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Effects of Different Connection Modes of Electroacupuncture on Electrocardiogram and Nerve Discharge in Rats
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[Efficacy differences between different position in patients treated with electroacupuncture for lumbar herniated

Qilong Deng1,2, Yaochi Wu2, Chengmin He3

  • 1Shanghai University of TCM, Shanghai 201203, China.

Zhongguo Zhen Jiu = Chinese Acupuncture & Moxibustion
|December 13, 2017
PubMed
Summary

Modified lateral positioning in electroacupuncture (EA) therapy for lumbar herniated disc (LHD) demonstrated superior clinical efficacy compared to the prone position. This finding highlights the importance of patient positioning for optimizing EA treatment outcomes in LHD patients.

Keywords:
electroacupuncture (EA)lateral positionlumbar herniated disc (LHD)positionprone position

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Area of Science:

  • Integrative and Complementary Medicine
  • Neurology
  • Orthopedics

Background:

  • Lumbar herniated disc (LHD) is a common condition causing significant pain and disability.
  • Electroacupuncture (EA) is a widely used therapy for LHD, but optimal patient positioning remains under investigation.

Purpose of the Study:

  • To compare the clinical effectiveness of modified lateral positioning versus prone positioning during EA treatment for LHD.
  • To evaluate the impact of patient position on pain reduction and functional improvement in LHD patients receiving EA.

Main Methods:

  • A randomized controlled trial involving 76 LHD patients, divided into lateral and prone position groups (38 each).
  • Identical acupoint selection (Mingmen, Yaoyangguan, Dachangshu, Xiaochangshu, Zhibian, Huantiao) and EA parameters were used.
  • Efficacy was assessed using the Visual Analogue Scale (VAS) and Japanese Orthopaedic Association (JOA) scale before, after, and one month post-treatment.

Main Results:

  • Both lateral and prone positions showed significant improvements in VAS and JOA scores post-treatment (P<0.01).
  • The lateral position group exhibited significantly greater improvements in VAS and JOA scores compared to the prone position group (P<0.05).
  • These superior outcomes in the lateral position group were sustained one month after treatment completion.

Conclusions:

  • Patient positioning significantly influences the clinical efficacy of EA for LHD.
  • The modified lateral position offers distinct advantages over the prone position for EA treatment of lumbar herniated disc.