Needle contact test in auricular acupuncture for shoulder pain and where effective auricular acupoints identified are positioned on the map: A controlled study

Submitted: 24 December 2022
Accepted: 26 February 2023
Published: 15 March 2023
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Active Points Test on auricle was renamed Needle Contact Test (or NCT), considered an extremely effective method to select most efficient auricle acupoint for Auricular Acupuncture (or AA) therapy. Our aims were to evaluate NCT efficiency as viable diagnostic option to identify the most appropriate AA acupoints to be selected for SupraSpinatus Tendinopathy (SST) associated shoulder pain treatment and to evaluate which auricle area has greater concentration of NCT positive acupoints in subjects with SST shoulder pain, comparing results with available AA ear maps. 45 subjects with SST diagnosis were enrolled. On 30 subjects in treatment group, NCT was performed on acupoints of the auricle shoulder representation areas (i.e., Scaphoid Fossa), while in 15 subjects of control group, NCT was performed on auricle areas not shoulder associated. Statistically significant lower Numeric Pain Rating Scale scores were seen for study group over time and compared to control. A small sample showed statistically significant increase of SST shoulder maximum abduction range of Movements. NCT identified best SST shoulder pain AA acupoints in Scaphoid Fossa (or SF1 and SF2). In conclusion NCT is a viable tool to efficiently identify the best AA acupoints in SST shoulder pain treatment.

