been confirmed in a clinical trial. In a randomized, controlled crossover clinical trial, we investigated the effects of PA on the change in local blood flow using laser Doppler perfusion imaging and considered the sensation of pain intensity and discomfort severity using a visual analogue scale (VAS) to explore its physiological impact and the possibility of PA in clinical use. Twenty-one healthy participants were randomly treated with PA or OA on one side of Zusanli (ST36) and each participant served as his or her own control. Baseline local blood flow and galvanic skin response (GSR) were obtained for 5 min and acupuncture interventions were subsequently performed. Next, local blood flow and GSR were subsequently obtained for 10 min after insertion, 10 min after manipulation, and 5 min after the withdrawal of acupuncture. At the end of the experiment, participants were asked to indicate the sensation of pain intensity at each session of insertion, retention, manipulation, and withdrawal as well as the overall pain intensity and discomfort severity. PA significantly increased the local blood flow as compared with OA and there was no significant difference in GSR between patients treated with PA versus OA in each phase of insertion and manipulation. No significant difference in pain intensity or discomfort severity was found during manipulation, retention, or withdrawal of acupuncture. These results indicate that PA increases local blood flow, which can be closely related to the observed enhanced performance, without any associated discomfort or pain, suggesting its applicability in clinical practice.

Research Organization:
Oak Ridge Inst. for Science and Education (ORISE), Oak Ridge, TN (United States)
Sponsoring Organization:
Ministry of Health & Welfare of Korea; National Research Foundation of Korea (NRF); USDOE Office of Science (SC)
Grant/Contract Number:
SC0014664
OSTI ID:
1904930
Journal Information:
PLoS ONE, Journal Name: PLoS ONE Journal Issue: 12 Vol. 14; ISSN 1932-6203
Publisher:
Public Library of ScienceCopyright Statement
Country of Publication:
United States
Language:
English

References (83)

