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Clark 1974
Clark 1974
m
and higher intensity; it is obtained Table 1. Mean sensory discriminability (d') and the mean likelihood ratio criterion (log Lx
and Lx) for pain to stimuli at 370 and 425 mcal sec-1 cm2. Means and standard errors are
when the physical intensities of the given; acu., acupuncture.
stimuli are very weak or similar, er
when the subject's sensory system is Acupunctured arm Control arm
Period
insensitive. Thus, a decrease in d' after d log Lx L, d' log L. L.
administration of an analgesic would Before acu. 1.37 ± 0.22 0.029 ± 0.09 1.07 1.33 ± 0.18 -0.083 0.09 0.83
suggest that the drug had attenuated During acti. 1.42 + 0.17 0.123 ± 0.10 1.33 1.49 ± 0.26 - 0.045 ± 0.08 0.90
neural activity in the sensory system. After acu. 1.76 + 0.24 0.189 ± 0.07 1.55 1.73 + 0.24 0.008 ± 0.10 1.02
Such a relation between d' and anal-
gesia was shown by Chapman et al.
(4), who found that nitrous oxide,
when given in amounts sufficient to ranged from 4.0 to 1.8 ma, the mean decrease had its sole origin in a raised
produce an analgesic effect, decreased peak-to-peak voltage from 600 to 360 criterion for reporting pain. Acupunc-
d' to noxious thermal stimulation, and mv, and the impedance (at peak cur- ture failed to decrease discriminability,
by Dillon (5), who found a decrease rent and voltage) from 200 to 150 d'. Since a low d' occurs when the
in d' after administration of aspirin. ohms. After 15 to 20 minutes of stim- subject's sensory system is insensitive-
Radiant heat stimuli were presented ulation, during which additional sensory as, for example, after administration
by a modified Hardy-Wolff-Goodell measurements were obtained, the of an analgesic (4-6)-the failure to
dolorimeter (Williamson Development needles were removed and the final find a decrement in d' strongly suggests
Co.). Unless the subject withdrew his thermal sensitivity was determined. that the stimulus parameters used in
arm, the stimulus lasted 3.00 seconds. Sensory decision theory was used to this study did not produce acupunc-
The heat stimuli (2.0 cm in diameter) determine measures of discriminability, tuLral analgesia.
were presented to six patches on the d', and criterion, Lx (2-6). The mean The dramatic role of expectation in
volar surface of each forearm where values for d' and for the pain criterion studies of acupunctural analgesia is
India ink had been applied. The 12 for withdrawal to stimuli at 370 and revealed in the much higher pain cri-
subjects were instructed to rate each 425 mcal sec-1 Cm-2 appear in Table terion that subjects set for the acu-
presentation along a 12-category inten- 1. Analysis of variance for period punctured arm. The interpretation of
sity scale with categories ranging from versus treatment revealed no significant the data according to sensory decision
"nothing" through various degrees of differences for d' between the acupunc- theory is that subjects experienced
heat and pain to "withdrawal." Ap- tured and control arms (F = 0.12; equal amounts of "physiological" pain
proximately 24 stimuli were presented d.f. - 1,10; P > .50) or between the in the two arms, but were less likely to
to each subject in each of the cells periods before and after acupuncture admit that a given sensory experience
of the two-by-three design (Table 1). (F = 3.90; d.f. = 2,10; P > .l0). A was painful when it occurred in the
Skin temperature was monitored separate analysis of variance for the arm which had received the acupunc-
throughout the experiment; no changes pain criterion revealed that a much ture treatment.
were fotund. higher Lx was set for the acupunctured Although acupunctural analgesia was
After the before-acupuncture test arm than for the control arm (F = not obtained with the stimulus condi-
period, sterile 2- and 4-cm stainless 6.97; d.f. = 1,10; P < .025). This dif- tions used, a wide variety of stimulus
steel acupuncture needles were inserted ference was significant only during acu- parameters, incliding voltage, current,
into the alcohol-cleaned skin in three punctural stimulation (t = 2.58, d.f. = frequLency, waveform, and duration of
electrically paired sites: anteriorly and 11, P < .05). The criterion did not treatment, must be systematically in-
posteriorly at the axial crease, radially shift significantly between the periods vestigated before it can be concluded
and medially at the elbow crease, and before and after acupuncture (F = that acupunctural analgesia is a myth.
