Quantitative Comparison of Acupuncture Needle Force Generation According to Diameter

다국어 초록 (Multilingual Abstract)

Background: Various factors can alter the efficacy of acupuncture treatment, such as the location of points, manipulations, depth of insertion, needle retention time, and needle type. In this study, the effect of needle diameter on the efficacy of acupuncture treatment was quantitatively evaluated.
Methods: Five acupuncture needles of different diameters used in clinical practice were compared. Force on the porcine tissue phantom was measured using a sensor. Lifting-thrusting and twisting-rotating movements were performed using a needle insertion-measurement system. After repeated measurements, force magnitude was calculated and compared. Following this, we correlated needle diameter and force magnitude during lifting-thrusting and twisting-rotating movements.
Results: The force magnitude was significantly altered between needle diameters during lifting-thrusting movements, as shown by a significant positive correlation between needle diameter and force magnitude. In contrast, there was no difference in force magnitude with different needle diameters during twisting-rotating movements.
Conclusion: Needle diameter can significantly affect stimuli and force magnitude dependent upon the type of manipulation. Research into the effect of other needle type characteristics and stimulation method is necessary to fully elucidate the role of acupuncture needle choice in treatment efficacy.

참고문헌 (Reference)

1 강하라, "침치료가 사용된 임상연구에서의 수기법 활용에 대한 고찰" 대한침구의학회 33 (33): 129-144, 2016

2 황요순, "침체굵기에 따른 자침의 근피로도 회복에 미치는 영향" 경락경혈학회 29 (29): 634-642, 2012

3 정병주, "침진통 효과에서 스트레스에 의한 진통 효과 개입 여부 평가 - 침굵기, 침자극 부위를 중심으로 -" 경락경혈학회 25 (25): 65-80, 2008

4 장인수, "침의 실리콘 코팅 안전성에 대한 고찰" 경락경혈학회 22 (22): 165-167, 2005

5 장인수, "유럽에서 유통되는 일회용침 끝의 미세 형태에 대한 관찰" 경락경혈학회 21 (21): 43-52, 2004

6 이유미, "수삼양경 락혈의 깊이별 침자가 백서의 nNOS, NO 및 Norepinephrine의 변화에 미치는 영향" 경락경혈학회 32 (32): 160-168, 2015

7 Veith I, "The yellow emperor’s classic of internal medicine" University of California Press 213-222, 2015

8 Tian B, "The engineering research and development of acupuncture manipulation instrument based on the motion control" IEEE 2010

9 손지형, "STRICTA 권고안에 따른 침 효과에 대한 무작위 대조군 임상 시험 논문의 개입 보고에 대한 평가" 경락경혈학회 23 (23): 59-67, 2006

10 MacPherson H, "Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): Extending the CONSORT statement" 3 : 140-155, 2010

11 한예지, "Quantification of the parameters of twisting–rotating acupuncture manipulation using a needle force measurement system" 한국한의학연구원 4 (4): 57-65, 2015

12 Zheng Z, "Preliminary exploration of research method for studying the influence of acupuncture manipulations on electrical signals of spinal dorsal root nerve in rats" IEEE 2010

13 Li J, "Perceptual motor features of expert acupuncture lifting-thrusting skills" 31 : 172-177, 2013

14 Mackereth PA, "Needling techniques for acupuncturists: basic principles and techniques" 18 : 129-, 2012

15 National Institutes of Health, "National Institutes of Health Consensus Statement on Acupuncture"

16 Reed KB, "Modeling and control of needles with torsional friction" 56 : 2905-2916, 2009

17 Wu JN, "Ling Shu: or the spiritual pivot" University of Hawaii Press 258-263, 2002

18 Chung HJ, "Insulation performance of acupuncture needle coated by ceramics" 17 : 179-183, 2008

19 손영남, "Friction Coefficient for the Quantification of Needle Grasp in the Lifting-Thrusting Method" 한국정밀공학회 15 (15): 1429-1434, 2014

20 Okamura AM, "Force modeling for needle insertion into soft tissue" 51 : 1707-1716, 2004

21 Shi GX, "Factors contributing to therapeutic effects evaluated in acupuncture clinical trials" 13 : 42-, 2012

22 Jiang S, "Experimental study of needle-tissue interaction forces: effect of needle geometries, insertion methods and tissue characteristics" 47 : 3344-3353, 2014

23 Kong Y, "Effects of the lifting manipulation of scalp acupuncture for raising myodynamia of the affected limbs in hemiplegic patients due to cerebral thrombosis" 25 : 256-259, 2005

24 Chen Q, "Effectiveness of strengthened stimulation during acupuncture for the treatment of allergic rhinitis: study protocol for a randomized controlled trial" 15 : 301-, 2014

25 Xu SB, "Effectiveness of strengthened stimulation during acupuncture for the treatment of Bell palsy: a randomized controlled trial" 185 : 473-479, 2013

26 Gang HG, "Development of practice manual for management and microbiological monitoring in Dog and Pig" Korea Food & Drug Administration 2007

27 Liu SY, "Acupuncture stimulation improves balance function in stroke patients: a single-blinded controlled, randomized study" 37 : 483-494, 2009