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Langevin HM, Schnyer R, MacPherson H, Davis R, Harris RE, Napadow V, Wayne PM, Milley RJ, Lao L, Stener-Victorin E, Kong JT, Hammerschlag R. Manual and electrical needle stimulation in acupuncture research: pitfalls and challenges of heterogeneity.
Acupuncture does not reduce women's experience of labour pain, neither with manual stimulation nor with combined manual and electrical stimulation.
Our hypothesis was that the combination of manual and electrical stimulation would be the most effective stimulation.
Thus, the purpose of this study was to describe the experience of acupuncture treatment with a combination of manual and electrical stimulation for patients with PCOS.
Acupuncture treatment with manual and electrical stimulation of the needles started a process towards a change that became evident in the results they experienced.
As acupuncture with manual and electrical stimulation of the needles by nature involves a therapist, it is possible that the patient-therapist interaction have influenced the results.
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In a previous randomised controlled trial we showed that acupuncture with a combination of manual- and electrical stimulation (EA) did not affect the level of pain, as compared with acupuncture with manual stimulation (MA) and standard care (SC), but reduced the need for other forms of pain relief, including epidural analgesia.
Different manual manipulations and electrical parameters should be adopted according to syndrome differentiation of TCM.
This study, by referring to the related literatures, is designed to explore the influence of manual manipulations and electrical parameters on therapeutic effects of acupuncture.
The results from the present study show that different manual manipulations and electrical parameters may exert different therapeutic effects of acupuncture, which are closely related to the characteristics of diseases.
Small effect sizes were seen for manual therapy and electrical stimulation.
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