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Acupuncture Research
AIDS
Effect of Acupuncture on Pain and Subjective
Peripheral Neuropathy in Persons with HIV
Phillips KD, et al. Department of Family and Community Medicine,
University of Texas Health Science Center at San Antonio,
San Antonio, TX.
Researchers tested 21 subjects to determine the effect of
5 weeks of acupuncture treatment in a group setting on pain
and symptoms of peripheral neuropathy in patients with human
immunodeficiency virus (HIV). The subjects completed the Pain
Rating Scale and the Subjective Peripheral Neuropathy Screen
(SPNS) before and after 5 weeks of acupuncture. The acupuncture
treatments occurred two evenings per week. Each of the 10
sessions consisted of participants receiving 10-15 needle
insertions in acupoints that addressed the individual's changing
pattern of pain, sleep problems, or other health issues. The
treatment utilized only main or common points located below
the elbows and knees, and on the head, neck, and ears. Only
reactive points were used in the acupuncture treatments. Needles
were left in situ for 30-45 minutes.
A comparison of the pretreatment and post-treatment Pain
Rating Scale results indicated a significant reduction in
present pain (p = 0.0002), least and most pain in the last
24 hours (p < 0.0001 and p = 0.0004, respectively) and
the total pain summary score (p < 0.0001).
Symptoms reported in the SPNS were reduced during the 5 weeks
of acupuncture. Scores for pain/ aching/ burning, pins and
needles, and numbness in the hands and feet were reduced (all
significant at less than p 0.0065), as well as the total summary
score (p = 0.0001).
Researchers concluded the results of this study indicate
that subjective pain and symptoms of peripheral neuropathy
were reduced during the period of individual acupuncture therapy
delivered in a group setting. While the study design did not
allow for control of nonspecific placebo factors, the data
support the hypothesis that acupuncture in a group setting
can reduce pain and neuropathic symptoms in HIV-infected individuals.
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