Advertisement

European Journal of Applied Physiology

, Volume 109, Issue 3, pp 545–550 | Cite as

Effects of acupuncture and heating on blood volume and oxygen saturation of human Achilles tendon in vivo

  • Keitaro Kubo
  • Hiroyoshi Yajima
  • Miho Takayama
  • Toshihiro Ikebukuro
  • Hideyuki Mizoguchi
  • Nobuari Takakura
Short Communication

Abstract

The purpose of this study was to investigate the effects of acupuncture (dry needling) and heating (application of hot pack) treatments on the blood volume and oxygen saturation of the human Achilles tendon in vivo. Nine healthy males participated in this study. During the treatments (acupuncture and heating; both 10 min) and recovery period (30 min), the blood volume and oxygen saturation of the Achilles tendon were measured using red laser lights. During needle insertion, the blood volume and oxygen saturation of the tendon increased significantly from the pre-treatment level and these values remained high throughout the 30-min recovery period. During heating treatment, the blood volume and oxygen saturation of the tendon also increased significantly. Although the increased blood volume was not maintained after removal of the hot pack, the oxygen saturation remained significantly elevated throughout the 30-min recovery period. These results suggested that acupuncture and heating treatments enhanced the blood flow in the tendon. The long-lasting increase, especially with acupuncture treatment, in the blood supply to the tendon implies that these treatments may have therapeutic effects on injured tendons.

Keywords

Needle Hot pack Recovery Plantar flexors 

Notes

Acknowledgments

This study was supported by the Mikiya Science and Technology Foundation and a Grant-in-Aid for Young Scientists (A) (18680046 to K. Kubo) from Japan Society for the Promotion of Science.

References

  1. Borromeo CN, Ryan JL, Marchetto PA, Peterson R, Bove AA (1997) Hyperbaric oxygen therapy for acute ankle sprains. Am J Sports Med 25:619–625CrossRefPubMedGoogle Scholar
  2. Boutouyrie P, Corvisier R, Azizi M, Lemoine D, Laloux B, Hallouin MC, Laurent S (2001) Effects of acupuncture on radial artery hemodynamics: controlled trials in sensitized and naïve subjects. Am J Physiol Heart Circ Physiol 280:H628–H633PubMedGoogle Scholar
  3. Carr AJ, Norris SH (1989) The blood supply of the calcaneal tendon. J Bone Joint Surg Br 71B:100–101Google Scholar
  4. Giombini A, Di Cesare A, Casciello G, Sorrenti D, Dragoni S, Gabriele P (2002) Hyperthermia at 434 MHz in the treatment of overuse sport tendinopathies: a randomized controlled clinical trial. Int J Sports Med 23:207–211CrossRefPubMedGoogle Scholar
  5. Giombini A, Giovannini V, Di Cesare A, Pacetti P, Ichinoseki-Sekine N, Shiraishi M, Naito H, Maffulli N (2007) Hyperthermia induced by microwave diathermy in the management of muscle and tendon injuries. Br Med Bull 83:379–396CrossRefPubMedGoogle Scholar
  6. Inoue M, Katayama K, Hojo T, Yano T, Katsumi Y (2001) The effects of electrical acupuncture to patellar tendon and electrical stimulation to femoral nerve on the blood flow of the patellar tendon in rat. Jpn J Phys Fit Sports Med 50:119–128Google Scholar
  7. Kashiba H, Ueda Y (1991) Acupuncture to the skin induces release of substance P and calcitonin gene-related peptide from peripheral terminals of primary sensory neurons in the rat. Am J Clin Med 19:189–197CrossRefGoogle Scholar
  8. Kashima S (2003) Spectroscopic measurement of blood volume and its oxygenation in a small volume of tissue using red laser lights and differential calculation between two point detections. Opt Laser Technol 35:485–489CrossRefGoogle Scholar
  9. Kleinhenz J, Streitberger K, Windeler J, Gubbacher A, Mavridis G, Martin E (1999) Randomised clinical trial comparing the effects of acupuncture and a newly designed placebo needle in rotator cuff tendonitis. Pain 83:235–241CrossRefPubMedGoogle Scholar
  10. Kubo K, Ikebukuro T, Tsunoda N, Kanehisa H (2008a) Changes in oxygen consumption of human muscle and tendon following repeat muscle contractions. Eur J Appl Physiol 104:859–866CrossRefPubMedGoogle Scholar
  11. Kubo K, Ikebukuro T, Tsunoda N, Kanehisa H (2008b) Noninvasive measures of blood volume and oxygen saturation of human Achilles tendon by red laser lights. Acta Physiol 193:257–264CrossRefGoogle Scholar
  12. LaVan FB, Myers B (1990) Oxygen and wound healing. Clin Plast Surg 17:463–472PubMedGoogle Scholar
  13. Loaiza LA, Yamaguchi S, Ito M, Ohshima N (2002) Electroacupuncture stimulation to muscle afferents in anesthetized rats modulates the blood flow to the knee joint through autonomic reflexes and nitric oxide. Auton Neurosci 97:103–109CrossRefPubMedGoogle Scholar
  14. Sandberg M, Lundeberg T, Lindberg LG, Gerdle B (2003) Effects of acupuncture on skin and muscle blood flow in healthy subjects. Eur J Appl Physiol 90:114–119CrossRefPubMedGoogle Scholar
  15. Sandmeier R, Renstrom P (1997) Diagnosis and treatment of chronic tendon disorders in sports. Scand J Med Sci Sports 7:96–106PubMedCrossRefGoogle Scholar
  16. Sato A, Sato Y, Shimura M, Uchida S (2000) Calcitonin-generated peptide produces skeletal muscle vasodilation following antidromic stimulation of unmyelinated afferents in the dorsal roots in rats. Neurosci Lett 283:137–140CrossRefPubMedGoogle Scholar
  17. Sekins KM, Lehmann JF, Esselman P, Dundore D, Emery AF, Delateur BJ, Nelp WP (1984) Local muscle blood flow and temperature responses to 915 MHz diathermy as simultaneously measured and numerically predicted. Arch Phys Med Rehabil 65:1–7PubMedGoogle Scholar

Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • Keitaro Kubo
    • 1
  • Hiroyoshi Yajima
    • 2
    • 3
  • Miho Takayama
    • 2
    • 3
  • Toshihiro Ikebukuro
    • 4
  • Hideyuki Mizoguchi
    • 5
  • Nobuari Takakura
    • 2
    • 3
  1. 1.Department of Life Science (Sports Sciences)University of TokyoTokyoJapan
  2. 2.Department of Acupuncture and Moxibustion, Faculty of Health SciencesTokyo Ariake University of Medical and Health SciencesTokyoJapan
  3. 3.Second Department of PhysiologyShowa University School of MedicineTokyoJapan
  4. 4.Department of Physical EducationKokushikan UniversityTokyoJapan
  5. 5.Hanada College, Japanese School of Acupuncture, Moxibustion and PhysiotherapyTokyoJapan

Personalised recommendations