Comparison of decompressive surgery, electroacupuncture, and decompressive surgery followed by electroacupuncture for the treatment of dogs with intervertebral disk disease with long-standing severe neurologic deficits

Joaquim, Jean Guilherme Fernandes; Luna, Stélio Pacca Loureiro; Brondani, Juliana Tabarelli; Torelli, Sandra Regina; Rahal, Sheila Canevese; Freitas, Fernando de Paula

doi:10.2460/javma.236.11.1225

Cited by 61 publications

(62 citation statements)

References 28 publications

(42 reference statements)

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“…AP may be an alternative to avoid the adverse effects of opioids and NSAIDs in acute and chronic pain management. This technique has been successfully used in animals to treat neurological syndromes and musculoskeletal diseases which culminate in pain 5 and several studies and reviews have addressed the analgesic and antinociceptive effects of AP and AP related techniques in acute pain in man 6 and dogs [7][8][9][10][11] . Postoperative analgesia of AP is comparable or even better than opioids or antiinflammatory drugs [8][9][10][11] , showing that AP has a clinical promising effect to treat postoperative pain in dogs.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture and pharmacopuncture are as effective as morphine or carprofen for postoperative analgesia in bitches undergoing ovariohysterectomy

et al. 2015

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PURPOSE:To investigate the analgesic effect of acupuncture (AP) or micro-dose pharmacopuncture (PA), using carprofen or morphine, in bitches undergoing ovariohysterectomy (OHE). METHODS:Thirty five dogs were randomly assigned to five groups after sedation with acepromazine IM: AP, 0.5 mg.kg -1 of morphine subcutaneously (SC), 4 mg.kg -1 of carprofen SC, and PA with 0.05 mg.kg -1 of morphine or 0.4 mg.kg -1 of carprofen. Anaesthesia was induced with propofol and maintained with isoflurane. Pain was assessed after OHE by a blind observer for 24h, by dynamic visual analogue scale (DIVAS), Glasgow (CMPS-SF), Melbourne (UMPS) and Colorado University pain scale (CSU). Animals reaching 33% of the UMPS score received rescue analgesia with morphine IM. Non parametric data were analysed by Kruskal-Wallis or Friedman tests where applicable, followed by Dunn´s test. Parametric data were analysed by two way ANOVA, followed by Tukey test. RESULTS:There were no differences among groups in number of rescue analgesia. Except for the DIVAS score where animals treated with morphine had the lowest score compared with AP and carprofen, at 1h after surgery, there were no other differences among groups.CONCLUSION: Acupuncture or pharmacopuncture were equally effective as morphine or carprofen to control postoperative pain in bitches undergoing ovariohysterectomy.

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Section: Introductionmentioning

confidence: 99%

Acupuncture and pharmacopuncture are as effective as morphine or carprofen for postoperative analgesia in bitches undergoing ovariohysterectomy

et al. 2015

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“…Esta taxa de recuperação demonstrou que a AP pode ser utilizada no tratamento de doenças neurológicas. Isto ocorreu devido à correta indicação da técnica, que normalmente apresenta boa resposta para afecções neurológicas em geral (11)(12)(13) .…”

Section: Resultsunclassified

“…Apesar de relatos clínicos apontarem que a ausência de percepção nociceptiva agrava o prognóstico do animal, 79% dos cães portadores de discopatia toracolombar tratados com EA foram reabilitados quanto à locomoção (8) . A EA foi inclusive mais eficaz que a cirurgia descompressiva tardia na recuperação da locomoção e na melhora dos déficits neurológicos de cães com discopatia (13) .…”

Section: Resultsunclassified

Estudo Retrospectivo De 98 Felinos Submetidos À Acupuntura Atendidos Em Serviço De Reabilitação E Dor Crônica

Silva

Joaquim²,

Luna

et al. 2018

Ciênc. anim. bras.

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ResumoEste estudo retrospectivo avaliou os casos clínicos de felinos atendidos em Serviço de Reabilitação e Dor Crônica, durante 13 anos, totalizando 98 prontuários. Os objetivos deste estudo foram caracterizar o perfil do paciente atendido e avaliar a eficácia da acupuntura (AP) e dos métodos associados a esta técnica no tratamento de doenças em felinos e respectiva evolução clínica. Constatou-se que 69,7% dos pacientes melhoraram após tratamento com AP, 16,7% não apresentaram resposta significativa e 13,6% vieram a óbito. Não foram registrados casos de piora relacionados ao tratamento com AP, embora, dos nove animais que vieram a óbito, três foram devido à progressão da doença primária tratada exclusivamente com AP. As principais afecções tratadas foram relacionadas ao sistema nervoso -sobretudo trauma medular e encefálico -em que se registrou uma melhora em 53,7% dos animais. O tratamento foi considerado eficaz quando os pacientes recuperaram a capacidade normal de deambulação e em casos de doenças medulares quando o escore neurológico mudou de IV (grave) ou V (muito grave) para I (normal) ou II (leve alteração). A técnica de agulha seca foi a mais utilizada para os tratamentos, com 94,7% de prevalência, seguida da eletroacupuntura (30,6%) e da laserpuntura (21,4%). O número de sessões totais de AP foi em média de 6,97±14,97, sendo as mesmas semanais. Conclui-se que o estímulo de acupontos utilizando diferentes métodos foi eficiente para tratar a maioria dos gatos com diversas condições clínicas, evidenciando que esta espécie provavelmente responde tão bem como os cães após o tratamento de AP.

