The effect of acupuncture duration on analgesia and peripheral sensory thresholds

<p>Abstract</p> <p>Background</p> <p>Acupuncture provides a means of peripheral stimulation for pain relief. However, the detailed neuronal mechanisms by which acupuncture relieves pain are still poorly understood and information regarding optimal treatment settings is still inadequate. Previous studies with a short burst of unilateral electroacupuncture (EA) in the Tendinomuscular Meridians (TMM) treatment model for pain demonstrated a transient dermatomally correlated bilateral analgesic effect with corresponding peripheral modality-specific sensory threshold alterations. However, the impact of EA duration on the analgesic effect in this particular treatment model is unknown. To obtain mechanistically and clinically important information regarding EA analgesia, this current prospective cross-over study assesses the effects of EA duration on analgesia and thermal sensory thresholds in the TMM treatment model.</p> <p>Methods</p> <p>Baseline peripheral sensory thresholds were measured at pre-marked testing sites along the medial aspects (liver and spleen meridians) of bilateral lower extremities. A 5-second hot pain stimulation was delivered to the testing sites and the corresponding pain Visual Analog Scale (VAS) scores were recorded. Three different EA (5Hz) stimulation durations (5, 15 and 30 minutes) were randomly tested at least one week apart. At the last 10 seconds of each EA session, 5 seconds of subject specific HP stimulation was delivered to the testing sites. The corresponding pain and EA VAS scores of de qi sensation (tingling) during and after the EA were recorded. The measurements were repeated immediately, 30 and 60 minutes after the EA stimulation. A four-factor repeat measures ANOVA was used to assess the effect of stimulation duration, time, location (thigh vs. calf) and side (ipsilateral vs. contralateral) of EA on sensory thresholds and HP VAS scores.</p> <p>Results</p> <p>A significant (P < 0.01) main effect of time and location with warm, cold and hot pain thresholds at the four testing sites without any significant difference in duration effect was observed. Similar time and location effects were observed with HP VAS with the longer durations (15 and 30 minutes) of stimulation showed a slower onset, but a more sustainable bilateral analgesic benefit than the short stimulation duration (5 minutes). The 15-minute stimulation resulted in an earlier onset of analgesic effect than the 30-minute stimulation paradigm.</p> <p>Conclusion</p> <p>Longer durations of EA stimulation provide a more sustainable analgesic benefit to hot noxious stimulation than a shorter duration of stimulation. The increase of cold threshold with sustained warm threshold temperature elevation as observed in the longer durations of EA suggests that as the duration of EA lengthened, there is a gradual shifting from an initial predominantly spinally mediated analgesic effect to a supraspinally mediated modulatory mechanism of thermal pain. The 15-minute stimulation appeared to be the optimal setting for treating acute pain in the lower extremities.</p

Anti-hyperalgesic effect of electroacupuncture in a model of post-incisional pain in rats

Electroacupuncture has been proposed to be a low cost and practical method that allows effective pain management with minimal collateral effects. In this study we have examined the effect of electroacupuncture against the hyperalgesia developed in a model of post-incisional pain in rats. A 1-cm longitudinal incision was made through the skin and fascia of the plantar region of the animal hind paw. Mechanical hyperalgesia in the incision was evaluated 135 min after the surgery with von Frey filaments. The tension threshold was reduced from 75 g (upper limit of the test) to 1.36 ± 0.36 g (mean ± SEM) in control rats. It is shown that a 15-min period of electroacupuncture applied 120 min after surgery to the Zusanli (ST36) and Sanyinjiao (SP6) points, but not to non-acupoints, produces a significant and long-lasting reduction of the mechanical hyperalgesia induced by the surgical incision of the plantar surface of the ipsilateral hind paw. The tension threshold was reduced from 75 to 27.6 ± 4.2 g in animals soon after the end of electroacupuncture. The mechanical threshold in this group was about 64% less than in control. Electroacupuncture was ineffective in rats treated 10 min earlier with naloxone (1 mg/kg, ip), thus confirming the involvement of opioid mechanisms in the antinociceptive effects of such procedure. The results indicate that post-incisional pain is a useful model for studying the anti-hyperalgesic properties of electroacupuncture in laboratory animals

Space qualification tests of the PAMELA instrument

PAMELA is a satellite-borne experiment which will measure the antiparticle component of cosmic rays over an extended energy range and with unprecedented accuracy. The apparatus consists of a permanent magnetic spectrometer equipped with a double-sided silicon microstrip tracking system and surrounded by a scintillator anticoincidence system. A silicon-tungsten imaging calorimeter, complemented by a scintillator shower tail catcher, and a transition radiation detector perform the particle identification task. Fast scintillators are used for Time-of-Flight measurements and to provide the primary trigger. A neutron detector is finally provided to extend the range of particle measurements to the TeV region. PAMELA will fly on-board of the Resurs-DKI satellite, which will be put into a semi-polar orbit in 2005 by a Soyuz rocket. We give a brief review of the scientific issues of the mission and report about the status of the experiment few months before the launch. (c) 2005 COSPAR. Published by Elsevier Ltd. All rights reserved

Cosmic-ray observations of the heliosphere with the PAMELA experiment

The PAMELA experiment is a multi-purpose apparatus built around a permanent magnet spectrometer, with the main goal of studying in detail the antiparticle component of cosmic rays. The apparatus will be carried in space by means of a Russian satellite, due to launch in 2005, for a three year-long mission. The characteristics of the detectors composing the instrument, alongside the long lifetime of the mission and the orbital characteristics of the satellite, will allow to address several items of cosmic-ray physics. In this paper, we will focus on the solar and heliospheric observation capabilities of PAMELA. (c) 2005 Published by Elsevier Ltd on behalf of COSPAR

Space qualification tests of the PAMELA instrument RID G-6769-2011

PAMELA is a satellite-borne experiment which will measure the antiparticle component of cosmic rays over an extended energy range and with unprecedented accuracy. The apparatus consists of a permanent magnetic spectrometer equipped with a double-sided silicon microstrip tracking system and surrounded by a scintillator anticoincidence system. A silicon-tungsten imaging calorimeter, complemented by a scintillator shower tail catcher, and a transition radiation detector perform the particle identification task. Fast scintillators are used for Time-of-Flight measurements and to provide the primary trigger. A neutron detector is finally provided to extend the range of particle measurements to the TeV region. PAMELA will fly on-board of the Resurs-DKI satellite, which will be put into a semi-polar orbit in 2005 by a Soyuz rocket. We give a brief review of the scientific issues of the mission and report about the status of the experiment few months before the launch. (c) 2005 COSPAR. Published by Elsevier Ltd. All rights reserved