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Pais Clemente M, Pinto A, Milheiro F, Costa TF, Moreira A, Vardasca R, Pereira PA, Mendes J, Dulce Madeira M, Manuel Amarante J. Adhesive dentistry sensory stimulus technique as a neuromechanism for the treatment of orofacial pain associated to temporomandibular disorders: Case study. J Oral Biol Craniofac Res 2020; 10:6-12. [PMID: 32025480 DOI: 10.1016/j.jobcr.2020.01.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2019] [Accepted: 01/14/2020] [Indexed: 11/15/2022] Open
Abstract
Purpose The authors intend, by presenting a case study, emphasize the neuromodulation process of orofacial pain induced by the stimulation of the sensory and motor stimulation of the trigeminal nerve, which can play an important role on pain modulation. Materials and methods A 25 year-old woman presenting orofacial pain was referred to the stomatology service at the Centro Hospitalar do Porto. After collecting the patient's anamnesis, the thermographic camera FLIR i7 was used to record the thermal status of the orofacial structures, before the adhesive dentistry sensory stimulus protocol, after 45 minutes, and after one week. Results This study suggests the relation of adhesive dentistry sensory stimulus technique in the neuromodulation of orofacial pain and its association with the temporomandibular disorders . As the tongue senses the stimulus of the resin composite placed on the palatal surface of the 1st premolar, 2nd premolar and 1st molar of the maxilla, this can promote and induce an effect regarding a peripheral nerve neuromodulation resulting in a blockage of the nociceptive trigeminal pathway from temporomandibular disorders. Conclusion Orofacial pain is a common complaint among the patients that come to a dentistry appointment, which may have different diagnosis and treatments. A positive effect on the patient's symptomatology was confirmed clinically on subsequent dental appointments and monitored by infrared thermography.
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Affiliation(s)
- Miguel Pais Clemente
- Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Portugal
| | - Asdrúbal Pinto
- Serviço de Estomatologia e Cirurgia Maxilo Facial, Centro Hospitalar do Porto, Portugal
| | - Fernando Milheiro
- Serviço de Estomatologia e Cirurgia Maxilo Facial, Centro Hospitalar do Porto, Portugal
| | - Teresa F Costa
- Faculty of Dental Medicine, University of Porto, Porto, Portugal
| | - Andre Moreira
- Faculty of Dental Medicine, University of Porto, Porto, Portugal
| | - Ricardo Vardasca
- Faculty of Engineering, University of Porto, Portugal.,Labiomep, University of Porto, Portugal
| | - Pedro A Pereira
- Unit of Anatomy, Department of Biomedicine, Faculty of Medicine, University of Porto, Portugal.,CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal
| | - Joaquim Mendes
- Faculty of Engineering, University of Porto, Portugal.,Labiomep, University of Porto, Portugal.,INEGI, Porto, Portugal
| | - M Dulce Madeira
- Unit of Anatomy, Department of Biomedicine, Faculty of Medicine, University of Porto, Portugal.,CINTESIS - Centro de Investigação em Tecnologias e Serviços de Saúde, Porto, Portugal
| | - José Manuel Amarante
- Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Portugal.,Labiomep, University of Porto, Portugal
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Antônio AM, Guirro ECDO, Dos Santos TP, Ferreira VTK, Silva MLD, de Araujo JE. Lower limb auriculotherapy points improves balance in young healthy subjects-assessed by computerized baropodometry. Complement Ther Clin Pract 2018; 32:46-50. [PMID: 30057056 DOI: 10.1016/j.ctcp.2018.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2018] [Revised: 04/26/2018] [Accepted: 05/03/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE To analyze the effects of Lower Limb (LL) auricular stimulation points on the static equilibrium of healthy subjects, assessed by computerized baropodometry. METHODS AND MATERIALS Forty volunteers were assigned to one of two groups: Auriculotherapy (AT) who received unilateral needle stimulation of the coxofemoral, knee, and ankle points. Control (C) who did not receive any stimulation. We analyzed the contact area (CA) and the peak pressure (PP) for both feet at baseline, 20 and 25 min after the baseline was recorded. Three-Way ANOVA (P < 0.05) was used for data analysis. RESULTS AT showed an increase in CA (F:6.49) and a decrease in PP (F:3.11) at 20 and 25 min, when compared to C. The PP decreased was only for the right LL at 20 and 25 min (F:6.45). CONCLUSION The auriculotherapy points were able to modify the ipsilateral weight discharge on the same side of the stimulated auricular pavilion.
