Effect of a Single Acupressure Treatment on the Mechanical Nociceptive Thresholds (MNTs) of the Equine Epaxial Back Musculature

Authors

  • Adelaide R. Chinn Anglia Ruskin University, Writtle School of Agriculture, Animal and Environmental Sciences, Lordship Road, CM1 3RR, Chelmsford, United Kingdom https://orcid.org/0009-0001-5766-7119
  • Roberta Blake Anglia Ruskin University, Writtle School of Agriculture, Animal and Environmental Sciences, Lordship Road, CM1 3RR, Chelmsford, United Kingdom https://orcid.org/0000-0003-0037-5286
  • Stephanie Child Anglia Ruskin University, Writtle School of Agriculture, Animal and Environmental Sciences, Lordship Road, CM1 3RR, Chelmsford, United Kingdom

DOI:

https://doi.org/10.64292/ijes.186

Keywords:

Horse, pressure algometer, complementary therapies, muscle tension

Abstract

Aims: Equine acupressure therapies possess an abundance of acclaimed anecdotal evidence; however, scientific validation remains limited. This investigation aimed to explore the effect of manual acupressure on the mechanical nociceptive thresholds (MNTs) of the equine epaxial musculature. Materials and Methods: The study design was a randomized, single crossover trial involving ten horses (five geldings and five mares) of various ages (16 ± 4.49 years). Horses were split into two groups and received a 10-minute acupressure or sham treatment. Nine acupressure points were selected and treated with 30 seconds of direct light pressure followed by six full circles. Each horse was assessed for points of sensitivity at three points bilaterally along the epaxial musculature, before, immediately after, and one day after the acupressure or sham treatment. A two-week washout period was implemented; the groups were reversed, and the protocol was repeated. Data were both parametric and nonparametric; therefore, to ascertain whether differences occurred in MNT values across the time points, a series of repeated measures ANOVAs and Friedman's analyses were undertaken. Where significant differences were found, post hoc Wilcoxon tests with Bonferroni correction identified how MNTs differed with time. Further paired t-tests or Wilcoxon rank tests determined whether differences occurred in the percentage of change between the treatment and control groups. Results: The results of the study suggest that acupressure elicits an immediate increase in MNTs in the epaxial musculature, most significantly at the thoracolumbar region. A decrease in this response could indicate lower sensitivity of the back, allowing better back kinematics and possibly improved performance.

Author Biography

  • Roberta Blake, Anglia Ruskin University, Writtle School of Agriculture, Animal and Environmental Sciences, Lordship Road, CM1 3RR, Chelmsford, United Kingdom

    My academic career started by completing a degree in Veterinary Medicine. After that, I have completed my residence in Large Animal Surgery, where I became interested in developing my teaching skills. I completed an MSc and a PhD in Veterinary Surgery, with my research focusing on the use of stem cells in horses. During my PhD, I have started teaching at levels 4-6, and as soon as I finished my PhD, I started teaching for levels 7-8 as well. My career has been focused on teaching, researching, and supervising students. I came to the UK at the beginning of 2011 to work on research related to the use of stem cells and regenerative medicine in animals at the Royal Veterinary College and University College of London. Since 2016, I have been teaching at Writtle University College, now Anglia Ruskin University, delivering modules from level 4 to level 7. I am also Head of Research for the school.

References

National Equestrian survey 2019. British Equestrian Trade Association (BETA) 2019. https://www.beta-uk.org/pages/news-amp-events/news/beta-national-equestrian-survey-2019-reveals-an-increase-in-riding.php (accessed February 9, 2022).

Ramey DW. Regulatory aspects of complementary and alternative veterinary medicine. Journal of the American Veterinary Medical Association 2003;222:1679–82. https://doi.org/10.2460/javma.2003.222.1679.

Wynn SG, Wolpe PR. The majority view of ethics and professionalism in alternative medicine. Journal of the American Veterinary Medical Association 2005;226:516–20. https://doi.org/10.2460/javma.2005.226.516.

Chon TY, Lee MC. Acupuncture. Mayo Clinic Proceedings 2013;88:1141–6. https://doi.org/10.1016/j.mayocp.2013.06.009.

