Phantom Acupuncture: Dissociating Somatosensory and Cognitive/Affective Components of Acupuncture Stimulation with a Novel Form of Placebo Acupuncture
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{"title"=>"Phantom acupuncture: Dissociating somatosensory and cognitive/affective components of acupuncture stimulation with a novel form of placebo acupuncture", "type"=>"journal", "authors"=>[{"first_name"=>"Jeungchan", "last_name"=>"Lee", "scopus_author_id"=>"16552664400"}, {"first_name"=>"Vitaly", "last_name"=>"Napadow", "scopus_author_id"=>"6602462464"}, {"first_name"=>"Jieun", "last_name"=>"Kim", "scopus_author_id"=>"55978382100"}, {"first_name"=>"Seunggi", "last_name"=>"Lee", "scopus_author_id"=>"55392530800"}, {"first_name"=>"Woojin", "last_name"=>"Choi", "scopus_author_id"=>"55391580700"}, {"first_name"=>"Ted J.", "last_name"=>"Kaptchuk", "scopus_author_id"=>"26643513100"}, {"first_name"=>"Kyungmo", "last_name"=>"Park", "scopus_author_id"=>"7408066004"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84905493057", "sgr"=>"84905493057", "pui"=>"373700928", "isbn"=>"1932-6203", "pmid"=>"25101637", "doi"=>"10.1371/journal.pone.0104582"}, "id"=>"f6f4d0e0-ff33-347b-9c3c-f3a16beedcef", "abstract"=>"In a clinical setting, acupuncture treatment consists of multiple components including somatosensory stimulation, treatment context, and attention to needle-based procedures. In order to dissociate somatosensory versus contextual and attentional aspects of acupuncture, we devised a novel form of placebo acupuncture, a visual manipulation dubbed phantom acupuncture, which reproduces the acupuncture needling ritual without somatosensory tactile stimulation. Subjects (N = 20) received both real (REAL) and phantom (PHNT) acupuncture. Subjects were retrospectively classified into two groups based on PHNT credibility (PHNTc, who found phantom acupuncture credible; and PHNTnc, who did not). Autonomic and psychophysical responses were monitored. We found that PHNT can be delivered in a credible manner. Acupuncture needling, a complex, ritualistic somatosensory intervention, induces sympathetic activation (phasic skin conductance [SC] response), which may be specific to the somatosensory component of acupuncture. In contrast, contextual effects, such as needling credibility, are instead associated with a shift toward relative cardiovagal activation (decreased heart rate) during needling and sympathetic inhibition (decreased SC) and parasympathetic activation (decreased pupil size) following acupuncture needling. Visual stimulation characterizing the needling ritual is an important factor for phasic autonomic responses to acupuncture and may undelie the needling orienting response. Our study suggests that phantom acupuncture can be a viable sham control for acupuncture as it completely excludes the somatosensory component of real needling while maintaining the credibility of the acupuncture treatment context in many subjects.", "link"=>"http://www.mendeley.com/research/phantom-acupuncture-dissociating-somatosensory-cognitiveaffective-components-acupuncture-stimulation", "reader_count"=>30, "reader_count_by_academic_status"=>{"Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>4, "Other"=>2, "Student > Master"=>7, "Student > Bachelor"=>4, "Professor"=>4, "Researcher"=>1}, "reader_count_by_user_role"=>{"Student > Doctoral Student"=>4, "Student > Ph. D. Student"=>4, "Student > Postgraduate"=>4, "Other"=>2, "Student > Master"=>7, "Student > Bachelor"=>4, "Professor"=>4, "Researcher"=>1}, "reader_count_by_subject_area"=>{"Engineering"=>2, "Nursing and Health Professions"=>3, "Biochemistry, Genetics and Molecular Biology"=>2, "Medicine and Dentistry"=>14, "Agricultural and Biological Sciences"=>4, "Neuroscience"=>1, "Sports and Recreations"=>1, "Psychology"=>2, "Computer Science"=>1}, "reader_count_by_subdiscipline"=>{"Engineering"=>{"Engineering"=>2}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>14}, "Neuroscience"=>{"Neuroscience"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>1}, "Psychology"=>{"Psychology"=>2}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>4}, "Computer Science"=>{"Computer Science"=>1}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>2}}, "reader_count_by_country"=>{"Philippines"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1625809"], "description"=>"<p><b>A.</b> The paradigm consisted of 3-minute event-related stimulation (STIM, 3-second stimulation, ISI mean = 19.5 sec) surrounded by two 2-minute rest sessions (BASE and POST). <b>B.</b> Acupuncture stimulation location (PC6). <b>C.</b> Experimental setup for REAL and PHNT sessions. n.b. Figure in <b>B.</b> was modified from an image in ‘WHO Regional Office for the Western Pacific, 2008, WHO Standard Acupuncture Point Locations in the Western Pacific Region, Manila’.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture"], "article_id"=>1131113, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.g001", "stats"=>{"downloads"=>4, "page_views"=>36, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Experimental_protocol_/1131113", "title"=>"Experimental protocol.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-07 02:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1625810"], "description"=>"<p>Among twenty healthy subjects, ten received real acupuncture (REAL) first, while the rest received phantom acupuncture (PHNT) first, and they were re-classified into phantom credible (PHNTc) and phantom non-credible (PHNTnc) according to the needling credibility in phantom acupuncture (PHNT).</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture"], "article_id"=>1131114, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.g002", "stats"=>{"downloads"=>6, "page_views"=>39, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Study_flow_/1131114", "title"=>"Study flow.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-07 02:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1625811"], "description"=>"<p>Phasic and tonic responses for heart rate (<b>A</b> and <b>D</b>), skin conductance (<b>B</b> and <b>E</b>), and pupil size (<b>C</b> and <b>F</b>) were contrasted between credible (PHNTc) and non-credible (PHNTnc) phantom acupuncture. n.b. *<0.05, **<0.01. Error bars represent standard error of the mean.