• Mette Møller Holt
Background: One of five adults worldwide is estimated to suffer from chronic pain. This is often complicated by co-morbidities including depression, anxiety, sleeping problems, stress etc., which makes it a great challenge to overcome and remain a life with high quality. Moreover, does treatment often include medication, which has shown poor effects and a lot of side effects, thus, there is a need for new treatment options. One suggested method is the National acupuncture detoxification association (NADA), a standardized five-point needles acupuncture method which has been widely used to ease several symptoms including anxiety, sleep, chronic pain, drug addiction, and depression. However, there is a great lack of evidence about the benefits of the NADA method and the mechanisms of action behind.
Method: Two studies are included in this thesis. The first study explored the acute and initiate effect in response to two consecutive 45 minutes sessions divided by 24 hours, of NADA acupuncture in comparison to Rest in healthy young participant. The mechanisms of action was explored by measuring heart rate, blood pressure and Pressure pain threshold (PPT) on three different locations including Tibia Bone, Musculus Deltoid and Musculus Vastus Lateralis (MVL). The benefits of NADA acupuncture was explored by self-reporting of quality of life and subjective experiences of NADA acupuncture. The second study explored the effect of NADA acupuncture as an adjuvant to existing treatment in an 8-week treatment program in patients at the Center for Complex Chronic Pain. The benefits of NADA acupuncture were explored by self-reporting of pain perception, Medication use, quality of life and personality, assessed at both baseline and following the 8-week treatment program.
Results: The first study showed an increase in PPT for MVL in session 2 for the NADA group and a decrease in PPT for the deltoid muscle in session 1, for both NADA and Rest group. Heart rate showed a rapid decrease within the first minute for both groups, from where it stayed decreased. The second study revealed a correlation between sleep quality and the personality trait organized, and a decrease in the personality trait spontaneous. No further differences or changes were shown in neither study one nor two.
Conclusion: This thesis found alterations in both healthy participant and complex chronic pain patients after NADA acupuncture, however, these two studies has faced some challenges. The second study was a one-sided study which only highlighted the effect of NADA acupuncture, due to the fact that there was no control group. The first study may show a gender effect, rather than a NADA effect, due to randomization of the NADA and Rest group led to only women in the NADA group. Finally, an analysis showed that both studies was underpowered. Combined, it is not possible to reveal whether these changes truly relied on the NADA acupuncture or underlying mechanisms.
Publication date29 May 2020
Number of pages70
External collaboratorTværfagligt Smertecenter
Ulla Sloth ulsl@rn.dk
ID: 333209386