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Trial registered on ANZCTR
Registration number
ACTRN12610000335099
Ethics application status
Approved
Date submitted
26/04/2010
Date registered
28/04/2010
Date last updated
2/01/2014
Type of registration
Retrospectively registered
Titles & IDs
Public title
Brain Effects of Acupuncture - 1
Needle acupuncture vs Laser acupuncture
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Scientific title
A comparison of Needle acupuncture versus Laser acupuncture at acupoint LR8 in Healthy Subjects - using functional magnetic resonance imaging (fMRI).
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Secondary ID [1]
251656
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None
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Universal Trial Number (UTN)
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Trial acronym
NVL study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Brain effects of two different modalities of acupuncture intervention : Needle vs Laser
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Condition category
Condition code
Alternative and Complementary Medicine
257384
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0
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Other alternative and complementary medicine
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1.Functional MRI (fMRI) of Needle acupuncture at LR8 at medial knee (located between the tendons of semitendinosis and semimembranosis muscles) followed by, in same session
2.Functional magentic resonance imaging (fMRI) continues while Laser acupuncture (low level -804nm, Energy delivered Total 2.56J) at the opposite side LR8 acupoint is delivered.
3.N=16, eight healthy subjects per arm, order of Note:Laser or Needle first is randomised. 4.Single session. Duration approximately 20minutes in the scanner.
5.Block design. 16 second blocks with rest and active intervention ( needle or laser) alternating blocks. Total 9 Rests and 8 actives.
6. Active laser being 20mW low level laser activation in the 16 second blocks.
7. Needle being 0.22 x 25mm silver disposable Helio acupuncture needles stimulated at 1Hz cycles to achieve the sensation of "de qi" like a dull ache.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Not applicable. This is a basic science experiment to test what needle acupuncture does compared to laser acupuncture on LR8 acupoint in brain activation patterns, when both interventions are performed on the same subject in the same session.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Brain activation patterns of needle acupuncture
using Statistical Parametric Mapping software (SPM) to identify the brain regions positively or negatively activated compared to rest and compared to laser stimulation.
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Assessment method [1]
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Timepoint [1]
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At the conclusion of the single session
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Primary outcome [2]
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Brain activation patterns of laser acupuncture
using Statistical Parametric Mapping software (SPM) to identify the brain regions positively or negatively activated compared to rest and compared to needle stimulation.
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Assessment method [2]
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Timepoint [2]
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At the conclusion of the single session.
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
Healthy subject
Able to participate in MRI experiment
Able to give informed consent
Right handed
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Minimum age
18
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Brain injury
Past surgery involving the lower limbs
Any ongoing illness or chronic illness
Any factors contraindicated in MRI investigations ( pace maker, metal foreign bodies , anxiety about the procedure as in claustrophobia)
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
1. recruitment was by group internal email at the University, Black Dog Institute and Prince of Wales Hospital as well as by advertisement flyers at the participating medical acupuncturist's clinical rooms.
2. treatment allocation was by the medical acupuncturist, allocation to which intervention ( laser or needle) on which side ( left or right) by paper lots so that in the end, half ( n=8) were needle acupuncture first and half were laser acupuncture first ( n=8) in the block design .
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
1. Sidedness ( left or right)
2. Intervention ( needle or laser)
were decided on the day for each subject by toss of a coin.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
1.Block design with rest -active -rest -active blocks, in total 9 Rests and 8 Active
2.Intervention ( Needle or laser):
The silver 0.22 gauge x 25 mm silver needles were manually stimulated for de qi sensation at 1 HZ cycles for 16 seconds per block
Low level laser was with 804nm infra red laser 20mW for 16 second per block.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
28/04/2009
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Actual
28/04/2009
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Date of last participant enrolment
Anticipated
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Actual
9/07/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
16
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
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2069
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Recruitment postcode(s) [2]
2859
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2031
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Thyne-Reid Foundation
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Address [1]
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Susan Stevenson
Thyne-Reid Foundation
Level 19 Governor Macquarie Tower
1 Farrer Place
Sydney NSW 2000
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Country [1]
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Australia
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Funding source category [2]
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Other
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Name [2]
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Louise Dobson and family
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Address [2]
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46 Edward Street
Woollahra
NSW 2025
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Country [2]
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Australia
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Primary sponsor type
Hospital
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Name
Prince of Wales Hospital
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Address
Prof Perminder Sachdev
Neuropsychiatric Institute
NPI
Euroa Centre
Prince of Wales Hospital PoWH
Barker Street
Randwick NSW 2031
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of New South Wales UNSW
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Address [1]
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Dr Im Quah-Smith
c/- School of Psychiatry
Hospital Rd
Randwick
NSW 2031
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Mark Williams
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Address [1]
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Macquarie Centre for Cognitive Sciences MACCS
Macquarie University
North Ryde
NSW 2113
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee, South East Health, South East Sydney Area Health Service
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Ethics committee address [1]
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South East Health Human Research Ethics Committee 90 Russell Avenue Dolls Point NSW 2219
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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10/05/2005
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Ethics approval number [1]
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1/05/0073
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Summary
Brief summary
An experimental study to compare the brain effects of needle versus laser acupuncture on one acupoint (LR8) in healthy subjects using functional MRI.
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Trial website
laserneedlestudy@gmail.com
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Trial related presentations / publications
1. Laser acupuncture in mild to moderate depression- a randomised controlled trial. Quah-Smith JI, Tang WM, Russell, J. Acupuncture in Medicine 2005;23(3):103-111 2. Is the Traditonal Chinese Medicine ( TCM) concept of excess and deficiency valid? Preliminary fMRI evidence. Presentation and poster award ICCMR 30 March 2008 Sydney, Australia 3. Neuroimaging evidence for acupuncture. Translating the Classics- from TCM to EBM, Kuala Lumpur 3-4 April 2010. 4.Quah-Smith I, Williams M A, Lundeberg T, Suo C, Sachdev P S. The differential effects of laser and needle acupuncture at LR8 using functional MRI. Acupunct Med 2013;31:282-289 doi:10.1136/acupmed-2012-010297.).
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Public notes
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Contacts
Principal investigator
Name
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Dr Im Quah-Smith
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Address
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Roseville Wellness Group
3/32 Barcoo St
Roseville
NSW 2069
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Country
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Australia
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Phone
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612 94174772
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Im Quah-Smith
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Address
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Roseville Wellness Group
3 / 32 Barcoo St
Roseville
NSW 2069
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Country
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Australia
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Phone
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612 94174772
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Fax
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612 94755035
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Email
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[email protected]
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Contact person for scientific queries
Name
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Prof Perminder Sachdev
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Address
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CHeBA
Centre for Healthy Brain Aging
UNSW Medicine
Randwick
NSW 2031
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Country
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Australia
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Phone
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612 9382 3763
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Fax
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612 9382 3774
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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