White A. A brief history of acupuncture. Rheumatology 2004;43:662–3. https://doi.org/10.1093/rheumatology/keg005.

White A. Western medical acupuncture: A definition. Acupuncture in Medicine 2009;27:33–5. https://doi.org/10.1136/aim.2008.000372.

Wang S-M, Kain ZN, White P. Acupuncture analgesia: I. The scientific basis. Anesthesia & Analgesia 2008;106:602–10. https://doi.org/10.1213/01.ane.0000277493.42335.7b.

Thirkell J, Hyland R. A survey examining attitudes towards equine complementary therapies for the treatment of musculoskeletal injuries. Journal of Equine Veterinary Science 2017;59:82–7. https://doi.org/10.1016/j.jevs.2017.10.004.

Johnson KA. Complementary and alternative veterinary medicine: where things stand for feline health. Science & Technology Libraries 2018;37:338–76. https://doi.org/10.1080/0194262x.2018.1541430.

Werntoft E, Dykes AK. Effect of acupressure on nausea and vomiting during pregnancy. A randomized, placebo-controlled, pilot study. The Journal of Reproductive Medicine 2001;46:835–9.

Lee J, Dodd M, Dibble S, Abrams D. Review of acupressure studies for chemotherapy-induced nausea and vomiting control. Journal of Pain and Symptom Management 2008;36:529–44. https://doi.org/10.1016/j.jpainsymman.2007.10.019.

Agarwal A, Ranjan R, Dhiraaj S, Lakra A, Kumar M, Singh U. Acupressure for prevention of pre-operative anxiety: a prospective, randomised, placebo controlled study. Anaesthesia 2005;60:978–81. https://doi.org/10.1111/j.1365-2044.2005.04332.x.

Abadi F, Abadi F, Fereidouni Z, Amirkhani M, Karimi S, Najafi Kalyani M. Effect of acupressure on preoperative cesarean section anxiety. Journal of Acupuncture and Meridian Studies 2018;11:361–6. https://doi.org/10.1016/j.jams.2018.07.001.

Carotenuto M, Gallai B, Parisi L, Roccella M, Esposito M. Acupressure therapy for insomnia in adolescents: a polysomnographic study. Neuropsychiatric Disease and Treatment 2013;9:157–62. https://doi.org/10.2147/NDT.s41892.

Hmwe NTT, Subramanian P, Tan LP, Chong WK. The effects of acupressure on depression, anxiety and stress in patients with hemodialysis: A randomized controlled trial. International Journal of Nursing Studies 2015;52:509–18. https://doi.org/10.1016/j.ijnurstu.2014.11.002.

Lin J, Chen T, He J, Chung RC, Ma H, Tsang H. Impacts of acupressure treatment on depression: A systematic review and meta-analysis. World Journal of Psychiatry 2022;12:169–86. https://doi.org/10.5498/wjp.v12.i1.169.

Sabouhi F, Kalani L, Valiani M, Mortazavi M, Bemanian M. Effect of acupressure on fatigue in patients on hemodialysis. Iranian Journal of Nursing and Midwifery Research 2013;18:429–34.

Hjelmstedt A, Shenoy ST, Stener-Victorin E, Lekander M, Bhat M, Balakumaran L, et al. Acupressure to reduce labor pain: a randomized controlled trial. Acta Obstetricia et Gynecologica Scandinavica 2010;89:1453–9. https://doi.org/10.3109/00016349.2010.514323.

Bergmann N, Ballegaard S, Bech P, Hjalmarson Å, Krogh J, Gyntelberg F, et al. The effect of daily self-measurement of pressure pain sensitivity followed by acupressure on depression and quality of life versus treatment as usual in ischemic heart disease: a randomized clinical trial. PLoS ONE 2014;9:e97553. https://doi.org/10.1371/journal.pone.0097553.

Chen Y-W, Wang H-H. The effectiveness of acupressure on relieving pain: a systematic review. Pain Management Nursing 2014;15:539–50. https://doi.org/10.1016/j.pmn.2012.12.005.

Godley E, Smith MA. Efficacy of acupressure for chronic low back pain: A systematic review. Complementary Therapies in Clinical Practice 2020;39:101146. https://doi.org/10.1016/j.ctcp.2020.101146.

