Posts Tagged ‘Auriculotherapy’

IMPRESSIVE AURICULOTHERAPY RESEARCH KEEPS ON COMING…

Thursday, August 2nd, 2012

To me the biggest question when it comes to Auriculotherapy is simple: Does stimulating reflex points on the surface of the auricle (ear) produce measurable physiological improvements? Based on the scientific literature searches I have performed and presented I believe this question has been answered beyond any doubt – YES! Locating and stimulating somatotopic reflex points on the surface of the ear consistently produces change to the internal body physiology, distant from the site of stimulation. To me the ONLY debate in Auriculotherapy is about identification and selection of the best points to treat for different syndromes and this is the focus and priority of our training programs – to supply you with the technology and clinical knowledge that will assist you to make the most effective treatment decisions…

First let’s summarise the most recent research findings (September 2011 to July 2012):

1)      Obesity body measurements, lipid profile, inflammatory, and immunologic markers – This study examined the effectiveness of auricular acupuncture on body weight loss and its impact on lipid profile and immunologic markers in obese subjects. With a large sample size of 204 randomized to therapeutic acupuncture and control groups. Subjects received authentic  or sham acupuncture for 6 weeks in combination with a low-calorie diet. In the next 6 weeks, the low-calorie diet was used on its own. Subjects were assessed at the beginning and 6 and 12 weeks later. In addition to body measurement and lipid parameters, serum anti-heat shock protein levels were assessed. Comparison between cases and controls showed that authentic acupuncture was more effective in reducing the levels of anthropometric measurements and anti-heat shock protein antibodies. The researchers concluded that auricular acupuncture in combination with diet restriction was effective for weight loss and dyslipidemia. Moreover, it was found that it has modulatory effects on the immune system.

2)      Chronic Low Back Pain – The objective of this study was to explore the acceptance of auricular point acupressure to reduce chronic low back pain (CLBP) and estimate minimum clinically important differences for pain intensity change. A total of 74 subjects participated in the study. The retention rate was 87%. Subjects reported a 46% reduction in worst pain, and over 50% reduction in average pain, overall pain severity and pain interference by the end of study, and 62.5% subjects also reported less pain medication use.

3)      Moderate and severe sudden deafness – This research tested the therapeutic effect on moderate and severe sudden deafness treated with low-energy laser irradiation on acupoint and external auditory canal combined with auricular point sticking (APS) and as compared with electroacupuncture. Two hundred and fifty-eight cases of moderate and severe sudden hearing loss were included. Both therapies were able to decrease frequency audiometry, improve auditory function, and the therapeutic effects were better with prolongation of treatment time. The clinical efficacy of the two therapies on moderate and severe sudden deafness were remarkably superior to that of conventional treatment.

4)      Analgesia during perioperative period in total hip replacement surgery – This study investigated the clinical effects of auricular acupoint in the treatment of analgesia during perioperative period in total hip arthroplasty. 60 patients with late osteonecrosis of the femoral head were treated by total hip arthroplasty and randomly divided into auricular acupuncture group and control group. The study concluded that auricular acupuncture can reduce postoperative pain, reduce the usage of analgesia and complications such as nausea and vomiting, and improve the function of hip joint after operation.

5)      Glucometabolism in patients with diabetes – This paper explored the intervention effect of the auricular stimulation for diabetes. Forty-five cases were treated and changes of the fasting plasma glucose, oral glucose tolerance test and glycosylated hemoglobin were compared before and after treatment. All measures were improved after treatment.

6)      Reducing stress in nursing professionals – This clinical randomized trial was performed to evaluate the stress levels of the nursing staff of a hospital and analyze the effectiveness of auriculotherapy. 75 participants with mean and high stress scores were divided into groups (control, needles, and seeds). In conclusion, auriculotherapy reduced the stress in the nursing staff.

7)      The successful treatment of flat warts! – Flat warts are a common presenting complaint in adolescents and adults. Patients suffering from flat warts are often unsatisfied with conventional medical care because of adverse effects such as intolerable pain, hyperpigmentation, hypopigmentation, or occasionally allergic contact dermatitis. To offset the possibilities of hyperpigmentation, hypopigmentation, and scar formation, the method of auricular acupuncture was used. 60 subjects with flat warts were all outpatients and randomly allocated to a treatment group or a control group. Thirty subjects in the treatment group were treated with weekly auricular acupuncture for 10 weeks while the other subjects in the control group were treated with tretinoin ointment topically for 10 weeks. 53% in the treatment group recovered fully from flat warts without recurrence during the ensuing six months follow-up compared with only 3% in the control group. During the treatment period and the ensuing six months follow-up, no adverse effects were observed by the investigators or reported by patients.

8)       Increased heart rate variability – The effects of high-tech acupuncture on autonomic function was performed by two research teams from China and Austria. Heart rate (HR) and heart rate variability (HRV) recordings in 10 male anesthetized rats were performed under stable conditions. HR did not change significantly during any acupuncture stimulation in anesthetized rats. Total HRV changed significantly during auricular acupuncture.

9)      Suppressing Epileptic Seizures via Activating the Parasympathetic Nervous System – Auricular acupuncture is a diagnostic and treatment system based on normalizing the body’s dysfunction. An increasing number of studies have demonstrated that auricular acupuncture has a significant effect on inducing parasympathetic tone. Autonomic imbalance demonstrating an increased sympathetic activity and a reduced parasympathetic activation is involved in the development and progress of epileptic seizures. This paper proposes that auricular acupuncture may suppress epileptic seizures via activating the parasympathetic nervous system.

10)   Effectively reducing anxiety before dental treatment – This study analysed whether auricular acupuncture could reduce anxiety before dental treatment. This prospective, randomised patient-blinded study with 182 patients compared anxiety before dental treatment following auricular acupuncture versus acupuncture at sham points and a non-intervention control group. Auricular acupuncture reduced state anxiety score more effectively than sham acupuncture. In contrast, state anxiety in the control group increased.

11)   Weight Reduction and Abdominal Obesity – The study was designed to test the efficacy of different materials used in an auricular acupressure program on weight reduction, changes to waist circumference and waist-to-hip ratio. This study used a randomized design with two groups who were treated with two types of auricular acupressure. The total sample size was 56 young adults who ranged in age from 18 to 20 years old. Each participant was met with weekly for ten-minute sessions during which ear acupressure treatment was performed. Sessions continued for eight weeks. The results suggested that auricular acupressure is a reasonable option for the treatment of overweight and obesity in young adults.

12)   Analgesia during lower limb orthopedic operation – This paper observed the therapeutic effect of otopoint-pellet pressure combined with patient controlled intravenous analgesia for lower-limb orthopedic surgery. 120 lower-limb orthopedic operation patients were randomized into pellet pressure plus intravenous analgesia and intravenous analgesia only group. The patient’s pain degree was evaluated by visual analogue score. The study concluded that pellet pressure in addition to analgesia is superior in post-operative analgesia and reducing post-operative adverse reactions.

13)   Effect on epileptic seizures – These researchers observed the anti-seizure effect of auriclular electroacupuncture at different site regions in awake rats. The results lead to the conclusion that electroacupuncture has a good effect in suppressing epileptic seizures, which may be mediated via the auricular branch of the vagus nerve.

14)   “Lazy Eyes” – This paper compared the differences in the therapeutic effect on child amblyopia between auricular point sticking therapy and routine complex treatment. Two hundreds and thirty cases of amblyopia were randomly divided into an observation group and a control group, 120 cases (212 eyes) were in the observation group and 110 cases (194 eyes) were in the control group. The observation group was treated with auricular point sticking therapy. The control group was treated with routine complex treatment, such as wearing glasses, shade therapy and family refined performance therapy. The changes of vision were observed after treatment in the two groups. The follow-up was 3 years. The effective rate was 81% in the observation group of ametropic amblyopia and 52% in the control group. The effective rate was 73% in the observation group of anisometropic amblyopia and 47% in the control group. The effective rate was 71% in the observation group of strabismic amblyopia and 45% in the control group. The authors made the impressive conclusion that auricular point sticking therapy can obviously improve child visual acuity.

15)   Forty years of acupuncture experience in an ENT practice – Acupuncture as a complementary method provides optimal conditions for ENT specialists, particularly when somatotopic microsystems are used. Via points of these systems, pain conditions and functional disorders as well as specific ENT indications (e.g., rhinitis pollinosa, sinusitis, pharyngitis) can be treated successfully. Therapy is performed quickly and without side effects.

16)   Influence on the quality of life and the level of thyroid-stimulating hormone in patients with subclinical hypothyroidism – This study included 27 female patients who applied for medical treatment of arthralgias and myalgias. They were found to have elevated levels of thyroid-stimulating hormone in conjunction with the normal concentrations of thyroid hormones. Twenty of the 27 patients completed two therapeutic courses with a 3-4 month interval between them. The treatment resulted in a significant decrease of the number and severity of the initial clinical symptoms; the levels of thyroid-stimulating hormone fell down to the physiological values, characteristics of the quality of life became comparable with those of healthy subjects. It is concluded that acupuncture may be regarded as an alternative to substitution therapy of subclinical hypothyroidism.

17)   As an aid for smoking cessation – 156 consecutive adult smokers were observed for the end point of self-reported continuous abstinence. 77% stopped smoking for more than 7 days. Moreover, 53% remained free of smoking for more than 90 days. Long-term abstinence rates were 49% (1 year) and 48% (2 years). Treatment-related side effects were observed in 25% of participants. Side effects were mild and resolved within hours.

18)   Effects on heart rate, oxygen consumption and blood lactic acid for elite basketball athletes – This study investigated the effects of auricular acupuncture on athletes’ recovery abilities after exercise. Subjects were selected from twenty-four male elite university basketball players, randomly divided into two groups: auricular acupuncture group and control group, each group containing twelve subjects. Each subject in both groups performed a ride on the stationary bike until exhausted. The results showed that both Heart Rate (max) and blood lactic acid were significantly lower at the 30th and 60th minutes post-exercise. This suggests that auricular acupuncture can enhance athletes’ recovery abilities after aggressive exercise.

To find out more about Auriculotherapy training go to this link: http://www.torquerelease.com.au/Auriculotherapy-Training-2.htm

abstracts:

1)      Effects of auricular acupuncture on anthropometric, lipid profile, inflammatory, and immunologic markers: a randomized controlled trial study.

J Altern Complement Med. 2012 Jul;18(7):668-77. Epub 2012 Jul 12. Abdi H, Abbasi-Parizad P, Zhao B, Ghayour-Mobarhan M, Tavallaie S, Rahsepar AA, Parizadeh SM, Safariyan M, Nemati M, Mohammadi M, Darbandi M, Darbandi S, Ferns GA.

Abstract Objectives: A randomized controlled clinical trial was performed to examine the effectiveness of auricular acupuncture on body weight loss and its impact on lipid profile, and immunologic and inflammatory markers in obese subjects. Methods: Participants (n=204) were randomized to therapeutic acupuncture and control groups. Subjects received authentic (cases) or sham (controls) acupuncture for 6 weeks (first period) in combination with a low-calorie diet. In the next 6 weeks (second period), the low-calorie diet was used on its own. Subjects were assessed at the beginning and 6 and 12 weeks later. In addition to anthropometric and lipid parameters, serum anti-heat shock protein (Hsp)-27, 60, 65, 70 and high sensitive C-reactive protein (hs-CRP) levels were assessed. Results: In the first period, anthropometric parameters and hs-CRP changed significantly in both groups, while significant changes in anti-Hsp antibodies were only observed in case subjects. In the second period, which shows the sustainable effects of acupuncture, changes in anthropometric parameters were more prominent in controls, while significant reductions in the group receiving authentic acupuncture were maintained for anti-Hsp antibodies. A comparison between the first and second period in both groups showed that the changes for most of the parameters were more significant in the first period. Comparison between cases and controls showed that authentic acupuncture was more effective in reducing the levels of anthropometric factors and anti-Hsp antibodies but not hs-CRP. Conclusions: Auricular acupuncture in combination with diet restriction was effective for weight loss and dyslipidemia. Moreover, it was found that it has immunomodulatory but not anti-inflammatory effects on the immune system by regulation of the levels of anti-Hsp antibodies.

2)      Auricular Point Acupressure for Chronic Low Back Pain: A Feasibility Study for 1-Week Treatment.

Evid Based Complement Alternat Med. 2012;2012:383257. Epub 2012 Jul 1. Yeh CH, Chien LC, Chiang YC, Huang LC.

