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Analgesic Effects of Electroacupuncture, Warm Needling and Radio Frequency Warm Needling on Surgical Ankle Sprain Model in Rats

흰쥐의 발목염좌에 대한 전침, 온침 및 고주파온침 자극별 진통 효과의 비교

  • Yang, Seung-Bum (Department of Medical Non-commissioned Officer, Wonkwang Health Science University) ;
  • Kim, Min-Su (Department of Meridian and Acupoint, College of Korean Medicine, Wonkwang University) ;
  • Choi, Suck-Jun (Department of Medical Non-commissioned Officer, Wonkwang Health Science University) ;
  • Kim, Jae-Hyo (Department of Meridian and Acupoint, College of Korean Medicine, Wonkwang University)
  • 양승범 (원광보건대학교 의무부사관과) ;
  • 김민수 (원광대학교 한의과대학 경혈학교실) ;
  • 최석준 (원광보건대학교 의무부사관과) ;
  • 김재효 (원광대학교 한의과대학 경혈학교실)
  • Received : 2015.02.25
  • Accepted : 2015.03.17
  • Published : 2015.03.27

Abstract

Objectives : The objectives of this study is to compare the effects of electroacupuncture(EA), warm needling(WN) and Radio Frequency warm needling(RFWN) stimulations on the acupoints at the artificially damaged ankles of Sprague-Dawley rats, which could be classified as the Grade 3. Methods : The foot weight bearing force ratio(FWBFR) of ankle sprain was measured first at 24 hours after without any other stimulations. Pain Recovery Index(PRI) represents the analgesic level, and modified Pain Recovery Index(mPRI) shows the accumulated recovery level. PRI was measured at 2 hours after each stimulus on GB34, GB39 and GB42, and mPRI was during 7 days. Results : EA stimulation of GB34 and GB39 acupoint in grade 3 ankle sprain showed a marked analgesic and recovery effect. RFWN of GB42 exhibited significant analgesic and pain recovery effect. RFWN of GB34 resulted in pain recovery effect but not analgesic effects, and RFWN of GB39 resulted in analgesic effect 2 hours after but not pain recovery. However, WN did not affect the pain recovery among three acupoints at all. Conclusions : In the Grade 3 ankle sprain model, the difference of analgesic effects were explained by the acupoints and the stimulation methods according to the accumulated recovery effects during 7 days. It is insufficient to determine that a certain acupoint has a specific analgesic effect depending on the stimulation method by the results of this study. Therefore, the effects of each stimulation on the acupoints in any other meridians at the sprained ankle should be compared and analyzed.

