Tratamento com acupuntura: avaliação multidimensional da dor lombar em gestantes

Abstract

Objective:To evaluate the effects of acupuncture in the treatment of low back pain in pregnant women in the second and third trimesters of pregnancy. Method: A quasiexperimental pre-post design was applied to pregnant women at a gestational age between 14 and 37 weeks, who had complaints of low back pain. Acupuncture sessions were performed, working systemic and auricular points. The McGill questionnaire was used to assess pain, as well as the instrument for identifying the sociodemographic, clinical and obstetric profile. Results: The acupuncture technique performed in up to six sessions in 56 pregnant women with low back pain had positive effects on the participants' health. According to the pain assessment, there was a statistically significant reduction in the low back pain among the pregnant women as early as in the second session, with a gradual improvement with the advancement of the number of sessions. There were no serious adverse events related to acupuncture. Conclusion: Acupuncture offered significant effects for reducing or relieving pain in pregnant women. The participants expressed satisfaction and well-being as they left each session.

Use of Integrative and Complementary Health Practices by professionals in pregnant women with low back pain: integrative review

“…Of the 12 articles included in this review the most cited professional was the nurse 9,11,[13][14][15][16]18 . ICHP are reaffirmed as a specialty of Nursing by the 581 Resolution of 2018 of the Conselho Federal de Enfermagem (COFEN -Federal Council of Nursing), which ensured for these professionals actions and research development in the general field of ICHP 26 .…”

“…More professionals in this field would contribute to the increase of knowledge with scientific basis and dissemination of these therapies to the community 31 . In view of the above, it's important to emphasize that, taking into account the facilitations and difficulties involved in the implementation of ICHP, health professionals can reconsider the quality of care for the obstetric public, not only through pharmacological treatment, but with an emphasis on the applicability of ICHP to the entire pregnancy cycle, contributing in an essential and significant way to an integral and humanized care, configuring an advance for the health of pregnant women 16 . It's important to note that the present study had some limitations, such as the diversity of key words and concepts that are related to ICHP, which may have made it difficult to locate scientific productions in the researched databases.…”

A utilização da acupuntura no controlo da dor crónica em usuários com síndrome vertebral com irradiação

“…A acupuntura tem sido uma das terapêuticas utilizadas em inúmeras e variadas situações de dor (8). Trata-se de uma prática tradicional chinesa cujo objetivo é o de promover a cura pela estimulação do equilíbrio do corpo e atuação das energias negativas e positivas (9). Consiste na inserção manual de agulhas para estimular terminações nervosas mecanossensíveis.…”

“…Já a eletroacupuntura, recorre a estímulos elétricos aplicados nas agulhas, atuando em todos os tipos de fibras. Essa técnica é classificada como apropriada no tratamento da dor crónica devido às suas reações neurobiológicas, que intervêm a nível dos neurotransmissores relacionados com a dor e com a depressão (9). Na terapêutica da dor crónica, as principais indicações da acupuntura centram-se na dor nociceptiva do tipo músculo-esquelético com caraterística inflamatória ou não, com principais benefícios na lombalgia, cervicalgia, omalgia, osteoartrite do joelho e cefaleia crónica (10).…”

Contribuições das Práticas Integrativas e Complementares na gestação: uma revisão de literatura

“…Além disso, não foi detectada mudanças tanto no tempo quanto na via do parto. Após, o nascimento do filho as mulheres não registraram tanto desconforto quanto o esperado por um parto sem intervenção.Além da dor no parto, durante a gestação algumas mulheres sentem dores na coluna como, por exemplo, a dor lombar.No estudo apresentado porMartins et al (2018), algumas gestantes jovens apresentavam quadros de dor lombar, os autores associaram a idade destas que estava entre 20 e 29 anos. Portanto, a intervenção baseou-se em sessões de acupuntura tanto auricular quanto a sistêmica.…”