Objectives. The objective of this one-group, repeated-measures design was to explore the acceptance of auricular point acupressure (APA) to reduce chronic low back pain (CLBP) and estimate minimum clinically important differences (MCIDs) for pain intensity change. Methods. Subjects received 7-day APA treatment. After appropriate acupoints were identified, vaccaria seeds were carefully taped onto each selected auricular point for 7-day. The Brief Pain Inventory Short Form (BPI) was used to collect outcome data. Results. A total of 74 subjects participated in the study. Ten subjects dropped out and the retention rate was 87%. Subjects reported a 46% reduction in BPI worst pain, and over 50% reduction in BPI average pain, overall pain severity and pain interference by the end of study, and 62.5% subjects also reported less pain medication use. The MCIDs for the subscale of BPI ranged from .70 to 1.86 points. The percentage improvement of MCIDs from baseline was between 14.5-24.9%. Discussion. APA appears to be highly acceptable to patients with CLBP. A sham group is needed in order to differentiate the true effects of APA from the possible psychological effects of more frequent visits by the auricular therapist and patients’ expectation of the APA treatment.

3)      Moderate and severe sudden deafness treated with low-energy laser irradiation combined with auricular acupoint sticking.

Zhongguo Zhen Jiu. 2012 May;32(5):413-6. Zhou GY.

OBJECTIVE: To test the therapeutic effect on moderate and severe sudden deafness treated with low-energy laser irradiation on acupoint and external auditory canal combined with auricular point sticking (APS) and as compared with electroacupuncture. METHODS: Two hundred and fifty-eight cases of moderate and severe sudden hearing loss were randomly divided into an observation group 1, an observation group 2 and a control group, 86 cases in each group. In three groups, 10% low molecular Dextran 500 mL were used for intravenous infusion. Based on the above treatment, the observation group 1 was treated with low-energy laser irradiation on acupoint and external auditory canal (such as Ermen (TE 21), Tinggong (SI 19) and Tinghui (GB 2)), combined with APS at Gan (liver), Shen (kidney) and Neifenmi (endorine), etc. The observation group 2 was treated with electroacupuncture at the same acupoints as those point irradiation in observation group 1. Fifteen days made one session. The therapeutic effects were evaluated after one and two sessions. RESULTS: After two sessions, The cured rate was 40.7% (35/86) in observation group 1 and 38.4% (33/86) in observation group 2,which were superior to 25.6% (22/86) in control group (both P < 0.05). Compared with one session, the therapeutic effects after two sessions were better in two observation groups (both P < 0.05), but there was no significant difference between two groups (both P > 0.05). In comparison of the improvements of frequency audiometry and auditory function, the two observation groups were better than those in control group (P < 0.05, P < 0.01), and the improvements after two sessions were better in two observation groups (both P < 0.01). CONCLUSION: Both of low-energy laser irradiation on acupoint and external auditory canal combined with APS and electroacupuncture are able to decrease frequency audiometry, improve auditory function, and the therapeutic effects are better with prolongation of treatment time. The clinical efficacy of above two therapies on moderate and severe sudden deafness is superior remarkably to that of conventional treatment. The therapy of low-energy laser irradiation on acupoint and external auditory canal combined with APS can replace the electroacupuncture therapy in treating moderate and severe sudden deafness.

4)      Case-control study on application of auricular acupuncture for the treatment of analgesia during perioperative period in total hip arthroplasty.

Zhongguo Gu Shang. 2012 Mar;25(3):220-3. Wang JF, Bao HX, Cai YH, Zhang JH, Tong PJ.

OBJECTIVE: To investigate clinical effects of auricular acupoint (AA) in the treatment of analgesia during perioperative period in total hip arthroplasty. METHODS: From March 2008 to August 2010, 60 patients with late osteonecrosis of the femoral head were treated by total hip arthroplasty and randomly divided into auricular acupuncture (AA) group and control group, 30 patients in each group. There were 11 males and 19 females in the AA group, with an average age of (60.93 +/- 5.90) years; the patients were treated with auricular acupuncture on the point of Shenmen, Subcortex, Kidney and hip joint for four times a week. There were 12 males and 18 females in control group, with an average age of (59.87 +/- 6.21) years; while the patients without auricular acupuncture. VAS score was used to evaluate the degree of pain; Harris score was used to evaluate the function of hip joint. All patients received patient controlled analgesia pump (PCA) for 48 hours after surgery (400 ml liquids were in PCA pump, including 800 mg tramadol and 0.8 mg fentanyl). The dosage of liquids and adverse reaction of PCA pump in different time were recorded. RESULTS: The VAS score on the 3rd, 4th, 5th and 7th day separately was (3.61 +/- 0.29), (3.59 +/- 0.30), (2.97 +/- 0.26), (2.29 +/- 0.45), and lower than control group, which separately was (4.19 +/- 0.28), (4.00 +/- 0.31), (3.15 +/- 0.29), (2.83 +/- 0.31). The dosage of PCA in AA group separately was (72.27 +/- 8.06), (60.40 +/- 8.16), (44.13 +/- 4.75), (40.40 +/- 3.69), and less than control group, which was (86.27 +/- 8.51), (73.87 +/- 8.32), (54.53 +/- 5.20), (44.67 +/- 6.31) on the time of 0-12, 12-24, 24-36 h and 36-48 h after surgery. During the using of PCA, nausea and vomiting occurred in 5 cases, less than control group (21 cases). Harris score in AA group (78.90 +/- 5.14) was higher than control group (73.37 +/- 5.99) 2 weeks after operation. CONCLUSION: Auricular acupuncture can reduce postoperative pain, reduce the usage of analgesic and complications, such as nausea and vomiting, improve the function of hip joint after operation.

5)      Effects of stimulating in the cavum concha on glucometabolism in patients with diabetes.

Zhongguo Zhen Jiu. 2012 Mar;32(3):198-200. Ju YL, Chen ML, Wang L, Lan W, Chi X, Liu JX, Zhang HL.

OBJECTIVE: To explore the intervention effect of the auricular stimulator in the cavum concha for diabetes. METHODS: Forty-five cases were treated with auricular simulator in the cavum concha for 30 min, once daily for consecutive 3 months. The changes of the fasting plasma glucose (FBG), blood glucose load after 2-hour 75 g oral glucose tolerance test (P2 BG)and glycosylated hemoglobin (HbA1c) were compared before and after treatment. RESULTS: The level of the HbA1c was obviously decreased (P < 0.05, P < 0.01), and there were also statistically significant differences in FBG and P2 BG after the treatment (P < 0.05, P < 0.01). CONCLUSION: With the auricular stimulator, the stimulation in the cavum concha is benefit for the improvement of HbA1c of the diabetes.

6)      The applicability of auriculotherapy with needles or seeds to reduce stress in nursing professionals.

Rev Esc Enferm USP. 2012 Feb;46(1):89-95. Kurebayashi LF, Gnatta JR, Borges TP, Belisse G, Coca S, Minami A, Souza TM, da Silva MJ.

This clinical randomized trial was performed with the objective to evaluate the stress levels of the nursing staff of a hospital and analyze the effectiveness of auriculotherapy with needles and seeds. The 75 participants with mean (44/58.7%) and high (31/41.3%) scores according to the Stress Symptoms List were divided into groups (control, needles, and seeds), who received eight sessions on the Shenmen, Kidney and Brainstem points and were evaluated at the baseline, fourth and eighth sessions and on the 15-day follow-up session. The analysis of variance (ANOVA) showed significant differences among the groups at the third assessment (F=3.963/P=0.023) and follow-up (F=6.136/P=0.003). These differences occurred between the control and needle groups. The ’seeds’ and needles groups both showed differences (p<0.05) at the second assessment when compared within the same group. In conclusion, auriculotherapy reduced the stress in the nursing staff, with needles showing better results than seeds for high scores, maintaining the effects for 15 days.

7)      The successful treatment of flat warts with auricular acupuncture.

Int J Dermatol. 2012 Feb;51(2):211-5. Ning S, Li F, Qian L, Xu D, Huang Y, Xiao M, Duan G, Li Y.

BACKGROUND: Flat warts are a common presenting complaint in adolescents and adults and may be a cosmetic problem as well. Patients suffering from flat warts are often unsatisfied with conventional medical care because of adverse effects such as intolerable pain, hyperpigmentation, hypopigmentation, or occasionally allergic contact dermatitis. To offset the possibilities of hyperpigmentation, hypopigmentation, and scar formation, the method of auricular acupuncture was used. METHODS: Single-blind method adopted, 60 subjects with flat warts were all outpatients and randomly allocated to a treatment group or a control group, with 30 patients in each group. Thirty subjects in the treatment group were treated with weekly auricular acupuncture for 10 weeks while the other subjects in the control group were treated with 0.1% of tretinoin ointment topically for 10 weeks. RESULTS: Sixteen subjects in the treatment group (53.33%) recovered fully from flat warts without recurrence during the ensuing six months’ follow-up after 10 weeks’ surgery compared with only one subject in the control group (3.33%). The therapeutic effect of the treatment group was statistically better than that of the control group by Mann-Whitney U-test with SPSS software (P < 0.01). During the treatment period and the ensuing six months’ follow-up, no adverse effects were observed by the investigators or reported by patients. CONCLUSIONS: Our findings suggest that auricular acupuncture may be a viable alternative for the treatment of flat warts. Larger randomized studies are needed to fully evaluate auricular acupuncture against more conventional treatments, and these are planned.

8)       Sino-European transcontinental basic and clinical high-tech acupuncture studies-part 1: auricular acupuncture increases heart rate variability in anesthetized rats.

Evid Based Complement Alternat Med. 2012;2012:817378. Epub 2012 Feb 21. Gao XY, Liu K, Zhu B, Litscher G.

Evidence-based research concerning the effects of high-tech acupuncture on autonomic function was performed by two research teams from China and Austria. This study describes the first transcontinental teleacupuncture measurements in animals. Heart rate (HR) and heart rate variability (HRV) recordings in 10 male Sprague-Dawley anesthetized rats were performed under stable conditions in Beijing, China, and the data analysis was completed in Graz, Austria. The electrocardiograms (ECGs) were recorded by an HRV Medilog AR12 system during acupuncture of the ear and body (PC6 Neiguan, CV12 Zhongwan, ST36 Zusanli). The data were analyzed using specially adapted novel Austrian software. HR did not change significantly during any acupuncture stimulation in anesthetized rats (ear acupuncture, PC6, CV12, or ST36). Total HRV only changed significantly (P = 0.025) during auricular acupuncture (acupoint heart). The low-frequency/high-frequency ratio parameter decreased significantly (P = 0.03) during stimulation of ST36. This change was based on intensification of the related mechanism of blood pressure regulation that has been demonstrated in previous studies in humans. Modernization of acupuncture research performed as a collaboration between China and Austria has also been demonstrated.

9)      Auricular Acupuncture May Suppress Epileptic Seizures via Activating the Parasympathetic Nervous System: A Hypothesis Based on Innovative Methods.

Evid Based Complement Alternat Med. 2012;2012:615476. Epub 2012 Feb 1. He W, Rong PJ, Li L, Ben H, Zhu B, Litscher G.

Auricular acupuncture is a diagnostic and treatment system based on normalizing the body’s dysfunction. An increasing number of studies have demonstrated that auricular acupuncture has a significant effect on inducing parasympathetic tone. Epilepsy is a neurological disorder consisting of recurrent seizures resulting from excessive, uncontrolled electrical activity in the brain. Autonomic imbalance demonstrating an increased sympathetic activity and a reduced parasympathetic activation is involved in the development and progress of epileptic seizures. Activation of the parasympathetic nervous system such as vagus nerve stimulation has been used for the treatment of intractable epilepsy. Here, we propose that auricular acupuncture may suppress epileptic seizures via activating the parasympathetic nervous system.

10)   Auricular acupuncture effectively reduces state anxiety before dental treatment – a randomised controlled trial.

Clin Oral Investig. 2012 Jan 6. Michalek-Sauberer A, Gusenleitner E, Gleiss A, Tepper G, Deusch E.

OBJECTIVES: The objective of this study was to analyse whether auricular acupuncture, acupuncture at the outer ear, could reduce state anxiety before dental treatment. METHODS: This prospective, randomised patient-blinded study with 182 patients compared anxiety before dental treatment following auricular acupuncture at the relaxation-, tranquillizer- and master cerebral points (auricular acupuncture group) versus acupuncture at sham points (finger-, shoulder- and tonsil points; sham group) and a non-intervention control group. Anxiety was assessed using the Spielberger State Trait Anxiety Inventory (German version) before auricular acupuncture and 20 min thereafter, immediately before dental treatment. RESULTS: Auricular acupuncture reduced state anxiety score more effectively from 54.7±10.8 to 46.9±10.4 (mean ± SD) than sham acupuncture from 51.9±10.2 to 48.4±10.0. In contrast, state anxiety in the control group increased from 51.0±11.7 to 54.0±11.6 (mean increase +3.0; CI +4.7 to +1.2). The decrease in state anxiety in both intervention groups was statistically significant (p<0.001) when compared to the non-intervention control group. After correcting for group differences in baseline state anxiety, the reduction in anxiety was -7.3 score points (CI -9.0 to -5.6) in the auricular acupuncture group and -3.7 score points (CI -5.4 to -1.9) in the sham group (p=0.008). CONCLUSION: Auricular acupuncture, a minimally invasive method, effectively reduces state anxiety before dental treatment. CLINICAL RELEVANCE: Auricular acupuncture could be an option for patients scheduled for dental treatment, who experience an uncomfortable degree of anxiety and request an acute intervention for their anxiety.