Keywords

References

  1. Heo Jun. DongUiBoGam. Seoul : Bubin publishing Co. 2011 : 632.
  2. Czajka CM, Tran E, Cai AN, DiPreta JA. Ankle sprains and instability. Med Clin North Am. 2014 ; 98(2) : 313-29. https://doi.org/10.1016/j.mcna.2013.11.003
  3. Dubin JC, Comeau D, McClelland RI, Dubin RA, Ferrel E. Lateral and syndesmotic ankle sprain injuries: a narrative literature review. J Chiropr Med. 2011 ; 10(3) : 204-19. https://doi.org/10.1016/j.jcm.2011.02.001
  4. Han KJ, Oh MS, Choi SH. Clinical Research on Effect Technique of Auricular Acupuncture Therapy on Ankle sprain. Daejeon University Institute of Oriental Medicine's Collection of Dissertations. 2004 ; 13(1) : 287-93.
  5. You TS, Park DS, Kang SK. Clinical observations on treatment of ankle-sprain. Journal of Korean Acupuncture and Moxibustion Medicine. 2004 ; 21(1) : 168-75.
  6. Kim KY, Woo KH. The Effects of Alphabet Exercise with SSP Electrotherapy on Lateral Ankle Sprain. The Journal of Korean Society of Physical Therapy. 2004 ; 16(2) : 323-31.
  7. Hwang JS, Lim DJ, Hwang JH, Cho HS, Kim KH. Study of the Effect of Blood-Letting Cupping Treatment for Acute Ankle Sprain: A Randomize Controlled Trial. Journal of Korean Acupuncture and Moxibustion Medicine. 2005 ; 22(3) : 243-52.
  8. Lin CY, Kang JH, Wang CL, Shau YW. Relationship between viscosity of the ankle joint complex and functional ankle instability for inversion ankle sprain patients. J Sci Med Sport. 2014 ; S1440-2440(14) : 40-1.
  9. Van den Bekerom MP, Struijs PA, Blankevoort L, Welling L, van Dijk CN, Kerkhoffs GM. What is the evidence for rest, ice, compression, and elevation therapy in the treatment of ankle sprains in adults. J Athl Train. 2012 ; 47(4) : 435-43.
  10. Lee JH Beitz AJ. The distribution of brain-stem and spinal cord nuclei associated with different frequencies of electroacupuncture analgesia. Pain. 1993 ; 52(1) : 11-28. https://doi.org/10.1016/0304-3959(93)90109-3
  11. Hsieh CL, Kuo CC, Chen YS, Li TC, Hsieh CT, Lao CJ et al. Analgesic effect of electric stimulation of peripheral nerves with different electric frequencies using the formalin test. Am J Chin Med. 2000 ; 28(2) : 291-9. https://doi.org/10.1142/S0192415X00000349
  12. Chung JY, Choi DY, Woo HS, Kang SK. Review of Clinical Trials on Warming Acupuncture for Musculoskeletal Pain Diseases. Journal of Korean Acupuncture and Moxibustion Medicine. 2009 ; 26(4) : 11-8.
  13. Min WK. A Comparative study of Warm needling and Acupuncture on Osteoarthritis of the Knee : a Randomized Controlled Trial. Department of Applied Korean Medicine Graduate School Thesis(doctoral). 2008.
  14. Jeon IS. Effects of High Frequency Warming Needling Device when Stimulating Acupoint at BL_(62) in the Carrageenan-Induced Arthritic Rats. College of Oriental Medicine, Graduate School of Wonkgang University, Thesis(doctoral). 2009.
  15. Kim HY, Wang JG, Chung KS, Chung JM. A surgical ankle sprain pain model in the rat: Effect of morphine and indomethacin. Neuroscience Letters. 2008 ; 442(2) : 161-4. https://doi.org/10.1016/j.neulet.2008.06.074
  16. Merdians and Acupoints Compilation Committee of Korean Medical Colleges. Details of Meridians and Acupoints. A Guidebook for College Students. Daejeon : Jongryenamu Publishing Co. 2010 : 268, 318, 506, 512-5.
  17. Koo ST, Kim SK, Kim EH, Kim JH, Youn DH, Lee BH et al. Acupuncture point locations for experimental animal studies in rats and mice. Korean Journal of Acupuncture. 2010 ; 27(3) : 67-78.
  18. Baumhauer JF, Alosa DM, Renstrom AF, Trevino S, Beynnon B. A prospective study of ankle injury risk factors. Am J Sports Med. 1995 ; 23(5) : 564-70. https://doi.org/10.1177/036354659502300508
  19. Kern-Steiner R, Washecheck HS, Kelsey DD. Strategy of exercise prescription using an unloading technique for functional rehabilitation of an athlete with an inversion ankle sprain. J Orthop Sports Phys Ther. 1999 ; 29(5) : 282-7. https://doi.org/10.2519/jospt.1999.29.5.282