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Affiliation(s)
- Amanda Machado Antônio
- Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), AV. dos Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil
| | - Elaine Caldeira de Oliveira Guirro
- Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), AV. dos Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil
| | - Tamyris Padovani Dos Santos
- Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), AV. dos Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil
| | - Vânia Tiê Koga Ferreira
- Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), AV. dos Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil
| | - Marcelo Lourenço da Silva
- Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), AV. dos Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil
| | - João Eduardo de Araujo
- Laboratory of Neuropsychobiology and Motor Behavior, Department of Health Sciences, Ribeirão Preto Medical School of the University of São Paulo (USP), AV. dos Bandeirantes, 3900, Ribeirão Preto, SP, 14049-900, Brazil.
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Silva de Camargo P, Lima CR, de Andrade E Rezende ML, Silva Santos AT, Rodrigues Hernandez JW, Silva AM. The Effect of Auricular and Systemic Acupuncture on the Electromyographic Activity of the Trapezius Muscle with Trigger Points-A Pilot Study. J Acupunct Meridian Stud 2018; 11:18-24. [PMID: 29482797 DOI: 10.1016/j.jams.2017.11.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2017] [Revised: 11/11/2017] [Accepted: 11/15/2017] [Indexed: 10/18/2022] Open
Abstract
The purpose of this study was to analyze and compare intra and intergroup the immediate effect of the auricular and LR8 systemic acupuncture on the electromyographic activity of the trapezius with the trigger points. This is an experimental clinical trial; 40 people were split in 4 distinct groups (n = 10): GI mustard seed application in the auricular acupoint; GII bilateral needle application in the LR8 acupoint; GIII combination of the techniques; GIV/Control Group mustard seed application in an acupoint not linked to the muscle tension. The EMG was used to assess the muscle contraction for 5 seconds during the resting time and during the isometric contraction time. The EMG signal was first collect without the acupuncture intervention; then both techniques were applied for 5 minutes; and the EMG was collected again right after these applications. The Shapiro-Wilk test was used, the t test was paired with the Wilcoxon test to the intragroup comparison; One-way analysis of variance test for intergroup comparison. There was no statistical difference in the intragroup comparison for the groups. The same happened to the intergroup comparison before and after application. Systemic and auricular acupuncture did not promote immediate changes in the EMG activity of the trapezius muscle in individuals with MTrPs.
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Silva ACDO, Biasotto-Gonzalez DA, dos Santos DM, Melo NCD, Gomes CAFDP, Amorim CF, Politti F. Evaluation of the Immediate Effect of Auricular Acupuncture on Pain and Electromyographic Activity of the Upper Trapezius Muscle in Patients with Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2015; 2015:523851. [PMID: 26451155 PMCID: PMC4588355 DOI: 10.1155/2015/523851] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2015] [Accepted: 09/02/2015] [Indexed: 01/16/2023]
Abstract
Background. The aim of the present study was to assess the immediate effects of auricular acupuncture (AA) on the electromyographic (EMG) activity of the upper trapezius muscle and pain in nonspecific neck pain (NS-NP) patients. Twelve patients with NS-NP (NS-NP group) and 12 healthy subjects (HS Group) were enrolled in a randomized, single-blinded, crossover study. Each subject received a single session of AA and sham AA (SAA). Surface EMG activity was measured in the upper trapezius muscle at different "step contractions" of isometric shoulder elevation (15%, 20%, 25%, and 30% MVC). The outcome measure in patients with NS-NP was based on the numerical pain rating scale (NRS). AA treatment led to a significant decrease in EMG activity in both groups (NS-NP group: p = 0.0001; HS group: p < 0.0001-ANOVA test). This was not the case for the SAA treatment (NS-NP group: p = 0.71; HS group: p < 0.54). Significant decreases (p < 0.001) in the NRS were found for both treatments (AA and SAA). This study demonstrated the immediate effect of auricular acupuncture on the electromyographic activity of the upper trapezius muscle but the effect of this intervention on pain symptoms in patients with nonspecific neck pain was inconclusive.