11)   Efficacy of Two Different Materials used in Auricular Acupressure on Weight Reduction and Abdominal Obesity.

Am J Chin Med. 2012;40(4):713-20. Hsieh CH, Su TJ, Fang YW, Chou PH.

The current study was designed to test the efficacy of different materials used in an auricular acupressure program on weight reduction, changes to waist circumference and waist-to-hip ratio. This study used a randomized design with two groups who were treated with auricular acupressure using Semen Vaccariae or the Japanese Magnetic Pearl. Both groups consisted of Asian young adults with a waist circumference ≥ 80 cm in the females and ≥ 90 cm in the males. At completion of the eight-week treatment period, the total sample size was 56 young adults who ranged in age from 18 to 20 years old. Each participant was met with weekly for ten-minute sessions during which ear acupressure treatment was performed. Sessions continued for eight weeks wherein both groups received acupressure with the Japanese Magnetic Pearl or Semen Vaccariae on the ear acupoints. While both groups showed significant reductions (p ≤ 0.05) to body weight and waist circumference after eight weeks of treatments, the group treated with Semen Vaccariae group showed a more effective weight loss over the short term. Given that auricular acupressure is a safe and cost-effective treatment for weight loss, our results suggest that auricular acupressure is a reasonable option for the treatment of overweight and obesity in young adults.

12)   Clinical application of otopoint-pellet pressure combined with patient controlled intravenous analgesia to lower limb orthopedic operation.

Zhen Ci Yan Jiu. 2011 Dec;36(6):461-2. Liang YF, Tu FH, Huang CX.

OBJECTIVE: To observe the therapeutic effect of otopoint-pellet pressure (OPP) combined with patient controlled intravenous analgesia (PCIA) for lower-limb surgery of orthopedics. METHODS: A total of 120 lower-limb orthopedic operation patients were randomized into OPP + PCIA group (n = 60) and PCIA group (n = 60). The patient’s pain degree was evaluated by visual analogue score (VAS). RESULTS: In comparison with the simple PCIA group, VAS levels were significantly lower in the OPP + PCIA group than in the PCIA group 2, 6, 24 and 48 h after operation. The number of patients with post-operative reactions of nausea, vomiting and urinary retention in the OPP+ PCIA group was remarkably lower than that of OPP group (P < 0.05). CONCLUSION: OPP + PCIA is superior to simple PCIA in post-operative analgesia and reducing post-operative adverse reactions in lower-limb orthopedic operation patients.

13)   Effect of electroacupuncture of different regions of the auricle on epileptic seizures in epilepsy rats.

Zhen Ci Yan Jiu. 2011 Dec;36(6):414-8. He W, Li YH, Rong PJ, Li L, Ben H, Zhu B.

OBJECTIVE: To observe the anti-seizure effect of electroacupuncture (EA) at different sites regions of the auricle in awake rats.

METHODS: Sixty male SD rats were randomly divided into model, ear-apex, ear-outer-margin, earlobe, cymba-concha, cavitas-conchae groups (n = 10 in each group). A metal microelectrode (diameter: 50 microm) was implanted into the somatosensary cortex for recording the field potentials (FPs). Epileptic seizure model was established by intraperitoneal injection of pentylenetetrazol (PTZ, 60 mg/kg). EA (20 Hz, 1 mA) was applied to ear-apex, ear-outer-margin, earlobe, cymaba-concha and cavitas-conchae for 30 min, respectively. The epileptic behavior changes (scores) were determined in the light of Racine’s method, and the epileptic seizure was assessed according to the epileptic FPs (5-folds above the basic amplitude) of the cerebral cortex. RESULTS: In comparison with the model group, the latency of the first seizure of epilepsy in the ear-outer-margin, earlobe, cymba-concha, cavitas-conchae groups were increased significantly (P < 0.01), while the scores of epileptic behavior and the duration of seizure shown by FPs decreased considerably in the ear-apex, ear-outer-margin, earlobe, cymba-concha, cavitas-conchae groups (P < 0.01). Comparison among the five EA treatment groups showed that the effects of both cymba-concha and cavitas-conchae groups were significantly superior to those of ear-apex, earlobe and ear-outer-margin groups in increasing the latency of the first seizure of epilepsy, and reducing the scores of the epileptic behavior and seizure duration (P < 0.01). No significant differences were found between the cymba-concha and cavitas-conchae groups in the above-mentioned 3 indexes (P > 0.05). CONCLUSION: EA of cymba-concha and cavitas-conchae has a good effect in suppressing epileptic seizures, which may be mediated via the auricular branch of the vagus nerve.

14)   Observation on therapeutic effect of child amblyopia treated with auricular point sticking therapy.

Zhongguo Zhen Jiu. 2011 Dec;31(12):1081-3. Gong RL.

OBJECTIVE: To compare the differences in the therapeutic effect on child amblyopia between auricular point sticking therapy and routine complex treatment. METHODS: Two hundreds and thirty cases of amblyopia were randomly divided into an observation group and a control group, 120 cases (212 eyes) were in the observation group and 110 cases (194 eyes) were in the control group. The observation group was treated with auricular point sticking therapy. The main points were Yan (eye), Shenmen, Gan (liver), Pi (spleen) and Shen (kidney), etc. The control group was treated with routine complex treatment, such as wearing glasses, shade therapy and family refined performance therapy. The changes of vision were observed after treatment in the two groups. The follow-up was 3 years. RESULTS: The effective rate was 81.0% (64/79) in the observation group of ametropic amblyopia and 52.2% (36/69) in the control group. The effective rate was 73.1% (49/67) in the observation group of anisometropic amblyopia and 47.7% (31/65) in the control group. The effective rate was 71.2% (47/66) in the observation group of strabismic amblyopia and 45.0% (27/60) in the control group. The therapeutic effect of the observation group was superior to that of the control group (all P < 0.05). CONCLUSION: Auricular point sticking therapy can obviously improve child visual acuity with simple manipulation.

15)   Forty years of acupuncture experience in an ENT practice.

HNO. 2011 Dec;59(12):1185-90. Gleditsch JM.

Acupuncture as a complementary method provides optimal conditions for ENT specialists, particularly when somatotopic microsystems are used, e.g., ear, skull, and oral acupuncture. Via points of these systems, pain conditions and functional disorders as well as specific ENT indications (e.g., rhinitis pollinosa, sinusitis, pharyngitis) can be treated successfully. Therapy is performed quickly and without side effects.

16)   The influence of acupuncture on the quality of life and the level of thyroid-stimulating hormone in patients presenting with subclinical hypothyroidism.

Vopr Kurortol Fizioter Lech Fiz Kult. 2011 Sep-Oct;(5):29-33. Luzina KÉ, Luzina LL, Vasilenko AM.

This study included 27 female patients who applied for medical treatment of arthralgias and myalgias. They were found to have elevated levels of thyroid-stimulating hormone in conjunction with the normal concentrations of thyroid hormones. The therapeutic procedures included corporal and auricular acupuncture, introduction of needles into the reflexogenic scalp and wrist zones (depending on clinical symptoms) and into the thyroid gland projection zones on the skin, massage of paravertebral regions of the cervical and thoracic spine using a bone scraper (the Gua Sha healing technique). Twenty of the 27 patients completed two therapeutic courses with a 3-4 month interval between them. The treatment resulted in a significant decrease of the number and severity of the initial clinical symptoms; the levels of thyroid-stimulating hormone fell down to the physiological values, characteristics of the quality of life became comparable with those of healthy subjects. It is concluded that acupuncture may be regarded as an alternative to substitution therapy of subclinical hypothyroidism.

17)   Photoelectric stimulation of defined ear points (Smokex-Pro method) as an aid for smoking cessation: a prospective observational 2-year study with 156 smokers in a primary care setting.

Eur Addict Res. 2011;17(6):292-301. Epub 2011 Sep 6. Breivogel B, Vuthaj B, Krumm B, Hummel J, Cornell D, Diehl A.

BACKGROUND: Smokex-Pro is a smoking cessation method using a protocol of a standardized consultation and computer-assisted photoelectric stimulation of defined regions in the ear and face. METHODS: We prospectively enrolled 156 consecutive adult smokers (81 males, 75 females; mean age 43.8 years; body mass index 25.5; daily cigarettes 24.7; Fagerström Test for Nicotine Dependence 5; 30 smoking years). The primary end point was the self-reported continuous abstinence rate. RESULTS: Participants completed on average only 32% of recommended visits. A total of 76.7% stopped smoking for more than 7 days. Moreover, 53.4% remained free of smoking for more than 90 days. Long-term abstinence rates were 49.3% (1 year) and 47.95% (2 years). Treatment-related side effects were observed in 24.5% of participants. Side effects were mild and resolved within hours. CONCLUSION: The Smokex-Pro method appears to be an effective aid for smoking cessation. The treatment was well tolerated and showed only mild and temporary side effects. The average cost of treatment is typically less than EUR 90; the total treatment time is typically 60-90 min. These factors make it an attractive alternative compared to traditional smoking cessation methods. Controlled clinical trials will be needed to confirm the results of this study and refine the treatment for maximum efficacy.

18)   Effects of auricular acupuncture on heart rate, oxygen consumption and blood lactic acid for elite basketball athletes.

Am J Chin Med. 2011;39(6):1131-8. Lin ZP, Chen YH, Fan C, Wu HJ, Lan LW, Lin JG.

This study investigated the effects of auricular acupuncture on athletes’ recovery abilities after exercise. Subjects were selected from twenty-four male elite university basketball players, randomly divided into two groups: auricular acupuncture group (AAG), and normal control group (NCG), each group containing twelve subjects. Auricular acupuncture was experimented to each AAG athlete while no auricular acupuncture was conducted to each NCG athlete. Each subject in both groups performed a ride on the stationary bike until exhausted. The data of heart rate (HR(max)), oxygen consumption (VO(2 max)), and blood lactic acid were measured at four points of time: during the rest period after warm-ups and at the 5th, 30th and 60th minutes post-exercise, respectively. One-way ANOVA and repeated Scheffé methods were used to test the differences of the data between these two groups. The results showed that both HR(max) and blood lactic acid in AAG were significantly lower than those in NCG at the 30th and 60th minutes post-exercise. This suggests that auricular acupuncture can enhance athletes’ recovery abilities after aggressive exercise.

EVEN MORE RESEARCH SHOWING THE DRAMATIC CLINICAL EFFECTS OF AURICULOTHERAPY

Monday, September 12th, 2011

There are a lot of modalities available to complementary health care professionals nowadays, and many claim significant benefits and often share testimonials of miraculous results. Whenever I check out a new technique the first question I ask is “how does it work?” The answer needs to follow some kind of logical and plausible physiological principles before I even ask the second question; “is there any research?” I have to be honest that I struggle with web-sites and marketing materials that are full of claims and stories, but lacking in rationale and evidence. Auriculotherapy is one method that has continued to impress and excite me, and for this reason it is one of the primary modalities that I offer in my own practice. This is the third in a regular update of recent research.

First let’s summarise the most recent findings:

1) Satisfaction in a wellness clinic: This study involved feedback from health professionals being given access to wellness services including Auriculotherapy once a week in the workplace. Most participants agreed or strongly agreed they felt more relaxed after sessions (97.9%), less stress (94.5%), more energy (84.3%), and less pain (78.8%). Ninety-seven percent (97%) would recommend it to a co-worker. Among surveys completed after five or more visits, more than half (59%-85%) strongly agreed experiencing increased compassion with patients, better sleep, improved mood, and more ease in relations with co-workers. Perceived benefits were sustained and enhanced by number of visits.

2) Effects on autonomic function in healthy individuals: The results of this study using non-invasive assessment methods showed a significant decrease in heart rate, a significant increase in heart rate variability total, and marked (but statistically insignificant) decrease in pulse wave velocity. This translates to signs of decreased stress physiology internally.

3) Chronic low back pain: This pilot study found that Auriculotherapy was safe and demonstrated additional clinical benefits when combined with exercise for people with chronic low back pain. This supports my own observation that the best treatment for low back pain is a combination of passive and active treatment.

