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  4. Auricular acupuncture for spinal cord injury related neuropathic pain: a pilot controlled clinical trial

Auricular acupuncture for spinal cord injury related neuropathic pain: a pilot controlled clinical trial

The Journal of Spinal Cord Medicine, 2017 · DOI: 10.1080/10790268.2016.1141489 · Published: July 1, 2017

Spinal Cord InjuryAlternative MedicinePain Management

Simple Explanation

This study investigated whether a specific type of ear acupuncture, called Battlefield Acupuncture (BFA), could help reduce pain in people with spinal cord injuries (SCI) who experience nerve pain. Participants were divided into two groups: one group received BFA immediately, while the other group waited eight weeks before receiving BFA. Researchers then compared the pain levels between the two groups. The study found that the group receiving BFA immediately reported more pain reduction than the group that had to wait, suggesting that BFA may be a helpful treatment for SCI-related nerve pain.

Study Duration
8 weeks
Participants
24 subjects with chronic SCI and neuropathic pain
Evidence Level
Level 2: Pilot randomized delayed entry single center crossover clinical trial

Key Findings

  • 1
    The BFA group reported significantly more pain reduction than the delayed entry group (average change in NRS at eight weeks –2.92 ± 2.11 vs. −1.13 ± 2.14, P = 0.065).
  • 2
    There was a significant difference in groups when a group-by-time interaction in a mixed-effect repeated measures model (P = 0.014).
  • 3
    Patient global impression of change measures at eight weeks demonstrated a significant difference between the immediate and the delayed treatment groups.

Research Summary

This pilot study investigated the effects of Battlefield Acupuncture (BFA) on neuropathic pain in individuals with spinal cord injury (SCI). The study found that participants who received BFA reported a greater reduction in pain compared to those in the delayed entry control group. The findings suggest that BFA may be a clinically meaningful intervention for managing SCI-related neuropathic pain and warrants further investigation in larger clinical trials.

Practical Implications

Pain Management

BFA may offer a non-pharmacological option for managing neuropathic pain in SCI patients.

Clinical Practice

The BFA protocol is simple and easy to administer, making it potentially accessible for clinicians treating SCI patients.

Future Research

The positive results of this pilot study support the need for larger, blinded clinical trials to further evaluate the efficacy of BFA.

Study Limitations

  • 1
    Small sample size
  • 2
    Lack of blinding
  • 3
    Lost data points, especially in the control group

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