What
is Sham Acupuncture?
In all clinical trials to test acupuncture effectiveness, a sham acupuncture is constructed. What is sham acupuncture?
The
term “sham” acupuncture is used to refer to procedures controlling for the
designated acupuncture treatment components that are being evaluated. In human clinical trials, the aim of sham
acupuncture is usually to perform a “mock treatment” that the subject believes
is an acupuncture treatment, but which in theory is missing all relevant
needling and/or specific nonneedling components that are hypothesized to be
active. Examples of components that have
been controlled for (alone or in combination) in clinical trials to date
include needle location (e.g., use of nonacupuncture points or acupuncture
points believed to be therapeutically irrelevant) , degree of needle
insertion(e.g., no penetration or depths believed to be suboptimal), needle
stimulation (e.g., no or suboptimal manual or electrical stimulation), and
components of patient/practitioner interactions traditionally considered
integral to acupuncture therapy (e.g.,
limited palpation or restricted dialog related to traditional Chinese
medicine).
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