4) Effect on inflammatory reactions: This study using animals showed that Auriculotherapy can increase serum Tumour Necrosis Factor and Interleukin-6, and down-regulate pulmonary NF-kappa B p 65 expression suggesting a cholinergic anti-inflammatory mechanism. This suggests a neurological pathway for antiinflammatory effects of Auriculotherapy which makes sense since Auriculotherapy is a neurological intervention!

5) Treatment of migraine attacks: This study compared using a reflex point well documented to relieve migraine (group A) versus a point unlikely to have a therapeutic effect (group B). During treatment, there was a highly significant trend in the reduction of symptoms in group A, whereas no significance was observed in group B. Symptoms were significantly lower in group A than in group B at 10, 30, 60 and 120 min after treatment. This study suggests that the therapeutic specificity of auricular points exists and is linked to the somatotopic representation of our body on the ear.

6) Analgesia and sedative effects during abdominal gynecological operation and effects on postoperative recovery of body function: This showed sedative, analgesic and function-regulating effects from Auriculotherapy. Anxiety was less, lower-doses of anaesthesia were required, breathing response was improved after the operation, and higher levels of serum beta-endorphin were found when Auriculotherapy was added. Anything that potentially improves surgical outcomes sounds like a really good thing to me!

7) Improving postural stability: Balance performance was measured on a force platform before and after Auriculotherapy. Main balance parameters pointed to an average short-term improvement of about 15% 1 hour after treatment and 5-10% after an interval of 3 days. However, a few participants showed a better than 30% improvement with the same parameters. The explanation tentatively put forward to account for the results was that Auriculotherapy reduces nociceptive interference and thus improves postural control.

8) Treating headache, trigeminal neuralgia and retro-auricular pain in facial palsy: In this study Auriculotherapy treatment showed pain alleviation in headache, trigeminal neuralgia, and retro-auricular pain levels. The researchers noted that treatment number should be no less than 10 sessions.

9) Preoperative anxiety treatment: Preoperative anxiety has become more frequent in preoperative patients and can bring negative impact on operation outcomes. The study concluded that Auriculotherapy was significantly effective in decreasing anxiety in preoperative patients.

Sounds like some good reasons to check out Auriculotherapy training to me… Go to http://www.torquerelease.com.au/Auriculotherapy-Discount.htm to find out more…

Now for the abstracts:

1) Employee use and perceived benefit of a complementary and alternative medicine wellness clinic at a major military hospital: evaluation of a pilot program.

J Altern Complement Med. 2011 Sep;17(9):809-15. 2011 Aug 11. Duncan AD, Liechty JM, Miller C, Chinoy G, Ricciardi R.

Abstract Objectives: The objectives of this study were to examine the feasibility of a weekly on-site complementary and alternative medicine (CAM) wellness clinic for staff at a military hospital, and to describe employees’ perceptions of program effectiveness. Setting: The study setting was the Restore & Renew Wellness Clinic at a United States Department of Defense hospital. Subjects: The subjects were hospital nurses, physicians, clinicians, support staff, and administrators. Interventions: The walk-in wellness clinic was open 8:00am – 2:00pm 1 day a week. Participants selected one or more modalities each visit: ear acupuncture, clinical acupressure, and Zero Balancing. Outcome measures: A self-report survey was done after each clinic visit to evaluate clinic features and perceived impact on stress-related symptoms, compassion for patients, sleep, and workplace or personal relationships. Results: Surveys completed after first-time and repeat visits (n=2,756 surveys) indicated that most participants agreed or strongly agreed they felt more relaxed after sessions (97.9%), less stress (94.5%), more energy (84.3%), and less pain (78.8%). Ninety-seven percent (97%) would recommend it to a co-worker. Among surveys completed after five or more visits, more than half (59%-85%) strongly agreed experiencing increased compassion with patients, better sleep, improved mood, and more ease in relations with co-workers. Perceived benefits were sustained and enhanced by number of visits. The most frequently reported health habit changes were related to exercise, stress reduction, diet/nutrition, and weight loss. Conclusions: This evaluation suggests that a hospital-based wellness clinic based on CAM principles and modalities is feasible, well-utilized, and perceived by most participants to have positive health benefits related to stress reduction at work, improved mood and sleep, and lifestyle.

2) Brain-modulated effects of auricular acupressure on the regulation of autonomic function in healthy volunteers.

Evid Based Complement Alternat Med. 2011 Aug 29. Gao XY, Wang L, Gaischek I, Michenthaler Y, Zhu B, Litscher G.

Auricular acupuncture has been described in ancient China as well as Egypt, Greece, and Rome. At the end of the 1950s, ear acupuncture was further developed by the French physician Dr. Paul Nogier. The goal of this study was to develop a new system for ear acupressure (vibration stimulation) and to perform pilot investigations on the possible acute effects of vibration and manual ear acupressure on heart rate (HR), heart rate variability (HRV), pulse wave velocity (PWV), and the augmentation index (AIx) using new noninvasive recording methods. Investigations were performed in 14 healthy volunteers (mean age ± SD: 26.3 ± 4.3 years; 9 females, 5 males) before, during, and after acupressure vibration and manual acupressure stimulation at the “heart” auricular acupuncture point. The results showed a significant decrease in HR (P ≤ 0.001) and a significant increase in HRV total (P = 0.008) after manual ear acupressure. The PWV decreased markedly (yet insignificantly) whereas the AIx increased immediately after both methods of stimulation. The increase in the low-frequency band of HRV was mainly based on the intensification of the related mechanism of blood pressure regulation (10-s-rhythm). Further studies in Beijing using animal models and investigations in Graz using human subjects are already in progress.

3) Exercise and Auricular Acupuncture for Chronic Low-back Pain: A Feasibility Randomized-controlled Trial.

Clin J Pain. 2011 Jul 12. Hunter RF, McDonough SM, Bradbury I, Liddle SD, Walsh DM, Dhamija S, Glasgow P, Gormley G, McCann SM, Park J, Hurley DA, Delitto A, Baxter GD.

OBJECTIVES: To evaluate the feasibility of a randomized-controlled trial (RCT) investigating the effects of adding auricular acupuncture (AA) to exercise for participants with chronic low-back pain (CLBP).

METHODS: Participants with CLBP were recruited from primary care and a university population and were randomly allocated (n=51) to 1 of 2 groups: (1) “Exercise Alone (E)”-12-week program consisting of 6 weeks of supervised exercise followed by 6 weeks unsupervised exercise (n=27); or (2) “Exercise and AA (EAA)”-12-week exercise program and AA (n=24). Outcome measures were recorded at baseline, week 8, week 13, and 6 months. The primary outcome measure was the Oswestry Disability Questionnaire.

RESULTS: Participants in the EAA group demonstrated a greater mean improvement of 10.7% points (95% confidence interval, -15.3,-5.7) (effect size=1.20) in the Oswestry Disability Questionnaire at 6 months compared with 6.7% points (95% confidence interval, -11.4,-1.9) in the E group (effect size=0.58). There was also a trend towards a greater mean improvement in quality of life, LBP intensity and bothersomeness, and fear-avoidance beliefs in the EAA group. The dropout rate for this trial was lower than anticipated (15% at 6 mo), adherence with exercise was similar (72% E; 65% EAA). Adverse effects for AA ranged from 1% to 14% of participants.

DISCUSSION: Findings of this study showed that a main RCT is feasible and that 56 participants per group would need to be recruited, using multiple recruitment approaches. AA was safe and demonstrated additional benefits when combined with exercise for people with CLBP, which requires confirmation in a fully powered RCT.

4) Effect of electroacupuncture of auricular concha on inflammatory reaction in endotoxaemia rats.

Zhen Ci Yan Jiu. 2011 Jun;36(3):187-92. Zhao YX, He W, Gao XY, Rong PJ, Zhu B.

OBJECTIVE: To evaluate the effect of electroacupuncture (EA) of the auricular concha (EA-AC) on serum cytokines contents and pulmonary transcription factor nuclear factor-kappaB (NF-kappaB) expression in lipopolysaccharide (LPS) induced endotoxaemia rats so as to study its mechanism underlying cholinergic anti-inflammatory efficacy.

METHODS: Male SD rats were randomized into normal control, model (LPS), simple EA-AC, EA-AC + LPS, vagal nerve stimulation (VNS) + LPS, and EA-Zusanli (ST 36) + LPS groups (n = 12/group). Endotoxaemia model was duplicated by intravenous (tail vein) injection of LPS (0.5 mL/kg). Two intradermal needles were inserted into the central sites of the cavity of concha and cymba of auricular concha respectively on each side and stimulated electrically by using an electrical stimulator (i.e, EA-AC). VNS was applied to the left cervical vagal nerve, and EA (1 mA, 10 Hz, pulse-width 1 ms) was also applied to bilateral “Zusanli” (ST 36). Serum cytokines (TNF-alpha IL-6) contents 2 h after modeling were determined by using enzyme linked immunosorbent assay (ELISA), and pulmonary NF-kappaB p 65 expression 2 h after modeling was detected by using western blotting.

RESULTS: Compared with the normal control group, serum TNF-alpha and IL-6 contents, and pulmonary NF-kappaB p65 expression level in the model group were increased significantly (P < 0.01). In comparison with the model group, serum TNF-alpha contents in the simple EA-AC, EA-AC + LPS, VNS+ LPS and ST 36 + LPS groups, and serum IL-6 contents and pulmonary NF-kappaB p 65 expression levels in the simple EA-AC, EA-AC + LPS and VNS + LPS groups were down-regulated considerably (P < 0.05, P < 0.01). Compared with the VNS + LPS group, serum TNF-alpha -28) and IL-6 contents, and pulmonary NF-kappaB p 65 expression level in the ST 36 + LPS group were increased significantly (P < 0.05, P < 0.01). In comparison with the EA-AC + LPS group, pulmonary NF-kappaB p 65 expression level in the ST 36 + creased remarkably (P < 0.05).

CONCLUSION: Both EA of auricular concha and vagus nerve stimulation can increase serum TNF-alpha and IL-6 contents, and down-regulate pulmonary NF-kappaB p 65 expression level in endotoxaemia similar cholinergic anti-inflammatory mechanism between them.

5) Ear acupuncture in the treatment of migraine attacks: a randomized trial on the efficacy of appropriate versus inappropriate acupoints.

Neurol Sci. 2011 May;32 Suppl 1:S173-5. Allais G, Romoli M, Rolando S, Airola G, Castagnoli Gabellari I, Allais R, Benedetto C.

Ear acupuncture can be a useful mean for controlling migraine pain. It has been shown that a technique called the Needle Contact Test (NCT) can identify the most efficacious ear acupoints for reducing current migraine pain through just a few seconds of needle contact. The majority of the points were located on the antero-internal part of the antitragus (area M) on the same side of pain. The aim of this study was to verify the therapeutic value of area M and to compare it with an area of the ear (representation of the sciatic nerve, area S) which probably does not have a therapeutic effect on migraine attacks. We studied 94 females suffering from migraine without aura, diagnosed according to the ICHD-II criteria, during the attack. They were randomly subdivided into two groups: in group A, tender points located in area M, positive to NCT were inserted; in group B, the unsuitable area (S) was treated. Changes in pain intensity were measured using a VAS scale at various times of the study. During treatment, there was a highly significant trend in the reduction of the VAS value in group A (Anova for repeated measures: p < 0.001), whereas no significance was observed in group B. VAS values were significantly lower in group A than in group B at 10, 30, 60 and 120 min after needle insertion. This study suggests that the therapeutic specificity of auricular points exists and is linked to the somatotopic representation of our body on the ear.

6) Effects of magnetic auricular point-sticking on adjuvant anesthesia and postoperative recovery of body function.

Zhongguo Zhen Jiu. 2011 Apr;31(4):349-52. Li WS, Cui SS, Li WY, Zhao WX, Wanlai SQ.

OBJECTIVE: To prove analgesia and sedative effect of adjuvant anesthesia with magnetic auricular point-sticking on abdominal gynecological operation and its effect on postoperative recovery of body function.

METHODS: Ninety-two patients with abdominal gynecological operation were randomly divided into 3 groups. The auricular point-sticking group (APS group, n=31) was pasted and pressed by plasters with magnetic beads at bilateral Shenmen, Pizhixia (subcortex), Zigong (uterus) and Penqiang (pelvic cavity), etc. the night before operation. The placebo group (n=31) was pasted by plasters without magnetic beads. The blank group (n=30) was given no intervention. The mental and gastrointestinal functional changes before and 3 days after the operation were observed.

