Needle Manipulations in South Korea
In clinical practice, acupuncture manipulation is highly individualized
for each practitioner. In order to establish a standard for acupuncture
manipulation, it is important to understand completely the manifestations of acupuncture
manipulation in the actual clinic. To examine motion patterns during acupuncture
manipulation, the study generated a fitted model of practitioners' motion
patterns and evaluated their consistencies in acupuncture manipulation. Using a
motion sensor, real-time motion data from eight experienced practitioners were
obtained while they conducted acupuncture manipulation using their own
techniques. The study calculated the average amplitude and duration of a
sampled motion unit for each practitioner and, after normalization, a true
regression curve of motion patterns for each practitioner using a generalized
additive mixed modeling (GAMM) was generated. Significant differences in
rotation amplitude and duration in motion samples among practitioners were
observed. GAMM showed marked variations in average regression curves of motion
patterns among practitioners but there was strong consistency in motion
parameters for individual practitioners. The fitted regression model showed that
the true regression curve accounted for an average of 50.2% of variance in the
motion pattern for each practitioner. The findings suggest that there is great
inter-individual variability between practitioners, but remarkable intra-individual
consistency within each practitioner.
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