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An adjunct intervention for management of acute exacerbation of chronic obstructive pulmonary disease (AECOPD).
J Altern Complement Med. 2013 Feb; 19(2):178-81.JA

Abstract

OBJECTIVES

Application of transcutaneous electrical nerve stimulation over acupuncture points (Acu-TENS) is a noninvasive intervention that has recently been shown to alleviate dyspnea in patients with stable chronic obstructive pulmonary disease (COPD). This case report aims to explore the role of Acu-TENS in patients diagnosed with COPD during the acute exacerbation.

STUDY DESIGN

The study design was a case report.

SETTING

The study was conducted in an inpatient setting.

SUBJECT

The subject was a 74-year-old man admitted to the hospital due to acute exacerbation of COPD (AECOPD).

INTERVENTION

Treatment consisted of application of TENS on EX-B1 (Dingchuan) for 45 minutes.

OUTCOME MEASURES

Oxygen saturation, heart rate, and dyspnea score were measured before, immediately after, and 45 minutes after Acu-TENS intervention. Other than the physiologic measures, 10 mL of venous blood was taken from the cubital vein for assessment of β-endorphin level, white blood cell count, tumor necrosis factor-α (TNF-α), and C-reactive protein (CRP) level before and immediately postintervention.

RESULTS

Postintervention, improved oxygen saturation, and reduction in heart rate and dyspneic sensation were observed accompanied by a raised blood β-endorphin level but the level of white blood cell count, TNF-α, and CRP remain unchanged.

CONCLUSIONS

Application of 45 minutes Acu-TENS appeared to alleviate symptoms in a patient with AECOPD. The role of adjunctive Acu-TENS therapy during acute exacerbation warrants further investigation.

Authors+Show Affiliations

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

22775329

Citation

Ngai, Shirley P C., et al. "An Adjunct Intervention for Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD)." Journal of Alternative and Complementary Medicine (New York, N.Y.), vol. 19, no. 2, 2013, pp. 178-81.
Ngai SP, Jones AY, Hui-Chan CW, et al. An adjunct intervention for management of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). J Altern Complement Med. 2013;19(2):178-81.
Ngai, S. P., Jones, A. Y., Hui-Chan, C. W., Ko, F. W., & Hui, D. S. (2013). An adjunct intervention for management of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Journal of Alternative and Complementary Medicine (New York, N.Y.), 19(2), 178-81. https://doi.org/10.1089/acm.2011.0222
Ngai SP, et al. An Adjunct Intervention for Management of Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD). J Altern Complement Med. 2013;19(2):178-81. PubMed PMID: 22775329.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An adjunct intervention for management of acute exacerbation of chronic obstructive pulmonary disease (AECOPD). AU - Ngai,Shirley P C, AU - Jones,Alice Y M, AU - Hui-Chan,Christina W Y, AU - Ko,Fanny W S, AU - Hui,David S C, Y1 - 2012/07/09/ PY - 2012/7/11/entrez PY - 2012/7/11/pubmed PY - 2013/8/8/medline SP - 178 EP - 81 JF - Journal of alternative and complementary medicine (New York, N.Y.) JO - J Altern Complement Med VL - 19 IS - 2 N2 - OBJECTIVES: Application of transcutaneous electrical nerve stimulation over acupuncture points (Acu-TENS) is a noninvasive intervention that has recently been shown to alleviate dyspnea in patients with stable chronic obstructive pulmonary disease (COPD). This case report aims to explore the role of Acu-TENS in patients diagnosed with COPD during the acute exacerbation. STUDY DESIGN: The study design was a case report. SETTING: The study was conducted in an inpatient setting. SUBJECT: The subject was a 74-year-old man admitted to the hospital due to acute exacerbation of COPD (AECOPD). INTERVENTION: Treatment consisted of application of TENS on EX-B1 (Dingchuan) for 45 minutes. OUTCOME MEASURES: Oxygen saturation, heart rate, and dyspnea score were measured before, immediately after, and 45 minutes after Acu-TENS intervention. Other than the physiologic measures, 10 mL of venous blood was taken from the cubital vein for assessment of β-endorphin level, white blood cell count, tumor necrosis factor-α (TNF-α), and C-reactive protein (CRP) level before and immediately postintervention. RESULTS: Postintervention, improved oxygen saturation, and reduction in heart rate and dyspneic sensation were observed accompanied by a raised blood β-endorphin level but the level of white blood cell count, TNF-α, and CRP remain unchanged. CONCLUSIONS: Application of 45 minutes Acu-TENS appeared to alleviate symptoms in a patient with AECOPD. The role of adjunctive Acu-TENS therapy during acute exacerbation warrants further investigation. SN - 1557-7708 UR - https://www.unboundmedicine.com/medline/citation/22775329/An_adjunct_intervention_for_management_of_acute_exacerbation_of_chronic_obstructive_pulmonary_disease__AECOPD__ L2 - https://www.liebertpub.com/doi/10.1089/acm.2011.0222?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -