assessment of treatment results: designed to evaluate the patient’s opinion of their response to...
TRANSCRIPT
Assessment of Treatment Results: Designed to evaluate the Patient’s Opinion of their response to Acupuncture Rx.
Following your Acupuncture Treatment Is your Pain: More Freq., less freq., greatly less freq, No pain / never Is your Pain: More severe, less severe, very much
less severe, no pain Has your range of movement: improved, greatly
improved, full, unchanged, not limited before General Questions: Included Age, Drug Usage and Sleep
Disturbance. Same question format used for surveys 1, 2 & 3.
Results of Acupuncture Rxusing the Near & Far Technique.
Survey 1. 100% ReferredSurvey 3. NHMRC fundedSurvey 4. Brisbane Medical School ( Very complex, hostile wording. ? reason for low response rate)
Survey 2. Results
Follow up 6 months+ Response rate 75%, Patient Number = 478 Total number of specifically treated complaints
= 912. = 1.98 per Patient. Average number of treatments per patient = 7.8 Average Pain duration varied with type / site of pain.
Survey 2. ResultsThe Patient’s Opinion
Greatly Helped = Much less frequent to no pain. + Very much less severe to no pain (as a %)
Helped = Less freq. and less severe pain (as a %)
Back Pain
Headache
C.B.S.
Neck
Shoulder
Anxiety
0 50 100
Back Pain
Headache
C.B.S.
Neck
Shoulder
Anxiety
Helped
GreatlyHelped
%
Survey 2. Low Back Pain
136 cases Acupuncture of Benefit ? Yes 119 No 17 Greatly helped rate 56% Helped rate 30%
More Less V.M.Less
NoPain
0
10
20
30
40
More Less V.M.Less
NoPain
Pain Freq.Pain Sev.
Sleep Disturbance Improved - Back to normal 88%
Survey 2. Headache.. 29 Myogenic, 14 Vascular, 3 mixed. Average no. of treatments 7.8 Acupuncture of Benefit Yes ...91%. Medication None - Greatly less 67%, less 16% Sleep improved - back to normal 90%
More Less V.M.Less
NoPain
0
10
20
30
40
More Less V.M.Less
NoPain
Pain Freq.Pain Sev.
Survey 2. Cervicobrachial syndrome ( Neck and Arm Pain)
No of patients = 72 Average number of treatments 7.4.
Acupuncture of benefit? Yes 87% Medication None-Greatly Decreased 46% Less
46% Sleep, improved - back to normal 83%
less
None <<L
Not helpd
0 20 40 60 80
less
None <<L
Not helpdSev.
Freq.
%
Survey 2. ResultsThe Influence of Pain Durationon Rx Effect
C.B.S. / Neck and Arm Pain Pain Duration: Helped Gp. 7.5 years Greatly Helped Gp. 4.3 years Headache Pain Duration: Helped Gp. 7 years Greatly Helped Gp. 6 years Not Helped Gp. 13 years
Survey 2. ResultsThe Influence of Pain Durationon Number of Acupuncture Rx’s
C.B.S / Neck and Arm pain
Greatly helped with < 5 Acup. sessions 2.1 years
Greatly helped with > 5 Acup. sessions 5.4 years
Headache
Greatly helped with < 5 Acup. sessions 5.0 years
Greatly helped with > 5 Acup. sessions 8.0 years
Survey 4. Brisbane Medical School
Follow up @ 3 - 4 Years 87% Severe to unendurable Pain. State of pain immediately following course
of Acupuncture.
Worse 1.6%*Same 13.4%Better 52.7%No pain 32.3%
Worsened by Acupuncture Rx?
Patients whose pain worsens markedly
following Acupuncture should be reassessed for a missed malignancy, large disc prolapse, R.S.D. or other severe pathology.
( A transient aggravation is freq. associated with the first couple of treatments, especially when marked warming of the periphery occurs.)
Survey 4.Brisbane Medical School
Follow up @ 3 - 4 Years Duration of Improvement for those reporting
pain relief.Less than 2 weeks....................................7.4%
2 weeks - 3 months...................................7.4%
More than 3 months...,,......................... 16.7%
Still better at time of survey.................68.5%
Survey 4. University of Queensland Medical School:
Follow up @ 3 - 4 Years In what way had the Pain Improved:
It occurred less frequently....................9.2%
It was not as intense............................11.1%
It was less intense &
occurred less Frequently.....................79.7%
Summary: 10 High St. Results
Our patients having suffered with severe to unendurable pain for many years were generally well pleased by their perceived long lasting pain relief, their diminished drug intake and improved sleep.
Sympatholysis & Trigger Point Ablation!