Evidence-Based Acupuncture

July 23, 2019

General Information
Duration 1 semester
Level Year 4, Semester 1
Unit Weighting Unit Credit Points: 10 credit points
Total Course Credit Points: 320 credit points
Student Workload Number of timetabled hours per week: 4
Number of personal study hours per week: 6
Total workload hours per week: 10
Prerequisites ACU302 Acupuncture Microsystems.
Academic Details
Description This unit explores contemporary evidence-based research findings on the effectiveness and limitations of acupuncture in the treatment and management of chronic pain and chronic disorders. This unit aims to enhance, deepen, and extend knowledge and understanding about the clinical application of acupuncture and its effectiveness in the management of pain and chronic diseases and complements other acupuncture studies from previous units (ACU107, ACU202, ACU207 and ACU302).
Throughout this unit, students study the neurophysiology of acupuncture; learn to critically assess its application in a range of clinical settings and practices; and develop problem-solving and decision-making skills in the diagnosis, treatment, and management of patients with acupuncture. Acupuncture treatment issues are also covered including its contributions and limitations, infection control and prevention, appropriate referral and transfer to other medical services, and the reporting of adverse events.
Learning outcomes
    1. Upon completion of this unit students should be able to:
      a. Describe the basic neurophysiology of acupuncture.
      b. Compare traditional Chinese medicine (CM) and Western medicine (WM) perspectives on the treatment of common chronic disorders (differences and similarities in terms of complexity, types, symptoms, aetiology, pathogenesis and mechanisms).
      c. Demonstrate proficiency in the clinical examination and the safe management of pain using acupuncture.
      d. Evaluate the findings of evidence-based research on the treatment of acupuncture for common chronic diseases (patient assessment, differences between CM and WM treatment perspectives including strengths, limitations and inter-professional practice).
      e. Review the risks, precautions and contraindications related to interactions between acupuncture and other therapeutic approaches for pain management.
Assessment Quiz (5%)
Practical Test (25%)
Case Study Analysis (and Presentation) (35%)
Literature Review (35%)
Prescribed Textbooks/Readings * The prescribed and recommended readings are subject to annual review.

Brinkhaus, B., Witt, C. M., Jena, S., Linde, K., Streng, A., Wagenpfeil, S., … & Willich, S. N. (2006). Acupuncture in patients with chronic low back pain: a randomized controlled trial. Archives of internal medicine, 166(4), 450-457.

Cherkin, D. C., Sherman, K. J., Avins, A. L., Erro, J. H., Ichikawa, L., Barlow, W. E., … & Khalsa, P. S. (2009). A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back pain. Archives of internal medicine169(9), 858-866.

Chinese Medicine Board of Australia. (2019, February 8). Infection prevention and control guidelines for acupuncture practice. https://www.chinesemedicineboard.gov.au/Codes-Guidelines/Infection-prevention.aspx

Ernst E, Lee (2010). Acupuncture for rheumatic conditions: an overview of systematic reviews. Rheumatology 49(10):1957-61

Feng, Z.G., & Chen, Z.Q. (2003). Two-hundred and ten cases of shoulder periarthritis treated by needling lingxia and sanjian. Journal of traditional Chinese medicine, (3), 17.

Kong, J. C., Lee, M. S., Shin, B. C., Song, Y. S., & Ernst, E. (2010). Acupuncture for functional recovery after stroke: a systematic review of sham-controlled randomized clinical trials. Cmaj182(16), 1723-1729.

Li, X., Zhang, H. X., Huang, G. F., Feng, Y. F., & Zou, R. (2009). Observation on the therapeutic effect of electroacupuncture of Jiaji (EX-B 2) plus regional encircled needling for herpes zoster. Zhen ci yan jiu= Acupuncture research34(2), 125-7.

Lin, J. G., & Chen, W. L. (2008). Acupuncture analgesia: a review of its mechanisms of actions. The American journal of Chinese medicine, 36(04), 635-645.

Lu, W., Dean-Clower, E., Doherty-Gilman, A., & Rosenthal, D. S. (2008). The value of acupuncture in cancer care. Hematology/oncology clinics of North America, 22(4), 631-648.

Manheimer, E., Linde, K., Lao, L., Bouter, L. M., & Berman, B. M. (2007). Meta-analysis: acupuncture for osteoarthritis of the knee. Annals of internal medicine146(12), 868-877.

Schröder, S., Liepert, J., Remppis, A., & Greten, J. H. (2007). Acupuncture treatment improves nerve conduction in peripheral neuropathy. European journal of neurology14(3), 276-281.

Thomas, K. J., MacPherson, H., Thorpe, L., Brazier, J., Fitter, M., Campbell, M. J., … & Nicholl, J. (2006). Randomised controlled trial of a short course of traditional acupuncture compared with usual care for persistent non-specific low back pain. Bmj333(7569), 623.

Vincent, A., Barton, D. L., Mandrekar, J. N., Cha, S. S., Zais, T., Wahner-Roedler, D. L., … & Loprinzi, C. (2007). Acupuncture for hot flashes: a randomized, sham-controlled clinical study. Menopause14(1), 45-52.

Wu, P., Mills, E., Moher, D., & Seely, D. (2010). Acupuncture in poststroke rehabilitation: a systematic review and meta-analysis of randomized trials. Stroke41(4), e171-e179.