ACHE Institute of Houston
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<p><a href="https://www.ncbi.nlm.nih.gov/pubmed/22965186#">Arch Intern Med.</a> 2012 Oct 22;172(19):1444-53. doi: 10.1001/archinternmed.2012.3654.</p> <h1>Acupuncture for chronic pain: individual patient data meta-analysis.</h1> <p><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Vickers%20AJ%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Vickers AJ</a>1, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Cronin%20AM%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Cronin AM</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Maschino%20AC%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Maschino AC</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Lewith%20G%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Lewith G</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=MacPherson%20H%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">MacPherson H</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Foster%20NE%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Foster NE</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Sherman%20KJ%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Sherman KJ</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Witt%20CM%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Witt CM</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Linde%20K%5BAuthor%5D&cauthor=true&cauthor_uid=22965186">Linde K</a>; <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Acupuncture%20Trialists%27%20Collaboration%5BCorporate%20Author%5D">Acupuncture Trialists' Collaboration</a>.</p> <p>CONCLUSIONS:</p> <p>Acupuncture is effective for the treatment of chronic pain and is therefore a reasonable referral option. Significant differences between true and sham acupuncture indicate that acupuncture is more than a placebo. However, these differences are relatively modest, suggesting that factors in addition to the specific effects of needling are important contributors to the therapeutic effects of acupuncture.</p> <p> </p> <p><a href="https://www.ncbi.nlm.nih.gov/pubmed/21139128#">Nutr Clin Pract.</a> 2010 Dec;25(6):634-40. doi: 10.1177/0884533610385703.</p> <h1>Diet and inflammation.</h1> <p><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Galland%20L%5BAuthor%5D&cauthor=true&cauthor_uid=21139128">Galland L</a>1.</p> <h3><a href="https://www.ncbi.nlm.nih.gov/pubmed/21139128#">Author information</a></h3> <h3>Abstract</h3> <p>The emerging role of chronic inflammation in the major degenerative diseases of modern society has stimulated research into the influence of nutrition and dietary patterns on inflammatory indices. Most human studies have correlated analyses of habitual dietary intake as determined by a food frequency questionnaire or 24-hour recall with systemic markers of inflammation like high-sensitivity C-reactive protein (HS-CRP), interleukin-6 (IL-6), and tumor necrosis factor alpha (TNF-α). An occasional study also includes nutrition analysis of blood components. There have been several controlled interventions which evaluated the effect of a change in dietary pattern or of single foods on inflammatory markers in defined populations. Most studies reveal a modest effect of dietary composition on some inflammatory markers in free-living adults, although different markers do not vary in unison. Significant dietary influences have been established for glycemic index (GI) and load (GL), fiber, fatty acid composition, magnesium, carotenoids, and flavonoids. A traditional Mediterranean dietary pattern, which typically has a high ratio of monounsaturated (MUFA) to saturated (SFA) fats and ω-3 to ω-6 polyunsaturated fatty acid (PUFAs) and supplies an abundance of fruits, vegetables, legumes, and grains, has shown anti-inflammatory effects when compared with typical North American and Northern European dietary patterns in most observational and interventional studies and may become the diet of choice for diminishing chronic inflammation in clinical practice.</p> <p>PMID:</p> <p> </p> <p>21139128</p> <p> </p> <p>DOI:</p> <p> </p> <p><a href="https://dx.doi.org/10.1177/0884533610385703">10.1177/0884533610385703</a></p> <p>[PubMed - indexed for MEDLINE]</p> <p> </p> <h1>Effectiveness of an 8-week exercise programme on pain and specificity of neck muscle activity in patients with chronic neck pain: a randomized controlled study.</h1> <p><a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Falla%20D%5BAuthor%5D&cauthor=true&cauthor_uid=23649799">Falla D</a>1, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Lindstr%C3%B8m%20R%5BAuthor%5D&cauthor=true&cauthor_uid=23649799">Lindstrøm R</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Rechter%20L%5BAuthor%5D&cauthor=true&cauthor_uid=23649799">Rechter L</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Boudreau%20S%5BAuthor%5D&cauthor=true&cauthor_uid=23649799">Boudreau S</a>, <a href="https://www.ncbi.nlm.nih.gov/pubmed/?term=Petzke%20F%5BAuthor%5D&cauthor=true&cauthor_uid=23649799">Petzke F</a>.</p> <h3><a href="https://www.ncbi.nlm.nih.gov/pubmed/23649799#">Author information</a></h3> <h3>Abstract</h3> <p>BACKGROUND:</p> <p>Although exercise can be effective for relief of neck pain, little is known about the effect of exercise on the neural control of neck muscles.</p> <p>METHODS:</p> <p>A randomized controlled trial was conducted on 46 women with chronic neck pain to investigate the immediate effectiveness of an 8-week exercise programme on pain and directional specificity of neck muscle activity. At baseline, the patients completed questionnaires including the neck disability index (NDI) and performed a circular contraction of their head in the horizontal plane at 15 N force, with continuous change in force direction in the range 0-360°. Electromyography (EMG) was recorded from the sternocleidomastoid (SCM) and splenius capitis (SCap) muscles. Tuning curves of the EMG amplitude were computed, which depicts muscle activity over a range of force directions. The mean point of the tuning curves defined a directional vector, which determined the specificity of muscle activity. Patients were randomly assigned either to a training or control group.</p> <p>RESULTS:</p> <p>A significant between-group difference in the change in NDI was observed. A reduction in NDI was observed following training (pre: 18.2 ± 7.4; post: 14.1 ± 6.5; p < 0.01) but not for the control group (pre: 17.5 ± 6.3; post: 16.6 ± 7.4). The training group showed higher specificity of muscle activity post-intervention (pre: 18.6 ± 9.8%, post: 24.7 ± 14.3%; p < 0.05), whereas no change occurred for the control group (pre: 19.4 ± 11.9%, post: 18.2 ± 10.1%).</p> <p>CONCLUSION:</p> <p>An exercise programme that aims to enhance motor control of the cervical spine improves the specificity of neck muscle activity and reduces pain and disability in patients with neck pain.</p> <p>© 2013 European Federation of International Association for the Study of Pain Chapters.</p>
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