Li J, Wang Q, Liang H, Dong H, Li Y, Ng EHY, et al. Biophysical characteristics of meridians and acupoints: a systematic review. Evidence-Based Complementary and Alternative Medicine 2012;2012:1–6. https://doi.org/10.1155/2012/793841.

Repac J, Mangan E, Xie H. Clinical application of acupuncture in equine practice. Veterinary Clinics of North America: Equine Practice 2022;38:525–39. https://doi.org/10.1016/j.cveq.2022.07.001.

Lancaster LS, Bowker RM. Acupuncture points of the horse's distal thoracic limb: a neuroanatomic approach to the transposition of traditional points. Animals 2012;2:455–71. https://doi.org/10.3390/ani2030455.

Robinson NG. One medicine, one acupuncture. Animals 2012;2:395–414. https://doi.org/10.3390/ani2030395.

Li A-H, Zhang J-M, Xie Y-K. Human acupuncture points mapped in rats are associated with excitable muscle/skin–nerve complexes with enriched nerve endings. Brain Research 2004;1012:154–9. https://doi.org/10.1016/j.brainres.2004.04.009.

Mingfu L, Xiaotong D, Xiaojing S, Jin J, Jinling Z, Ying H. Study on the dynamic compound structure composed of mast cells, blood vessels, and nerves in rat acupoint. Evidence-Based Complementary and Alternative Medicine 2013;2013:1–4. https://doi.org/10.1155/2013/160651.

Ma S. Nitric oxide signaling molecules in acupoints: toward mechanisms of acupuncture. Chinese Journal of Integrative Medicine 2017;23:812–5. https://doi.org/10.1007/s11655-017-2789-x.

Dewey C, Xie H. The scientific basis of acupuncture for veterinary pain management: a review based on relevant literature from the last two decades. Open Veterinary Journal 2021;11:203–9. https://doi.org/10.5455/ovj.2021.v11.i2.3.

Melzack R, Stillwell DM, Fox EJ. Trigger points and acupuncture points for pain: Correlations and implications. Pain 1977;3:3–23. https://doi.org/10.1016/0304-3959(77)90032-x.

Birch S. Trigger point–acupuncture point correlations revisited. The Journal of Alternative and Complementary Medicine 2003;9:91–103. https://doi.org/10.1089/107555303321222973.

Finando S, Finando D. Fascia and the mechanism of acupuncture. Journal of Bodywork and Movement Therapies 2011;15:168–76. https://doi.org/10.1016/j.jbmt.2010.03.001.

Langevin HM, Yandow JA. Relationship of acupuncture points and meridians to connective tissue planes. The Anatomical Record 2002;269:257–65. https://doi.org/10.1002/ar.10185.

Bai Y, Wang J, Wu J, Dai J, Sha O, Tai Wai Yew D, et al. Review of evidence suggesting that the fascia network could be the anatomical basis for acupoints and meridians in the human body. Evidence-Based Complementary and Alternative Medicine 2011;2011:260510. https://doi.org/10.1155/2011/260510.

Kuang H. Recent advances in theories and practice of Chinese Medicine. London: IntechOpen; 2012.

Chen Y, Feng Q, Li M, Cai Z, Chen Y, Wang L, et al. The effect of TCM herbs on mitochondrial functions: the linkage between Qi and mitochondria. Chinese Medicine 2020;11:127–41. https://doi.org/10.4236/cm.2020.114008.

Wallace DC. Mitochondria and cancer. Nature Reviews Cancer 2012;12:685–98. https://doi.org/10.1038/nrc3365.

Picard M, Wallace DC, Burelle Y. The rise of mitochondria in medicine. Mitochondrion 2016;30:105–16. https://doi.org/10.1016/j.mito.2016.07.003.

Srivastava S. The mitochondrial basis of aging and age-related disorders. Genes 2017;8:398. https://doi.org/10.3390/genes8120398.

Picard M, McEwen BS. Psychological stress and mitochondria: a systematic review. Psychosomatic Medicine 2018;80:141–53. https://doi.org/10.1097/psy.0000000000000545.

