Autonomic Activation in Insomnia: The Case for Acupuncture
Identifieur interne : 004854 ( Pmc/Corpus ); précédent : 004853; suivant : 004855Autonomic Activation in Insomnia: The Case for Acupuncture
Auteurs : Wei Huang ; Nancy Kutner ; Donald L. BliwiseSource :
- Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine [ 1550-9389 ] ; 2011.
Abstract
Current conceptualizations of the biological basis for insomnia typically invoke central nervous system and/or autonomic nervous system arousal. Acupuncture may represent a unique avenue of treatment for poor sleep by virtue of its direct effects on peripheral nerves and muscles, which, in turn, modulate autonomic tone and central activation. In this review, we summarize both basic and clinical research indicating that acupuncture exerts profound influences via a wide variety of potential neural and/or hormonal mechanisms that have great relevance for the modulation of sleep and wakefulness. We illustrate principles of acupuncture intervention applied to cases of otherwise intractable insomnia that document successful application of this component of Traditional Chinese Medicine to the treatment of poor sleep. Our review indicates the necessity for further research in the relationship between the effects of acupuncture on insomnia and autonomic regulation, which might guide better selective use of this treatment modality for insomnia.
Huang W; Kutner N; Bliwise DL. Autonomic activation in insomnia: the case for acupuncture.
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PubMed: 21344045
PubMed Central: 3041619
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PMC:3041619Le document en format XML
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<author><name sortKey="Huang, Wei" sort="Huang, Wei" uniqKey="Huang W" first="Wei" last="Huang">Wei Huang</name>
<affiliation><nlm:aff id="aff1">Atlanta VA Medical Center</nlm:aff>
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<affiliation><nlm:aff id="aff2">Department of Rehabilitation Medicine Emory University School of Medicine</nlm:aff>
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<author><name sortKey="Kutner, Nancy" sort="Kutner, Nancy" uniqKey="Kutner N" first="Nancy" last="Kutner">Nancy Kutner</name>
<affiliation><nlm:aff id="aff2">Department of Rehabilitation Medicine Emory University School of Medicine</nlm:aff>
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<author><name sortKey="Bliwise, Donald L" sort="Bliwise, Donald L" uniqKey="Bliwise D" first="Donald L." last="Bliwise">Donald L. Bliwise</name>
<affiliation><nlm:aff id="aff3">Department of Neurology, Psychiatry/Behavioral Sciences Emory University School of Medicine</nlm:aff>
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<idno type="ISSN">1550-9389</idno>
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<front><div type="abstract" xml:lang="en"><p>Current conceptualizations of the biological basis for insomnia typically invoke central nervous system and/or autonomic nervous system arousal. Acupuncture may represent a unique avenue of treatment for poor sleep by virtue of its direct effects on peripheral nerves and muscles, which, in turn, modulate autonomic tone and central activation. In this review, we summarize both basic and clinical research indicating that acupuncture exerts profound influences via a wide variety of potential neural and/or hormonal mechanisms that have great relevance for the modulation of sleep and wakefulness. We illustrate principles of acupuncture intervention applied to cases of otherwise intractable insomnia that document successful application of this component of Traditional Chinese Medicine to the treatment of poor sleep. Our review indicates the necessity for further research in the relationship between the effects of acupuncture on insomnia and autonomic regulation, which might guide better selective use of this treatment modality for insomnia.</p>
<sec><title>Citation:</title>
<p>Huang W; Kutner N; Bliwise DL. Autonomic activation in insomnia: the case for acupuncture. <italic>J Clin Sleep Med</italic>
2011;7(1):95-102.</p>
</sec>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Sleep Med</journal-id>
<journal-id journal-id-type="publisher-id">JCSM</journal-id>
<journal-title-group><journal-title>Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine</journal-title>
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<issn pub-type="ppub">1550-9389</issn>
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<publisher><publisher-name>American Academy of Sleep Medicine</publisher-name>
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<article-categories><subj-group subj-group-type="heading"><subject>Review Articles</subject>
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<title-group><article-title>Autonomic Activation in Insomnia: The Case for Acupuncture</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Huang</surname>
<given-names>Wei</given-names>
</name>
<degrees>M.D., Ph.D.</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
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<contrib contrib-type="author"><name><surname>Kutner</surname>
<given-names>Nancy</given-names>
</name>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
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<contrib contrib-type="author"><name><surname>Bliwise</surname>
<given-names>Donald L.</given-names>
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<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="aff3"><sup>3</sup>
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<aff id="aff1"><label>1</label>
Atlanta VA Medical Center</aff>
<aff id="aff2"><label>2</label>
Department of Rehabilitation Medicine Emory University School of Medicine</aff>
<aff id="aff3"><label>3</label>
Department of Neurology, Psychiatry/Behavioral Sciences Emory University School of Medicine</aff>
</contrib-group>
<author-notes><corresp id="cor1">Address correspondence to: Donald Bliwise, Ph.D.,
<addr-line>Program in Sleep, Aging and Chronobiology, Emory University School of Medicine, Wesley Woods Health Center, 1841 Clifton Road, Room 509, Atlanta, GA 30329</addr-line>
<phone>(404) 728-4751</phone>
<fax>(404) 728-4756</fax>
<email>dbliwis@emory.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>15</day>
<month>2</month>
<year>2011</year>
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<volume>7</volume>
<issue>1</issue>
<fpage>95</fpage>
<lpage>102</lpage>
<history><date date-type="received"><month>10</month>
<year>2009</year>
</date>
<date date-type="rev-recd"><month>11</month>
<year>2010</year>
</date>
<date date-type="accepted"><month>12</month>
<year>2010</year>
</date>
</history>
<permissions><copyright-statement>© 2011 American Academy of Sleep Medicine</copyright-statement>
</permissions>
<abstract><p>Current conceptualizations of the biological basis for insomnia typically invoke central nervous system and/or autonomic nervous system arousal. Acupuncture may represent a unique avenue of treatment for poor sleep by virtue of its direct effects on peripheral nerves and muscles, which, in turn, modulate autonomic tone and central activation. In this review, we summarize both basic and clinical research indicating that acupuncture exerts profound influences via a wide variety of potential neural and/or hormonal mechanisms that have great relevance for the modulation of sleep and wakefulness. We illustrate principles of acupuncture intervention applied to cases of otherwise intractable insomnia that document successful application of this component of Traditional Chinese Medicine to the treatment of poor sleep. Our review indicates the necessity for further research in the relationship between the effects of acupuncture on insomnia and autonomic regulation, which might guide better selective use of this treatment modality for insomnia.</p>
<sec><title>Citation:</title>
<p>Huang W; Kutner N; Bliwise DL. Autonomic activation in insomnia: the case for acupuncture. <italic>J Clin Sleep Med</italic>
2011;7(1):95-102.</p>
</sec>
</abstract>
<kwd-group><kwd>Insomnia</kwd>
<kwd>autonomic nervous system</kwd>
<kwd>acupuncture</kwd>
<kwd>mechanism</kwd>
</kwd-group>
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</front>
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