Analyze Diet

Comparison of first and second acupuncture treatments in horses with chronic laminitis.

Abstract: Laminitis is a common but critical disease that causes severe pain and disability in horses. The etiology and pathogenesis of laminitis remain inconclusive and a multimodal therapeutic approach is generally indicated. Acupuncture has been used as a treatment option; however, the required number of treatments is still controversial due to the lack of objective scientific evidence. Objective: The objective of this study was to determine if the response to a second acupuncture treatment differed from the response to the first acupuncture treatment in horses with chronic laminitis. Methods: Fourteen horses with chronic laminitis were identified. Acupuncture points were determined based on the results of a diagnostic acupuncture palpation examination. The second acupuncture treatment and lameness examination were conducted one week after the first treatment. Ten minutes after each acupuncture treatment, a lameness examination was performed and included an objective examination using a body-mounted inertial sensor system called "Lameness Locator" and a routine lameness examination following the "American Association of Equine Practitioners" (AAEP) lameness scale. The level of lameness was statistically analyzed using paired t-test and Wilcoxon signed rank test with p-values <0.05 considered significant. Results: Both objective (P=0.042) and routine lameness examinations (P=0.027) showed that the level of lameness significantly decreased after the second acupuncture treatment compared to the response to the first treatment. Conclusions: The results of this study suggest that continued acupuncture treatments will result in increasing levels of pain relief, showing the advantage of performing more than one acupuncture treatment in horses with chronic laminitis.
Publication Date: 2019-06-14 PubMed ID: 31191693PubMed Central: PMC6509908
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This study aims to demonstrate if a second acupuncture treatment can offer more pain relief to horses suffering from chronic laminitis, compared to a single treatment. The research shows that multiple acupuncture treatments can lead to enhanced levels of pain relief, highlighting the importance of continuing the treatment approach.

Methodology

  • Fourteen horses diagnosed with chronic laminitis were included in the study.
  • Acupuncture points for each horse were determined based on results from a diagnostic acupuncture palpation test.
  • Two acupuncture treatments were performed on each horse, with a gap of one week in between.
  • A lameness examination was conducted ten minutes after each treatment, including a diagnostic using a body-mounted inertial sensor system known as “Lameness Locator,” and a standard lameness test following the “American Association of Equine Practitioners” (AAEP) lameness scale.
  • The data was statistically analysed using paired t-test and Wilcoxon signed rank test, with a p-value of less than 0.05 regarded as significant.

Results

  • Statistical analysis revealed a significant decrease in lameness following the second acupuncture treatment (P=0.042) according to the objective lameness locator system.
  • Similarly, observations using routine lameness inspection methods also indicated a statistically significant decline in lameness after the second treatment (P=0.027).

Conclusion

  • The findings of this research suggest that horses with chronic laminitis that receive more than one acupuncture treatment experience increasingly higher levels of pain relief.
  • This study emphasizes the importance of multiple continuous therapeutic treatments, and may encourage equine caretakers or veterinary doctors to consider a course of acupuncture treatments until the desired level of pain reduction is achieved.

Cite This Article

APA
Lee D, May K, Faramarzi B. (2019). Comparison of first and second acupuncture treatments in horses with chronic laminitis. Iran J Vet Res, 20(1), 9-12.

Publication

ISSN: 1728-1997
NlmUniqueID: 101660030
Country: Iran
Language: English
Volume: 20
Issue: 1
Pages: 9-12

Researcher Affiliations

Lee, D
  • College of Veterinary Medicine, Western University of Health Sciences, Pomona, CA 91766-1854, USA.
May, K
  • El Cajon Valley Veterinary Hospital, El Cajon, CA, USA.
Faramarzi, B
  • College of Veterinary Medicine, Western University of Health Sciences, Pomona, CA 91766-1854, USA.

Conflict of Interest Statement

The authors declare no conflicts of interest.