Lin F, Guo L-L, Wang J. [Expounding the functions of qi in TCM based on the effect mitochondria]. Zhongguo Zhong Xi Yi Jie He Za Zhi 2014;34:903–6.

Luo J, Shen S, Xia J, Wang J, Gu Z. Mitochondria as the essence of Yang Qi in the human body. Phenomics 2022;2:336–48. https://doi.org/10.1007/s43657-022-00060-3.

Chen B, Guo Y, Zhao X, Liu Y-Y, Li Z-Z, Li Y-H, et al. [A review of recent researches on correlation between ATP and acupuncture efficacies]. Zhen Ci Yan Jiu 2012;37:338–44.

Wang L, Sikora J, Hu L, Shen X, Grygorczyk R, Schwarz W. ATP release from mast cells by physical stimulation: a putative early step in activation of acupuncture points. Evidence-Based Complementary and Alternative Medicine 2013;2013:1–7. https://doi.org/10.1155/2013/350949.

Ding G, Zhang D, Huang M, Wang L, Yao W. Function of collagen and mast cells in acupuncture points. In: Xia Y, Ding G, Wu G-C, editors. Current Research in Acupuncture, New York, NY: Springer; 2013, p. 53–87. https://doi.org/10.1007/978-1-4614-3357-6_3.

Huang M, Wang X, Xing B, Yang H, Sa Z, Zhang D, et al. Critical roles of TRPV2 channels, histamine H1 and adenosine A1 receptors in the initiation of acupoint signals for acupuncture analgesia. Scientific Reports 2018;8:6523. https://doi.org/10.1038/s41598-018-24654-y.

Li N, Li M, Chen B, Guo Y. A new perspective of acupuncture: the interaction among three networks leads to neutralization. Evidence-Based Complementary and Alternative Medicine 2019;2019:1–10. https://doi.org/10.1155/2019/2326867.

Litscher G, Wang L, Schwarz G, Schikora D. [Increases of intracranial pressure and changes of blood flow velocity due to acupressure, needle and laser needle acupuncture?]. Forschende Komplementärmedizin / Research in Complementary Medicine 2005;12:190–5. https://doi.org/10.1159/000087044.

Li X, Hirokawa M, Inoue Y, Sugano N, Qian S, Iwai T. Effects of acupressure on lower limb blood flow for the treatment of peripheral arterial occlusive diseases. Surgery Today 2007;37:103–8. https://doi.org/10.1007/s00595-006-3347-x.

Jun E-M, Chang S, Kang D-H, Kim S. Effects of acupressure on dysmenorrhea and skin temperature changes in college students: A non-randomized controlled trial. International Journal of Nursing Studies 2007;44:973–81. https://doi.org/10.1016/j.ijnurstu.2006.03.021.

Bron C, Dommerholt JD. Etiology of myofascial trigger points. Current Pain and Headache Reports 2012;16:439–44. https://doi.org/10.1007/s11916-012-0289-4.

Moraska AF, Hickner RC, Kohrt WM, Brewer A. Changes in blood flow and cellular metabolism at a myofascial trigger point with trigger point release (ischemic compression): a proof-of-principle pilot study. Archives of Physical Medicine and Rehabilitation 2013;94:196–200. https://doi.org/10.1016/j.apmr.2012.08.216.

Wang M-C, Hsu M-C, Chien L-W, Kao C-H, Liu C-F. Effects of auricular acupressure on menstrual symptoms and nitric oxide for women with primary dysmenorrhea. The Journal of Alternative and Complementary Medicine 2009;15:235–42. https://doi.org/10.1089/acm.2008.0164.

Karatay S, Okur SC, Uzkeser H, Yildirim K, Akcay F. Effects of acupuncture treatment on fibromyalgia symptoms, serotonin, and substance P levels: a randomized sham and placebo-controlled clinical trial. Pain Medicine 2018;19:615–28. https://doi.org/10.1093/pm/pnx263.

Yan C, Yao W, Bao Y, Shi X, Yu H, Yin P, et al. Effect of auricular acupressure on uremic pruritus in patients receiving hemodialysis treatment: a randomized controlled trial. Evidence-Based Complementary and Alternative Medicine 2015;2015:1–8. https://doi.org/10.1155/2015/593196.