RESULTS: As compared with those in the control group and the blank group, the postoperative score of Self rating Anxiety Scale (SAS) was less (25.5 +/- 0.81 vs. 28.9 +/- 3.19, 28.3 +/- 2.36, both P < 0.01), with lower-dose of Innovar [(2.5 + 1.1) mL vs. (3.4 + 1.8) mL, (3.2 + 1.6) mL, both P < 0.05], earlier exsufflation after the operation [(34.2 + 12.1) h vs. (46.3 + 10.9) h, (43.2 + 14.8) h, both P < 0.01] and higher level serum of beta-endorphin before and after the operation in the APS group (all P < 0.05).

CONCLUSION: The magnetic auricular point-sticking has sedative, analgesic and function-regulating effects on the abdominal gynecological operation.

7) Laser acupuncture and auriculotherapy in postural instability – a preliminary report.

J Acupunct Meridian Stud. 2011 Mar;4(1):69-74. Bergamaschi M, Ferrari G, Gallamini M, Scoppa F.

The risk of falling is rather high among elderly people. Indexes obtained through the Romberg stabilometric test on a force platform have been suggested to be correlated with the risk of falling. This work aimed to test the effectiveness of auriculopuncture and ultralow-power laserpuncture versus placebo (sham stimulation) in improving postural control in an elderly population. Balance performance was measured on a force platform before and after both forms of stimulation. Main balance parameters pointed to an average short-term improvement of about 15% 1 hour after treatment and 5-10% after an interval of 3 days. However, a few participants showed a better than 30% improvement with the same parameters. Although the sample size does not allow reliable statistical analysis, the modifications are remarkable and some differences are observed between the two kinds of stimulation. Further testing with larger sized groups and including one further group using both stimulations is suggested. Although postural instability has to be defined as multi-factorial, it is often associated with balance dysfunctions that cannot be related to vestibular or central impairments but rather to proprioceptive deficits. A significant role may be ascribed to (even subliminal) nociceptive interferences with proprioceptive inputs and to a reduced capacity for updating cortical motor control models in the case of progressively declining locomotor capabilities. The explanation tentatively put forward to account for the results observed in the present preliminary study is that laser acupuncture and auriculopuncture stimulations reduce nociceptive interference and thus improve postural control.

8) A clinical pilot study comparing traditional acupuncture to combined acupuncture for treating headache, trigeminal neuralgia and retro-auricular pain in facial palsy.

J Acupunct Meridian Stud. 2011 Mar;4(1):29-43. Ahn CB, Lee SJ, Lee JC, Fossion JP, Sant’Ana A.

Traditional acupuncture (TA) and ear acupuncture (EA) are used for treatment of headache, trigeminal neuralgia, and retro-auricular pain. The purpose of this study is to develop effective treatment using combined acupuncture (CA) which consists of TA and EA and to set clinical protocols for future trials. Participants were divided into TA (n = 15) control and CA (n = 34) experimental groups. Obligatory points among Korean Five Element Acupuncture and optional individual points along with symptom points were used in the TA group. The CA group was exposed to ear points of Fossion and TA. Acupuncture treatment consisted of six mandatory sessions per patient over 3 weeks and extended to 12 sessions. Pain was assessed using the visual analogue scale. We compared TA to CA and researched their relevant publications. No significant difference was observed between the two groups (p = 0.968) which showed pain-alleviating tendency. Pain alleviation was significantly different after the fifth and sixth sessions (p = 0.021, p = 0.025), with headache being the most significantly relieved (F = 4.399, p = 0.018) among the diseases. When assessing pain intensity, both the Headache Impact Test and the Migraine Disability Assessment Scale should be adopted for headache and the fractal electroencephalography method be used in pain diseases. In the future, studies should consist of TA, EA, and CA groups; each group having 20 patients. Treatment number should to be no less than 10 sessions. Korean Five Element Acupuncture should be a compulsory inclusion along with individual points being optional inclusion in TA. EA could be selected from Nogier, Fossion and so forth. In conclusion, acupuncture treatment, whether TA or CA, showed pain alleviation in headache, trigeminal neuralgia, and retro-auricular pain, but no significant difference was seen between groups. Prospective, well-controlled, and relevant protocols using multimodal strategies to define the role of TA, EA, and CA are needed.

9) Comparing the treatment effectiveness of body acupuncture and auricular acupuncture in preoperative anxiety treatment.

J Res Med Sci. 2011 Jan;16(1):39-42. Wu S, Liang J, Zhu X, Liu X, Miao D.

BACKGROUND: Preoperative anxiety has become more frequent in preoperative patients and can bring negative impact on operation outcomes. Many studies have reported the effect of body acupuncture in reducing anxiety syndromes. The aim of this study is to compare the treatment effect of body acupuncture and auricular acupuncture in preoperative patients with preoperative anxiety.

METHODS: Thirty five elective ambulatory surgery patients were selected in the randomized and blinded trial. Subjects were randomly categorized in two intervention groups, the body acupuncture group who received acupuncture in the special points of body, and the auricular acupuncture group who received ear acupuncture. Zung Self-Rating Anxiety Scale (SAS) was used before and after the study.

RESULTS: For the auricular acupuncture group, the mean score of SAS was 57.57 ± 8.22 before the intervention and 46.32 ± 6.37 afterward. For the body acupuncture group, the SAS score was 55.39 ± 5.41 and 44.82 ± 6.76 before and after the intervention, respectively. For both groups, the difference between pre- and post-treatment scores reached the significant level (p = 0.00).

CONCLUSIONS: Both auricular and body acupuncture treatment methods were effective in decreasing anxiety in preoperative patients.

Sounds like some good reasons to check out Auriculotherapy training to me… Go to http://www.torquerelease.com.au/Auriculotherapy-Discount.htm to find out more…

MORE RECENT RESEARCH SHOWING THE DRAMATIC CLINICAL EFFECTS OF AURICULOTHERAPY

Saturday, March 12th, 2011

I see myself as first and foremost a Chiropractor, and I love to keep abreast of any recent research evidence supporting the chiropractic wellness scope of practice. But at the same time I like to keep an open mind towards other natural approaches and the modality that keeps impressing me and to a degree creates some envy in me in regards to the amount and quality of research being published, is Auriculotherapy (often referred to as auricular acupuncture in the literature). And this is the primary reason that Gill and I teach and endorse this therapeutic gem. The secondary reason is that we have both used this technique in practice for a number of years and the feedback we receive and observations that we make bolster our faith, confidence and belief that this is a “must have” service in clinical practice.

The last year seems to have been a particularly productive year as you will see from the following synopsis:

1) Reduced need for analgesia during hip replacement: Imagine if all medication doses could be reduced by 15% – Imagine a 15% reduction in adverse side effects – considering that this is now one of the leading causes of morbidity and mortality in our society that would be of enormous benefit!

2) Raynaud Disease: This study showed significant reduction in both frequency and severity of attacks, and the interesting follow-up was that the improvements were sustained months after cessation of treatment.

3) Antiinflammatory effects: Auriculotherapy is a great ally during crisis management and this study sheds some light on why. Based on an animal study it was shown that there is an antiinflammatory and analgesic effect, and the biochemical pathways involved were more specifically differentiated.

4) Use of complementary and alternative medicine at Norwegian and Danish hospitals: No rocket science here, just some evidence that acupuncture, including ear acupuncture is being offered in some hospitals, more-so in Norway than Denmark. Perhaps of some interest is that the primary reason for including acupuncture was perception of scientific evidence.

5) Neonatal abstinence syndrome: This study examined the presence of active ear reflex points on newborns born with abstinence syndrome. Active organic and psychic ear points were detectable in both ears. In the future, it could be possible to use active ear points for diagnostic and therapeutic purposes.

6) Insomnia: Auricular Acupuncture played an effective role in improving the quantity and quality of sleep, including sleep quality, time on falling asleep, sleeping time, efficiency and disorder of sleep, and daytime functional disorder.

7) Ear acupoint detection before and after hysteroscopy: This study concluded that when auricular acupuncture is applied to reduce discomfort during hysteroscopy, particular attention must be paid when choosing the points/areas to be stimulated. This confirms that you need to have an Auriculotherapy instrument with a good diagnostic mode so that you can determine which active reflex points need to be treated on any given visit – and that you may need to think outside the box in terms of point selection .

8) 94% success rate in weight gain: This is one we don’t see too often – a study testing the efficacy of a weight gain program! There are actually people on this planet who do need to gain weight for clinical reasons. An interesting aside in this study is that there was only a modest but insignificant benefit in adding body acupuncture to the mix.

9) Immediate analgesia for migraine: This study compared different forms of acupuncture and found needling therapy, auricular electroacupuncture therapy then bloodletting to be the most effective for immediate relief.

10) Correcting erectile dysfunction: This study found that when auricular acupuncture was added to the multimodal treatment mix outcomes improved by 15%.

11) Surface electromyography for studying auricular acupuncture: It was concluded in this study that a surface electromyography can be used as a tool to investigate possible alterations of electrical activity in muscles after auricular acupuncture.

12) Unilateral migraine pain: This study successfully identified the most important auricular zones for pain control and showed that the insertion of a semi-permanent needle in these zones allowed stable control of the migraine pain, which occurred within 30 minutes and persisted at the same levels 24 hours later.

13) Systematic review of acupuncture treatment for cancer pain: The only high-quality trial that was identified showed that auricular acupuncture therapy was significantly superior to placebo in pain alleviation

14) Identifying excess or deficiency syndrome of stroke: This study compared active ear points between stroke patients and healthy subjects, and then between two variants of stroke victims, and found significant differences in each scenario. The conclusion is that the points can be used to assist in differential diagnosis. An important aspect of Auriculotherapy as we teach it is the diagnostic component and this study supports the idea that Auriculotherapy can make you a better clinician.

15) Correspondence of the auricular acupoint (AA) with the upper trapezius using EMG: The AA peripheral stimulus can act as a modulator mechanism of muscle activity and was possible to verify correspondence of the auricular acupoint with the trapezius muscle.

16) Vagal activity: Electroacupuncture but not manual acupuncture was found to have a positive effect on Vagal tone. The results underline the potential role of auricular electrical stimulation to induce an increase in vagal activity, and it therefore might be used as preventive or adjuvant therapeutic intervention promoting health.

17) Seasonal allergic rhinitis: 75% reported marked improvement of health conditions. It manifested itself as the disappearance of clinical symptoms of the disease and a substantial decrease in the number and severity of pathological changes in nasal mucosa revealed by rhinoscopy.

To take advantage of an online discount to register for the next Auriculotherapy training session go to this link: www.torquerelease.com.au/Auriculotherapy-Discount.htm

ABSTRACTS:

1) The effect of auricular acupuncture on fentanyl requirement during hip arthroplasty: A randomized controlled trial.

Clin J Pain. 2011 Mar-Apr;27(3):262-7. Wetzel B, Pavlovic D, Kuse R, Gibb A, Merk H, Lehmann C, Wendt M, Usichenko TI.

Although auricular acupuncture (AA) is suggested to be effective in treatment of pain, it has not yet been used for intraoperative analgesia. Therefore, we studied whether the AA reduces intraoperative analgesic requirement during total hip arthroplasty (THA)… One hundred and twenty patients scheduled for THA were enrolled in this patient-anesthesiologist-blinded study. The patients were randomly assigned to receive needling of specific AA points or a sham procedure (needling of 3 non-acupoints on the ear helix) ipsilateral to the surgery site. Fixed indwelling AA needles were placed in the evening before THA and withdrawn on the day after surgery. The patients received general anesthesia with desflurane, which end-tidal concentration was kept within 3.5 volume % to 5.5 volume % to maintain the Bispectral Index within 40% to 55%. The anesthesiologists were asked to titrate fentanyl to keep the heart rate and blood pressure within 20% of baseline values. The primary outcome was fentanyl amount given during surgery… The data of fentanyl requirement of 116 patients were available for the final analysis. Patients from AA group required 15% less fentanyl during surgery than the controls (4.6±1.1 μg/kg vs. 5.2±1.3 μg/kg; mean±SD; P=0.008). Demographic data and secondary outcome measures were comparable in both groups…

2) Auricular electroacupuncture reduces frequency and severity of Raynaud attacks.

Wien Klin Wochenschr. 2011 Feb 17. Schlager O, E Gschwandtner M, Mlekusch I, Herberg K, Frohner T, Schillinger M, Koppensteiner R, Mlekusch W.

