Abstract
Since its first mention in U.S. media in the early 1970s, the practice of acupuncture and Oriental medicine (AOM) has grown in stature from a fringe, counter-culture movement to a valid, evidenced-based treatment option for patients. In the last 40 years, AOM schools and colleges have been accredited by the U.S. Department of Education, offering both masters and doctoral degree programs. To date, forty-seven states and the District of Columbia license or certify acupuncturists based on competency proven through state examination or professional certification by the National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM). As acceptance of AOM in the U.S. has increased through both the assurance of psychometrically sound certification and the education of the American public on this topic, many challenges have emerged. Problems such as the underemployment of AOM clinicians, methodological hurdles for the investigation of mechanisms, and efficacy of acupuncture and other AOM treatment techniques have been observed. Investigative challenges also include gaps in research training as well as a dearth of the basic resources needed to conduct randomized controlled trials (RCTs). As AOM research has sought integration into the Western research model, problems have been identified in the design of AOMRCTs, and strategies for their resolution through methods such as translational research have been examined. Incorporating these strategies as well as efficacy, effectiveness, and qualitative measures will strengthen the evidence base and thus provide clinical decision makers with more tools that can be used to design patient treatment regimens.
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References
Reston J. Now, about my operation in Peking. New York Times; July 26, 1971;1.
Available at http://www.ccaom.org/downloads/PaperOfLixinHuang.pdf
Available at http://www.acaom.org/
Available at http://www.nesa.edu/about/history
Available at http://www.nccaom.org/
Stone JA. Interview: Brian Berman, MD. The American Acupuncturist 2011;55:12–13.
Available at http://www.cochrane.org/about-us/history
NIH Consensus Conference. Acupuncture. JAMA 1998;280:1518–1524.
Available at http://nccam.nih.gov/health/whatiscam/chinesemed.htm
Availableat http://www.5elements.com/docs/teachingsofjrworsley.html
Helms JM, ed. Acupuncture energetics: a clinical approach for physicians. Medical Society of New Zealand. Thieme Publishing Group;1995.
Available at http://hmieducation.com/about-hmi
Wetzel MS, Eisenberg DM, Kaptchuk TJ. Courses involving complementary and alternative medicine at U.S. medical schools. JAMA 1998;9:784–787.
Brokaw JJ, Tunnicliff G, Raess BU, Saxon DW. The teaching of complementary and alternative medicine in U.S. medical schools: a survey of course directors. Acad Med 2002;77:876–881.
Chaterji R, Tractenberg RE, Amri H, Lumpkin M, Amorosi SB, Haramati A. A large-sample survey of first- and secondyear medical student attitudes toward complementary and alternative medicine in the curriculum and in practice. Altern Ther Health Med 2007;13:30–35.
Stone JA, Johnstone PA. Mechanisms of action for acupuncture in the oncology setting. Curr Treat Options Oncol 2010;11:118–127.
Available at http://www.acupunctureresearch.org/Default.aspx?pageId=1140317
Available at http://www.integrativeonc.org/
Available at http://www.bls.gov/ooh/occupation-finder.htm
Stumpf SH, Hardy ML, Kendall E, Carr CR. Unveiling the United States acupuncture workforce. Complement Health Pract Rev 2011;15:31–39.
Available at http://www.nccaom.org/job-task-analysis-jtainformational-page
Wayne PM, Hammerschlag R, Savetsky-German J, Chapman TF. Attitudes and interests toward research among students at two colleges of acupuncture and Oriental medicine. Explore (NY) 2010;6:22–28.
Haake M, Müller HH, Schade-Brittinger C, Basler HD, Schäfer H, Maier C, et al. German Acupuncture Trials (GERAC) for chronic low back pain: randomized, multicenter, blinded, parallel-group trial with 3 groups. Arch Intern Med 2007;167:1892–1898.
Langevin HM, Bouffard NA, Badger GJ, Churchill DL, Howe AK. Subcutaneous tissue fibroblast cytoskeletal remodeling induced by acupuncture: evidence for a mechanotransductionbased mechanism. J Cell Physiol 2006;207:767–774.
Goldman N, Chen M, Fujita T, Xu Q, Peng W, Liu W, et al. Adenosine A1 receptors mediate local anti-nociceptive effects of acupuncture. Nat Neurosci 2010;13:883–888.
Chae Y, Hong MS, Kim GH, Hahm DH, Park HJ, Ha E, et al. Protein array analysis of cytokine levels on the action of acupuncture in carrageenan-induced inflammation. Neurol Res 2007;29:S55–S58.
Kaptchuk T, Statson W, Davis R, Legedza A, Schnyer R, Kerr C, et al. Sham device v inert pill: randomised controlled trial of two placebo treatments. BMJ 2006;332:391–397.
Kaptchuk T, Kelley J, Conboy L, Davis R, Kerr C, Jacobson E, et al. Components of placebo effect: randomised controlled trial in patients with irritable bowel syndrome. BMJ 2008;336:999–1003.
Langevin H, Wayne P, McPherson H. Paradoxes in acupuncture research: strategies for moving forward. Evid-Based Complemen Alternat Med 2011;2011:180805.
Witt C, Wen-jing H, Lao L, Berman B. Which research is needed to support clinical decision-making on integrative medicine? Can comparative effectiveness research close the gap? Chin J Integr Med 2012;18:723–729.
Witt C. Clinical research on acupuncture—concepts and guidance on efficacy and effectiveness research. Chin J Integr Med 2011;17:166–172.
Miller D. Defining “acupuncturist.” Am Acupunct 2014;66:16.
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Stone, J.A.M. The status of acupuncture and oriental medicine in the United States. Chin. J. Integr. Med. 20, 243–249 (2014). https://doi.org/10.1007/s11655-014-1776-0
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DOI: https://doi.org/10.1007/s11655-014-1776-0