Kim M, Kim J. Effects of acupressure on pain, flexibility, and substance P in middle-age women with chronic neck pain. The Journal of Alternative and Complementary Medicine 2021;27:160–7. https://doi.org/10.1089/acm.2020.0413.

Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150:971–9. https://doi.org/10.1126/science.150.3699.971.

Melzack R. Myofascial trigger points: relation to acupuncture and mechanisms of pain. Archives of Physical Medicine and Rehabilitation 1981;62:114–7.

Zhao Z-Q. Neural mechanism underlying acupuncture analgesia. Progress in Neurobiology 2008;85:355–75. https://doi.org/10.1016/j.pneurobio.2008.05.004.

Kim D-H, Ryu Y, Hahm DH, Sohn BY, Shim I, Kwon OS, et al. Acupuncture points can be identified as cutaneous neurogenic inflammatory spots. Scientific Reports 2017;7:15214. https://doi.org/10.1038/s41598-017-14359-z.

Fassoulaki A, Paraskeva A, Kostopanagiotou G, Tsakalozou E, Markantonis S. Acupressure on the extra 1 acupoint: the effect on bispectral index, serum melatonin, plasma??-endorphin, and stress. Anesthesia & Analgesia 2007;104:312–7. https://doi.org/10.1213/01.ane.0000250911.43942.4e.

Altınayak SÖ, Özkan H. The effects of conventional, warm and cold acupressure on the pain perceptions and beta-endorphin plasma levels of primiparous women in labor: A randomized controlled trial. Explore 2022;18:545–50. https://doi.org/10.1016/j.explore.2022.02.004.

Lee S-N, Kim B, Park H. The effects of auricular acupressure on stress, anxiety, and depression of outpatient nurses in South Korea. Complementary Therapies in Clinical Practice 2021;44:101447. https://doi.org/10.1016/j.ctcp.2021.101447.

Min J, Kim B, Park H. The effects of auricular acupressure on the sleep of the elderly using polysomnography, actigraphy and blood test: Randomized, single-blind, sham control. Complementary Therapies in Clinical Practice 2021;45:101464. https://doi.org/10.1016/j.ctcp.2021.101464.

Raddadi Y, Adib-Hajbaghery M, Ghadirzadeh Z, Kheirkhah D. Comparing the effects of acupressure at LI4 and BL32 points on intramuscular injection pain. European Journal of Integrative Medicine 2017;11:63–8. https://doi.org/10.1016/j.eujim.2017.01.015.

Kober A, Scheck T, Greher M, Lieba F, Fleischhackl R, Fleischhackl S, et al. Prehospital analgesia with acupressure in victims of minor trauma: a prospective, randomized, double-blinded trial. Anesthesia & Analgesia 2002;95:723–7. https://doi.org/10.1213/00000539-200209000-00035.

Hsieh LL-C, Kuo C-H, Lee LH, Yen AM-F, Chien K-L, Chen TH-H. Treatment of low back pain by acupressure and physical therapy: randomised controlled trial. BMJ 2006;332:696–700. https://doi.org/10.1136/bmj.38744.672616.ae.

Zidonis NA, Soderberg MK, Snow A. Equine acupressure: A working manual. 4th ed. Lippincott Williams & Wilkins; 2001.

Gosmeier I. Acupressure for horses. Trafalgar Square Books; 2018.

Brockman T. A case study utilizing myofascial release, acupressure and trigger point therapy to treat bilateral "Stringhalt" in a 12 year old Akhal-Teke horse. Journal of Bodywork and Movement Therapies 2017;21:589–93. https://doi.org/10.1016/j.jbmt.2016.08.019.

Klide AM. Acupuncture for treatment of chronic back pain in the horse. Acupuncture & Electro-Therapeutics Research 1984;9:57–70. https://doi.org/10.3727/036012984816714848.

Xie H, Ott EA, Harkins JD, Tobin T, Colahan PT, Johnson M. Influence of electro-acupuncture on pain threshold in horses and its mode of action. Journal of Equine Veterinary Science 2001;21:591–600. https://doi.org/10.1016/s0737-0806(01)80020-4.