Acupuncture has been shown to influence skin perfusion and the subjective cold perception threshold. Therefore, we hypothesized that auricular electroacupuncture (EA) might reduce symptoms in primary Raynaud’s phenomenon (PRP)… Twenty-six patients with PRP received 6 cycles of auricular EA. After 3, 6 and 24 weeks attack frequency and severity were re-evaluated using standardized questionnaires and a visual analogue scale (VAS). Skin temperature was assessed by infrared thermography and laser Doppler perfusion imaging was used to determine skin perfusion… Compared to baseline we found a significant reduction of attack frequency after 3 (p = 0.001) and 6 weeks (p < 0.001) of auricular EA. This improvement sustained following cessation of EA, after 24 weeks (p < 0.001). Furthermore, attack associated pain was reduced after 3 (p = 0.003), 6 (p = 0.003) and 24 weeks (p = 0.001) of treatment, while skin temperature and skin perfusion did not change significantly throughout the study period… Auricular EA reduces symptoms by means of frequency and severity of attacks in PRP but has no influence on skin perfusion and skin temperature.

3) Peripheral muscarinic receptors mediate the anti-inflammatory effects of auricular acupuncture.

Chin Med. 2011 Jan 21;6(1):3. Chung WY, Zhang HQ, Zhang SP.

The cholinergic and opioid systems play important roles in modulating inflammation. This study tests whether auricular acupuncture (AA) produces anti-inflammatory effects via opioid and peripheral cholinergic receptors in a rat model… Rats were anesthetized with chloral hydrate and inflammation was induced by intraplantar injection of carrageenan. Electroacupuncture was performed at auricular points bilaterally. The severity of inflammation was assessed using changes in paw volume and thermal and mechanical pain thresholds of the rats during recovery from anesthesia… Electroacupuncture at selected auricular acupoints significantly reduced paw edema and mechanical hyperalgesia, with no significant effect on thermal hyperalgesia. The anti-edematous and analgesic effects of AA were abolished by blockade of peripheral cholinergic muscarinic receptors with methyl atropine. Blockade of local muscarinic receptors at the inflamed site with a small dose of atropine also antagonized the anti-edematous effect of AA. By contrast, systemic opioid receptor blockade with naloxone did not antagonize the anti-inflammatory effects of AA… CONCLUSION: This study discovers a role of peripheral muscarinic receptors in mediating the anti-inflammatory effects of AA. The cholinergic muscarinic mechanism appears to be more important than the opioid mechanism in the anti-inflammatory action of AA.

4) Use of complementary and alternative medicine at Norwegian and Danish hospitals.

BMC Complement Altern Med. 2011 Jan 18;11:4. Salomonsen LJ, Skovgaard L, la Cour S, Nyborg L, Launsø L, Fønnebø V.

Several studies have found that a high proportion of the population in western countries use complementary and alternative medicine (CAM). However, little is known about whether CAM is offered in hospitals. The aim of this study was to describe to what extent CAM is offered in Norwegian and Danish hospitals and investigate possible changes in Norway since 2001… CAM is presently offered in about 50% of Norwegian hospitals and one-third of Danish hospitals. In Norway CAM was offered in 50 hospitals, 40 of which involved acupuncture. 19 hospitals gave other alternative therapies like biofeedback, hypnosis, cupping, ear-acupuncture, herbal medicine, art therapy, homeopathy, reflexology, thought field therapy, gestalt therapy, aromatherapy, tai chi, acupressure, yoga, pilates and other. 9 hospitals offered more than one therapy form. In Denmark 38 hospitals offered acupuncture and one Eye Movement Desensitization and Reprocessing Light Therapy. The most commonly reported reason for offering CAM was scientific evidence in Denmark. In Norway it was the interest of a hospital employee, except for acupuncture where the introduction is more often initiated by the leadership and is more based on scientific evidence of effect. All persons (except one) responsible for the alternative treatment had a medical or allied health professional background and their education/training in CAM treatment varied substantially… The extent of CAM being offered has increased substantially in Norway during the first decade of the 21st century. This might indicate a shift in attitude regarding CAM within the conventional health care system.

5) Active ear acupuncture points in neonates with neonatal abstinence syndrome (NAS).

Am J Chin Med. 2011;39(1):29-37. Raith W, Kutschera J, Müller W, Urlesberger B.

The aim of the study was to determine the presence of acupuncture ear points in neonates with Neonatal Abstinence Syndrome (NAS). NAS occurs in the first days of life in neonates whose mothers have a history of drug abuse, and may also occur in neonates whose mothers are currently following substitution therapy. The patients are neonates with NAS admitted over one year to the Division of Neonatology at the University Hospital Graz. The examination took place on the third day after delivery (mean value 70.3 hours) and was performed by a neuronal pen (PS 3 © Silberbauer, Vienna, Austria). An integrated sound and optical signal detected the active ear points that were then placed on an ear map. We investigated six neonates (four male, two female). All investigated neonates showed the presence of active ear acupuncture points. The psychovegetative rim was the most common organic area of the children, following by a few organic points. This corresponds with the results found in healthy neonates. In all neonates with NAS, we found the presence of psychic ear points. The identified psychic ear points are the frustration-point, R-point and the psychotropic area nasal from the incisura intertragica. In all neonates with NAS, active organic and psychic ear points were detectable in both ears. In the future, it could be possible to use active ear points for diagnostic and therapeutic purposes.

6) Auricular acupuncture for insomnia: A randomized controlled trial.

Zhonghua Liu Xing Bing Xue Za Zhi. 2010 Dec;31(12):1400-1402. Jiang B, Ma ZH, Zuo F.

To investigate the effect of auricular acupuncture therapy (AAT) and standardized acupoints on sleep parameters among people with insomnia… A single-blind, randomized pilot study where the treatment group AAT on active points and the control group received AAT on sham points during a 4-week treatment period… In all, 125 patients were included in the study, with 63 in treatment group and 62 in control group. Sleep parameters were obtained by using the Pittsburgh Sleep Quality Index (PSQI)… (1) Significant improvement in the PSQI total score and seven components score including sleep quality, time on falling asleep, sleeping time, efficiency and disorder of sleep, hypnotic and daytime functional disorder after treatment in both treatment group and control group (P < 0.01). (2) After treatment, there was a statistically significant difference seen in the PSQI total score and six components score (P < 0.01) except for hypnotic between the two groups. There were statistically significant differences in the rank differential value of total score and seven components of two groups (P < 0.01). (3) There were statistically significant differences in the mean rank of PSQI seven components using Mann-Whitney test (P < 0.01)… Evidence was found to support the hypothesis that AAT played an effective role in improving the quantity and quality of sleep in those subjects with insomnia. A standardized AAT might help the treatment of insomnia, especially when combined with other treatments as psychological and behavioral therapies.

7) Ear acupoint detection before and after hysteroscopy: Is it possible to clarify the representation of the uterus on the outer ear?

Acupunct Med. 2010 Dec;28(4):169-73. Romoli M, Allais G, Bellu D, De Ramundo B, Gabellari IC, Giommi A, Benedetto C.

In the auricular maps introduced over the past 50 years by the French and Chinese schools, most organs and systems overlap consistently. One exception is the reproductive system, which shows a markedly different somatotopic representation – for example, for the uterus and the ovary… To identify the distribution of points with increased tenderness to pressure or with reduced electrical resistance, on the outer ear of a group of women undergoing hysteroscopy… For diagnostic purposes the auricles of 78 women were examined before and after hysteroscopy using a pain-pressure test and electrical skin resistance test. The points identified were transcribed onto a graphic system called Sectogram. Spatial cluster analysis was used to identify the statistically significant clusters of sectors with a higher concentration of points appearing after hysteroscopy… The points identified after hysteroscopy tend to be concentrated in specific areas not previously recognised and which only partially overlap with the French and Chinese representation of the uterus… CONCLUSION: When auricular acupuncture is applied to reduce discomfort during hysteroscopy, particular attention must be paid when choosing the points/areas to be stimulated, which are not only those indicated in the Chinese or French maps.

8) Auricular point sticking and the combined therapy of auricular point sticking and body acupuncture for weight gain in 100 cases.

Zhongguo Zhen Jiu. 2010 Nov;30(11):943-5. Zhang FH.

To explore the efficacy difference in weight gain between auricular point sticking and the combined therapy of auricular point sticking and body acupuncture, as well as the efficacy difference among various body constitutions… One hundred cases of weight gain were randomized into two groups, auricular point sticking group (group A) and the combined therapy of auricular point sticking and body acupuncture group (group B), 50 cases in each one. In group A, semen vaccariae (Vacarria seed) was fixed with plaster on the spleen, stomach, endocrine, small intestine, buttocks, tibia, forearm, etc. in the ear. Each point was pressed 3 times daily, for 5 mm each time. The ear-points on two sides were alternated every two days. In group B, the auricular point sticking and body acupuncture were applied. The ear points and manipulation were same as the previous. Body points were Zhongwan (CV 12), (Juanyuan (CV 4), Tiansho (ST 25), Zusanli (ST 36), Sanyinjiao (SP 6), etc. Acupuncture was applied with filiform needle, once every two days. The changes in body weight and body mass index (BMI) were observed after 20 treatments… The total effective rate was 94.0% (47/50) in group A and was 98.0% (49/50) in group B, without statistical significant difference (P > 0.05). The comparison of mean body weight and mean BMI after intervention did not show statistical significance between two groups (both P > 0.05), indicating that the simple auricular point sticking could achieve the same effect as the combined therapy. CONCLUSION: The efficacy of the simple auricular point sticking on weight gain is same as the combined therapy of auricular point sticking and body acupuncture, and is much better for the cases with spleen and stomach deficiency constitution.

9) Study on the best solution of immediate analgesia of acupuncture for migraine.

Zhongguo Zhen Jiu. 2010 Oct;30(10):798-801. Wang QM, Wang JJ, Hu J, Jiao Y, Wu ZC, Yang JH, Liu WZ.

To select the best solution of immediate analgesia of migraine treated with acupuncture… Taken 36 cases of migraine in attack stage as research objects, by means of orthogonal experimental design, applying the L9 (3(4)) orthogonal table, the therapeutic effect of immediate analgesia of acupuncture for migraine in attack stage was analyzed in four factors, which were effective acupoints combination, electroacupuncture therapy, auricular therapy and bloodletting therapy, and three levels of each factors. In the test procession, random approaches (stratified random and central random) and blinding experiment (the appraiser blind) were used. The time points of observation were before treatment, and 10, 20 minutes after treatment. Visual Analogue Scale (VAS) was used to evaluate therapeutic effect… Comparing with the headache before treatment, at the time points of 10 and 20 minutes after treatment, the best solution for headache relief was needling therapy (local and distal points and points selection according to the differentiation), auricular electroacupuncture therapy and bloodletting at Taiyang Zimai (Extra) or Taiyang (EX-HN 5)and Ashi points… In the attack stage of migraine, by the therapy combined with puncture on local and distal points and the points according to the differentiation, auricular electroacupuncture and bloodletting at Taiyang Zimai or Taiyang (EX-HN 5) and Ashi points, the favorable effects of immediate analgesia are received.

10) The use of acupuncture in combined balneotherapy of erectile dysfunction in patients with lumbosacral osteochondrosis.

Vopr Kurortol Fizioter Lech Fiz Kult. 2010 Sep-Oct;(5):13-7. No authors listed

The objective of the present study was to elucidate effects of therapeutic and preventive measures on restoration of compromised erectile function in patients with osteochondrosis of the lumbosacral spine segment (LSSS). The patients were treated using corporal and auricular acupuncture, Narzan mineral water baths, manual therapy, remedial gymnastics, and psychotherapeutic correction of sexual dysadaptation. This combined treatment resulted in the elimination of algic syndrome in 77.5% of the patients, restoration of sexual function in 62.5%, and normalization of hemodynamics in cavernous bodies in 65.2%. The functional activity of the hypothalamo-pituitary-testicular axis was normalized in 65% of the LSSS patients of strong and moderate sexual constitution. Introduction of acupuncture in the combined medicamentous therapy increased its efficiency by 15%. In 57.5% of the patients with strong and moderate sexual constitution, the restored sexual function persisted for at least 12 months.

11) The use of surface electromyography for the study of auricular acupuncture.

J Bodyw Mov Ther. 2010 Jul;14(3):219-26. Politti F, Amorim CF, Calili L, Andrade Ade O, Palomari ET.

The advancement of knowledge in neurophysiology has demonstrated that acupuncture is a method of peripheral neural stimulation that promotes local and systemic reflexive responses. The purpose of this study was to determine if surface electromyography can be used as a tool to study the action of auricular acupuncture on striated skeletal muscle. The electromyographic amplitudes of the anterior, middle and posterior deltoid muscle and the upper trapezium muscle with 20%, 40% and 60% of maximal voluntary contraction of 15 healthy volunteers, were analyzed after the individuals were submitted to the auricular acupuncture treatment. The non-parametric Friedman test was used to compare Root Mean Square values estimated by using a 200 ms moving window. Significant results were further analyzed using the Wilcoxon signed rank test. In this exploratory study, the level of significance of each comparison was set to p<0.05. It was concluded in this study that a surface electromyography can be used as a tool to investigate possible alterations of electrical activity in muscles after auricular acupuncture. However there is still a lack of adequate methodology for its use in this type of study, being that the method used to record the electromyographic signal can also influence the results.