References

This article includes 32 references
  1. Cantwell SL. Traditional Chinese veterinary medicine: the mechanism and management of acupuncture for chronic pain.. Top. Companion Anim. Med. 2010;25:53–58.
    pubmed: 20188339
  2. Cayir Y, Ozdemir G, Celik M, Aksoy H, Akturk Z, Laloglu E, Akcay F. Acupuncture decreases matrix metalloproteinase-2 activity in patients with migraine.. Acupunct. Med. 2014;32:376–380.
    pubmed: 25164776
  3. Dong H, Fan YH, Zhang W, Wang Q, Yang QZ, Xiong LZ. Repeated electroacupuncture preconditioning attenuates matrix metalloproteinase-9 expression and activity after focal cerebral ischemia in rats.. Neurol. Res. 2009;31:853–858.
    pubmed: 19278575
  4. Ezzo J, Berman B, Hadhazy VA, Jadad AR, Lao L, Singh BB. Is acupuncture effective for the treatment of chronic pain? A systematic review.. Pain. 2000;86:217–225.
    pubmed: 10812251
  5. Faramarzi B. Morphological and biomechanical properties of equine laminar junction.. J. Equine Vet. Sci. 2014;34:589–592.
  6. Fry LM, Neary SM, Sharrock J, Rychel JK. Acupuncture for analgesia in veterinary medicine.. Top. Companion Anim. Med. 2014;29:35–42.
    pubmed: 25454374
  7. Habacher G, Pittler MH, Ernst E. Effectiveness of acupuncture in veterinary medicine: systematic review.. J. Vet. Intern. Med. 2006;20:480–488.
    pubmed: 16734078
  8. Hackett GE, Spitzfaden DM, May KJ, Savoldi M, Dodd M. Acupuncture: is it effective for alleviation pain in the horse?. Proc. Am. Assoc. Equine Pract. 1997;43:333–335.
  9. Heymering HW. 80 causes, predispositions, and pathways of laminitis.. Vet. Clin. N. Am. Equine. 2010;26:13–19.
    pubmed: 20381732
  10. Hood DM. Practical-laminitis: treatment by design.. J. Equine Vet. Sci. 2011;31:592–594.
  11. Hunt RJ. A retrospective evaluation of laminitis in horses.. Equine Vet. J. 1993;25:61–64.
    pubmed: 8422888
  12. Irnich D, Cummings M, Behrens N, Molzen H, König A, Gleditsch J, Krauss M, Natalis M, Senn E, Beyer A. Randomised trial of acupuncture compared with conventional massage and “sham” laser acupuncture for treatment of chronic neck pain.. BMJ. 2001;322:1–6.
    pmc: PMC33515pubmed: 11431299
  13. Jeong YJ, Lee JH, Lee SK, Kim DR, Koh BH. A Sasang constitutional study on the Myunghyun symptom.. J. Sasang Constitutional Med. 2009;21:20–27.
  14. Keegan KG, Kramer J, Yonezawa Y, Maki H, Pai PF, Dent EV, Kellerman TE, Wilson DA, Reed SK. Assessment of repeatability of a wireless, inertial sensor-based lameness evaluation system for horses.. Am. J. Vet. Res. 2011;72:1156–1163.
    pubmed: 21879972
  15. Kim DH, Liu J, Choi SH, Macmanus P, Jennings P, Darcy K, Burke F, Leorald N, Rogers PA. Acupuncture treatment in a case with equine laminitis.. J. Vet. Clin. 2006;23:6–8.
  16. Lancaster LS, Bowker RM. Acupuncture points of the horse’s distal thoracic limb: a neuroanatomic approach to the transposition of traditional points.. Animals. 2012;2:455–471.
    pmc: PMC4494290pubmed: 26487033
  17. Laskoski LM, Valadão CAA, Dittrich RL, Deconto I, Faleiros RR. An update on equine laminitis.. Ciência Rural. 2016;46:547–553.
  18. Le Jeune S, Henneman K, May K. Acupuncture and equine rehabilitation.. Vet. Clin. N. Am. Equine. 2016;32:73–85.
    pubmed: 26906261
  19. Loftus JP, Johnson PJ, Belknap JK, Pettigrew A, Black SJ. Leukocyte-derived and endogenous matrix metalloproteinases in the lamellae of horses with naturally acquired and experimentally induced laminitis.. Vet. Immunol. Immunopathol. 2009;129:221–230.
    pubmed: 19101039
  20. Macpherson H, Tilbrook H, Richmond S, Woodman J, Ballard K, Atkin K, Bland M, Eldred J, Essex H, Hewitt C. Alexander technique lessons or acupuncture sessions for persons with chronic neck pain: a randomized trial.. Ann. Intern. Med. 2015;163:653–662.
    pubmed: 26524571
  21. Mccracken MJ, Kramer J, Keegan KG, Lopes M, Wilson DA, Reed SK, Lacarrubba A, Rasch M. Comparison of an inertial sensor system of lameness quantification with subjective lameness evaluation.. Equine Vet. J. 2012;44:652–656.
    pubmed: 22563674
  22. Mitchell CF, Fugler LA, Eades SC. The management of equine acute laminitis.. Vet. Med. Res. Rep. 2015;6:39–47.
    pmc: PMC6067769pubmed: 30101095
  23. Parks AH, O’grady SE. Chronic laminits.. .
  24. Petermann U. Comparison of pre-and post-treatment pain scores of twenty one horses with laminitis treated with acupoint and topical low level impulse laser therapy.. Am. J. Tradit. Chinese Vet. Med. 2011;6:13–25.
  25. Pollitt CC. Equine laminitis.. Clin. Tech. Equine P. 2004;3:34–44.
  26. Robinson KA, Manning ST. Efficacy of a single-formula acupuncture treatment for horses with palmar heel pain.. Can. Vet. J. 2015;56:1257–1260.
    pmc: PMC4668809pubmed: 26663921
  27. Shmalberg J, Xie H. The clinical application of equine acupuncture.. J. Equine Vet. Sci. 2009;29:645–652.
  28. Swanson TD. Guide for veterinary service and judging of equestrian events.. 1984;p. 24.
  29. Tangjitjaroen W, Shmalberg J, Colahan PT, Xie H. Equine acupuncture research: an update.. J. Equine Vet. Sci. 2009;29:698–709.
  30. Thoresen AS. Equine ting-point therapy and Thoresen’s coronary band therapy.. 2001;pp. 489–501.
  31. Tsuchiya M, Sato EF, Inoue M, Asada A. Acupuncture enhances generation of nitric oxide and increases local circulation.. Anesth. Analg. 2007;104:301–307.
    pubmed: 17242084
  32. Yoon CH. A study of reports about dizziness reaction - focus on the China academic journal.. J. Korean Oriental Med. 2009;30:1–15.