{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T19:23:37Z","timestamp":1774380217900,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,12,16]],"date-time":"2017-12-16T00:00:00Z","timestamp":1513382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Gen and Family Med"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>After the Great East Japan Earthquake and Tsunami Disaster (<jats:styled-content style=\"fixed-case\">GEJED<\/jats:styled-content>) and Joso City Flood (<jats:styled-content style=\"fixed-case\">JCF<\/jats:styled-content>), a number of people were relocated to evacuation centers. In situations following a large\u2010scale disaster, acupuncture can be applied for various health problems in evacuation centers. In this study, we report the medical support operation for evacuees with acupuncture and massage therapy (<jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content>) and its effectiveness. In addition, we propose an experience\u2010based guideline for <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content> in such situations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively investigated the treatment with <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content> after <jats:styled-content style=\"fixed-case\">GEJED<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">JCF<\/jats:styled-content> based on the medical records that were coded. We performed <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content> for evacuees or supporters in Iwanuma City, Shiogama City, and Natori City after the <jats:styled-content style=\"fixed-case\">GEJED<\/jats:styled-content> (total number of 1042), and in Joso City after the <jats:styled-content style=\"fixed-case\">JCF<\/jats:styled-content> (total number of 110).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The most common complaints, shoulder, back, and knee pain, were reported in 67.6% of patients after the <jats:styled-content style=\"fixed-case\">GEJED<\/jats:styled-content> and 80.9% of patients after the <jats:styled-content style=\"fixed-case\">JCF<\/jats:styled-content>. Acupuncture and massage therapy (<jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content>) significantly decreased the median Face Scale score of subjective symptoms in evacuees (before, 3.0 vs after, 1.0, <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.001) and supporters (before, 3.0 vs after, 1.0, <jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>.001) in the <jats:styled-content style=\"fixed-case\">JCF<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Evacuees and supporters in affected areas could benefit from <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content> for relief of subjective symptoms. For proper management and safety support, we proposed a guideline of <jats:styled-content style=\"fixed-case\">AP<\/jats:styled-content>\/<jats:styled-content style=\"fixed-case\">MT<\/jats:styled-content> for postdisaster situations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jgf2.143","type":"journal-article","created":{"date-parts":[[2017,12,16]],"date-time":"2017-12-16T22:14:14Z","timestamp":1513462454000},"page":"15-19","source":"Crossref","is-referenced-by-count":10,"title":["Medical support with acupuncture and massage therapies for disaster victims"],"prefix":"10.1002","volume":"19","author":[{"given":"Masataka","family":"Miwa","sequence":"first","affiliation":[{"name":"Disaster Acupuncture, Moxibustion, and Massage Relief Project  Chofushi, Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6388-4566","authenticated-orcid":false,"given":"Shin","family":"Takayama","sequence":"additional","affiliation":[{"name":"Department of Kampo Medicine Tohoku University Hospital  Aobaku, Sendai City Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichiro","family":"Kaneko","sequence":"additional","affiliation":[{"name":"Department of Kampo Medicine Tohoku University Hospital  Aobaku, Sendai City Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,16]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Miyagi Prefectural Government Web site. 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