in the hand at the metacarpal joitnt 1.85, d.f. = 2,1 0; P > .10). During the Many methods of acupuncture and types
between the small and ring finger and session both d' and Lx increased, but of pain remain to be investigated. How-
between the thumb and first finger. not significantly. Such changes had ever, the present study does prove that
Half of the subjects were treated in been observed previously (3). The the pain threshold determined by tradi-
the left arm and the other half in the higher d' reflects the improved dis- tional psychophysical techniques can-
right arm. These acupunctuLre sites are crimination that occurs with practice. not be used to resolve the question of
standard for surgery of the arm (7). The increase in Lx results because, as acupunctural analgesia. Until the role
The positioning of the needles was the experimental session proceeds with- of suggestion on the readiness of the
based on the concept of Ten Ch'i, and out injury, the subject loses his fear subject to report pain after acupuncture
involved the subject's report of sore- that he will receive a second-degree has been determined, speculations con-
ness, heaviness, and numbness when burn, and thus ceases to use the re- cerning the physiological mechanisms
the needle was twirled manually (8). sponse "pain" as a warning to the ex- involved (9) are premature.
The needles were then stimulated elec- perimenter to avoid extreme stimulus W. CRAWFORD CLARK
trically by a battery-powered acupunc- intensities. Departmnent of Research Psychology,
ture apparatus (model 6.26, manufac- The results show that the acupunc- New York State Psychiatric
tured in Canton, People's Republic of ture procedure used in this study de- In.stitute, New York 10032
China) at the maximum intensity ac- creased the proportion of withdrawals J. C. YANG
ceptable to the subject. The character- and reports of pain, which suggests Department of Anesthesiology,
istics of the biphasic, 88-hertz stimulus that analgesia had been induced. How- Columbia University College of
were measured on an oscilloscope with ever, sensory decision theory analysis Physicians and Surgeons,
the subject in the circuit. The current of the response data revealed that this New York 10032
7 JUNE 1974 1097
References and Notes tivity of a median nerve block produced by References
dilute (0.5 percent) Carbocaine (Winthrop). A
1. W. C. Clark and H. F. Hunt, in Physiological 2.75-ml dose decreased d' from 1.60 to 0.13, 1. A. Gold, Science 181, 275 (1973).
Basis of Rehabilitation Medicine, J. A. while a 1.50-ml dose decreased d' from 1.53 2. V. A. Tucker, Comp. Biochem. Physiol. 34,
Downey and R. C. Darling, Eds. (Saunders, to 1.27. 841 (1970).
Philadelphia, 1971), pp. 373-401; W. C. Clark, 7. Board of Acupuncture Anesthesia, Acupunc- 3. , J. Exp. Biol. 48, 67 (1968).
Res. Clin. Stud. Headache, in press. ture Anesthesia (in Chinese) (People's Publish- 4. J. R. Brett, Sci. Am. 213 (No. 11), 80 (1965).
2. D. M. Green and J. A. Swets, Signal Detection ing Society, Shanghai, ed. 1, 1972), pp. 214- 5. J. Gray, Animal Locomotion (Weidenfeld &
Theory and Psychophysics (Wiley, New York, 215. Nicolson, London, 1968), pp. 48 and 52.
1966); W. C. Clark, Anesthesiology 40, 272 8. E. G. Dimond, J. Am. Med. Assoc. 218, 1558 6. E. Muybridge, Animals in Motion (Chapman
(1974). (1971). & Hall, London, 1902), p. 25.
3. W. C. Clark, J. Abnormn. Psychol. 74, 363 9. R. Melzack, Psychol. Today 7, 28 (1971). 7. K. Schmidt-Nielsen, Science 177, 222 (1972).
(19691. 10. Supported in part by NIH grants NS 09263 8. V. A. Tucker, Amn. J. Physiol. 222, 237 (1972).
4. C. R. Chapman, T. M. Mtirphy, S. H. Butler, and FR 05650. We thank L. Mehl and E. 14 September 1973
Science 179, 1246 (1973). Tupper for assistance with data collection and
5. D. J. Dillon, Proc. Amn. Pssychol. Assoc. 7, analysis and M. Rosengarten for the electrical
872 (1972). determinations. Calder has demonstrated that for
6. In an unpublished study, W. C. Clark and
L. Mehl studied the effect on thermal sensi- 17 Seplteniher 1973: revised 16 Noveniiher 1973 * swimming and flying the "step rule"
cannot be interpreted as implying the
constancy of energy expenditure for
each contraction of the animal's pro-
Energy Cost of Animal Locomotion pulsive muscles, but must be more nar-
rowly construed to imply only the
Gold (1) has presented an interest- There is also a fundamental differ- constancy of energy expenditure per
ing hypothesis regarding energy ex- ence between flying and swimming. The characteristic length.
