Central and Peripheral Mechanism of Acupuncture Analgesia on Visceral Pain: A Systematic Review.


Journal

Evidence-based complementary and alternative medicine : eCAM
ISSN: 1741-427X
Titre abrégé: Evid Based Complement Alternat Med
Pays: United States
ID NLM: 101215021

Informations de publication

Date de publication:
2019
Historique:
received: 13 11 2018
revised: 12 03 2019
accepted: 26 03 2019
entrez: 13 6 2019
pubmed: 13 6 2019
medline: 13 6 2019
Statut: epublish

Résumé

Despite the wide use of acupuncture for the management of visceral pain and the growing interest in the pathophysiology of visceral pain, there is no conclusive elucidation of the mechanisms behind the effects of acupuncture on visceral pain. This systematic review aims to provide an integrative understanding of the treatment mechanism of acupuncture for visceral pain. Electronic and hand searches were conducted to identify studies that involved visceral pain and acupuncture. We retrieved 192 articles, out of which 46 studies were included in our review. The results of our review demonstrated that visceral pain behaviors were significantly alleviated in response to acupuncture treatment in groups treated with this intervention compared to in sham acupuncture or no-treatment groups. Changes in the concentrations of Acupuncture reduced visceral pain behavior and induced significant changes in neuronal activity as well as in the levels of pain/inflammation-related cytokines and neurotransmitters in the brain-gut axis. Further researches on the thalamus and on a standard animal model are warranted to improve our knowledge on the mechanism of acupuncture that facilitates visceral pain modulation.

Sections du résumé

BACKGROUND/AIMS OBJECTIVE
Despite the wide use of acupuncture for the management of visceral pain and the growing interest in the pathophysiology of visceral pain, there is no conclusive elucidation of the mechanisms behind the effects of acupuncture on visceral pain. This systematic review aims to provide an integrative understanding of the treatment mechanism of acupuncture for visceral pain.
METHODS METHODS
Electronic and hand searches were conducted to identify studies that involved visceral pain and acupuncture.
RESULTS RESULTS
We retrieved 192 articles, out of which 46 studies were included in our review. The results of our review demonstrated that visceral pain behaviors were significantly alleviated in response to acupuncture treatment in groups treated with this intervention compared to in sham acupuncture or no-treatment groups. Changes in the concentrations of
CONCLUSIONS CONCLUSIONS
Acupuncture reduced visceral pain behavior and induced significant changes in neuronal activity as well as in the levels of pain/inflammation-related cytokines and neurotransmitters in the brain-gut axis. Further researches on the thalamus and on a standard animal model are warranted to improve our knowledge on the mechanism of acupuncture that facilitates visceral pain modulation.

Identifiants

pubmed: 31186654
doi: 10.1155/2019/1304152
pmc: PMC6521529
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1304152

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Auteurs

In-Seon Lee (IS)

National Center for Complementary and Integrative Health, National Institutes of Health, Bethesda 20892, USA.

Soyeon Cheon (S)

Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan.

Ji-Yeun Park (JY)

College of Korean Medicine, Daejeon University, Daejeon 34520, Republic of Korea.

Classifications MeSH