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Flick of the Wrist May Be
Key to Acupuncture Effect
NEW YORK (Reuters Health) - Acupuncture's
therapeutic effect may originate from the way in which the acupuncture
needle is manipulated as it is pulled out of the skin, according
to researchers.
Dr. Helene M. Langevin of the University of Vermont College of
Medicine in Burlington and colleagues report that they measured
an increase in the amount of force needed to withdraw acupuncture
needles from the skin when the needles were rotated. Such a technique
is used in traditional acupuncture therapy.
The investigators also found that 18% more force was needed to
pull the needles from acupuncture points specified in ancient
texts, compared with ``control'' points that are not used in acupuncture.
This is the first time that scientists have identified a physical
response to acupuncture needles, according to the report, which
is published in the December issue of the Journal of Applied Physiology.
``We now know that needle manipulation has a measurable biomechanical
effect on the tissue,'' Langevin explained in a prepared statement
from the University of Vermont.
In the study, Langevin's team measured the amount of force required
to remove an acupuncture needle from human skin. Needles were
placed in various locations on the body. The pullout force was
measured when the needle was pulled straight out, rotated in one
direction and rotated in two directions.
The needle required 167% more force when pulled out while rotating
the needle in one direction and 52% more force when rotated back
and forth upon pullout compared with when the needle was extracted
with no rotation, the report indicates.
``This study for the first time demonstrates a link between acupuncture
needle manipulation and biomechanical events in the tissue,''
the authors write. ``These biomechanical events are potentially
associated with long-lasting cellular and extracellular effects,''
they add.
``Our working hypothesis right now is that the needle grasp is
due to connective tissue winding around the needle,'' Langevin
said in a prepared statement.
``We also think that the needle may come into contact with more
connective tissue at the acupuncture points identified in ancient
texts. This may explain why the pullout force was slightly greater
at those points,'' she added.
Nonetheless, the researchers note that ``an important limitation
of this study is that a cause and effect relationship between
pullout force and therapeutic effect has not been established.''
Acupuncture can be traced back at least 2,500 years. The general
theory of acupuncture is based on the premise that there are patterns
of energy flow (qi) through the body that are essential for health.
Disruptions of this flow are believed to be responsible for disease.
The belief underlying the technique is that the acupuncturist
can correct imbalances of flow by inserting needles at specific
points in the skin.
More than one million Americans are estimated to use acupuncture.
In 1993, the Food and Drug Administration reported that Americans
spent $500 million annually and made about 9 to 12 million patient
visits for acupuncture treatment.
SOURCE: Journal of Applied Physiology 2001;91:2471-2478.
Reference
Source 89
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