Evidence map›Paper›PMID 25530786›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2014

Comparison of electroacupuncture and morphine-mediated analgesic patterns in a plantar incision-induced pain model.

Yen-Jing Zeng, Shih-Ying Tsai, Kuen-Bao Chen, Sheng-Feng Hsu, Julia Yi-Ru Chen, Yeong-Ray Wen

Open access · hybridAbstract read
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
7.9field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Analgesic Neural Circuits Are Activated by Electroacupuncture at Two Sets of Acupoints.Evidence-based complementary and alternative medicine : eCAM · 2016
    Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 3 countries.

Yen-Jing ZengGraduate Institute of Clinical Medicine, College of Medicine, China Medical University, Taichung, Taiwan.ORCID 0000-0002-6164-5502
Shih-Ying TsaiDepartment of Anesthesiology, School of Medicine, China Medical University, Taichung, Taiwan.
Kuen-Bao ChenDepartment of Anesthesiology, School of Medicine, China Medical University, Taichung, Taiwan ; Department of Anesthesiology, China Medical University Hospital, No. 2, Yuh-Der Road, North District, Taichung 40447, Taiwan.
Sheng-Feng HsuGraduate Institute of Acupuncture Science, College of Chinese Medicine, China Medical University, Taichung, Taiwan ; Department of Acupuncture, China Medical University Hospital, Taipei Branch, Taipei, Taiwan ; Acupuncture Research Center, China Medical University, Taichung 40447, Taiwan.
Julia Yi-Ru ChenDepartment of Pediatrics, School of Medicine, Taipei Medical University, Taipei, Taiwan ; Guang Li Biomedicine, Inc., Xizhi, New Taipei City, Taiwan.
Yeong-Ray WenDepartment of Anesthesiology, School of Medicine, China Medical University, Taichung, Taiwan ; Department of Anesthesiology, China Medical University Hospital, No. 2, Yuh-Der Road, North District, Taichung 40447, Taiwan ; Graduate Institute of Acupuncture Science, College of Chinese Medicine, China Medical University, Taichung, Taiwan ; Pain Management and Research Center, China Medical University Hospital, Taichung 40447, Taiwan ; Department of Anesthesiology, Shin-Kong Memorial Hospital, Taipei, Taiwan ; Research Center for Chinese Medicine and Acupuncture, China Medical University, Taichung 40447, Taiwan.ORCID 0000-0003-2023-6523
China Medical University · TWInstitute for Biomedicine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Electroacupuncture (EA) is a complementary therapy to improve morphine analgesia for postoperative pain, but underlying mechanism is not well-known. Herein, we investigated EA-induced analgesic effect in a plantar incision (PI) model in male Sprague-Dawley rats. PI was performed at the left hind paw. EA of 4 Hz and high intensity or sham needling was conducted at right ST36 prior to PI and repeated for another 2 days. Behavioral responses to mechanical and thermal stimuli, spinal phospho-ERK, and Fos expression were all analyzed. In additional groups, naloxone and morphine were administered to elucidate involvement of opioid receptors and for comparison with EA. EA pretreatment significantly reduced post-PI tactile allodynia for over 1 day; repeated treatments maintained analgesic effect. Intraperitoneal naloxone could reverse EA analgesia. Low-dose subcutaneous morphine (1 mg/kg) had stronger inhibitory effect on PI-induced allodynia than EA for 1 h. However, analgesic tolerance appeared after repeated morphine injections. Both EA and morphine could equally inhibit PI-induced p-ERK and Fos inductions. We conclude that though EA and morphine attenuate postincision pain through opioid receptor activations, daily EA treatments result in analgesic accumulation whereas daily morphine injections develop analgesic tolerance. Discrepant pathways and mechanisms underlying two analgesic means may account for the results.

Identifiers

PMID25530786
PMCPMC4233674
OpenAlexW2163575258

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.