12) Ear acupuncture in unilateral migraine pain.

Neurol Sci. 2010 Jun;31 Suppl 1:S185-7. Allais G, Romoli M, Rolando S, Castagnoli Gabellari I, Benedetto C.

The needle contact test (NCT) is a diagnostic technique useful to identify, through the contact of the needle on the skin of the ear, the most efficacious points for reducing pain during a migraine attack. The aim of this study was to identify the most important auricular zones for pain control by applying the NCT in a group of 15 women during a unilateral attack of migraine without aura. We also assessed how effective the insertion of a semi-permanent needle in these zones was in reducing the migraine pain during the next 24 h. The most effective tender points in pain control were located on the antero-internal part of the antitragus, the anterior part of the lobe and the upper auricular concha ipsilateral to the side of pain. The insertion of a semi-permanent needle in these zones allowed stable control of the migraine pain, which occurred within 30 min and persisted at the same levels 24 h later (ANOVA for repeated measures: p < 0.01). Pain was tested by using a visual analogue scale; the values recorded were the following: 7.6 +/- 1.6 at baseline and 4.3 +/- 1.7; 4.1 +/- 1.9; 3.9 +/- 1.8; 3.4 +/- 1.8; 2.3 +/- 1.6 after, respectively, 15, 30, 60, 120 min and 24 h.

13) Efficacy of acupuncture in treatment of cancer pain: A systematic review.

Zhong Xi Yi Jie He Xue Bao. 2010 Jun;8(6):501-9. Peng H, Peng HD, Xu L, Lao LX.

Although acupuncture is a well-established treatment for cancer pain and its effects have been widely reported in recent two decades, there is still controversy over whether its efficacy is better than placebo… All randomized controlled trials (RCTs) comparing acupuncture therapy with placebo, Western drugs, Chinese herbal medicines, or comparing acupuncture therapy plus drug treatment with drug treatment… Seven published RCTs with a total of 634 patients met the inclusion criteria, and the quality of one of the included trials was high. Due to flaws in design and reporting, meta-analysis was precluded, and only qualitative analysis was done on the majority of the reports. The high-quality trial showed that auricular acupuncture therapy was significantly superior to placebo in pain alleviation. The other six low-quality trials with non-placebo showed that acupuncture therapy had some positive effects… Acupuncture is effective for pain relief. However, the poor quality of the majority of the trials reduces the reliability of the conclusion. More high-quality RCTs are needed to verify the effects.

14) Impedance characteristics of ear acupoints in identifying excess or deficiency syndrome of stroke.

Zhong Xi Yi Jie He Xue Bao. 2010 Jun;8(6):525-9. Wang P, Yang HY, Wang YQ.

To explore the impedance characteristics of ear acupoints in stroke patients with excess or deficiency syndrome, and to provide basis data for objective study of the syndromes of stroke… The data of electrical characteristics of ear acupoints in stroke patients and healthy people were collected, and excess syndrome and deficiency syndrome of stroke were identified by quantifying the syndromes of stroke using scales. The differences in impedance characteristics of ear acupoints between stroke patients and healthy people were analyzed, and the differences in impedance characteristics of ear acupoints between stroke patients with excess syndrome and stroke patients with deficiency syndrome were analyzed too. The correlation among impedance characteristics of ear acupoints, stroke and the syndromes was also analyzed… There were significant differences in impedance characteristics of ear acupoints between stroke patients and healthy people (P<0.05,P<0.01). The ear acupoints CO12 (Gan) and CO13 (Pi) had a significant role in diagnosing stroke as compared with CO18 (Neifenmi), AT3.4.AH12i (Naogan), CO10 (Shen), TG2p (Shenshangxian), AH6a (Jiaogan), AT4 (Pizhixia), and CO15 (Xin). There were significant differences in impedance characteristics of ear acupoints between stroke patients with excess syndrome and stroke patients with deficiency syndrome (P<0.05, P<0.01). The ear acupoints AH6a (Jiaogan) and CO10 (Shen) played an important role in differentiation diagnosis of excess syndrome and deficiency syndrome of stroke, followed by CO18 (Neifenmi), TF4 (Shenmen) and TG2p (Shenshangxian)… CONCLUSION: Some ear acupoints with diagnostic value for stroke may provide basis of objective research for stroke diagnosis as well as identifying excess syndrome and deficiency syndrome of stroke.

15) Correspondence of the auricular acupoint with the upper trapezius muscle: An electromyographic study.

Complement Ther Clin Pract. 2010 Feb;16(1):26-30. Politti F, Vitti M, Amorim CF, Tosello Dde O, Palomari ET.

Presently, acupuncture is a technique considered to be capable of stimulating the regulatory systems of the organism, such as the central nervous system, the endocrine system and the immunological system. The median frequency of the upper trapezium muscle with 40% and 60% of maximal voluntary contraction (MVC) of 15 healthy volunteers, was analyzed after the individuals were submitted to the AA treatment. The non-parametric Friedman test was used to compare median frequency values. In this exploratory study, the level of significance of each comparison was set to p<0.05. The intraclass analyses indicate a significant increase of the median frequency muscle at 60% of the MVC (Wicoxon test). Based on the results found, the AA peripheral stimulus can act as a modulator mechanism of muscle activity and was possible to verify correspondence of the auricular acupoint with the trapezius muscle.

16) Effects of auricular electrical stimulation on vagal activity in healthy men: Evidence from a three-armed randomized trial.

Clin Sci (Lond). 2009 Nov 9. La Marca R, Nedeljkovic M, Yuan L, Maercker A, Ehlert U.

The activity of the vagus nerve is negatively associated with risk factors such as stress and smoking, morbidity, and mortality. In contrast it is also a target of therapeutic intervention. Vagus nerve stimulation is used in depression and epilepsy. Due to its high invasivity and exclusive application to therapy-resistant patients, there is interest in less invasive methods affecting the vagus nerve. Several studies examining acupuncture report beneficial effects on vagal activity. However, findings are inconsistent and applied methods are heterogeneous resulting in difficulties in interpretation. The purpose of the present study was evaluation of the effects of acupuncture on vagal activity in a three-armed randomized trial while controlling several disturbing factors. Fourteen healthy men participated in random order in four examinations: a control condition without intervention, a condition with placebo, manual acupuncture, and electroacupuncture. Acupuncture was conducted on the concha of the ear, as there is neuroanatomical evidence for vagal afferents. Each examination took place once, with a week’s time between examinations. Respiratory sinus arrhythmia adjusted for tidal volume (RSATR) indicating vagal activity was measured continuously. The study was conducted partially blind in accordance with recommendations. After controlling for respiration, condition-specific pain sensation, individual differences in belief of acupuncture effectiveness, and time effects not attributable to the interventions, electroacupuncture but not manual acupuncture was found to have a positive effect on RSATR. The results underline the potential role of auricular electrical stimulation to induce an increase in vagal activity, and it therefore might be used as preventive or adjuvant therapeutic intervention promoting health.

17) Application of acureflexotherapy to the treatment of seasonal allergic rhinitis.

Vestn Otorinolaringol. 2009;(6):71-3. Kudaĭbergenova SF, Zhaĭsakova DE.

The objective of this study was to evaluate efficiency of acureflexotherapy for the prevention of exacerbations of seasonal allergic rhinitis. Up to seven needles were used per session depending on the acupuncture point. A set of auricular and remote (corporal) points were chosen on either side of the patient’s body. Efficiency of the treatment was evaluated from changes in the clinical picture of the disease, results of rhinoscopy and laboratory analyses during the period of plant pollination. A total of 24 patients with seasonal allergic rhinitis were given this treatment of whom 18 (75%) reported marked improvement of health conditions. It manifested itself as the disappearance of clinical symptoms of the disease and a substantial decrease in the number and severity of pathological changes in nasal mucosa revealed by rhinoscopy.

Sounds like some good reasons to check out Auriculotherapy training to me… Go to http://www.torquerelease.com.au/Auriculotherapy-Discount.htm to find out more…

RECENT AURICULOTHERAPY RESEARCH

Thursday, August 5th, 2010

The key question when contemplating the clinical usefulness of Auriculotherapy is does it change internal physiology and chemistry? The model of Auriculotherapy is of a microsystem – that reflex points on the ear correspond with anatomical or functional parts of the body, and that stimulating particular points will result in predictable internal changes. Below is a summary based on a PubMed search using only the term Auriculotherapy and including only studies from 2009 and 2010. You can read the abstracts for yourself but let’s first summarise the physiological changes documented:

  • Reduction in enuresis quickly and long term – stimulating ear points changing what is manifesting all the way down in the bladder: Suspected causes of enuresis are ADH imbalances and neurological dysfunction.
  • Rapid relief of lumbar disc herniation pain – Analgesia is primarily seen to result from central nervous system inhibition of pain transmission or via interfering with the prostaglandin pathways so.
  • Improvement in learning and memory and brain chemistry in rats suffering with Alzheimer’s – This paper proposes that the Auriculotherapy tapped into neurotransmitter function and/or nerve cell proliferation.
  • Reduction of Tinnitus short and long term – Tinnitus can have multifactorial causes all being centred in the inner ear structures.
  • Reduction of endometriosis related PMS symptoms and improvement in Prostaglandin and Prostacyclin levels – Prostaglandin and Prostacyclin imbalance is seen as one of the most likely factors in endometriosis and PMS.
  • Reduction of lower back and pelvic pain of pregnancy and improved functional status – Lower back pain is sometimes seen as a mechanical problem, sometimes as an inflammatory condition, and other times as a neurological disorder – depends on who you are talking to… However in the case of Auriculotherapy we can narrow down the influences to inflammatory or neurological since it has no mechanical effect.
  • Significant increase in ghrelin level and decrease in leptin level in obese women – Ghrelin and Leptin are seen as obesity-related hormone peptides.
  • Improvement of Traditional Chinese Medicine syndrome, elevation of breast feeding milking volume, decrease of the supplementary feeding and increase of Prolactin level in nursing mothers with insufficient milk supply after cesarian birth.
  • Reduction of Substance P levels and rapid recovery from Migraine – Substance P is a neuropeptide implicated in the onset of Migraines.
  • Reduction of vasomotor symptoms associated with luteinizing-hormone releasing hormone agonist treatment for prostate cancer – Auriculotherapy being used effectively to reduce the side effects of hormonal treatment for Prostate Cancer.

So we can see that there is growing evidence that Auriculotherapy has the capacity to normalise chemical, hormonal, neuropeptide, neurological, vascular and pain processes. Sounds like some good reasons to check out Auriculotherapy training to me… Go to http://www.torquerelease.com.au/Auriculotherapy-Discount.htm to find out more…

1) Transcutaneous electrical acupoint stimulation (TEAS) combined with auricular acupoint sticking (AAS) for treatment of primary nocturnal enuresis (PNE)

Chen YJ, Zhou GY, Jin JH. Zhongguo Zhen Jiu. 2010 May;30(5):371-4.

METHODS: 250 cases of PNE patients were randomly divided into an observation group and a control group, 125 cases in each group. The control group was treated with oral administration of Desmopressin Acetate (DA) and Meclofenoxate. RESULTS: The total effective rate of 96.8% (121/125) in observation group was superior to that of 90.4% (113/125) in control group (P < 0.05), the observation group was superior to control group in reducing the times of nocturia and enuresis, onset time and duration of effect (all P < 0.05). CONCLUSION: TEAS combined with AAS can reduce the times of nocturia and enuresis of PNE children, with significant therapeutic effect, taking quick effect and keeping long effect duration.

2) Study on the effects of the auricular acupuncture with different manipulations for rapid analgesia on the patients with lumbar disc hernia

Liu EJ, Jia CS, Li XF, Ma XS, Shi J. Zhongguo Zhen Jiu. 2010 Jan;30(1):35-9.

METHODS: Ninety two patients were paired according to the three factors as sex, age and degree of pain, and then randomly divided into the point-to-point needling group and perpendicular needling group. All patients accorded with the demands of McGill pain questionnaire (MPQ), before treatment, 5 and 30 min after treatment, the accumulated score of pain was recorded respectively for observing the difference of the effects in both groups. RESULTS: After 5 min treatment, the effect of analgesia on the male patients in the point-to-point needling group was better than that of in the perpendicular needling group (P<0.05), but there was no difference on the female patients in both groups (P>0.05). After 30 min treatment, the effect of analgesia in the point-to-point needling group was better than that of the perpendicular needling group (P<0.05). Besides the patients with light degree pain, there was no significant difference between the two groups after 5 min treatment as score of pain (P>0.05), paired t-test showed that the effects of analgesia on the patients with lumbar disc hernia in the point-to-point needling group was better than that of perpendicular needling group (P<0.05). CONCLUSION: The point-to-point needling method can rapidly relieve patients’ lumbar disc hernia of pain, which is better than the perpendicular needling method.

