Opioidergic orofacial antinociception induced by electroacupuncture at acupoint St36

Almeida, Renato Teixeira; Perez, Andréa C.; Francischi, Janetti Nogueira de; Castro, Maria S.A.; Duarte, Igor Dimitri Gama

doi:10.1590/s0100-879x2008005000028

Cited by 12 publications

(2 citation statements)

References 34 publications

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“…Likewise, Langevin et al 158 reported significantly greater fibroblastic activity following rotational needle manipulation in a mouse model. Clearly, dry needling both superficial and deep non-TrP locations results in significant mechanical,70–72,158 chemical,141,159 endocrinological,136 microvascular,138,161,163,164,170 neural,36,41,47 and central effects 38,39,44,46,130,137,160 (i.e. activation of the descending pain inhibitory systems, cortex, hypothalamus, and inactivation of the limbic system per recent fMRI, and PET studies).…”

Section: Dry Needling For Tendinopathy Not Just Trpsmentioning

confidence: 99%

Dry needling: a literature review with implications for clinical practice guidelines

Dunning¹,

Butts

Mourad³

et al. 2014

Physical Therapy Reviews

221

184

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Background:Wet needling uses hollow-bore needles to deliver corticosteroids, anesthetics, sclerosants, botulinum toxins, or other agents. In contrast, dry needling requires the insertion of thin monofilament needles, as used in the practice of acupuncture, without the use of injectate into muscles, ligaments, tendons, subcutaneous fascia, and scar tissue. Dry needles may also be inserted in the vicinity of peripheral nerves and/or neurovascular bundles in order to manage a variety of neuromusculoskeletal pain syndromes. Nevertheless, some position statements by several US State Boards of Physical Therapy have narrowly defined dry needling as an ‘intramuscular’ procedure involving the isolated treatment of ‘myofascial trigger points’ (MTrPs).Objectives:To operationalize an appropriate definition for dry needling based on the existing literature and to further investigate the optimal frequency, duration, and intensity of dry needling for both spinal and extremity neuromusculoskeletal conditions.Major findings:According to recent findings in the literature, the needle tip touches, taps, or pricks tiny nerve endings or neural tissue (i.e. ‘sensitive loci’ or ‘nociceptors’) when it is inserted into a MTrP. To date, there is a paucity of high-quality evidence to underpin the use of direct dry needling into MTrPs for the purpose of short and long-term pain and disability reduction in patients with musculoskeletal pain syndromes. Furthermore, there is a lack of robust evidence validating the clinical diagnostic criteria for trigger point identification or diagnosis. High-quality studies have also demonstrated that manual examination for the identification and localization of a trigger point is neither valid nor reliable between-examiners.Conclusions:Several studies have demonstrated immediate or short-term improvements in pain and/or disability by targeting trigger points (TrPs) using in-and-out techniques such as ‘pistoning’ or ‘sparrow pecking’; however, to date, no high-quality, long-term trials supporting in-and-out needling techniques at exclusively muscular TrPs exist, and the practice should therefore be questioned. The insertion of dry needles into asymptomatic body areas proximal and/or distal to the primary source of pain is supported by the myofascial pain syndrome literature. Physical therapists should not ignore the findings of the Western or biomedical ‘acupuncture’ literature that have used the very same ‘dry needles’ to treat patients with a variety of neuromusculoskeletal conditions in numerous, large scale randomized controlled trials. Although the optimal frequency, duration, and intensity of dry needling has yet to be determined for many neuromusculoskeletal conditions, the vast majority of dry needling randomized controlled trials have manually stimulated the needles and left them in situ for between 10 and 30 minute durations. Position statements and clinical practice guidelines for dry needling should be based on the best available literature, not a single paradigm or school of thought; therefore, ...

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Section: Dry Needling For Tendinopathy Not Just Trpsmentioning

confidence: 99%

Dry needling: a literature review with implications for clinical practice guidelines

Dunning¹,

Butts

Mourad³

et al. 2014

Physical Therapy Reviews

221

184

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“…In re cent years, in the med i cal world the num ber of stud ies re lated to cer tain bio phys i cal char ac ter is tics of bi o log i cally ac tive points (sim i lar to acu punc ture points) -BAP, antenna and elec tro mag netic ra di a tion ef fect of the body is increas ing (3,5,6,7,8,9,10,11,18). Rel a tively lit tle re search are de voted to the changes that these char ac ter is tics suf fer un der the in flu ence of var i ous ex treme ex ter nal and in ter nal fac tors (1,2,12,15,19). In ac cor dance with the em pir i cal philo soph i cal and re li gious no tions of an cient Chi nese med i cine man (in clud ing other liv ing or gan isms) "com muni cate" with the "en ergy" in na ture and that com mu ni ca tion de pends on the con di tion of the body, stars, moon, sun etc.…”

Section: Introductionmentioning

confidence: 99%

Changes of some biophysical values in animals under moderate stress

Hristov

2011

SSM

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In re cent years, in the med i cal world the num ber of stud ies re lated to cer tain bio phys i cal char ac ter is tics of bi o log ically ac tive points (sim i lar to acu punc ture points)-BAP, an tenna and elec tro mag netic ra di a tion ef fect of the body is in creas ing. As a prod uct of na ture, or gan isms come into sim pler or more com plex re la tion ship with the var i ous forms of man i fes ta tion of nat u ral en ergy and par tic u larly the elec tro mag netic one. Aim of this study was to identify changes in the an tenna ef fect, elec tro mag netic ra di a tion and re sis tance and semi con duc tor ef fect in BAP of exper i men tal an i mals un der ox i da tive stress re sponse to hypobaric hypoxia and hyperbaric hyperoxia, cold and heat shock, phys i cal ex er tion and pro longed im mo bi li za tion. The gen eral im pres sion from the re sults ob tained from dif fer ent mod els of stress con di tions, is that changes in bio phys i cal pa ram e ters stud ied, with few ex cep tions in param e ters and in vary ing de grees of vari abil ity are one-way and sta tis ti cally sig nif i cant. The in creas ing of an tenna ef fect and elec tro mag netic ra di a tion from one side and re duc ing re sis tance and of semi con duc tor ef fect in acupunc ture point Yin-Tang con sid ered for "ba sic en er gizer of the or gan ism" at the other, in wide phys i cal as pect are proof for an in crease of com mu ni ca tive op por tu ni ties of an i mals un der dif fer ent stress op por tu ni ties. To build on the find ings of ex per i men tal study it is nec es sary to ex tend the num ber of an i mals in the re spec tive groups, and con duct fur ther ex per i ments with other stress ful con di tions.

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