Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial
In order to investigate the different effects of acupuncture and moxibustion on chronic fatigue syndrome (CFS) and alterations in the autonomic nervous system by measuring heart rate variability (HRV). Forty-five participants were recruited and randomly divided into 3 groups using a randomization sc...
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| Published in: | Scientific reports Vol. 6; no. 1; p. 37846 |
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| Abstract | In order to investigate the different effects of acupuncture and moxibustion on chronic fatigue syndrome (CFS) and alterations in the autonomic nervous system by measuring heart rate variability (HRV). Forty-five participants were recruited and randomly divided into 3 groups using a randomization schedule. The control group (CG, n = 15) and the acupuncture group (AG, n = 15) were treated by manipulation acupuncture, and the moxibustion group (MG, n = 15) was treated by indirect moxibustion. Primary outcomes were the scores of the Fatigue Assessment Instrument (FAI). Secondary outcomes were the HRV parameters which can reflect activity of the autonomic nervous system. This trial considered both instantaneous changes and long-term effectiveness. FAI scores decreased after the 4th and 10th treatments in the 3 groups. The decrease in FAI in the MG was greater than that in the AG. Acupuncture was more effective in instantaneous changes of HRV and moxibustion in long-term aspects. Both acupuncture and moxibustion improved fatigue in CFS patients, but moxibustion was more effective. The possible mechanism of the intervention may be through activation of the vagus nerve. Moxibustion was more effective than acupuncture in long-term treatment of CFS. |
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| AbstractList | In order to investigate the different effects of acupuncture and moxibustion on chronic fatigue syndrome (CFS) and alterations in the autonomic nervous system by measuring heart rate variability (HRV). Forty-five participants were recruited and randomly divided into 3 groups using a randomization schedule. The control group (CG, n = 15) and the acupuncture group (AG, n = 15) were treated by manipulation acupuncture, and the moxibustion group (MG, n = 15) was treated by indirect moxibustion. Primary outcomes were the scores of the Fatigue Assessment Instrument (FAI). Secondary outcomes were the HRV parameters which can reflect activity of the autonomic nervous system. This trial considered both instantaneous changes and long-term effectiveness. FAI scores decreased after the 4th and 10th treatments in the 3 groups. The decrease in FAI in the MG was greater than that in the AG. Acupuncture was more effective in instantaneous changes of HRV and moxibustion in long-term aspects. Both acupuncture and moxibustion improved fatigue in CFS patients, but moxibustion was more effective. The possible mechanism of the intervention may be through activation of the vagus nerve. Moxibustion was more effective than acupuncture in long-term treatment of CFS. |
| ArticleNumber | 37846 |
| Author | Shu, Qing Litscher, Gerhard Wang, Lu Gaischek, Ingrid Wu, Song Litscher, Daniela He, Wenjuan Liang, Fengxia Wang, Hua Chen, Li Zhou, Huanjiao |
| Author_xml | – sequence: 1 givenname: Qing surname: Shu fullname: Shu, Qing organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion – sequence: 2 givenname: Hua surname: Wang fullname: Wang, Hua organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion – sequence: 3 givenname: Daniela surname: Litscher fullname: Litscher, Daniela organization: TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz – sequence: 4 givenname: Song surname: Wu fullname: Wu, Song organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion – sequence: 5 givenname: Li surname: Chen fullname: Chen, Li organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion – sequence: 6 givenname: Ingrid surname: Gaischek fullname: Gaischek, Ingrid organization: TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz – sequence: 7 givenname: Lu surname: Wang fullname: Wang, Lu organization: TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz – sequence: 8 givenname: Wenjuan surname: He fullname: He, Wenjuan organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion – sequence: 9 givenname: Huanjiao surname: Zhou fullname: Zhou, Huanjiao organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion – sequence: 10 givenname: Gerhard surname: Litscher fullname: Litscher, Gerhard organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion, TCM Research Center Graz, Research Unit for Complementary and Integrative Laser Medicine, Research Unit of Biomedical Engineering in Anesthesia and Intensive Care Medicine, Medical University of Graz – sequence: 11 givenname: Fengxia surname: Liang fullname: Liang, Fengxia organization: Acupuncture & Moxibustion Institute, Hubei University of Chinese Medicine, Hubei Provincial Collaborative Innovation Center of Preventive Treatment by Acupuncture & Moxibustion |
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| Title | Acupuncture and Moxibustion have Different Effects on Fatigue by Regulating the Autonomic Nervous System: A Pilot Controlled Clinical Trial |
| URI | https://link.springer.com/article/10.1038/srep37846 https://www.ncbi.nlm.nih.gov/pubmed/27886247 https://www.proquest.com/docview/1899374132 https://search.proquest.com/docview/1844024184 https://pubmed.ncbi.nlm.nih.gov/PMC5122953 |
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