Rungsri P, Trinarong C, Rojanasthien S, Huisheng X, Pirunsan U. The effectiveness of electro-acupuncture on pain threshold in sport horses with back pain. American Journal of Traditional Chinese Veterinary Medicine 2009;4:22–6.

Still J. Acupuncture treatment of pain along the gall bladder meridian in 15 horses. Journal of Acupuncture and Meridian Studies 2015;8:259–63. https://doi.org/10.1016/j.jams.2015.06.009.

Dunkel B, Pfau T, Fiske-Jackson A, Veres-Nyeki KO, Fairhurst H, Jackson K, et al. A pilot study of the effects of acupuncture treatment on objective and subjective gait parameters in horses. Veterinary Anaesthesia and Analgesia 2017;44:154–62. https://doi.org/10.1111/vaa.12373.

Millares EM, Bollingberg-Soerensen H, Le Jeune SS. Preliminary evaluation of the effect of acupuncture on acoustic myographic recordings in five sport horses. American Journal of Traditional Chinese Veterinary Medicine 2017;12:79–83.

Varhus J, Xie H. A randomized, controlled and blinded study investigating the effectiveness of acupuncture for treating horses with gluteal or lumbar pain. American Journal of Traditional Chinese Veterinary Medicine 2019;14:23–30.

Arifin WN, Zahiruddin WM. Sample Size Calculation in Animal Studies Using Resource Equation Approach. The Malaysian Journal of Medical Sciences 2017;24:101. https://doi.org/10.21315/mjms2017.24.5.11.

Vokietytė-Vilėniškė G, Nagreckienė S, Duliebaitė I, Žilaitis V. Effectiveness of cranial osteopathy therapy on nociception in equine back as evaluated by pressure algometry. Acta Veterinaria Brno 2022;91:347–53. https://doi.org/10.2754/avb202291040347.

NC3R EDA. NC3R, experimental design assistant power calculator 2025. https://eda.nc3rs.org.uk/eda/powerCalculator/minimal# (accessed August 17, 2025).

Lu DP, Lu GP, Kleinman L. Acupuncture and clinical hypnosis for facial and head and neck pain: a single crossover comparison. American Journal of Clinical Hypnosis 2001;44:141–8. https://doi.org/10.1080/00029157.2001.10403469.

Klide AM, Kung SH. Veterinary acupuncture. United States: University of Pennsylvania Press; 1977.

Ridgway K. Acupuncture as a treatment modality for back problems. Veterinary Clinics of North America: Equine Practice 1999;15:211–21. https://doi.org/10.1016/s0749-0739(17)30173-6.

Petermann U. [Laser acupuncture for equine Cushing's syndrome]. Zeitschrift für Ganzheitliche Tiermedizin 2019;33:127–33. https://doi.org/10.1055/a-1000-1095.

Robinson NG. Veterinary acupuncture: An ancient tradition for modern times. Alternative and Complementary Therapies 2007;13:259–65. https://doi.org/10.1089/act.2007.13506.

Alimi OA, Abubakar AA, Yakubu AS, Aliyu A, Abulkadir SZ. Veterinary acutherapy in management of musculoskeletal disorders: An eye-opener to the developing countries' veterinarians. Open Veterinary Journal 2020;10:252–60. https://doi.org/10.4314/ovj.v10i3.2.

Xie H, Asquith RL, Kivipelto J. A review of the use of acupuncture for treatment of equine back pain. Journal of Equine Veterinary Science 1996;16:285–90. https://doi.org/10.1016/s0737-0806(96)80222-x.

Brinkhaus B, Witt CM, Jena S, Linde K, Streng A, Wagenpfeil S, et al. Acupuncture in patients with chronic low back pain. Archives of Internal Medicine 2006;166:450. https://doi.org/10.1001/archinte.166.4.450.

Shmalberg J, Xie H. The clinical application of equine acupuncture. Journal of Equine Veterinary Science 2009;29:645–52. https://doi.org/10.1016/j.jevs.2009.07.010.

Haussler KK, Erb HN. Pressure algometry for the detection of induced back pain in horses: a preliminary study. Equine Veterinary Journal 2006;38:76–81. https://doi.org/10.2746/042516406775374225.

