Evidence-Based Complementary and Alternative Medicine / 2019 / Article / Tab 6

Research Article

Survey of Integrative Treatment Practices of Korean Medicine Doctors for Cervical Disc Herniation: Preliminary Data for Clinical Practice Guidelines

Table 6

Acupuncture and pharmacopuncture treatment frequently used for cervical disc displacement: data collected and reported according to STRICTA standards.

STRICTA checklist itemsAcupuncturePharmacopuncture

Acupuncture rationale(1a) Style of acupunctureRefer to Table 4.(1a) Type of pharmacopunctureRefer to Table 4.

(1b) Reasoning for treatment providedAnatomical structure likely to cause symptoms (e.g., shortened scalenes and shortened suboccipital muscles)140 (71.1)

Spinal levels of pathology as confirmed through imaging (e.g., site of disc herniation118 (59.9)

Tender points, trigger points, and other points that elicit a painful response upon palpation105 (53.3)

Ashi points (site of pain)86 (43.7)

Effective acupoints as observed through clinical experience66 (33.5)

Academic knowledge acquired from research articles and clinical practice guidelines28 (14.2)

Acupoints based on Korean Medicine principles (e.g., GB20, GB21, LI11, LI04, and SI03)28 (14.2)

Knowledge acquired through formal education17 (8.6)

Details of needling(2a) Number of needle insertions per subject per session10.0±3.5(2a) Number of acupoint injections per subject per session (range)Anterior3.6±2.3
Posterior6.1±3.6

(2a) Amount of pharmacopuncture solution injected per session (range, cc)Anterior1.1±0.7
Posterior2.6±1.9

(2b) Names of points usedRefer to Table 5.(2b) Names of points usedRefer to Table 5.

(2c) Depth of insertion (cm)2.1±0.9(2c) Depth of insertion (range, cm)Anterior1.3±0.8
Posterior2.7±1.3

(2d) Responses soughtDe qi sensation5.2±1.4

Muscle twitch response5.1±1.2

(2e) Needle stimulationMotion Style Acupuncture Treatment (MSAT)111 (56.3)

Lifting and thrusting ()75 (38.1)

Holding and twisting ()74 (37.6)

Percentage of patients treated with electroacupuncture (%)93.5±15.8

(2f) Needle retention time (minutes)13.3±2.5

(2g) Needle typeDiameter of needle (mm)16.1±11.7

Treatment regimen(3a) Number of treatment sessionsRefer to Table 2.(3a) Number of treatment sessionsRefer to Table 2.

(3b) Frequency of treatment sessions (sessions/week)2.1±1.1(3b) Frequency of treatment sessions (sessions/week)3.2±7.1

(3b) Duration of treatment sessions (minutes)13.3±2.5(3b) Duration of treatment sessions (range, minutes)Anterior2.6±2.9
Posterior4.3±4.0

Other components of treatment(4a) Other interventions administeredRefer to Table 2.(4a) Other interventions administeredRefer to Table 2.

Practitioner background(5) Description of participating acupuncturistsRefer to Table 1.(5) Description of participating acupuncturistsRefer to Table 1.

Factor most frequently ranked
STRICTA, standards for reporting interventions in clinical trials of acupuncture.

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