The Journal of Korean Medicine (대한한의학회지)

The Society of Korean Medicine (대한한의학회)
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Quantitative study of acupuncture manipulation of lifting-thrusting using an needle insertion-measurement system in phantom tissue

  • Lee, Soo-Yoon (College of Korean Medicine, Dongguk University) ;
  • Son, Young-Nam (College of Korean Medicine, Dongguk University) ;
  • Choi, In-Hwa (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Kyung Hee University) ;
  • Shin, Kyung-Min (Acupuncture, Moxibustion & Meridian Research Group, Korea Institute of Oriental Medicine) ;
  • Kim, Kap-Sung (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dongguk University) ;
  • Lee, Seung-Deok (Department of Acupuncture & Moxibustion, College of Korean Medicine, Dongguk University)
  • Received : 2014.09.10
  • Accepted : 2014.12.15
  • Published : 2014.12.30
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Abstract

Objectives: Quantification, objectification, and standardization of lifting-thrusting manipulation are important issues in traditional Chinese medicine (TCM). The purpose of this study was to quantitatively investigate the difference in the amount of stimulation according to range and frequency among parameters of lifting-thrusting manipulation with the use of a needle insertion-measurement system. Methods: For quantification of lifting-thrusting manipulation, an acupuncture needle insertion-measurement system was used in phantom tissue. The motor and force sensors of the needle insertion device were connected to the control software. This enabled operation of the lifting-thrusting manipulation and measurement of the acupuncture needle force. The measurement of the acupuncture needle force according to various frequencies (0.25, 0.50, 0.75, and 1 Hz) and ranges of movement (2, 4, 6, 8, and 10 mm) was repeated 10 times. Results: At a constant frequency of movement, acupuncture needle force according to range of movement (2, 4, 6, 8, and 10 mm) increased with increasing range of movement (p < 0.05). At a constant range of movement, acupuncture needle force according to frequency of movement (0.25, 0.50, 0.75, and 1.0 Hz) increased with increasing frequency of movement (p < 0.05). Conclusion: In this study, we conducted a quantitative comparison of the amount of stimulation according to range and frequency, the main parameters of lifting-thrusting manipulation, by using an acupuncture needle insertion-measurement system. Future studies on various manipulations and parameters are warranted to quantify and objectify the amounts of stimulation by acupuncture manipulation.

