Acupuncture and Low Back Pain during Pregnancy

针灸和怀孕期间的腰痛

• 批准号: 6867182
• 负责人: SHU-MING WANG
• 金额: $ 24.53万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-02-01 至 2008-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6867182
• 关键词: acupuncture /acupressure; alternative medicine; analgesia; backache; clinical research; female; human pregnant subject; human therapy evaluation; patient oriented research; pregnancy; women' s health

DESCRIPTION (provided by applicant): Low back pain (LBP) is a significant clinical problem that is reported to occur in 60% to 90% of individuals. Interestingly, most women experience their first episode of low back pain during pregnancy. Existing literature indicates that the prevalence of gestational low back pain (GLBP) can be as high as 50- 90%. The physical limitation and pain caused by GLBP has a significant negative impact on the quality of life and poses a burden on our society. GLBP is caused by enlargement of uterus, loosening of tendons and ligaments, and additional stress to the low back in pregnant women. Both pharmacological and non-pharmacological modalities are currently used to treat women with GLBP. Because of concerns related to maternal-fetal circulation, the use of pharmacological interventions is significantly limited in pregnant women. Currently, several CAM therapies such as physical exercise-yoga, acupuncture, massage therapy, and chiropractic interventions are proposed as treatments for GLBP. There is a paucity of data, however, with regard to the frequency at which these interventions are actually used and the efficacy of these interventions. Large-scale survey data obtained by our study group indicates that pregnant women and prenatal care providers are very much interested in CAM therapies. As a next step, we purpose a randomized-controlled-trial to determine the therapeutic effect of auricular acupuncture for 1-week as a treatment for low back pain during pregnancy. Previous studies support the use of auricular acupuncture as a treatment for musculoskeletal pain. Data obtained in this application will form the basis of a future, larger-scale, randomized controlled trial investigating the use of auricular acupuncture intervention for GLBP throughout the pregnancy period. These projects fit into the long-term goals of our research program which are to develop various acupuncture-based interventions for a wide variety of clinical problems, and then demonstrate the efficacy of these interventions based on carefully conducted scientific experiments.

描述（由申请人提供）：腰痛 (LBP) 是一个重要的临床问题，据报道 60% 至 90% 的人会出现这种情况。 有趣的是，大多数女性在怀孕期间都会经历第一次腰痛。现有文献表明，妊娠期腰痛（GLBP）的患病率可高达 50-90%。 GLBP 造成的身体限制和疼痛对生活质量产生显着的负面影响，并给我们的社会带来负担。 GLBP 是由子宫增大、肌腱和韧带松弛以及孕妇腰部承受额外压力引起的。目前药物和非药物方法均用于治疗患有 GLBP 的女性。由于与母胎循环相关的问题，药物干预措施在孕妇中的使用受到极大限制。目前，多种 CAM 疗法，如体育锻炼瑜伽、针灸、按摩疗法和脊椎按摩疗法被提议作为 GLBP 的治疗方法。然而，关于这些干预措施实际使用的频率以及这些干预措施的功效的数据很少。我们研究组获得的大规模调查数据表明，孕妇和产前护理人员对 CAM 疗法非常感兴趣。下一步，我们的目的是进行一项随机对照试验，以确定耳针治疗 1 周治疗妊娠期腰痛的疗效。先前的研究支持使用耳针治疗肌肉骨骼疼痛。本申请中获得的数据将构成未来更大规模的随机对照试验的基础，该试验研究耳穴针灸干预在整个怀孕期间治疗 GLBP 的效果。这些项目符合我们研究计划的长期目标，即针对各种临床问题开发各种基于针灸的干预措施，然后根据仔细进行的科学实验证明这些干预措施的功效。