Revista Internacional de Acupuntura最新文献

According to the World Health Organization, low back pain is a very common symptom in the population and is attributed to lumbago, sciatica or a herniated disc and, less frequently, to sacroiliitis. This is usually caused by slipped disc or sciatica, among other conditions. This pathology is frequent in people who have carried out loads with excessive weight or suffered traumatic blows. The articular structure is complex; therefore, it becomes difficult to make an accurate diagnosis, unless doing a complete history and physical examination. A multidisciplinary treatment shows better results. This paper shows the results of applying the McKenzie technique and electroacupuncture to a patient who shows low back pain pathology. Techniques were applied by eight sessions. This procedure showed a high efficacy for the reduction of chronic pain and the functional recovery of muscles according to the Tampa scale, making a reduction by 33 to 10 points at last evaluation. Determining that an integrative treatment gives results of up to 70% improvement in the patient.

According to the WHO (World Health Organization), depression is a common disease throughout the world, and it is estimated that it affects approximately 350 million people. The COVID-19 pandemic has and will continue to have important consequences for mental health, which can cause a depressive state, with stress, anxiety, fear and grief that affect the entire population (with a higher prevalence and incidence in women), that are increased by confinements and social isolation.

This study proposes the use of acupuncture as a therapeutic or complementary option to psychotherapies or pharmacotherapies, since here is showed that acupuncture is effective, safe and cheaper than the main treatments, to be able to treat people with some level of depression, that might attend and reduce the consequences of COVID-19, which acupuncture could be a complementary medicine that can help the health systems of countries.

Spinal cord injuries are highly prevalent in the world and multiple investigations have been carried out in search of treatments which allow adequate rehabilitation and recovery in terms of mobility and functionality. The present study aims to investigate the clinical relevance and physiological bases of acupuncture in the management of patients with SCI, conducting an exploratory review of the literature available up to March 1, 2021. Acupuncture has shown various benefits in terms of the process of rehabilitation through various mechanisms, mainly reducing and attenuating the inflammatory process triggered by spinal cord injuries and promoting the proliferation of neuronal stem cells. However, many of these studies have been carried out in animals, so further research should be carried out in order to demonstrate the benefit of this practice in humans.

The treatment of head and neck cancer (HNC) involves challenges in survival, quality of life, and patients' entire biopsychosocial status. Cancer treatment, whether being surgery, radiation therapy, and/or chemotherapy, includes short, medium, and long-term side effects. The dentist plays an important role in the different stages, from early diagnosis, restoration of dental health before treatment, as well as the management of sequelae, which involves continuous monitoring. However, effective management of pain, caused by HNC and the complications generated by chemotherapy and radiation therapy, remains difficult to achieve to regain the general health of the patient. Therefore, this review aims to explore the evidence for complementary therapies in the comprehensive treatment of patients with HNC. The PRISMA-ScR extension recommendations for exploratory reviews were followed, 4 databases were used in the search, controlled clinical trials, observational studies, and case reports were included, integrating the evidence from 15 articles (11 of acupuncture, 2 of yoga, and 2 of meditation) in which the effect of these complementary therapies on pain management, xerostomia, dysgeusia, anxiety, and depression in patients with HNC was studied. The treatments implemented, as well as the aforementioned results, were very heterogeneous, which prevents an adequate meta-analysis in the future. Although the synthesis suggests that these therapies can be a good tool in the comprehensive management of the patient with HNC, more evidence is required to make recommendations.

Introduction

This report deals with the study of a patient operated for inguinal hernia repair with a complication of seroma. Three sessions per week were established, applying treatment with electroacupuncture and laser therapy.

Objective

To assess the benefits of acupuncture and rehabilitation with PainDETECT and Vancouver scales.

Material and method

Prospective and quasi-experimental longitudinal analytical study. Stainless-steel needles were used with the KWB 808 I electrostimulator, direct current at 2 Hz in a unilateral way for 30 min puncturing BL 17 Geshu (cathode), BL 22 Sanjiaoshu (anode), S 36 Zusanli (anode), and S 35 Dubi (cathode). The BTL-4825SL Premium laser equipment was used at 8 J, 1 kHz, pulse, 10 cm, 830 nm, 100 mW for 10 min, giving shots in the wound periphery with a distance of 1 cm.

Results

The surgical lesion had a recovery of nearly 100%.

Conclusions

PainDETECT and Vancouver scales showed the efficacy of the treatment.