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Gori L, Firenzuoli F. Ear acupuncture in European traditional medicine. Evid Based Complement Alternat Med. 2007 Sep;4(Suppl 1):13-6. DOI: https://doi.org/10.1093/ecam/nem106
Nogier PFM. Treatise of Auriculotherapy. Moulins-lès-Metz: Maisonneuve. 1972.
Soliman N, Frank BL. Auricular acupuncture and auricular medicine. Phys Med Rehabil Clin N Am. 1999 Aug;10(3):547-54, viii. PMID: 10516975.
Romoli M, Greco F, Giommi A. Auricular acupuncture diagnosis in patients with lumbar hernia. Complement Ther Med. 2016 Jun;26:61-5. doi: 10.1016/j.ctim.2016.02.006. Epub 2016 Feb 15. PMID: 27261983. DOI: https://doi.org/10.1016/j.ctim.2016.02.006
Marcelli S. Il Test dei Punti Attivi [Active point test]. Edizioni Libreria Cortina Torino 1995
Marcelli S. Il Test dei Punti Attivi [Active point test]. Ed Hoepli. 2009
Romoli M, Allais G, Airola G, Benedetto C. Ear acupuncture in the control of migraine pain: selecting the right acupoints by the "needle-contact test". Neurol Sci. 2005 May;26 Suppl 2:s158-61. DOI: https://doi.org/10.1007/s10072-005-0434-5
Romoli M, Greco F, Giommi A. Auricular acupuncture diagnosis in patients with lumbar hernia. Complement Ther Med. 2016 Jun;26:61-5. Epub 2016 Feb 15. PMID: 27261983. DOI: https://doi.org/10.1016/j.ctim.2016.02.006
Allais G, Romoli M, Rolando S, Castagnoli Gabellari I, Benedetto C. Ear acupuncture in unilateral migraine pain. Neurol Sci. 2010 Jun;31 Suppl 1:S185-7. PMID: 20464619. DOI: https://doi.org/10.1007/s10072-010-0323-4
Allais G, Romoli M, Rolando S, Airola G, Castagnoli Gabellari I, Allais R, Benedetto C. Ear acupuncture in the treatment of migraine attacks: a randomized trial on the efficacy of appropriate versus inappropriate acupoints. Neurol Sci. 2011 May;32 Suppl 1:S173-5. PMID: 21533739. DOI: https://doi.org/10.1007/s10072-011-0525-4
Walker-Bone K, Reading I, Coggon D, Cooper C, Palmer KT. The anatomical pattern and determinants of pain in the neck and upper limbs: an epidemiologic study. Pain. 2004 May;109(1-2):45-51. PMID: 15082125. DOI: https://doi.org/10.1016/j.pain.2004.01.008
Linaker CH, Walker-Bone K. Shoulder disorders and occupation. Best Pract Res Clin Rheumatol. 2015 Jun;29(3):405-23. doi: 10.1016/j.berh.2015.04.001. Epub 2015 May 8. PMID: 26612238; PMCID: PMC4836557. DOI: https://doi.org/10.1016/j.berh.2015.04.001
Croft P. Measuring up to shoulder pain. Ann Rheum Dis. 1998 Feb;57(2):65-6. PMID: 9613332; PMCID: PMC1752538. DOI: https://doi.org/10.1136/ard.57.2.65
Vecchio P, Kavanagh R, Hazleman BL, King RH. Shoulder pain in a community-based rheumatology clinic. Br J Rheumatol. 1995 May;34(5):440-2. PMID: 7788173. DOI: https://doi.org/10.1093/rheumatology/34.5.440
Cyriax JH. Textbook of orthopaedic medicine. London: Balliere Tindall; 1982. Diagnosis of soft tissue lesions.
Bunker TD. Frozen shoulder: unravelling the enigma. Ann R Coll Surg Engl. 1997 May;79(3):210-3. PMID: 9196344; PMCID: PMC2502880.
Nørregaard J, Krogsgaard MR, Lorenzen T, Jensen EM. Diagnosing patients with longstanding shoulder joint pain. Ann Rheum Dis. 2002 Jul;61(7):646-9. PMID: 12079911; PMCID: PMC1754157. DOI: https://doi.org/10.1136/ard.61.7.646
Pope DP, Croft PR, Pritchard CM, Silman AJ. Prevalence of shoulder pain in the community: the influence of case definition. Ann Rheum Dis. 1997 May;56(5):308-12. PMID: 9175931; PMCID: PMC1752371. DOI: https://doi.org/10.1136/ard.56.5.308
Côté P, Cassidy JD, Carroll L. The Saskatchewan Health and Back Pain Survey. The prevalence of neck pain and related disability in Saskatchewan adults. Spine (Phila Pa 1976). 1998 Aug 1;23(15):1689-98. PMID: 9704377. DOI: https://doi.org/10.1097/00007632-199808010-00015
Lo YP, Hsu YC, Chan KM. Epidemiology of shoulder impingement in upper arm sports events. Br J Sports Med. 1990 Sep;24(3):173-7. PMID: 2078803; PMCID: PMC1478773. DOI: https://doi.org/10.1136/bjsm.24.3.173
Barghamadi S, Alimoardi Z, Oleson T, Bahrami N. The effect of ear acupressure (auriculotherapy) on sexual function of lactating women: protocol of a randomized sham controlled trial. Trials. 2020 Aug 20;21(1):729. PMID: 32819441; PMCID: PMC7441618. DOI: https://doi.org/10.1186/s13063-020-04663-x
Lovato A, Ceccherelli F, Gagliardi G, Postiglione M. The Medial Surface of the Auricle: Historical and Recent Maps. What Are the Possible Expectations of the "Thumb-Index Technique". Medicines (Basel). 2022 Feb 17;9(2):13. PMID: 35200756; PMCID: PMC8879682. DOI: https://doi.org/10.3390/medicines9020013
Rabischong P, Terral C. Scientific Basis of Auriculotherapy: State of the Art. Med Acupunct. 2014 Apr 1;26(2):84-96. 1038. PMID: 24761188; PMCID: PMC3976599 DOI: https://doi.org/10.1089/acu.2014.1038

How to Cite

Lovato, A., Postiglione, M., Gagliardi, G., Parmagnani, M., Biral, M., & Ceccherelli, F. (2023). Needle contact test in auricular acupuncture for shoulder pain and where effective auricular acupoints identified are positioned on the map: A controlled study. European Journal of Translational Myology, 33(1). https://doi.org/10.4081/ejtm.2023.11113