Seeing the body: a new mechanism for acupuncture analgesia?

被引:5
作者
Campbell, Anthony
机构
[1] not available, London N14 5NN
关键词
Acupuncture; PAIN; SENSATION; EXPERIENCE; FMRI;
D O I
10.1136/acupmed-2013-010357
中图分类号
R [医药、卫生];
学科分类号
100218 [急诊医学];
摘要
The use of visual illusions to study how the brain gives rise to a representation of the body has produced surprising results, particularly in relation to modulation of pain. It seems likely that this research has relevance to how we understand acupuncture analgesia. Acupuncture supplies several different kinds of signal to the brain: touch in the preliminary examination for tender areas; needle stimulation, mainly of A fibres; and sometimes visual input from the patient's sight of the needle insertion. In the light of recent research, all these are likely to modulate pain. There are implications here for clinical practice and for research. Acupuncture may be more effective if patients can see the needles being inserted. The use of non-penetrating stimuli to the skin or minimal needle insertion at non-acupuncture points as control procedures becomes more than ever open to question and this, in turn, has relevance for claims that acupuncture is indistinguishable from placebo.
引用
收藏
页码:315 / 318
页数:4
相关论文
共 32 条
[1]
Benedetti F, 1999, J NEUROSCI, V19, P3639
[2]
Neuropsychology: Stimulating illusory own-body perceptions - The part of the brain that can induce out-of-body experiences has been located. [J].
Blanke, O ;
Ortigue, S ;
Landis, T ;
Seeck, M .
NATURE, 2002, 419 (6904) :269-270
[3]
Linking out-of-body experience and self processing to mental own-body imagery at the temporoparietal junction [J].
Blanke, O ;
Mohr, C ;
Michel, CM ;
Pascual-Leone, A ;
Brugger, P ;
Seeck, M ;
Landis, T ;
Thut, G .
JOURNAL OF NEUROSCIENCE, 2005, 25 (03) :550-557
[4]
Rubber hands 'feel' touch that eyes see [J].
Botvinick, M ;
Cohen, J .
NATURE, 1998, 391 (6669) :756-756
[5]
Bradbrook David, 2004, Acupunct Med, V22, P93
[6]
Campbell A., 1999, Acupunct Med, V17, P124, DOI [10.1136/aim.17.2.124, DOI 10.1136/AIM.17.2.124]
[7]
Campbell A, 2006, ACUPUNCT MED, V24, P159
[8]
Hidden assumptions and the placebo effect [J].
Campbell, Anthony .
ACUPUNCTURE IN MEDICINE, 2009, 27 (02) :68-69
[9]
Modifying Bodily Self-Awareness during Acupuncture Needle Stimulation Using the Rubber Hand Illusion [J].
Chang, Dong-Seon ;
Kim, Yun-Ji ;
Lee, Soon-Ho ;
Lee, Hyejung ;
Lee, In-Seon ;
Park, Hi-Joon ;
Wallraven, Christian ;
Chae, Younbyoung .
EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE, 2013, 2013
[10]
Acupuncture treatment of phantom limb pain and phantom limb sensation in a primary care setting [J].
Davies, Arwel .
ACUPUNCTURE IN MEDICINE, 2013, 31 (01) :101-104