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“…Acupuncture has been commonly used to treat acute and chronic pain (CAO, 2002;CASSU et al, 2008;FERRARI et al, 2006;HE, 1987;JOAQUIM et al, 2010;TAGUCHI, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…This technique of Traditional Chinese Medicine (TCM) is used for the treatment or prevention of several diseases (HABACHER et al, 2006). Several studies have been carried out to demonstrate the beneficial effects of AP CLARK, 2011;JOAQUIM et al, 2008JOAQUIM et al, , 2010LUNA, 2000;TAYLOR, 1998).…”

Section: Introductionmentioning

confidence: 99%

Effect of aquapuncture on postoperative analgesia after ovariohysterectomy in dogs

Luna¹,

Kelawala²,

Lima³

et al. 2015

Sem. Ci. Agr.

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Aquapuncture (AqP) consists of a water or saline solution injection into acupoints. This study aimed to evaluate the effect of aquapuncture on post-operative analgesia in bitches submitted to elective ovariohysterectomy (OHE). The study was prospective, randomised, and blinded for pain assessment. Sixteen dogs were randomly distributed in two groups of eight animals each. All animals were sedated with 0.05 mg kg -1 of acepromazine intramuscularly (IM), 30 minutes prior to induction of anaesthesia with propofol and maintenance with isoflurane. Eight animals underwent bilateral acupoint injection with 0.1 ml of 0.9% saline (AqP) at Gall Bladder 34, Stomach 36, Liver 3 and Spleen 6 acupoints 15 minutes after sedation. Pain score was investigated after 0.5, 1, 2, 5, 8 and 24 hours post-operatively and was compared with a control untreated group of eight animals. Morphine, at 0.5 mg kg -1 IM, was administered when the numerical rating scale was above 33% of the maximum value, in order to control post-operative pain in both groups. There were no differences in cardiorespiratory variables and pain and sedation scores between the groups. Seven (87.5%) animals from the control group required rescue analgesia at the first two postoperative hours and five (62.5%) animals treated with AqP required rescue analgesia, however, only one (12.5%) animal was treated at the first two hours and the remaining animals were treated from 5 hours after surgery. Aquapuncture produced residual analgesia up to 5 h after surgery and may be an option for post-operative analgesia in bitches undergoing OHE, providing that pain is assessed and rescue analgesia administered if necessary. Key words: Acupuncture, pain, surgery, morphine ResumoA aquapuntura (AqP) é uma técnica que consiste na injeção de solução fisiológica ou água destilada em pontos de acupuntura. Este estudo teve como objetivo avaliar o efeito da AqP na analgesia pós- operatória em cadelas submetidas à ovariohisterectomia eletiva (OHE). O estudo foi prospectivo, aleatório e "cego" para avaliação da dor. Dezesseis cadelas foram distribuídas aleatoriamente em dois grupos de oito animais cada. Todos os animais foram sedados com 0.05 mg kg -1 de acepromazina por via intramuscular (IM), 30 minutos antes da indução à anestesia com propofol e manutenção com isoflurano. Oito animais foram submetidos à injeção bilateral com 0,1 mL de solução salina 0,9% (AqP) nos acupontos Vesícula Biliar 34, Estômago 36, Fígado 3 e Baço 6, 15 minutos após a sedação. A dor foi avaliada 0,5, 1, 2, 5, 8 e 24 horas após a cirurgia e comparada com um grupo controle não tratado, de oito animais. O resgaste analgésico foi realizado com 0,5 mg kg -1 de morfina IM quando o escore de dor foi superior a 33% do valor máximo em ambos os grupos. Não houve diferenças nas variáveis cardiorrespiratórias e escores de dor e de sedação entre os grupos. Sete (87,5%) animais do grupo controle necessitaram analgesia de resgate nas duas primeiras horas de pós-operatório e cinco (62,5%) animais tratados com AqP necessitar...

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Comparison of decompressive surgery, electroacupuncture, and decompressive surgery followed by electroacupuncture for the treatment of dogs with intervertebral disk disease with long-standing severe neurologic deficits

Abstract: EAP was more effective than DSX for recovery of ambulation and improvement in neurologic deficits in dogs with long-standing severe deficits attributable to thoracolumbar IVDD.

Cited by 61 publications

References 28 publications

Acupuncture and pharmacopuncture are as effective as morphine or carprofen for postoperative analgesia in bitches undergoing ovariohysterectomy

Acupuncture and pharmacopuncture are as effective as morphine or carprofen for postoperative analgesia in bitches undergoing ovariohysterectomy

Estudo Retrospectivo De 98 Felinos Submetidos À Acupuntura Atendidos Em Serviço De Reabilitação E Dor Crônica

Effect of aquapuncture on postoperative analgesia after ovariohysterectomy in dogs

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