Contralateral Acupuncture for the Treatment of Phantom Limb Pain and Phantom Limb Sensation in Oncologic Lower Limb Amputee: A Case Report

Guo, Qin; Zhong, Danni; Tian, Haijun; Zhang, Quan-ai

doi:10.3389/fnins.2021.713548

Cited by 5 publications

(6 citation statements)

References 36 publications

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“…A pesquisa desenvolvida por O estudo realizado por Guo et al (2021) realizou a aplicação da acupuntura no membro contralateral ao amputado com 30 minutos de estimulação, com eliminação completa da dor fantasma. A intervenção praticada por Davies (2013) associou fármacos e acupuntura para tratar a dor e a sensação fantasma.…”

Section: Resultsunclassified

Intervenções utilizadas pela terapia ocupacional no tratamento de pessoas amputadas com membro fantasma: uma revisão integrativa

Melo¹,

Galvão²,

Carneiro³

2023

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Introdução: O fenômeno do membro fantasma é definido como a experiência de possuir um órgão ausente responsável por gerar sensações ou dores, dando a percepção de que ele está presente. Esta condição envolve alterações físicas, sociais e psicológicas. Dessa forma, a pessoa amputada necessita de acompanhamento multidisciplinar que inclui terapeutas ocupacionais. Este trabalho tem como objetivo investigar as estratégias de intervenção utilizadas pela Terapia Ocupacional no tratamento de pessoas amputadas com membros fantasma. Metodologia: Trata-se de uma revisão integrativa da literatura. As buscas bibliográficas foram realizadas nas bases de dados: Embase e Scopus. Para ampliar a seleção das referências, a pesquisa estendeu-se aos materiais indexados no Google Scholar. Resultados: A amostra final foi composta por 54 trabalhos, publicados entre 2012 e 2022, e destes, apenas quatro trabalhos foram realizados também por terapeutas ocupacionais. O país que mais realizou estudos referentes à temática de amputados com membros fantasma foi os Estados Unidos (25,9%). No entanto, no Brasil não foi encontrado nenhum estudo de intervenção na área. Discussão: As intervenções realizadas pela Terapia Ocupacional foram: revestimento do coto (Farabloc); luva de prótese com feedback sensorial; imagens motoras graduadas associada com imagem mental e terapia de espelhos; e acupuntura. Conclusão: Na análise dos dados foi possível perceber a disparidade dos focos das pesquisa, entre aquelas que envolvem e as que não envolvem terapeutas ocupacionais, uma vez que, nas pesquisas em Terapia Ocupacional, as intervenções vão para além do ideal de aliviar ou eliminar a dor, objetivando também melhorar a capacidade funcional, o desempenho ocupacional e a qualidade de vida.

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Section: Resultsunclassified

Intervenções utilizadas pela terapia ocupacional no tratamento de pessoas amputadas com membro fantasma: uma revisão integrativa

Melo¹,

Galvão²,

Carneiro³

2023

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“…The skeleton is mostly symmetrical across the mid-sagittal plane, but internal organs and their fascia are not necessarily so. (3) Needles are often inserted into a distant site further away from the chief area of complaint (75,76), or sometimes in the contralateral side (77). This is a guiding principle in TBN.…”

Section: Acupuncture As Tensegrity-based Needling (Tbn)mentioning

confidence: 99%

“…In lateral epicondylitis, points in the wrist and the elbow are needled, including in the anterior surface of the upper limb (82). In "neuropathic/neuroplastic" limb pain, needles are inserted into the contralateral limb to relieve pain (77). In tension-type headache, adjacent points can be used, bilaterally, including the adjacent large myofascial tissue of the trapezius and sternocleidomastoid (83).…”

Section: Acupuncture As Tensegrity-based Needling (Tbn)mentioning

confidence: 99%

Suggesting a mechanism for acupuncture as a global percutaneous needle fasciotomy that respects tensegrity principles for treating fibromyalgia

Plaut

2023

Front. Med.

