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Isolated and Combined Effects of Electroacupuncture and Meditation in Reducing Experimentally Induced Ischemic Pain: A Pilot Study

机译:电针和冥想在减少和减少实验性缺血性疼痛中的联合作用:一项初步研究

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摘要

Acupuncture and meditation are promising treatment options for clinical pain. However, studies investigating the effects of these methods on experimental pain conditions are equivocal. Here, the effects of electroacupuncture (EA) and meditation on the submaximum effort tourniquet technique (SETT), a well-established, opiate-sensitive pain paradigm in experimental placebo research were studied. Ten experienced meditators (6 male subjects) and 13 nonmeditators (6 male subjects) were subjected to SETT (250 mmHG) on one baseline (SETT only) and two treatment days (additional EA contralaterally to the SETT, either at the leg on ST36 and LV3 or at the arm on LI4 and LI10 in randomized order). Numeric Rating Scale (NRS) ratings (scale 0–10) were recorded every 3 min. During baseline, meditation induced significantly greater pain tolerance in meditators when compared with the control group. Both the EA conditions significantly increased pain tolerance and reduced pain ratings in controls. Furthermore, EA diminished the group difference in pain sensitivity, indicating that meditators had no additional benefit from acupuncture. The data suggest that EA as a presumable bottom-up process may be as effective as meditation in controlling experimental SETT pain. However, no combined effect of both the techniques could be observed.
机译:针灸和冥想是治疗临床疼痛的有前途的治疗选择。然而,研究这些方法对实验性疼痛状况影响的研究是模棱两可的。在这里,研究了电针(EA)和冥想对次最大努力止血带技术(SETT)的影响,该技术是在实验性安慰剂研究中建立的,对鸦片敏感的疼痛范例。 10名经验丰富的冥想者(6名男性受试者)和13名非冥想者(6名男性受试者)在一个基线(仅SETT)上接受SETT(250 mmHG)治疗,并接受2天的治疗(在SETT的对侧附加EA,在ST36的腿上和LV3或按随机顺序位于LI4和LI10的手臂上)。每3分钟记录一次数字等级量表(NRS)等级(等级0-10)。在基线期间,与对照组相比,冥想诱导冥想者的疼痛耐受性明显提高。两种EA条件均显着提高了对照组的疼痛耐受性并降低了其疼痛等级。此外,EA减少了疼痛敏感性的组别差异,表明冥想者没有从针灸中获得更多好处。数据表明,在控制实验性SETT疼痛中,EA作为一种可能的自下而上的过程可能与冥想一样有效。但是,没有观察到两种技术的综合效果。

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