penditure in animal locomotion, that specific energy cost can be obtained as: Herschman (1) has noted that the
the cost of a step, wingbeat, or swim reported interspecific constancy of the
stroke (in calories per gram per C = energy cost X stride length strength of muscle (approximately 4
"step") is independent of bodv size = cal g-' cm-' X cm step-' kg/Cm2), in fact, implies a constancy
and stepping (flapping, stroking) fre- = cal g-' "step"' (1) in the quantity of energy available per
quency. This hypothesis merits investi- contraction per unit of muscle mass
or (approximately 1 cal/kg). It is instruc-
gation; unfortunately Gold did not
compare it with available iniforma- C = metabolic rate/step frequency tive to combine this with Calder's ob-
tion. = cal g-' hour-'/step hour-'
servation and some rough anatomical
In order to check the specific energy assumptions.
= cal g-' "step"' (2) If c is the derived energy cost per
cost (C) values derived by Gold, I
calculated C for three animals, taking If Eq. 2 is used, note that the speed step (per characteristic length), then we
information from Tucker (2, 3), Breit and tailbeat frequency ('stepping fre- may write
(4), Gray (5), and Muybridge (6). quency") otf a fish are linearly propor-
c oc (m/M)n
The calculations for Table I may need tional (5), while wingbeat frequency
some refinement, but of the three only is independent of airspeed (3, 8). where in is the mass of propulsive mus-
the horse conforms to Gold's predic- Finally, Gold is qualitatively correct cle, M is the animal's body mass, and
tion. The hypothesis may fit for walk- in stating that the proportion of body ni is the number of muscle contractions
ing animals, but there are some fun- mass devoted to propulsioll increases required for the animal to travel one
damental differences in tlying and from mammals to birds to fish. Accord- characteristic length. The ratio of the
swimming which indicate that Gold's ing to Gray (5), however, only 45 c values for running, flying, and swim-
hypothesis is oversimplified. percent of the mass of a fish is muscle, ming, respectively, is 15: 5: 2 (2). For
Gold regards as similar the slopes which does not support Gold's remark runners, a reasonable value of in/M is
relating log C and log body mass fer that niost of the body structure of thie 0.1; for flyers and swimmers, respec-
runners and flyers, -0.40 (7) and fish seems to be devoted to propulsion. tively. 0.2 and 0.45 are rough values.
-0.227 (2), respectively. In allometric WILLIAM A. CALDER III Taking Calder's observation that n =
analysis these values would not be re- Department of Biological Scienzces, I is an excellent approximation for
garded as similar. Universitv of Arizona, Tucson 85721 rulnning, we find that
1l1/6 = 0.167 (flying)
i - 2.96 (swimming)
Table 1. Values of the specific energy cost (C) in calories per gram per "step" calculated from
the information available for the horse, budgerigar, and salmon are compared with the values These are at least qualitatively consistent
derived by Gold (1). with Calder's demonstration that a
C (cal g-I "step'"') salmon requires about two strokes to
Animal Gold's Calculated/Gold's swim its own body length, whereas a
Calculated derivation budgerigar traverses about a meter,
some four or five times its wingspan,
Horse (walking) 2.87 X 10-4* 3 X 10f4 0.96
per wingbeat.
Budgerigar (flying) 2.02 X 10-3t 1 X 10-4 20.2
ALBERT GOLD
Salmon (swimming) 1.26 x 10-4t 4 x 10-r 3.15
Rockefeller University,
* From (2), (2.61 cal g-' hour-')/(5 kmn/hour-') = 0.522 cal g-1 km'-. From (6), for the horse New York 10021
"Eagle," (2.2 m/stride)/4 = 5.5 X 10-4 km/step; 0.522 cal g-1 kmn- X 5.5 X 104 km/step = 2.87 X 10-4
cal g-1 step-'. t From (3), 102 cal g-' hour-' = 1.70 cal g- min-; dividing this by 840 wingbeats References
per minute gives 2.02 X 10-3 cal g-1 wingbeat-'. $From (4, p. 82, figure 2), 880 mg of °2 per
kilogram per hour = 8.21X 10-4 cal g-' sec-1; dividing this by 78 cm/sec gives 1.053 X 10-5 cal g-' 1. A. Herschman, Anm. J. Phys., in press.
cm-' for 20-cm salmon. From (5, p. 48), the distance traveled between tailbeats is 0.6 times the 2. A. Gold, Science 181, 275 (1973).
length; 0.6 X 20 cm = 12 cm. Then 1.053 X 10-5 cal g-' cm-' X 12 cm/tailbeat = 1.26 X 10-4 cal g- 21 February 1974
tailbeat-'.
1098
SCIENCE, VOL. 184