About this trial
This longitudinal study evaluates the effects of semi-permanent auricular acupuncture on the Autonomic Nervous System (ANS) activity and pressure pain threshold in adult female patients (aged 35-64) diagnosed with Fibromyalgia according to the 2016 American College of Rheumatology (ACR) criteria. The study aims to investigate how a 5-week treatment cycle influences cardiac autonomic regulation and pain sensitivity
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female sex.
Aged between 35 and 64 years.
Signed written informed consent.
Disqualifiers
Presence of cardiac rhythm disorders such as permanent Atrial Fibrillation.
Patients with Pacemakers.
Subjects affected by Chronic Obstructive Pulmonary Disease (COPD)
Patients taking continuous medications that can alter the autonomic response (e.g., beta-blockers, antiarrhythmics, inhaled beta2-agonists).
Trial design
Single group
Treatments tested in this trial
The needles will be applied to specific auricular points: Point Zero, Shen Men, Thalamus, and Master Cerebral Point.
DeviceParticipants will undergo a series of 5 weekly sessions of auricular acupuncture using semi-permanent needles (Pyonex Seirin 0.9 mm). The needles will be applied to specific auricular points: Point Zero, Shen Men, Thalamus, and Master Cerebral Point. Each application will last for 72 hours, with the patient performing the removal
Treatment groups
Trial outcomes
Primary outcomes
Change from Baseline in Autonomic Nervous System (ANS) Balance via LF/HF Ratio
Evaluated through Photoplethysmography (PPG) using the PPG Stress Flow device. The autonomic nervous system balance is expressed specifically by the Low Frequency to High Frequency (LF/HF) ratio. Other spectral parameters (SDNN and HF power) are collected simultaneously to support the comprehensive Heart Rate Variability (HRV) analysis. All measurements are taken immediately before each acupuncture session.
Secondary outcomes
Change from baseline in Pressure Pain Threshold (PPT)
Measured using the Force Ten FPX 25 Algometer to determine the minimum pressure perceived as painful. Measurements are taken at three specific body points: Trapezius (GB21), Lateral Epicondyle (LI11), and below the knee (ST36). Measurements are taken immediately before the acupuncture session
Sponsors and contacts
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