3) Effects of auricular acupuncture on the memory and the expression of ChAT and GFAP in model rats with Alzheimer’s disease

Miao T, Jiang TS, Dong YH, Jiang NC. Zhongguo Zhen Jiu. 2009 Oct;29(10):827-32.

OBJECTIVE: To observe the effects of auricular acupuncture on the learning and memory abilities of model rats with Alzheimer’s disease (AD), and investigate its mechanism. METHODS: Thirty SD rats were randomly divided into a control group, a model group and an auricular acupuncture group, 10 rats in each group. The learning and memory capabilities of the rats were assessed with Morris Water Maze behavioral test, and the expressions of choline acetyltransferase (ChAT) and glial fibrillary acidic protein (GFAP) were examined by immunohistochemistry. RESULTS: Comparing with the model group, the treated AD rats with auricular acupuncture was showed that the average escape latency was obviously shortened in the place navigation test (P<0.01), the movement time in plateform quadrant was obviously prolonged in the spatial probe test (P<0.05), and the number of traversing platform obviously increased (P<0.01) after the platform was taken away. The expression of ChAT increased in the hippocampus and cortex (P<0.01, P<0.05), but the expression of GFAP obviously decreased in the CA1 region of hippocampus (P<0.01). CONCLUSION: Auricular acupuncture can improve the learning and memory capability of the model rats with AD. Its mechanism might be related with decreasing cholinergic neuron damage and reducing the abnormal activation and hyperplasia of astrocyte.

4) The effect of a new treatment based on somatosensory stimulation in a group of patients with somatically related tinnitus.

Latifpour DH, Grenner J, Sjödahl C. Int Tinnitus J. 2009;15(1):94-9.

The aim of this study was to evaluate the effect of a new treatment consisting of stretching, posture training, and auricular acupuncture immediately and at a 3-month follow-up. This method has not been tested previously. From an original pool of 41 potential subjects, we recruited 24 (12 men, 12 women; ages 18-70 years) into this study and divided them from a waiting list into either a treatment group or a control group. We measured mobility of neck and posture; measured severity of tinnitus by the Klockhoff test and the visual analog scale (VAS); and measured grade of anxiety and depression with the Hospital Anxiety and Depression Scale. We also used the Mann-Whitney U-test to determine statistical significance. The statistical analysis demonstrated a significant decrease of tinnitus in the treatment group as compared with the control group, according to the VAS before and after treatment (p < .001) and at follow-up after 3 months (p < .01). We also observed a significant decrease of tinnitus according to the Klockhoff test before and after treatment (p < .001) and at follow-up after 3 months (p < .01). Our study indicates that this method, based on somatosensory stimulation, may be a useful and alternative treatment of somatic tinnitus.

5) Randomized controlled study on ear-electroacupuncture treatment of endometriosis-induced dysmenorrhea in patients

Jin YB, Sun ZL, Jin HF. Zhen Ci Yan Jiu. 2009 Jun;34(3):188-92.

METHODS: A total of 80 endometriosis patients were randomly and equally divided into ear-EA group and body-EA group. Dysmenorrhea severity score (DSS) was assessed and plasma prostaglandin (PGE2) and 6-Keto-PGF1alpha levels detected by radioimmunoassay. RESULTS: Compared with pre-treatment, DSS lowered significantly during the 1st and 2nd menstrual cycle in body-EA group, and during the 1st, 2nd and 3rd menstruation in ear-EA group; and the DSS of ear-EA group during the 3rd menstruation was evidently lower than that of body-EA group (P < 0.05). During the 3rd menstrual onset after the treatment, plasma PGE2 contents in both groups decreased obviously (P < 0.01), and plasma 6-Keto-PGF1alpha, levels increased considerably in comparison with pre-treatment (P < 0.01). Comparison between two groups during the 3rd menstruation showed that plasma PGE2 level of ear-EA group was markedly lower than that of body-EA group, and 6-Keto-PGF1alpha, level of ear-EA group was significantly higher than that of body-EA group (P < 0.05). No significant difference was found between two groups in clinical therapeutic effect (P > 0.05). CONCLUSION: Both ear-EA and body-EA can effectively relieve endometriosis-induced dysmenorrhea, and the former is superior to the later in reducing pain severity, which may be closely related to their effects in reducing plasma PGE2 and raising 6-Keto-PGF1alpha level.

6) Auricular acupuncture as a treatment for pregnant women who have low back and posterior pelvic pain: a pilot study.

Wang SM, Dezinno P, Lin EC, Lin H, Yue JJ, Berman MR, Braveman F, Kain ZN. Am J Obstet Gynecol. 2009 Sep;201(3):271.e1-9. Epub 2009 Jun 26.

OBJECTIVE: The primary aim of this study was to examine whether 1 week of continuous auricular acupuncture could reduce low back and posterior pelvic pain associated with pregnancy. STUDY DESIGN: A randomized controlled trial was conducted on pregnant women who have lower back and posterior pelvic pain. These women were randomly assigned into an acupuncture group, a sham acupuncture group, or a waiting list control group. All participants were monitored for 2 weeks. RESULTS: Baseline and day 7 showed significant group differences in pain (F = 15; P < .0001) and in the disability rating index score (F = 7; P < .0001). The participants in the acupuncture group reported a significant reduction of pain and improvement of functional status as compared with those in the sham acupuncture and control groups. CONCLUSION: One week of continuous auricular acupuncture decreases the pain and disability experienced by women with pregnancy-related low back and posterior pelvic pain.

7) The effect of auricular acupuncture in obese women: a randomized controlled trial.

Hsu CH, Wang CJ, Hwang KC, Lee TY, Chou P, Chang HH. J Womens Health (Larchmt). 2009 Jun;18(6):813-8.

BACKGROUND: The aims of this randomized study are to examine the effect of auricular acupuncture on obese women and to explore the relationship between the effect of auricular acupuncture and obesity-related hormone peptides. METHODS: Forty-five of 60 obese women aged between 16 and 65 years with body mass index (BMI) >27 kg/m2 and who had not received any other weight control maneuvers within the last 3 months completed this study. The subjects were blinded and randomly divided into groups A and B. Group A (n = 23) received auricular acupuncture, and group B (n = 22) received sham auricular acupuncture using placebo needles, twice each week for 6 weeks. The subjects’ body weight (BW), BMI, waist circumference (WC), and obesity-related hormone peptides were measured at the beginning of the study and after 6 weeks of treatment. The data were compared and expressed as percent reductions. RESULTS: This study found no statistical difference in percent reduction in BW, BMI, and WC between the group receiving 6 weeks of auricular acupuncture treatment and the control group. After treatment, group A revealed a significant increase in ghrelin level and decrease in leptin level. On the other hand, group B, who received sham auricular acupuncture, showed no significant difference in ghrelin and leptin levels. CONCLUSIONS: This study found no statistical difference in percent reduction in BW, BMI, and WC between the two groups. No adverse effects of short-term auricular acupuncture treatment were seen in the study. Auricular acupuncture may have potential benefit on obesity-related hormone peptides.

8) Clinical observation on the treatment of post-cesarean hypogalactia by auricular points sticking-pressing.

Zhou HY, Li L, Li D, Li X, Meng HJ, Gao XM, Jiang HJ, Cao LR, Zhu YL. Chin J Integr Med. 2009 Apr;15(2):117-20.

METHODS: A randomized, controlled, single-blinded clinical trial on 116 patients with PCH was carried out. They were equally assigned to the treatment group and the control group. The treatment group received APSP, with the pellets pressed for 4 times daily, while the control group was only asked to do lactation to meet infant demand. The therapeutic efficacy and the changes in scores of traditional Chinese medicine (TCM) syndrome, volume of milk secretion, supplementary feeding and serum level of prolactin (PRL) in the two groups were estimated and compared after the patients had been treated for 5 days. RESULTS: The cured and markedly effective rate in the treatment group was 89.7%, which was significantly higher than that in the control group (27.6%, P<0.05), 95% CI (0.1543, 0.2527). The improvement of TCM syndrome, elevation of milking volume, decrease of the supplementary feeding and increase of PRL level revealed in the treatment group were all superior to those in the control group, showing statistical significance (P<0.01). CONCLUSION: APSP shows an apparent efficacy in treating PCH and is worthy of application in clinical practice.

9) Effect of ear point combined therapy on plasma substance P in patients of no-aura migraine at different stages

Yang DH. Zhongguo Zhen Jiu. 2009 Mar;29(3):189-91.

METHODS: Thirty cases of no-aura migraine at different stages were treated with ear point combined therapy, including blood-letting at the ear back, injection of auto-blood into Fengchi (GB 20), Yanglingquan (GB 34), and pricking at ear points Nie (AT2), Yidan (CO11), Shenmen (TF4), etc. Their clinical therapeutic effects were evaluated at the end of one therapeutic course, and substance P (SP) contents were detected before and after treatment. RESULTS: The clinical effective rate was 86.7%, and the effective rate was 87.5% at the attack stage and 86.4% at the remission stage with no significant difference between the attack stage and the remission stage (P>0.05); after treatment, SP content had significant change as compared with that before treatment (P<0.05, P<0.01), and there was very significant difference in SP content between the attack stage before treatment and the remission stage (P<0.01). CONCLUSION: The ear point combined therapy can relieve pain possibly through decreasing plasma SP content, and the SP content possibly is one of main factors inducing migraine attack.

10) Auricular acupuncture: a novel treatment for vasomotor symptoms associated with luteinizing-hormone releasing hormone agonist treatment for prostate cancer.

Harding C, Harris A, Chadwick D. BJU Int. 2009 Jan;103(2):186-90. Epub 2008 Aug 14.

OBJECTIVES: To evaluate the role of auricular acupuncture (AA) in men receiving luteinizing-hormone releasing hormone (LHRH) analogues for carcinoma of the prostate, as vasomotor symptoms can affect the quality of life in such men, and similar symptoms in postmenopausal women have been successfully treated with AA. PATIENTS AND METHODS: In all, 60 consecutive patients with prostate cancer and on LHRH agonist treatment (median age 74 years, range 58-83) consented to weekly AA for 10 weeks. The validated ‘Measure Yourself Concerns and Well-Being’ questionnaire (a six-point scale to assess symptom severity) was used to assess concerns and well-being before and after treatment. RESULTS: All men completed the treatment with no adverse events recorded, apart from transient exacerbation of symptoms in two men; 95% of patients reported a decrease in the severity of symptoms, from a mean 5.0 to 2.1 (Student’s t-test, P < 0.01). CONCLUSIONS: The symptomatic improvement was at levels comparable with that from pharmacotherapy, and cost analysis showed AA to be a viable alternative. Larger randomized studies are needed to fully evaluate AA against more conventional treatments, and these are planned.

Go to http://www.torquerelease.com.au/Auriculotherapy-Discount.htm to find out more about Auriculotherapy training…

CHIROPRACTIC PROFESSIONAL DEVELOPMENT COMES TO YOU

Tuesday, November 27th, 2007

Are you involved in a group practice, mastermind meeting group, or regional chiropractic group? You could have CPD come to your group instead of you traveling hundreds of kilometres to further your professional development. And when you calculate the cost of traveling, extra time out of your practice to get to and from a program, the costs of accommodation and meals, and, time spent away from family and leisure - this can calculate to a saving of hundreds of dollars and large amounts of YOUR time…

Below is a list of training programs that we can provide to your group:

Torque Release Technique Seminar - A 2-day technique program that upgrades your analysis and adjusting skills to 21st century chiropractic…
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Advanced Torque Release Technique Hands-On-Workshop - Follow-up to the TRT Seminar: A 1-day technique program that converts your TRT skills from competency to mastery…
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“ADHD, To Drug Or Not To Drug” - A 1/2 day program which teaches the truths about ADHD and related behavioural disorders and gives you clear and effective strategies for managing the number one paediatric crisis…
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Super Posture Workshops - A 1/2 day program which shows you the skills, strategies and solutions to one of the biggest causative and aggravating factors for the Subluxation…
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Auriculotherapy Seminar And Workshop - A 1 day program that trains you in the principles and application of the most congruent ancillary modality for chiropractic practice…
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Click Here To Email Me An Enquiry About Any Of The Above…