Haussler KK. Pressure algometry for the detection of mechanical nociceptive thresholds in horses. Animals 2020;10:2195. https://doi.org/10.3390/ani10122195.

Haussler KK, Erb HN. Mechanical nociceptive thresholds in the axial skeleton of horses. Equine Veterinary Journal 2010;38:70–5. https://doi.org/10.2746/042516406775374315.

Zaslawski CJ, Cobbin D, Lidums E, Petocz P. The impact of site specificity and needle manipulation on changes to pain pressure threshold following manual acupuncture: a controlled study. Complementary Therapies in Medicine 2003;11:11–21. https://doi.org/10.1016/s0965-2299(02)00116-4.

Kim SK, Park H. The effect of auricular acupressure for chronic low back pain in Elders. Holistic Nursing Practice 2021;35:182–90. https://doi.org/10.1097/hnp.0000000000000457.

Varcoe-Cocks K, Sagar K, Jeffcott L, McGowan C. Pressure Algometry to Quantify Muscle Pain in Racehorses With Suspected Sacroiliac Dysfunction. Equine Veterinary Journal 2006;38. https://doi.org/10.2746/042516406x154804.

Peham C, Frey A, Licka T, Scheidl M. Evaluation of the EMG activity of the long back muscle during induced back movements at stance. Equine Veterinary Journal 2001;33:165–8. https://doi.org/10.1111/j.2042-3306.2001.tb05382.x.

Latif SN, Von Peinen K, Wiestner T, Bitschnau C, Renk B, Weishaupt MA. Saddle pressure patterns of three different training saddles (normal tree, flexible tree, treeless) in Thoroughbred racehorses at trot and gallop. Equine Veterinary Journal 2010;42:630–6. https://doi.org/10.1111/j.2042-3306.2010.00237.x.

Haussler KK. The lower back and pelvis of performance horses receive a closer look. Journal of Equine Veterinary Science 1996;16:279–81. https://doi.org/10.1016/s0737-0806(96)80220-6.

Fonseca BPA, Alves ALG, Nicoletti JLM, Thomassian A, Hussni CA, Mikail S. Thermography and ultrasonography in back pain diagnosis of equine athletes. Journal of Equine Veterinary Science 2006;26:507–16. https://doi.org/10.1016/j.jevs.2006.09.007.

De Heus P, Van Oossanen G, Van Dierendonck MC, Back W. A pressure Algometer is a useful tool to objectively monitor the effect of diagnostic palpation by a physiotherapist in Warmblood horses. Journal of Equine Veterinary Science 2010;30:310–21. https://doi.org/10.1016/j.jevs.2010.04.010.

Pongratz U, Licka T. Algometry to measure pain threshold in the horse's back – An in vivo and in vitro study. BMC Veterinary Research 2017;13:80. https://doi.org/10.1186/s12917-017-1002-y.

Tsay S-L, Chen M-L. Acupressure and quality of sleep in patients with end-stage renal disease—a randomized controlled trial. International Journal of Nursing Studies 2003;40:1–7. https://doi.org/10.1016/s0020-7489(02)00019-6.

Vagharseyyedin SA, Kardan M, Rahimi H, Bahrami Taghanaki H, Azdaki N. The effects of ear acupressure on back pain after coronary angiography: a randomized controlled trial. Traditional and Integrative Medicine 2022;7:180–6. https://doi.org/10.18502/tim.v7i2.9917.

Kaplan RM, Chambers DA, Glasgow RE. Big data and large sample size: a cautionary note on the potential for bias. Clinical and Translational Science 2014;7:342–6. https://doi.org/10.1111/cts.12178.

Li W. Comparison of the effects of deep manual acupuncture and acupressure on regional pressure pain threshold. 2005.

Santoro A, Nori SL, Lorusso L, Secondulfo C, Monda M, Viggiano A. Auricular acupressure can modulate pain threshold. Evidence-Based Complementary and Alternative Medicine 2015;2015:1–7. https://doi.org/10.1155/2015/457390.

Lee S, Park H. Effects of auricular acupressure on pain and disability in adults with chronic neck pain. Applied Nursing Research 2019;45:12–6. https://doi.org/10.1016/j.apnr.2018.11.005.

