@misc{Rybicka_Monika_Elżbieta_Multidimensional_2023,
 author={Rybicka, Monika Elżbieta},
 address={Kraków},
 howpublished={online},
 year={2023},
 school={Rada Dyscypliny Nauki medyczne},
 language={pol},
 abstract={Background: Chronic nonspecific low back pain is an important health problem, especially in the elderly patients. The purpose ofthis study was to investigate the efficacy and safety of NADA (National Acupuncture Detoxificatior Association) standardized ear acupuncture protocol in comparison to medical acupuncture (MA) in the treatment OJ chronic nonspecific low back pain (LBP) in older adults. The aim of this study was also to specifically evaluate the analgesic effects of acupuncture in elderly patients witb nonspecific low back pain, the impact of acupuncture on the quality of life and on endogenous pain control mechanisms. Research objectives: 1. Assessment of the effectiveness and safety oJ acupuncture as a nonpharmacological method of pain treatment ir . elderly patients with chronic nonspecific low back pain. 2. Assessment of the effectiveness of acupuncture ir improving the quality of life in elderly patients with chronic nonspecific low back pain. 3. Assessment of the effectiveness of acupuncture on the mechanical and thermal hyperalgesia and intensity of central sensitization. 4. Comparison of the analgesic effectiveness, impact on quality of life, mechanical and thermal hyperalgesia and intensity of central sensitization of medical acupuncture and em acupuncture according to the NADA protocol in elderly patients with chronic nonspecific low back pam. Methods: This was},
 abstract={a prospective, clinical, single center, open label, comparative study. A total of 60 older patients with chronic nonspecific LBP were emolled in the study. The patients were divided into two groups. Group 1 received treatment with medical acupuncture (MA group ), while group 2 received NADA ear acupuncture (NADA group) once a day for 20 minutes, for a total of 1 O sessions. The primary outcome measure was the reduction in pain intensity evaluated by the Numeric Rating Scale (NRS) a:fter treatment, and this was compared between the two groups. Additionally, the study assessed the impact of MA and !NADA on patients' quality of life using the SF-36 questionnaire, changes in temperature and pressure pam thresholds and central sensitization index. Results: A:fter two weeks of treatment, a significant reduction compared to baseline was observed in the average INRS score for average pain experienced by the patients ove1 the previous week (NRSa), maximum NRS score in the pas1 week (NRSm), and NRS score at the time of examination (NRSe) following treatment with medical acupuncture as well as a:fter the utilization of NADA ear acupuncture protocol. Reduction of the NRSa score over the previous week compared to baseline was significantly greater in the INADAgroup. Significant improvements in the quality of life of patients according to the SF-36 questionnaire compared to baseline were ob},
 abstract={served in both treatment groups. Medical acupuncture and ear acupuncture according to the NADA protocol did not change the detection thresholds and pain tolerance in response to thermal stimuli in the studied patients. INo difference was observed between the effectiveness of medical acupuncture and ear acupuncture according to the !NADA protocol in terms of increasing pain thresholds in response to pressure stimuli. Medical acupuncture significantly increased the values of pain thresholds to pressure stimuli measured in most of the assessed locations: PPT2, PPT4, PPT5, PPT6, PPT thumb and PPT tibia. Ear acupuncture according to the NADA protocol significantly increased the values of pain thresholds to pressure stimuli measured in the following locations: PPT forehead and PPT thumb. The lack of difference between the effectiveness of MA and NADA in increasing pain detection thresholds in favor of MA may be due to the fact that at baseline (TO) all PPT pain detection threshold values were significantly higher in the NADA group. Medical acupuncture and ear acupuncture according to the NADA protocol reduced the central sensitization index in patients with chronic nonspecific low back pain, but the decrease was not statistically significant. There were minor complications observed, including small ones which resolved quickly, were of mild intensity in NADA and MA group respectively},
 abstract={and there were no statistically significant differences between the two groups. Conclusion: Medical acupuncture and NADA ear acupuncture treatments appeared to be effective in reducing pain levels in older adults with chronic nonspecific LBP. However, the NADA ear acupuncture resulted in a significantly greater reduction in the NRSa score. Both treatment groups showed significant improvements in the quality of life of patients compared to baseline. MA and NADA showed to reduce central sensitization in older patients with chronic nonspecific LBP, however the change was not significant. MA significantly increased pain pressure thresholds in older patients with chronic nonspecific LBP. MA and NADA did not change the temperature pain detection thresholds and tolerance in response to thermal stimuli in the studied patients. Ear acupuncture according to NADA protocol and medical acupuncture could be a safe and effective treatment for older patients with chronic nonspecific LBP.},
 title={Multidimensional impact of acupuncture on health measures of elderly patients with chronic, nonspecific low back pain - comparison of analgesic effectiveness, impact on quality of life, mechanical and thermal hyperalgesia and the intensity of central sensitization of medical acupuncture ana ear acupuncture according to the NADA protocol},
 type={Praca doktorska},
 keywords={NADA protocol, medical acupuncture, chronic nonspecific low back pain, nonpharmacological pain management, older patients},
}