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Mantuani APA, Chaves EDCL, Menezes FDS, Oliveira PED, Moura CDC, Carvalho LC, Iunes DH, Marino LDS. Laser auriculotherapy associated with cupping therapy in chronic spinal pain: Randomized controlled clinical trial. J Bodyw Mov Ther 2024; 37:194-201. [PMID: 38432806 DOI: 10.1016/j.jbmt.2023.11.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 09/25/2023] [Accepted: 11/12/2023] [Indexed: 03/05/2024]
Abstract
BACKGROUND Musculoskeletal spine disorders are common causes of chronic pain and impair functionality. Laser auriculotherapy and cupping has played a significant role in the treatment of chronic pain. OBJECTIVE to evaluate the effect of laser auriculotherapy associated with cupping at systemic acupuncture points on chronic spinal pain. METHODS Randomized controlled clinical trial. Volunteers underwent three evaluations: an initial evaluation, a final evaluation immediately after the last intervention session, and a 15-day follow-up. The pain was identified using the numeric pain scale. The pain threshold was also evaluated against mechanical stimulation using a Digital Dynamometer at specific points in the cervical, thoracic and lumbar regions. Fifty individuals with chronic spinal pain, randomized into groups: experimental (n = 25), submitted to 10 sessions of auriculotherapy with laser and cupping therapy and control (n = 25). RESULTS The experimental group achieved pain intensity reduction between pre and post and follow-up moments (p < 0.0001), of greatest pain in the last seven days among all moments (p < 0.0001), of least pain in the pre with post moment (p = 0.006) and follow-up (p = 0.002), and an increased pain threshold between pre and post (p = 0.023). The control group achieved a reduction in the nociceptive threshold between pre and post (p = 0.001) and follow-up (p < 0.0001). The experimental group showed reduced pain intensity (p = 0.027) and greater pain (p = 0.005) after intervention and in pain intensity (p = 0.018), greater (p < 0.0001) and less pain (p = 0.025) at follow-up, compared to the control group. CONCLUSION Auriculotherapy with laser associated with cupping therapy may effectively reduce pain intensity and increase the nociceptive threshold.
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Affiliation(s)
- Ana Paula Aparecida Mantuani
- Post Graduate Program in Rehabilitation Sciences, Federal University of Alfenas (UNIFAL), 2600, Avenida Jovino Fernandes Sales, CEP: 37133-840, Alfenas, Minas Gerais, Brazil.
| | - Erika de Cássia Lopes Chaves
- School of Nursing, Federal University of Alfenas (UNIFAL), 700, Gabriel Monteiro da Silva, CEP: 37130-001, Alfenas, Minas Gerais, Brazil.
| | - Flavia da Silva Menezes
- Post Graduate Program in Rehabilitation Sciences, Federal University of Alfenas (UNIFAL), 2600, Avenida Jovino Fernandes Sales, CEP: 37133-840, Alfenas, Minas Gerais, Brazil.
| | - Paloma Elisama de Oliveira
- School of Nursing, Federal University of Alfenas (UNIFAL), 700, Gabriel Monteiro da Silva, CEP: 37130-001, Alfenas, Minas Gerais, Brazil.
| | - Caroline de Castro Moura
- Department of Medicine and Nursing, Federal University of Viçosa, Av. Peter Henry Rolfs, CEP: 36570-900, Viçosa, Minas Gerais, Brazil.
| | - Leonardo César Carvalho
- Post Graduate Program in Rehabilitation Sciences, Federal University of Alfenas (UNIFAL), 2600, Avenida Jovino Fernandes Sales, CEP: 37133-840, Alfenas, Minas Gerais, Brazil.
| | - Denise Hollanda Iunes
- Post Graduate Program in Rehabilitation Sciences, Federal University of Alfenas (UNIFAL), 2600, Avenida Jovino Fernandes Sales, CEP: 37133-840, Alfenas, Minas Gerais, Brazil.
| | - Ligia de Sousa Marino
- Post Graduate Program in Rehabilitation Sciences, Federal University of Alfenas (UNIFAL), 2600, Avenida Jovino Fernandes Sales, CEP: 37133-840, Alfenas, Minas Gerais, Brazil.