Gouty arthritis is a disease caused by the deposit of monosodium urate crystals in joints, generating intense single-joint pain; moxibustion and infrared light have proven effective in reducing pain. The goal was to evaluate the therapeutic effects of the BL 23 Shenshu and SP 6 Sanyinjiao points with moxibustion, accompanied by with infrared light, on pain in gouty arthritis. Prospective, cross-sectional and analytical study; BL 23 Shenshu and SP 6 Sanyinjiao moxibustion was performed bilaterally with the application of infrared light for 8 sessions 2 times a week. A stretcher, moxa cone, lighter, infrared lamp, measuring tape and watch were used. Comparing the PainDetect scale for the analysis of pain behavior, a score of 1/38 was obtained at the end of the treatment, taking 11/38 as a reference at the beginning of the treatment. We confirm that integral treatment with moxibustion and infrared light is useful to reduce pain.

Objective

To characterize the satisfaction of general practitioners with the preparation of natural and traditional medicine (NTM) received in undergraduate studies at the Facultad de Ciencias Médicas «Dr. José Assef Yara» from Ciego de Ávila.

Design

Descriptive and cross-sectional study during the period from May 2018 to April 2019.

Location

Facultad de Ciencias Médicas «Dr. José Assef Yara» from Ciego de Ávila.

Participants

A total of 43 residents of the specialty of Comprehensive General Medicine were selected, by means of an intentional non-probabilistic sampling, because they were first- and second-year residents of the specialty and had completed their intrahospital rotation time in Gynecology and Obstetrics, Pediatrics and Internal Medicine Services.

Method

It was applied a questionnaire that allowed to characterize the state of satisfaction of the residents with the preparation of NTM received in undergraduate, as well as the indicators that influenced it.

Results

An analysis of the results obtained was carried out, which generally recognized a low percentage of satisfaction, influencing the active participation in practical activities, the accessibility of the bibliography, the use of teaching aids and the amount of time dedicated to the NTM activities.

Conclusions

The characterization of the current state of satisfaction of general practitioners with the approach of the contents of the NTM exposed the higher percentage of satisfaction for the discipline of comprehensive general medicine. The greatest dissatisfactions corresponded to Morphophysiology, the disciplines of General Training, Pediatrics and Obstetrics and Gynecology.

Objective

To analyse the effectiveness of an intervention using acupuncture and auriculotherapy for the clinical reduction of symptoms of stress and anxiety in healthcare personnel during the COVID-19 pandemic.

Design

Prospective study comparing 2 cohorts.

Setting

Emergency Room of the Hospital de Palamós, Girona.

Participants

Health workers from the emergency service. A total of 22 professionals participated, 11 in each group.

Interventions

The short version of the Depression, Anxiety and Stress Scale (DASS-21) was performed on all participants, the intervention group (IG) also received 6 sessions of acupuncture and auriculotherapy. Subsequently, the DASS-21 scale was repeated.

Measurements

The variables were group, sex, age, professional category, years of experience in the emergency room, DASS-21 scale with its subscales for stress, anxiety and depression.

Results

Of the professionals, 45.4% suffered stress, 40.9% anxiety and 27.2% depression. There is a reduction of stress by 90.9% in the IG vs 18.2% in the control group (CG), this being statistically significant. There is an anxiety reduction in 81.8% of the IG vs 63.6% of the CG: p = .065; odds ratio: 2.57 (95% confidence interval, .36–18.33). The mean anxiety of the IG is statistically lower in the post-intervention value than in the pre-intervention value (1.36 vs 3.90; p = .003), while in the CG (3.09 vs 2.45; p = .208). There is a reduction in the level of depression in 81.8% of the IG vs 45.5% of the CG (p = .183).

Conclusions

Acupuncture is a treatment that improves stress and anxiety levels in healthcare professionals dealing with COVID-19.

Multiple sclerosis is a neurodegenerative disease characterised by demyelination, axonal loss and inflammation of the central nervous system; it presents with different symptoms in different people. There is currently no cure. A flare, also called a relapse or exacerbation, is a clinical concept that has been defined as the appearance of new symptoms or signs of neurological dysfunction, lasting more than 24 h.

There are various interpretations of deqi in Traditional Chinese Medicine, which has generated debate on how deqi should be explained. Based on the study of classical texts and recent experimental evidence, this contribution proposes a holistic interpretation of deqi, as the sum of the psychoneurophysiological responses triggered during the acupuncture intervention that can be perceived by the patient and the acupuncturist. Such responses have an anatomical, functional, and emergent basis, integrated in a biocircuit consisting of receptors, afferent pathways, processing centres, efferent pathways, and effectors, and reflect feedback between the patient and the acupuncturist.