  20. Yang SB, Choi SJ, Lee SH, Kim MS, Sohn IC, Kim JH. The Mechanism for Analgesic Effects of Electroacupuncture on Surgical Ankle Sprain Model Classified as Grade 3 in Rats. Korean Journal of Acupuncture. 2013 ; 30(4) : 220-9. https://doi.org/10.14406/acu.2013.035
  21. Kerkhoffs GM, Rowe BH, Assendelft WJ, Kelly KD, Struijs PA, van Dijk CN. Immobilisation for acute ankle sprain. A systematic review. Arch Orthop Trauma Surg. 2001 ; 121(8) : 462-71. https://doi.org/10.1007/s004020100283
  22. Wolfe MW, Uhl TL, Mattacola CG, McCluskey LC. Management of ankle sprains. Am Fam Physician. 2001 ; 63(1) : 93-104.
  23. Hanuri Editorial Department. The Merck Manual. Hanuri publishing. 2002 : 526-7.
  24. Anandacoomarasamy A, Barnsley L. Long term outcomes of inversion ankle injuries. Br J Sports Med. 2005 ; 39 : e14. https://doi.org/10.1136/bjsm.2004.011676
  25. Silvert M. Acupuncture wins BMA approval. BMJ. 2000 ; 321(7252) : 11.
  26. Koo ST, Park YI, Lim KS, Chung K, Chung JM. Acupuncture analgesia in a new rat model of ankle sprain pain. Pain. 2002 ; 99 : 423-31. https://doi.org/10.1016/S0304-3959(02)00164-1
  27. Park SY, Choi YY, Jeon IS, Koo ST, Kim KS, Sohn IC, Kim JH. Capsaicin pharmacopuncture modulates ankle sprain induced pain in rats. The Korean Journal of Meridian and Acupoint. 2006 ; 23(2) : 113-23.
  28. Koo ST, Cho MS, Park SS, Kim YT, Park KJ, Sohn IC et al. Effect of Frutus gardeniae herbal acupuncture on the rat model of ankle sprain pain. Korean Journal of Acupuncture. 2005 ; 22(2) : 57-88.
  29. Kim Il, An SH, Koo ST, Kim SY, Kim KS, Sohn IC. Effect of Acupuncture applied to Hand Yang Meridian on the Rat Model of Ankle Sprain Pain. The Korean Journal of Meridian and Acupoint. 2004 ; 21(4) : 69-82.
  30. Hao S, Takahata O, Iwasaki H. Electroacupuncture potentiates the antinociceptive effect of intrathecal endomorphin-1 in the rat formalin test. Neurosci Lett. 2000 ; 287(1) : 9-12. https://doi.org/10.1016/S0304-3940(00)01155-1
  31. Li YJ, Zhang YX. Warm acupuncture treatment of 40 cases of wind cold dampness arthralgia. Shandong Journal of Traditional Chinese Medicine. 1995 ; 14(6) : 264.
  32. Yang YL. To observe the clinical curative effect of Warm acupuncture and moxibustion in the treatment of chronic pelvic inflammation. Guangzhou University of Chinese Medicine, Thesis(doctoral). 2011.
  33. Li YY. 50 Cases of Warm acupuncture therapy was the treatment of cervical disease caused by dizzy. JiLin Journal of Traditional Chinese Medicine. 2004 ; 25(1) : 42.
  34. Chen ZX. Comparative observation of infrapatellar fat pad injury effect of warming needle moxibustion and acupuncture for treatment of patellar. Shanghai Journal of Acupuncture and Moxibustion. 2004 ; 16(3) : 20-21.
  35. Lee JH, Jeon HJ, Lee KM, Lee BH, Jung TY, Kim JS, Lim SC. The Case Report of Warming Acupuncture Effect on Lumbago. The Journal of East-West Medicines. 2009 ; 34(2) : 45-58
  36. Lee JH. Electrical Therapy. Seoul : Daihak-Seorim. 1995 : 437-89.
  37. Hong JA. A Comparative Study of Temperature Changes on Acupuncture Apex Region between High-Frequency and Moxa-Corn Warming Needling Stimulus. College of Oriental Medicine, Graduate School of Wonkgang University, Thesis (doctoral). 2009.
  38. Park SY, Kwon OS, Choi WJ, Kim JH, Kim KS, Sohn IC et al. Effects of Radio Frequency Warm Needling of LI4 Acupoint on the Carrageenan-induced Arthritis in Rats. Korean Journal of Acupuncture. 2009 ; 26(2) : 61-74
  39. Heo DS. Effects of Warming Acupuncture on Ligament Recovery Following Injury. Deparment of Oriental Medicine, Graduate School of Dongguk University, Thesis(doctoral). 2006.

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