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture", "autonomic", "modulation", "phantom"], "article_id"=>1131115, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.g003", "stats"=>{"downloads"=>4, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Influence_of_credibility_on_autonomic_response_modulation_to_phantom_acupuncture_/1131115", "title"=>"Influence of credibility on autonomic response modulation to phantom acupuncture.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-07 02:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1625812"], "description"=>"<p>PHNTc reported significantly greater sensation intensity for numbness and dull pain (i.e. <i>deqi</i> sensations). n.b. *<0.05, **<0.01, ***<0.001. Error bars represent standard error of the mean.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture", "sensations", "phantom"], "article_id"=>1131116, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.g004", "stats"=>{"downloads"=>10, "page_views"=>67, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Influence_of_credibility_on_acupuncture_sensations_to_phantom_acupuncture_/1131116", "title"=>"Influence of credibility on acupuncture sensations to phantom acupuncture.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-07 02:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1625814"], "description"=>"<p>Phasic and tonic responses for heart rate (<b>A</b> and <b>D</b>), skin conductance (<b>B</b> and <b>E</b>), and pupil size (<b>C</b> and <b>F</b>) were contrasted between real (REAL) and credible (PHNTc) phantom acupuncture. Comparisons between REAL and PHNTc were based on the data collected only from subjects who regarded phantom acupuncture as real (i.e. PHNTc) and was done using paired <i>t</i>-tests. n.b. *<0.05, **<0.01. Error bars represent standard error of the mean.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture", "somatosensory", "needling", "autonomic", "modulation", "phantom"], "article_id"=>1131118, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.g005", "stats"=>{"downloads"=>15, "page_views"=>74, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Influence_of_somatosensory_needling_on_autonomic_response_modulation_to_real_and_phantom_acupuncture_/1131118", "title"=>"Influence of somatosensory needling on autonomic response modulation to real and phantom acupuncture.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-07 02:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1625815"], "description"=>"<p>PHNTc reported similar sensation intensity as REAL for several <i>deqi</i>-related sensations (e.g., deep pressure, heaviness, fullness, numbness, dull pain). REAL produced greater sensation intensity for soreness, tingling, and sharp pain, as well as overall <i>deqi</i> sensation (i.e. MI). Comparisons between REAL and PHNTc were based on the data collected only from subjects who regarded phantom acupuncture as real (i.e. PHNTc) and was done using paired <i>t</i>-tests. n.b. *<0.05, **<0.01, ***<0.001. Error bars represent standard error of the mean.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture", "somatosensory", "needling", "sensations", "credible", "phantom"], "article_id"=>1131119, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.g006", "stats"=>{"downloads"=>7, "page_views"=>45, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Influence_of_somatosensory_needling_on_acupuncture_sensations_to_real_REAL_and_credible_PHNTc_phantom_acupuncture_/1131119", "title"=>"Influence of somatosensory needling on acupuncture sensations to real (REAL) and credible (PHNTc) phantom acupuncture.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-07 02:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1625816"], "description"=>"<p>Needle insertion, whether real or phantom, produced significantly greater (A) HR decrease, (B) SC increase and (C) PS increase, compared to needle manipulation. ANS response to needle manipulation was relatively stable over all 8 manipulations for REAL (n = 20), PHNTc (n = 11), and PHNTnc (n = 9). SC increase was greater for REAL compared to PHNTc and especially PHNTnc, consistently over all stimuli. Error bars represent standard error of the mean.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture", "autonomic", "phantom"], "article_id"=>1131120, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.g007", "stats"=>{"downloads"=>7, "page_views"=>61, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Temporal_evolution_of_autonomic_response_to_real_REAL_and_phantom_credible_PHNTc_non_credible_PHNTnc_acupuncture_/1131120", "title"=>"Temporal evolution of autonomic response to real (REAL) and phantom (credible, PHNTc; non-credible, PHNTnc) acupuncture.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2014-08-07 02:52:52"}
  • {"files"=>["https://ndownloader.figshare.com/files/1625817"], "description"=>"<p>HR: Heart Rate, SC: Skin Conductance, PS: Pupil Szie, tonic: tonic response, phasic: phasic response, +++: around 2–4 out of 10 scale, ++: around 2–3 out of 10 scale, +: around 1 out of 10 scale.</p>", "links"=>[], "tags"=>["neuroscience", "Sensory perception", "Psychophysics", "Sensory systems", "Somatosensory system", "Pain sensation", "Tactile sensation", "physiology", "Nervous system physiology", "Sensory physiology", "Complementary and alternative medicine", "acupuncture", "physiological", "responses", "phantom"], "article_id"=>1131121, "categories"=>["Biological Sciences"], "users"=>["Jeungchan Lee", "Vitaly Napadow", "Jieun Kim", "Seunggi Lee", "Woojin Choi", "Ted J. Kaptchuk", "Kyungmo Park"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0104582.t001", "stats"=>{"downloads"=>5, "page_views"=>53, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Summarization_of_the_physiological_responses_to_real_and_phantom_acupuncture_stimulation_/1131121", "title"=>"Summarization of the physiological responses to real and phantom acupuncture stimulation.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-08-07 02:52:52"}

PMC Usage Stats | Further Information

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Relative Metric

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