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Affiliation(s)
- Andréia Cristina de Oliveira Silva
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 1w09, Água Branca, 05001-100 São Paulo, SP, Brazil
| | - Daniela Aparecida Biasotto-Gonzalez
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 1w09, Água Branca, 05001-100 São Paulo, SP, Brazil
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 109, Água Branca, 05001-100 São Paulo, SP, Brazil
| | - Douglas Meira dos Santos
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 109, Água Branca, 05001-100 São Paulo, SP, Brazil
| | - Nivea Cristina De Melo
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 109, Água Branca, 05001-100 São Paulo, SP, Brazil
| | - Cid André Fidelis de Paula Gomes
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 109, Água Branca, 05001-100 São Paulo, SP, Brazil
| | - César Ferreira Amorim
- Physical Therapy Program, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno, Tatuapé, 448/475 São Paulo, SP, Brazil
| | - Fabiano Politti
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 1w09, Água Branca, 05001-100 São Paulo, SP, Brazil
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Avenida Dr. Adolfo Pinto 109, Água Branca, 05001-100 São Paulo, SP, Brazil
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Calamita SAP, Biasotto-Gonzalez DA, De Melo NC, dos Santos DM, de Lassa R, de Mendonça FS, Oliveira CS, Amorim CF, Gonzalez TO, Fumagalli MA, de Gomes CAFP, Politti F. Evaluation of the immediate effect of acupuncture on pain, cervical range of motion and electromyographic activity of the upper trapezius muscle in patients with nonspecific neck pain: study protocol for a randomized controlled trial. Trials 2015; 16:100. [PMID: 25872667 PMCID: PMC4378559 DOI: 10.1186/s13063-015-0623-3] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Accepted: 02/27/2015] [Indexed: 11/23/2022] Open
Abstract
Background Nonspecific neck pain can cause considerable suffering, possible disability and reductions in quality of life and productivity. The aim of the proposed study is to evaluate the immediate effect of acupuncture on pain, cervical range of motion and electromyographic activity of the upper trapezius muscle in patients with nonspecific neck pain. Methods/Design A total of 12 patients with nonspecific neck pain and 12 healthy subjects will be enrolled in a randomized, single-blind crossover study. Each subject will receive two forms of treatment in random order: a single session of traditional acupuncture (acupoints: triple energizer 5, ‘Wai-guan’ and large intestine 11, ‘Qu-chi’) and sham acupuncture. To eliminate carry-over treatment effects, a one-week wash-out period will be respected between sessions. Surface electromyography will be used to determine motor control in the upper trapezius muscle before and after treatment. The outcome measures in the group with neck pain will be a numerical pain rating scale (range: 0 (no pain) to 10 (maximum pain)), documentation of the pain area on a body chart and cervical range of motion. Comparisons before and after acupuncture treatment will demonstrate whether acupoints affect the activity of the upper trapezius muscle, pain and cervical range of motion. Discussion The purpose of this randomized clinical trial is to evaluate the immediate effect of acupuncture on pain, cervical range of motion and electromyographic activity of the upper trapezius muscle in patients with nonspecific neck pain. Data will be published after the study is completed. The study will support the practice of evidence-based physical therapy for individuals with nonspecific neck pain. Trial registration This trial was registered with Clinicaltrials.gov (identifier: NCT0984021) on 7 November 2013 (https://clinicaltrials.gov/ct2/show/NCT01984021).
