Integration of Acupuncture into Mainstream Medicine

Integration of Acupuncture into Mainstream Medicine

اسلاید 1: www.tabaye.ir

اسلاید 2: Integration of Acupuncture into Mainstream MedicineNew Zealand School of Acupuncture & Traditional Chinese MedicineJo Graham & Kate Duke

اسلاید 3: What is acupuncture and how does it work?EASTERN“Qi”WESTERNRelease of opioid & other peptidesActivates hypothalamus & pituitary glandAlters immune functionsNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 4: Why Integration?Increase in popularityAccessibilitySafe and fewer side effects or other negative effectsProven effective modalityInternational acceptanceCost effectiveness & affordability??New Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 5: World Health Organisation (WHO) RecognitionWHO publications surrounding Traditional MedicineWHO guidelines and strategies on Traditional MedicineIntegration UtilizationEvaluation CooperationNew Zealand participation in WHO?New Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 6: Cost Effectiveness “Is Acupuncture for Pain Relief in General Practice Cost Effective?”Lindall S: Acupuncture in Medicine Dec1999 Vol17(2)YES. Acupuncture is cost effective in certain pain conditionsNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 7: “Cost Effectiveness analysis of a randomised trial of acupuncture for chronic headache in primary care” Wonderling D, Vickers A et al BMJ 15/03/04 Findings:Improved Quality of LifeDecreased time off workDecreased medicationDecreased visits to GPNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 8: Evidence of Effectiveness National Institutes of Health (NIH) Consensus Conference 1997Post operative nausea and vomitingChemotherapy nausea and vomitingPost operative dental painNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 9: Reasonable Studies for Relief of PainLateral epicondylitisDysmenorrhoeaFibromyalgiaLower back painPost operative painNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 10: Positive Clinical TrialsAddictionCarpal tunnel syndromeOsteoarthritisHeadacheStroke rehabilitationNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 11: Data in support of acupuncture is as strong as for many Western medical therapiesAdvantage is less adverse side effectsNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 12: International Examples of IntegrationAustraliaUSAUKNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 13: Addiction ServicesReduction in withdrawal symptoms, relapse rates & an increase in retention ratesNADA protocol is the cornerstone of over 800 detox centres worldwde New Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 14: Reported successful clinical studiesObstetrics:- Induction, morning sickness, correction of abnormal foetal positions, deficient lactationGynaecology:- primary dysmenorrhoea, premenstrual syndrome, infertility, menopausal syndrome Gynaecology & ObstetricsNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 15: Chronic / Persistent PainPrevalence estimates range from 10.1% -55.2% of the general populationHigher in females - usually musculoskeletal originSignificant use of health care resourcesNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 16: Clinical Evidence“Limited evidence that acupuncture is more effective than no treatment for chronic pain”Systemic Review: Pain 2000 ; 86:217-225 “Acupuncture found to be superior to no treatment”Vickers A et al Quality & Safety in Health Care2002;11:92-97“Most results favoured acupuncture”Patel M et al International Journal of Epidemiology, Vol 18,900-906 1989New Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 17: Acupuncture at the Wellington Regional Pain ServiceAvailable since 2000Used in a variety of conditionsLimited servicePatients trialed 4-6 timesNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 18: THE WAY FORWARD: Ideas for integrationEducation ProgrammesDetoxification CentresObstetrics and GynaecologyStroke rehabilitationPain Clinics Post operative nausea and vomitingCancerNew Zealand School of Acupuncture & Traditional Chinese Medicine

اسلاید 19: QUESTIONS??Thank you for your timeNew Zealand School of Acupuncture & Traditional Chinese Medicine