Oleson T. Neurophysiological basis of auricular acupuncture. In: Stux G, Hammerschlag R, editors. Clinical Acupuncture: Scientific Basis, Berlin, Heidelberg: Springer; 2001, p. 97–112.

Ghafari S, Movahedi M, Nazari F, Valiani M. The effects of acupressure on pain severity in female nurses with chronic low back pain. Iranian Journal of Nursing and Midwifery Research 2017;22:339–42. https://doi.org/10.4103/ijnmr.ijnmr_108_16.

Gönenç IM, Terzıoğlu F. Effects of massage and acupressure on relieving labor pain, reducing labor time, and increasing delivery satisfaction. Journal of Nursing Research 2020;28:e68. https://doi.org/10.1097/jnr.0000000000000344.

Geutjens CA, Clayton HM, Kaiser LJ. Forces and pressures beneath the saddle during mounting from the ground and from a raised mounting platform. The Veterinary Journal 2008;175:332–7. https://doi.org/10.1016/j.tvjl.2007.03.025.

Zaneb H, Kaufmann V, Stanek C, Peham C, Licka TF. Quantitative differences in activities of back and pelvic limb muscles during walking and trotting between chronically lame and nonlame horses. American Journal of Veterinary Research 2009;70:1129–34. https://doi.org/10.2460/ajvr.70.9.1129.

Groesel M, Zsoldos RR, Kotschwar A, Gfoehler M, Peham C. A preliminary model study of the equine back including activity of longissimus dorsi muscle. Equine Veterinary Journal 2010;42:401–6. https://doi.org/10.1111/j.2042-3306.2010.00282.x.

Button KS, Ioannidis JPA, Mokrysz C, Nosek BA, Flint J, Robinson ESJ, et al. Power failure: why small sample size undermines the reliability of neuroscience. Nature Reviews Neuroscience 2013;14:365–76. https://doi.org/10.1038/nrn3475.

Hróbjartsson A, Thomsen ASS, Emanuelsson F, Tendal B, Rasmussen JV, Hilden J, et al. Observer bias in randomized clinical trials with time-to-event outcomes: systematic review of trials with both blinded and non-blinded outcome assessors. International Journal of Epidemiology 2014;43:937–48. https://doi.org/10.1093/ije/dyt270.

Monaghan TF, Agudelo CW, Rahman SN, Wein AJ, Lazar JM, Everaert K, et al. Blinding in clinical trials: seeing the big picture. Medicina 2021;57:647. https://doi.org/10.3390/medicina57070647.

Finocchietti S, Mørch CD, Arendt-Nielsen L, Graven-Nielsen T. Effects of adipose thickness and muscle hardness on pressure pain sensitivity. The Clinical Journal of Pain 2011;27:735–45. https://doi.org/10.1097/ajp.0b013e31820c5353.

Lai H-C, Lin Y-W, Hsieh C-L. Acupuncture-analgesia-mediated alleviation of central sensitization. Evidence-Based Complementary and Alternative Medicine 2019;2019:1–13. https://doi.org/10.1155/2019/6173412.

Fazzino DL, Griffin MTQ, McNulty SR, Fitzpatrick JJ. Energy healing and pain. Holistic Nursing Practice 2010;24:79–88. https://doi.org/10.1097/hnp.0b013e3181d39718.

Pearson G. Practical application of equine learning theory, part 1. In Practice 2015;37:251–4. https://doi.org/10.1136/inp.h2046.

Sullivan KA, Hill AE, Haussler KK. The effects of chiropractic, massage and phenylbutazone on spinal mechanical nociceptive thresholds in horses without clinical signs. Equine Veterinary Journal 2008;40:14–20. https://doi.org/10.2746/042516407x240456.

Haussler KK, Erb HN. Pressure algometry: Objective assessment of back pain and effects of chiropractic treatment. AAEP Proceedings 2003;49:66–70.

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2025-10-20

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Original Articles

How to Cite

Chinn, A. R., Blake, R. ., & Child, S. (2025). Effect of a Single Acupressure Treatment on the Mechanical Nociceptive Thresholds (MNTs) of the Equine Epaxial Back Musculature. International Journal of Equine Science, 4(2), 171–181. https://doi.org/10.64292/ijes.186

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