Acupuncture and Low Back Pain during Pregnancy

针灸和怀孕期间的腰痛

• 批准号: 7012732
• 负责人: SHU-MING WANG
• 金额: $ 19.96万
• 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/7012732
• 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）是一个重大的临床问题，据报道在60％至90％的个体中发生。 有趣的是，大多数女性在怀孕期间经历了第一集的腰痛。现有文献表明，妊娠腰痛（GLBP）的患病率高达50-90％。 GLBP引起的身体局限性和痛苦对生活质量产生了重大负面影响，并给我们的社会带来了负担。 GLBP是由子宫扩大，肌腱和韧带松动以及孕妇腰部的额外压力引起的。目前，药理学和非药理学方式都用于治疗GLBP的女性。由于与母亲循环有关的担忧，孕妇的药理干预措施的使用显着限制。目前，提出了几种CAM疗法，例如体育锻炼，针灸，按摩疗法和脊骨疗法干预措施作为GLBP的治疗方法。但是，关于实际使用这些干预措施的频率以及这些干预措施的功效的频率很少。我们的研究小组获得的大规模调查数据表明，孕妇和产前护理提供者对CAM疗法非常感兴趣。在下一步中，我们目的是进行随机控制的审判，以确定月球针灸对1周的治疗作用，作为怀孕期间腰痛的治疗。先前的研究支持使用耳针作为肌肉骨骼疼痛的治疗方法。在本申请中获得的数据将构成一项未来大规模，随机对照试验的基础，该试验调查了整个怀孕期间使用耳枢针干预GLBP的使用。这些项目符合我们的研究计划的长期目标，这些目标是针对各种临床问题开发各种基于针灸的干预措施，然后根据精心进行的科学实验来证明这些干预措施的功效。