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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02589418
Other study ID # MAC-DENT-Psy
Secondary ID
Status Completed
Phase N/A
First received October 23, 2015
Last updated March 14, 2016
Start date October 2015
Est. completion date March 2016

Study information

Verified date March 2016
Source University of Zurich
Contact n/a
Is FDA regulated No
Health authority Switzerland: Ethikkommission
Study type Interventional

Clinical Trial Summary

The investigators will assess the effects of manual acupuncture on experimental dental pain in 36 healthy subjects by means of subjective pain intensity ratings and pain-specific autonomic nervous system (ANS) reactions.


Description:

This psychophysical and -physiological study is the first part of a two-phase project which pursues to explore how acupuncture-induced pain modulation interacts with pain-specific brain processing patterns by means of functional magnetic resonance imaging (fMRI) and by using an experimental dental pain model.

In this preceding study, the characterization of manual acupuncture effects on the experimental dental pain model will be tested under laboratory conditions and without restrictions of an fMRI-measurement in order to provide a sound foundation for the following fMRI-experiment. Pain modulating effects of the manual acupuncture intervention (4 points: needle manipulation of bilateral large-intestine 4 (LI4), stomach 6 and 7 (ST6, ST7) ipsilateral to the stimulated tooth) will be compared to sham-acupuncture (insertion and manipulation of 4 non-acupuncture points) and a control intervention (no acupuncture) which will each be performed at 3 different days in a randomized order. Intervention effects on experimental dental pain will be assessed by testing of 36 healthy volunteers by means of subjective pain intensity ratings and pain-specific ANS reactions such as electrodermal activity and heart rate/respiratory changes. Besides laying the groundwork for the following fMRI experiment, this study could provide valuable basic insights into the dynamics of the tested manual acupuncture effects and further provide important knowledge for the planning of future clinical studies encompassing dental conditions and development of acupuncture treatments.


Recruitment information / eligibility

Status Completed
Enrollment 35
Est. completion date March 2016
Est. primary completion date March 2016
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Male
Age group 18 Years to 40 Years
Eligibility Inclusion Criteria:

- right-handed

- Written informed consent

- Fluent in German language

- Sufficient dental sensitivity for the tooth stimulation

- No acupuncture treatment in the previous 12 months

- No medical knowledge about acupuncure

Exclusion Criteria:

- Alcohol, drug, and analgesics consumption within the last 24 hours

- Complaints of diseases of the oral cavity

- Pre-existing neurological and(or psychiatric conditions

- History of severe dental pain

- Regular intake of pain medication

- History of brain injuries

- Alcohol and drug abuse

- Chronic diseases that require a permanent intake of drugs

Study Design

Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment


Related Conditions & MeSH terms


Intervention

Procedure:
Acupuncture
Needle insertion and manipulation at 4 acupuncture points (bilateral LI4, right ST6 and ST7).
Sham-Acupuncture
Needle insertion and manipulation at 4 non-acupoints
No Acupuncture
Control intervention: No needle insertion and manipulation

Locations

Country Name City State
Switzerland Clinic of Masticatory Disorders, Removable Prosthodontics, Geriatric and Special Care Dentistry Center of Dental Medicine University of Zurich Zurich
Switzerland Institute for Complementary and Integrative Medicine, University Hospital Zurich Zurich

Sponsors (3)

Lead Sponsor Collaborator
University of Zurich Charite University, Berlin, Germany, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine

Country where clinical trial is conducted

Switzerland, 

References & Publications (1)

Bieling PJ, Antony MM, Swinson RP. The State-Trait Anxiety Inventory, Trait version: structure and content re-examined. Behav Res Ther. 1998 Jul-Aug;36(7-8):777-88. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Other Expectation towards acupuncture Acupuncture expectation will be assessed using an acupuncture expectation questionnaire developed by the Institut for Complementary and Integrative Medicine, University Hospital Zurich 60 minutes No
Other Anxiety states and traits For the assessment of anxiety levels, the State-Trait Anxiety Inventory(STAI)(Bieling et al., 1998) questionnaire will be applied. 60 minutes No
Primary Comparison of the - mean post-pre acupuncture intervention pain intensity rating differences - and mean post-pre control intervention (no acupuncture) rating differences 15 minutes No
Primary Comparison of the - mean post-pre acupuncture intervention pain intensity rating differences - and mean post-pre sham-acupuncture rating differences In case of a significant effect in outcome 1, outcome 2 will be tested using a hierarchical procedure in order to avoid multiple testing. 15 minutes No
Secondary Longer lasting effects of acupuncture on subjective intensity ratings Besides the pre-post intervention comparisons (primary outcome), 2 additional timepoints (Total: pre-intervention, post-intervention, 15 min post-intervention, 30 min post-intervention) will be examined to test differences in temporal dynamics between the 3 intervention effects on subjective pain intensity. 50 minutes No
Secondary Longer lasting effects of acupuncture on pain-specific changes in heart rate. Besides the pre-post intervention comparisons (primary outcome), 2 additional timepoints (Total: pre-intervention, post-intervention, 15 min post-intervention, 30 min post-intervention) will be examined to test differences in temporal dynamics between the 3 intervention effects on pain-specific heart rate alterations. 50 minutes No
Secondary Longer lasting effects of acupuncture on pain-specific changes in skin conductance. Besides the pre-post intervention comparisons (primary outcome), 2 additional timepoints (Total: pre-intervention, post-intervention, 15 min post-intervention, 30 min post-intervention) will be examined to test differences in temporal dynamics between the 3 intervention effects on pain-specific skin conductance alterations. 50 minutes No
Secondary Longer lasting effects of acupuncture on pain-specific changes in respiratory frequency. Besides the pre-post intervention comparisons (primary outcome), 2 additional timepoints (Total: pre-intervention, post-intervention, 15 min post-intervention, 30 min post-intervention) will be examined to test differences in temporal dynamics between the 3 intervention effects on pain-specific changes in respiratory frequency. 50 minutes No
Secondary Changes in skin conductance during the three intervention types (acupuncture, sham-Acupuncture, no acupuncture). Comparison of changes in the skin conductance measured during the acupuncture/sham-acupuncture and no acupuncture 10 minutes No
Secondary Changes in heart rate variability (HRV) during the three intervention types (acupuncture, sham-Acupuncture, no acupuncture). Comparison of changes in the HRV measured during the acupuncture/sham-acupuncture and no acupuncture 10 minutes No
Secondary Changes in respiratory frequency during the three intervention types (acupuncture, sham-Acupuncture, no acupuncture). Comparison of changes in respiratory frequency measured during the acupuncture/sham-acupuncture and no acupuncture. 10 minutes No
Secondary Frequency of SAEs Serious adverse event (SAEs) occurrences will be recorded and their frequency will be calculated. 1 month Yes