Relationship of acupuncture points and meridians to connective tissue planes journal December 2002
Interaction of sympathetic vasoconstriction and antidromic vasodilatation in the control of skin blood flow journal March 1997
Effects of acupuncture on skin and muscle blood flow in healthy subjects journal June 2003
Microneedles coated with porous calcium phosphate ceramics: Effective vehicles for transdermal delivery of solid trehalose journal January 2005
Sympathetic effects of manual and electrical acupuncture of the Tsusanli knee point: Comparison with the Hoku hand point sympathetic effects journal October 1986
Neural mechanism of electroacupuncture's hypotensive effects journal October 2010
Do acupuncture needle size and needling depth matter? A laser Doppler imaging study journal May 2015
Neural mechanism underlying acupuncture analgesia journal August 2008
Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies journal January 2003
Calcitonin gene-related peptide produces skeletal muscle vasodilation following antidromic stimulation of unmyelinated afferents in the dorsal root in rats journal April 2000
The difference between electroacupuncture only and electroacupuncture with manipulation on analgesia in rats journal February 2000
Microfabricated Microneedles: A Novel Approach to Transdermal Drug Delivery August 1998
Acupuncture points can be identified as cutaneous neurogenic inflammatory spots journal November 2017
Hierarchical Micro/Nano-Porous Acupuncture Needles Offering Enhanced Therapeutic Properties journal October 2016
Microcirculatory characteristics of acupuncture points obtained by laser Doppler flowmetry journal September 2007
Acupuncture Techniques and Devices journal February 1996
The Status and Future of Acupuncture Mechanism Research journal September 2008
Acupuncture: A Review of Its History, Theories, and Indications journal December 1998
Treatment of COVID-19 anxiety by auricular points journal March 2022
Mechanism of Acupuncture on Neuromodulation in the Gut—A Review journal February 2011
An Exploratory Review of the Electroacupuncture Literature: Clinical Applications and Endorphin Mechanisms journal December 2013
Electro-Acupuncture is Beneficial for Knee Osteoarthritis: The Evidence from Meta-Analysis of Randomized Controlled Trials journal January 2017
Acupuncture to the Skin Induces Release of Substance P and Calcitonin Gene-Related Peptide From Peripheral Terminals of Primary Sensory Neurons in the Rat journal January 1991
Effect of Acupuncture at the Hoku Point on Vibration-induced Finger Flexion Reflex in Man: Comparison between Press Needle Technique, Electroacupuncture, and In-Situ Technique journal January 1995
Effects of acupuncture on radial artery hemodynamics: controlled trials in sensitized and naive subjects journal February 2001
Biomechanical response to acupuncture needling in humans journal December 2001
Development and Validation of Acupuncture Fear Scale journal January 2013
Characterization of Deqi Sensation and Acupuncture Effect journal January 2013
Adverse Events of Acupuncture: A Systematic Review of Case Reports journal January 2013
Effects of Acupuncture Applied to Sanyinjiao with Different Stimuli on Uterine Contraction and Microcirculation in Rats with Dysmenorrhea of Cold Coagulation Syndrome journal January 2014
Characterization of the "deqi" response in acupuncture journal October 2007
Factors contributing to therapeutic effects evaluated in acupuncture clinical trials journal April 2012
Coarse needle surface potentiates analgesic effect elicited by acupuncture with twirling manipulation in rats with nociceptive pain journal January 2017
Bioengineering Assessment of Acupuncture, Part 2: Monitoring of Microcirculation journal January 2006
Transient Increase in Human Muscle Sympathetic Nerve Activity during Manual Acupuncture. journal January 1995
Comparison Between Superficial and Deep Acupuncture in the Treatment of the Shoulder's Myofascial Pain: A Randomized and Controlled Study journal January 2001
Effectiveness of acupuncture to treat irritable bowel syndrome: A meta-analysis journal January 2014
Relationship of acupuncture points and meridians to connective tissue planes journal December 2002
Subcutaneous tissue fibroblast cytoskeletal remodeling induced by acupuncture: Evidence for a mechanotransduction-based mechanism journal January 2006
Interaction of sympathetic vasoconstriction and antidromic vasodilatation in the control of skin blood flow journal March 1997
Effects of acupuncture on skin and muscle blood flow in healthy subjects journal June 2003
Microneedles coated with porous calcium phosphate ceramics: Effective vehicles for transdermal delivery of solid trehalose journal January 2005
Sympathetic effects of manual and electrical acupuncture of the Tsusanli knee point: Comparison with the Hoku hand point sympathetic effects journal October 1986
Acupuncture — from empiricism to science: Functional background to acupuncture effects in pain and disease Pain and disease journal September 1995
Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies journal January 2003
Calcitonin gene-related peptide produces skeletal muscle vasodilation following antidromic stimulation of unmyelinated afferents in the dorsal root in rats journal April 2000
The difference between electroacupuncture only and electroacupuncture with manipulation on analgesia in rats journal February 2000
Clinical Effectiveness of Laser Acupuncture: A Systematic Review journal December 2008
Neural mechanism of electroacupuncture's hypotensive effects journal October 2010
A systematic review of the evidence for complementary and alternative medicine in infertility journal June 2013
Do acupuncture needle size and needling depth matter? A laser Doppler imaging study journal May 2015
Neural mechanism underlying acupuncture analgesia journal August 2008
Microfabricated Microneedles: A Novel Approach to Transdermal Drug Delivery August 1998
Acupuncture for behavioral changes of experimental depressive disorder: a systematic review and meta-analysis journal August 2017
Enhanced Therapeutic Treatment of Colorectal Cancer Using Surface-Modified Nanoporous Acupuncture Needles journal October 2017
Acupuncture points can be identified as cutaneous neurogenic inflammatory spots journal November 2017
Preparation of Graphene-Modified Acupuncture Needle and Its Application in Detecting Neurotransmitters journal June 2015
Hierarchical Micro/Nano-Porous Acupuncture Needles Offering Enhanced Therapeutic Properties journal October 2016
Microcirculatory characteristics of acupuncture points obtained by laser Doppler flowmetry journal September 2007
Acupuncture Techniques and Devices journal February 1996
The Status and Future of Acupuncture Mechanism Research journal September 2008
Local Changes in Microcirculation and the Analgesic Effects of Acupuncture: A Laser Doppler Perfusion Imaging Study journal January 2015
Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture journal October 2001
Evidence of Connective Tissue Involvement in Acupuncture journal April 2002
Acupuncture: A Review of Its History, Theories, and Indications journal December 1998
The Effectiveness and Safety of Acupuncture for Patients With Alzheimer Disease journal June 2015
Mechanism of Acupuncture on Neuromodulation in the Gut—A Review journal February 2011
Small diameter myelinated afferents produce vasodilatation but not plasma extravasation in rat skin. journal August 1989
An Exploratory Review of the Electroacupuncture Literature: Clinical Applications and Endorphin Mechanisms journal December 2013
Validation of the Korean Version of the Acupuncture Expectancy Scale journal February 2014
Electro-Acupuncture is Beneficial for Knee Osteoarthritis: The Evidence from Meta-Analysis of Randomized Controlled Trials journal January 2017
Acupuncture to the Skin Induces Release of Substance P and Calcitonin Gene-Related Peptide From Peripheral Terminals of Primary Sensory Neurons in the Rat journal January 1991
Effect of Acupuncture at the Hoku Point on Vibration-induced Finger Flexion Reflex in Man: Comparison between Press Needle Technique, Electroacupuncture, and In-Situ Technique journal January 1995
Effects of acupuncture on radial artery hemodynamics: controlled trials in sensitized and naive subjects journal February 2001
Biomechanical response to acupuncture needling in humans journal December 2001
Acupuncture for Functional Dyspepsia: What Strength Does It Have? A Systematic Review and Meta-Analysis of Randomized Controlled Trials journal January 2016
Characterization of the "deqi" response in acupuncture journal October 2007
Factors contributing to therapeutic effects evaluated in acupuncture clinical trials journal April 2012
Coarse needle surface potentiates analgesic effect elicited by acupuncture with twirling manipulation in rats with nociceptive pain journal January 2017
Bioengineering Assessment of Acupuncture, Part 2: Monitoring of Microcirculation journal January 2006
Transient Increase in Human Muscle Sympathetic Nerve Activity during Manual Acupuncture. journal January 1995
Comparison Between Superficial and Deep Acupuncture in the Treatment of the Shoulder's Myofascial Pain: A Randomized and Controlled Study journal January 2001
Effectiveness of acupuncture to treat irritable bowel syndrome: A meta-analysis journal January 2014

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