Anatomo-Physiologic Basis for Auricular Stimulation

Mercante, Beniamina; Ginatempo, Francesca; Manca, Andrea; Melis, F.; Enrico, Paolo; Deriu, Franca

doi:10.1089/acu.2017.1254

Cited by 63 publications

(69 citation statements)

References 105 publications

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“…To utes les données énoncées ci-dessus permettent de mieux comprendre comment la stimulation des «p oints » d'oreilles peut entraîner des effets complexes périphériques et centraux. L'action de l'Auriculothérapie relève plus de la neuromodulation que de la stimulation [27], à l'image du nerf vague, nerf complexeb i-directionnel qui favorise l'homéostasie, face aux changements de l'environnement [16]. Ainsi, même si l'Auriculothérapie se base sur des fondements neuro-anatomophysiologiques solides et objectifs, son mécanisme d'action n'est pas encore complètement élucidé.E n particulier,l es représentations auriculaires du système nerveux central [7,27,28] ne sont pas encore scientifiquement validées.…”

Section: Discussionunclassified

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Auriculothérapie : de la Réflexothérapie à la Neuromodulation Auriculaire

Rangon¹

2018

Hegel

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Introduction : L'auriculothérapie, méthode mise au point au XXème siècle par le médecin français, le docteur Paul Nogier,e st issue d'une réflexothérapie basées ur la stimulation des pavillons d'oreille. Matériel et méthodes : Analyse bibliographique des bases anatomiques et neurophysiologiques de l'auriculothérapie afin de comprendre le mécanisme d'action de cette médecine complémentaire soutenue par l'Organisation Mondiale de la Santé. Résultats : L'auriculothérapie constitue bien une technique de neuromodulation, même si son mécanisme d'action n'est pas entièrement élucidé,n otamment du fait du peu de moyens dédiés. Conclusion : Il est nécessairededévelopper la recherche clinique et fondamentale dans ce domaine de neuromodulation non-invasivep rometteur.

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Section: Discussionunclassified

“…8N°3-2 018 l'anxiété pré-opératoire. Depuis, beaucoup d'études et d'articles ont vu le jour.C es ont néanmoins encore majoritairement des études pilotes sur la stimulation transcutanéed un erf vague [27].…”

Section: Discussionunclassified

Auriculothérapie : de la Réflexothérapie à la Neuromodulation Auriculaire

Rangon¹

2018

Hegel

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“…Among all the available bioelectronic neuromodulatory approaches, auricular vagus nerve stimulation (aVNS) has been increasingly utilized because of its low cost, ease of application, and because it is non-invasive (Pavlov et al 2019;Addorisio et al 2019). The rationale for using aVNS on a specific target area of the ear (cymba concha) is based on anatomical studies suggesting that this area is the only place on the human body surface where there is afferent vagus nerve distribution (Mercante et al 2018a;Mercante et al 2018b). Therefore, direct stimulation of the afferent nerve fibers of the vagus nerve on the ear may be able to produce an effect similar to that produced by an implanted VNS device yet without the need for invasive surgical intervention.…”

Section: Mechanisms Of Auricular Neural Stimulation For Treatment Of mentioning

confidence: 99%

Auricular neural stimulation as a new non-invasive treatment for opioid detoxification

et al. 2020

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The recent opioid crisis is one of the rising challenges in the history of modern health care. New and effective treatment modalities with less adverse effects to alleviate and manage this modern epidemic are critically needed. The FDA has recently approved two non-invasive electrical nerve stimulators for the adjunct treatment of symptoms of acute opioid withdrawal. These devices, placed behind the ear, stimulate certain cranial nerves with auricular projections. This neural stimulation reportedly generates a prompt effect in terms of alleviation of withdrawal symptoms resulting from acute discontinuation of opioid use. Current experimental evidence indicates that this type of non-invasive neural stimulation has excellent potential to supplement medication assisted treatment in opioid detoxification with lower side effects and increased adherence to treatment. Here, we review current findings supporting the use of non-invasive neural stimulation in detoxification from opioid use. We briefly outline the neurophysiology underlying this approach of auricular electrical neural stimulation and its role in enhancing medication assisted treatment in treating symptoms of opioid withdrawal. Considering the growing deleterious impact of addictive disorders on our society, further studies on this emerging treatment modality are warranted.

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“…The ear electrode is similar to a hearing aid, and the stimulator is hand-held [2]. The proposed pathomechanism of auricular VNS is that it may stimulate the thick myelinated fibers of the auricular branch of the vagus nerve, which results in the activation of the nucleus of the solitary tract [38,39].…”

Section: Transcutaneous Auricular Vns (The Nemos® Device) In Migrainementioning

confidence: 99%

Therapeutic strategies that act on the peripheral nervous system in primary headache disorders

Tajti

Delia

Nyári

et al. 2019

Expert Review of Neurotherapeutics

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Introduction: Acute and preventive treatment of primary headache disorders is not completely resolved with regard to efficacy, safety, and tolerability. Hence, peripheral and central neuromodulation can provide therapeutic alternatives in drug-resistant cases. Peripheral targets of neuromodulation include invasive and non-invasive neurostimulation and electrical and chemical nerve and ganglion blockades. Areas covered: A PubMed search of papers published from January 2012 to October 2018 was conducted. The goal of this review was to analyze the efficacy and safety of invasive (implantable) peripheral neurostimulation methods (the occipital nerve, the cervical branch of vagal nerve, the sphenopalatine ganglion) and non-invasive (transcutaneous) peripheral neurostimulation methods (the occipital nerve, the supraorbital nerve, and the cervical and auricular branches of the vagal nerve), based on the results of published clinical trials and case series. Acting also on the peripheral nervous system, peripheral nerve (i.e. greater occipital nerve) and ganglion (i.e. sphenopalatine ganglion) blockades, botulinum neurotoxin type A-hemagglutinin complex therapies, and calcitonin generelated peptide-related monoclonal antibody treatments in this patient population are also discussed. Expert opinion: This review summarizes the latest results on the therapeutic strategies acting on the periphery in primary headache disorders. These therapeutic options are minimally invasive or noninvasive, efficacious, safe, and well tolerated. ARTICLE HISTORY

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Anatomo-Physiologic Basis for Auricular Stimulation

Cited by 63 publications

References 105 publications

Auriculothérapie : de la Réflexothérapie à la Neuromodulation Auriculaire

Auriculothérapie : de la Réflexothérapie à la Neuromodulation Auriculaire

Auricular neural stimulation as a new non-invasive treatment for opioid detoxification

Therapeutic strategies that act on the peripheral nervous system in primary headache disorders

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