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Affiliation(s)
- Simone Aparecida Penimpedo Calamita
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Daniela Aparecida Biasotto-Gonzalez
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil. .,Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Nivea Cristina De Melo
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Douglas Meira dos Santos
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Roberta de Lassa
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Fabiana Sarilho de Mendonça
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Claudia Santos Oliveira
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil. .,Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - César Ferreira Amorim
- Physical Therapy Program, Universidade Cidade de São Paulo (UNICID), Rua Cesário Galeno, 448/475, Tatuapé, São Paulo, SP, 03071000, Brazil.
| | - Tabajara Oliveira Gonzalez
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Marco Antônio Fumagalli
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Cid André Fidelis Paula de Gomes
- Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
| | - Fabiano Politti
- Postgraduate Program in Rehabilitation Sciences, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil. .,Department of Physical Therapy, Universidade Nove de Julho (UNINOVE), Av Dr Adolfo Pinto, 109, Água Branca, São Paulo, SP, 05001-100, Brazil.
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Bernardo-Filho M, de Sá-Caputo DDC, Marin PJ, Chang S. The mechanism of auriculotherapy: a case report based on the fractal structure of meridian system. AFRICAN JOURNAL OF TRADITIONAL, COMPLEMENTARY, AND ALTERNATIVE MEDICINES 2014; 11:30-7. [PMID: 25371561 DOI: 10.4314/ajtcam.v11i3.6] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Chinese meridian system of acupuncture has recently been deciphered as the fractal continuum of neurovascular bundles and its smaller branches. The corresponding acupuncture mechanism of therapeutics has been attributed to the magneto-electric inductive effects of the meridian system via chaotic wave of nerve innervations and blood flow. Hence, based on the proposed theory, the important sensory organ of the ears should be able to exert its influence on visceral organs and peripheral limbs. This investigation aims to verify if such a possible correlation exists between an external region of the ear and the muscle of biceps brachii in the French auriculotherapy. MATERIALS AND METHODS A region between the points of elbow and shoulder in the scaphoid fossa (upper arm), was chosen. Before the recording of surface electromyograms (EMGs), of the muscle of biceps brachii, two subjects were asked to carry out maximum voluntary isometric contractions (MVICs), of the arm. In addition, the same volunteers would be served as control group. Consequently, each subject was required to perform the three treatments of control, sham, and acupressure in random order. EMG signals were recorded for later analysis. RESULTS Results indicate that the acupressure with finger at a specific point which bears possibly with a somatopic relation to the biceps brachii muscle can, in a man, modify the response of the EMGs associated with the corresponding muscle while the response of the acupressure of a sham point has different responses. Moreover, the MVIC parameters were higher in acupressure treatment than those of control and sham treatments for both subjects. CONCLUSION In conclusion, the analysis of the findings permits us to speculate that the stimulation with the fingers in the scaphoid fossa of the ear presents electromyographic responses related to the biceps brachii muscle. Hence, the mechanism of French auriculotherapy could be derived from the same principle as that of the Chinese acupuncture.
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Affiliation(s)
- Mario Bernardo-Filho
- Departamento de Biofísica e Biometria, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro
| | - Danúbia da Cunha de Sá-Caputo
- Mestrado Profissional em Saúde, Medicina Laboratorial e Tecnologia Forense, Instituto de Biologia Roberto Alcântara Gomes, Universidade do Estado do Rio de Janeiro
| | - Pedro J Marin
- Faculty of Health Sciences, European University Miguel de Cervantes Valladolid, Spain
| | - Shyang Chang
- Department of Electrical Engineering, National Tsing Hua University, Hsinchu 300, Taiwan
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