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Acupuncture is a minimally invasive therapeutic method that uses small caliber needles while inserting them through the skin into various areas of the body. Some empirical studies find evidence to support the use of acupuncture as a treatment for certain medical conditions, however, this peculiar practice is widely considered as the domain of alternative and non-evidence-based medicine. Several mechanisms have been suggested in an attempt to explain the therapeutic action of acupuncture, but the way in which acupuncture alleviates chronic non-cancer pain or psychosomatic and psychiatric disorders is not fully understood. A recent study suggested a theoretical model (coined “Fascial Armoring”) with a cellular pathway to help explain the pathogenesis of myofascial pain/fibromyalgia syndrome and functional psychosomatic syndromes. It proposes that these syndromes are a spectrum of a single medical entity that involves myofibroblasts with contractile activity in fascia and aberrant extracellular matrix (ECM) remodeling, which may lead to widespread mechanical tension and compression. This can help explain diverse psycho-somatic manifestations of fibromyalgia-like syndromes. Fascia is a continuous interconnected tissue network that extends throughout the body and has qualities of bio-tensegrity. Previous studies show that a mechanical action by needling induces soft tissue changes and lowers the shear modulus and stiffness in myofascial tissue. This hypothesis and theory paper offers a new mechanism for acupuncture therapy as a global percutaneous needle fasciotomy that respects tensegrity principles (tensegrity-based needling), in light of the theoretical model of “Fascial Armoring.” The translation of this model to other medical conditions carries potential to advance therapies. These days opioid overuse and over-prescription are ubiquitous, as well as chronic pain and suffering.

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“…Such cases may require opposing acupuncture, also known as healthy-side acupuncture or contralateral acupuncture, which is one of the nine acupuncture methods recorded in the classic Chinese medicine textbook Huangdi Neijing (The Yellow Emperor's Canon of Internal Medicine). Contralateral acupuncture is applied to the opposite side to the painful area [15][16][17][18] . However, the literature on direct comparisons of the effect of different acupuncture methods on DOMS is limited.…”

Section: Introductionmentioning

confidence: 99%

Effect of Electroacupuncture on Delayed-Onset Muscle Soreness Induced by Eccentric Exercise in Young Untrained Men: Comparison of Contralateral and Ipsilateral Stimulation

Komine,

Miura,

et al. 2024

Preprint

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Background: Electroacupuncture stimulation is sometimes used to prevent and treat delayed onset muscle soreness (DOMS) induced by exercise; however, the effect is unclear. Using a human biceps brachii muscle pain induction model, we investigated the effect of contralateral electroacupuncture (CEA) versus ipsilateral electroacupuncture (IEA) stimulation on DOMS and muscle injury markers. Methods: Nineteen young men were randomly assigned to receive either CEA or IEA. All participants performed eccentric exercise using the biceps brachii muscle of the nondominant arm to induce muscle damage. Electroacupuncture stimulation (1.5 Hz, 15 minutes) was applied to the dominant arm in the CEA group and the nondominant arm in the IEA group. Electroacupuncture stimulation was applied in both groups from 7 days before exercise to 4 days after exercise. All variables were analyzed at the following seven timepoints: baseline, immediately before exercise, immediately after exercise, and on days 1–4 after exercise. Results: Palpation pain was significantly lower in the IEA group than the CEA group at 72 and 96 hours after exercise. The decrease in the elbow range of motion after exercise was significantly suppressed by electroacupuncture stimulation. The muscle injury markers (creatine kinase, lactate dehydrogenase) increased following exercise, but these changes were not significantly influenced by IEA stimulation. IEA suppressed exercise-induced oxidative stress at 72 hours after exercise. Conclusion: This study suggests that the application of IEA before and after eccentric exercise effectively reduces DOMS. Electroacupuncture might suppress increases in oxidative stress elicited by eccentric exercise.

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Contralateral Acupuncture for the Treatment of Phantom Limb Pain and Phantom Limb Sensation in Oncologic Lower Limb Amputee: A Case Report

Cited by 5 publications

References 36 publications

Intervenções utilizadas pela terapia ocupacional no tratamento de pessoas amputadas com membro fantasma: uma revisão integrativa

Intervenções utilizadas pela terapia ocupacional no tratamento de pessoas amputadas com membro fantasma: uma revisão integrativa

Suggesting a mechanism for acupuncture as a global percutaneous needle fasciotomy that respects tensegrity principles for treating fibromyalgia

Effect of Electroacupuncture on Delayed-Onset Muscle Soreness Induced by Eccentric Exercise in Young Untrained Men: Comparison of Contralateral and Ipsilateral Stimulation

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