Keywords

References

  1. Benham A, Johnson MI. Could acupuncture needle sensation be a predictor of analgesic response? Acupuncture in Medicine. 2009;27(2):65-7. https://doi.org/10.1136/aim.2008.000174
  2. Yin H, Huayuan Y, Tangyi L. Study of acupuncture manipulation parameter based on data mining technique. in 7th Asian-Pacific Conference on Medical and Biological Engineering. 2008: Springer.
  3. Tian B, Yang H. The Engineering Research and Development of Acupuncture Manipulation Instrument Based on the Motion Control. In Information Processing (ISIP), 2010 Third International Symposium on. 2010: IEEE.
  4. Mackereth PA, Maycock P. Needling Techniques for Acupuncturists: Basic Principles and Techniques. Churchill Livingstone. 2012.
  5. Liu T, Yang H, Kuai L, Ming G. Classification and characters of physical parameters of lifting-thrusting and twirling manipulations of acupuncture. Acupuncture research. 2010;35(1):61.
  6. Langevin HM, Bouffard NA, Churchill DL, Badger GJ. Connective tissue fibroblast response to acupuncture: dose-dependent effect of bidirectional needle rotation. The Journal of Alternative and Complementary Medicine. 2007;13(3):355-60. https://doi.org/10.1089/acm.2007.6351
  7. Campbell. Acupuncture in practice: beyond points and meridians. Butterworth-Heinemann Medical. 2001.
  8. Li Z, Wu M, Liu C. Progress of researches on acupuncture manipulation and its quantification. Acupuncture research. 2010;35(1):78-81.
  9. Yin'e H, Huayuan Y, Tangyi L. Study on Cluster Analysis of Acupuncture-Manipulation Parameters. World Science and Technology. 2011;13(1):59-63. https://doi.org/10.1016/S1876-3553(12)60002-7
  10. Huayuan Y, Gang X, Jing L, Zhuicheng H, Tangyi L. Real-time signal procession of acupuncture manipulation and Identification Research on AR Parameter Model. In IT in Medicine & Education, 2009. ITIME'09. IEEE International Symposium on. 2009: IEEE.
  11. Langevin HM, Churchill DL, Wu J. Evidence of connective tissue involvement in acupuncture. The FASEB journal. 2002;16(8):872-4. https://doi.org/10.1096/fj.01-0925fje
  12. Langevin HM, Churchill DL, Fox JR, Badger GJ, Garra BS, Krag MH. Biomechanical response to acupuncture needling in humans. Journal of Applied Physiology. 2001;91(6):2471-8. https://doi.org/10.1152/jappl.2001.91.6.2471
  13. Langevin HM, Konofagou EE, Badger GJ, Churchill DL, Fox JR, Ophir J, et al. Tissue displacements during acupuncture using ultrasound elastography techniques. Ultrasound in medicine & biology. 2004;30(9):1173-83. https://doi.org/10.1016/j.ultrasmedbio.2004.07.010
  14. Davis RT, Churchill DL, Badger GJ, Dunn J, Langevin HM. A new method for quantifying the needling component of acupuncture treatments. Acupuncture in Medicine. 2012;30(2):113-9. https://doi.org/10.1136/acupmed-2011-010111
  15. Webster III RJ, Memisevic J, Okamura AM. Design considerations for robotic needle steering. in Robotics and Automation, 2005. ICRA 2005. Proceedings of the 2005 IEEE International Conference on. 2005: IEEE.
  16. Chae Y, Um SI, Yi SH, Lee H, Chang DS, Yin CS, et al. Comparison of biomechanical properties between acupuncture and non-penetrating sham needle. Complementary Therapies in Medicine. 2011;19:S8-S12. https://doi.org/10.1016/j.ctim.2010.09.002
  17. Okamura AM, Simone C, O'Leary MD. Force modeling for needle insertion into soft tissue. Biomedical Engineering, IEEE Transactions on. 2004;51(10):1707-16. https://doi.org/10.1109/TBME.2004.831542
  18. Brett P, Parker T, Harrison A, Thomas T, Carr A. Simulation of resistance forces acting on surgical needles. Proceedings of the Institution of Mechanical Engineers, Part H. Journal of Engineering in Medicine. 1997;211(4):335-47. https://doi.org/10.1243/0954411971534467
  19. Kataoka H, Washio T, Chinzei K, Mizuhara K, Simone C, Okamura AM. In Medical Image Computing and Computer-Assisted Intervention -MICCAI 2002. Measurement of the tip and friction force acting on a needle during penetration Medical Image Computing and Computer-Assisted Intervention-MICCAI 2002, ed. Springer. 2002:216-23.
  20. Abolhassani N, Patel R, Moallem M. Needle insertion into soft tissue: A survey. Medical engineering & physics. 2007;29(4):413-31. https://doi.org/10.1016/j.medengphy.2006.07.003
  21. Brouwer I, Ustin J, Bentiey L, Dhruv A, Tendick F. Measuring in vivo animal soft tissue properties for haptic modeling in surgical. in Medicine meets virtual reality. 2001.
  22. Zheng Z, Liu Y, Guo Y, Guo Y, Wang C, Wang J, et al. Preliminary exploration of research method for studying the influence of acupuncture manipulations on electrical signals of spinal dorsal root nerve in rats. in Natural Computation (ICNC), 2010 Sixth International Conference on. 2010: IEEE.
  23. Woodbury CJ, Koerber HR. Central and peripheral anatomy of slowly adapting type I low -threshold mechanoreceptors innervating trunk skin of neonatal mice. Journal of Comparative Neurology. 2007;505(5):547-61. https://doi.org/10.1002/cne.21517
  24. Langevin HM, Churchill DL, Cipolla MJ. Mechanical signaling through connective tissue: a mechanism for the therapeutic effect of acupuncture. The FASEB journal. 2001;15(12):2275-82. https://doi.org/10.1096/fj.01-0015hyp
  25. Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Progress in neurobiology. 2008;85(4):355-75. https://doi.org/10.1016/j.pneurobio.2008.05.004
  26. Kandel ER, Schwartz JH, Jessell TM. Principles of neural science. Vol. 4. McGraw-Hill. 2000.

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