Both real and "sham" acupuncture reduces nausea in cancer patients
Posted on Saturday, 26th March 2011
Both traditional acupuncture and a sham procedure performed with blunt needles that don't penetrate the skin, are equally effective in alleviating the nausea of cancer [abnormal cells that divide without control, which can invade nearby tissues or spread through the bloodstream and lymphatic system to other parts of the body. ] patients undergoing chemotherapy, claims a new study.
This evidence suggests that it may not be the acupuncture itself, whether real or fake, but something about patients' expectations and their interactions with acupuncturists, that helps the treatment work.
Acupuncture involves stimulating specific points on the body, usually by inserting thin needles through the skin.
The procedure involves regulating the flow of qi (vital energy) along pathways known as meridians. Studies have established that acupuncture can alleviate certain ailments more effectively than standard medical care.
Lead author of the new study, Anna Enblom, a physiotherapist and researcher at the Osher Centre for Integrative Medicine at Karolinska Institutet in Sweden stated, "The beneficial effects seem not to come from the traditional acupuncture method, but probably from the patients' positive expectations and the extra care that the treatment entails."
Traditional and fake acupuncture compared
In order to compare the impact of traditional acupuncture and a sham procedure in relieving nausea in cancer [abnormal cells that divide without control, which can invade nearby tissues or spread through the bloodstream and lymphatic system to other parts of the body. ] patients, the researchers conducted a study.
They enrolled 277 patients who were undergoing radiotherapy for abdomen [between the chest and the hips that contains the stomach, small intestine, large intestine, liver, gallbladder, pancreas, and spleen.] and pelvic cancer at Linkoping and Lund university hospitals and Karolinska University Hospital in Solna.
The study subjects were split into three groups. For the purpose of the study, 109 patients received traditional acupuncture that involved insertion of needles into their skin to stimulate certain points.
The second group comprising 106 patients were assigned to blunt telescopic placebo needles that just pressed against the skin. The remaining patients were provided standard medications for an upset stomach.
Outcome of the study
The researchers found that the both the authentic acupuncture and sham procedures were equally effective in lessening nausea in patients compared to standard care.
The study found 37 percent of the patients receiving genuine or simulated acupuncture felt nausea after treatment and seven percent vomited, while 63 percent and 15 percent of those assigned to medicines experienced these conditions respectively.
Richard Deyo, a clinical physician and professor of medicine at Oregon Health and Science University stated, "I think that acupuncture and its effects may be placebo effects.
"But if this form of therapy offers patients relief--and, indeed, studies show that simulated and real acupuncture both worked better than the care patients were getting from their primary care physicians--then we shouldn't argue too much about it."