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Menezes FDS, Chaves EDCL, Mantuani AP, Marino LDS, Alcantara MAR, Nassif MS, de Castro Moura C, Carvalho LC, Iunes DH. Effects of low-power laser auriculotherapy on chronic spinal pain: Randomized clinical trial. Complement Ther Clin Pract 2022; 48:101578. [DOI: 10.1016/j.ctcp.2022.101578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Revised: 03/21/2022] [Accepted: 03/27/2022] [Indexed: 11/30/2022]
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de Carvalho MS, Carvalho LC, Alves RDS, Menezes FDS, Gomes EDC, Frazin A, Iunes DH. Analysis of the Muscular Activity, Peak Torque in the Lower Limbs, and Static Balance after Virtual Rehabilitation in Women with Fibromyalgia: A Randomized Controlled Study. Games Health J 2021; 10:190-197. [PMID: 34143668 DOI: 10.1089/g4h.2020.0206] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Objective: To analyze the effect of the exergaming on muscular activity at rest and on maximum voluntary isometric contraction by electromyography (EMG) at peak torque, widespread pressure hyperalgesia identified using a tender point count, and static balance in fibromyalgia. Materials and Methods: Thirty-five women were divided into two groups: Wii™ (virtual rehabilitation, n = 16) and control (stretching exercises, n = 19), through simple randomization. The volunteers were evaluated by means of EMG, dynamometry by load cell, baropodometry, and algometry before interventions and reevaluated after the 10th and 20th sessions. The subjects participated fully in three 1-hour treatment sessions per week of 20 sessions. Results: The Wii group showed significant benefits for the peak torque of dorsiflexion movement after 20 sessions and for movement plantarflexion after 10 sessions. The control group showed bilateral improvement in muscular activity in the tibialis anterior muscle after 20 sessions. Both groups showed a significant decrease in tender point count, suggesting improved hyperalgesia after 10 sessions and 20 sessions. No significant improvement was found in static baropodometry in the two evaluated groups. Conclusion: Exergaming have the potential to increase the peak torque for dorsiflexion and plantarflexion movement in women with fibromyalgia. It also produces a decrease in tender point count equal to that with flexibility exercises and does not produce changes in the static balance.
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Affiliation(s)
| | - Leonardo Cesar Carvalho
- Bioscience Applied to Health Program, Federal University of Alfenas, Alfenas, Brazil.,Science Rehabilitation Program, Federal University of Alfenas, Alfenas, Alfenas, Brazil
| | | | - Flavia da Silva Menezes
- Science Rehabilitation Program, Federal University of Alfenas, Alfenas, Alfenas, Brazil.,Graduate of Physical Therapy Faculty, Federal University of Alfenas, Alfenas, Brazil
| | | | - Andressa Frazin
- Graduate of Physical Therapy Faculty, Federal University of Alfenas, Alfenas, Brazil
| | - Denise Hollanda Iunes
- Science Rehabilitation Program, Federal University of Alfenas, Alfenas, Alfenas, Brazil
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Carvalho MSD, Carvalho LC, Menezes FDS, Frazin A, Gomes EDC, Iunes DH. Effects of Exergames in Women with Fibromyalgia: A Randomized Controlled Study. Games Health J 2020; 9:358-367. [PMID: 32379982 DOI: 10.1089/g4h.2019.0108] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Objective: Evaluation of the effects of exergames in women with fibromyalgia on the impact of the disease-pain threshold and physical variables-compared to performing stretching exercises. Materials and Methods: Thirty-five women were enrolled in the study and divided by simple randomization into two treatment groups: the control group (n = 19) and the Wii™ (exergames) group (n = 16). Participants were evaluated using the fibromyalgia impact questionnaire (FIQ), algometry, step tests, cardiopulmonary parameters, and fatigue in the lower limbs. The participants underwent treatments for a period of 7 weeks with three 1-hour sessions weekly and were reevaluated after the 10th and the 20th sessions. Results: The exergames group showed significant reduction of their fibromyalgia symptoms, as demonstrated by lower FIQ scores in the key domains on questions regarding missed work, pain, fatigue, problems resting, stiffness, anxiety, and depression. Significant improvements were observed in mean algometric values in the cervical region, the second chondrocostal junction, the lateral epicondyle, left medial knee border, left occipital region, trapezius, supraspinatus, gluteal muscles, and the greater trochanter. Improved cardiovascular adaptation was reflected by decreased systolic blood pressure, reduction in fatigue of the lower limbs assessed by the CR10 Borg scale, and improved exercise capacity assessed by a step test. Conclusion: Exergames have the potential to increase exercise capacity, decrease the impact of fibromyalgia, promote cardiovascular adaptation, reduce fatigue of lower limbs, and improve the pain threshold in women with fibromyalgia.
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Affiliation(s)
| | - Leonardo Cesar Carvalho
- Bioscience Program, Federal University of Alfenas, Alfenas, Brazil.,Science Rehabilitation Program, Federal University of Alfenas, Alfenas, Brazil
| | - Flavia da Silva Menezes
- Science Rehabilitation Program, Federal University of Alfenas, Alfenas, Brazil.,Graduate of Physical Therapy Faculty, Federal University of Alfenas, Alfenas, Brazil
| | - Andressa Frazin
- Graduate of Physical Therapy Faculty, Federal University of Alfenas, Alfenas, Brazil
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