Láser infrarrojo frente a acupuntura en el tratamiento del espolón calcáneo

Molina, Ana María Anguiano; Díaz, Axel Hernández; Cox, P.J. Larrea; Yanes, Sandra Fernández; Méndez, B.M. González

doi:10.1016/s1134-8046(10)70012-4

Cited by 4 publications

(5 citation statements)

References 9 publications

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“…Papers describing the use of laser therapy or transcutaneous electrical nerve stimulation (TENS) were included only if the treatment was applied specifically to acupuncture points, or if an acupuncture-related rationale was used. 27 Randomised controlled trials (RCTs) and nonrandomised comparative studies were included. Case series, single case studies and secondary reports were excluded from this review but will be considered in detail elsewhere (unpublished results).…”

Section: Methodsmentioning

confidence: 99%

“…Orellana Molina et al 27 studied pain related to heel spurs, comparing the effectiveness of laser treatment at acupuncture points with needling a similar group of points, chosen according to the traditional 'eight principles' approach. While both groups showed benefit, the laser group reported improvement sooner and to a greater degree.…”

Section: Individual Papersmentioning

confidence: 99%

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The Effectiveness of Acupuncture for Plantar Heel Pain: A Systematic Review

Clark

Tighe

2012

Acupunct Med

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Introduction Plantar heel pain (PHP) is a common complaint, yet there are no definitive guidelines for its treatment. Acupuncture is increasingly used by podiatrists, and there is a need for evidence to validate this practice. It is acknowledged that PHP and acupuncture are both complex phenomena. Method A systematic review (PROSPERO no. CRD42012001881) of the effectiveness of acupuncture for PHP is presented. Quality of the studies was assessed by independent assessors with reference to Quality Index (QI), ‘STandards for Reporting Interventions in Controlled Trials of Acupuncture’ (STRICTA) and ‘CONsolidated Standards Of Reporting Trials’ (CONSORT) criteria. Pooling of data, or even close comparison of studies, was not performed. Results Five randomised controlled trials and three non-randomised comparative studies were included. High quality studies report significant benefits. In one, acupuncture was associated with significant improvement in pain and function when combined with standard treatment (including non-steroidal anti-inflammatory drugs). In another, acupuncture point PC7 improved pain and pressure pain threshold significantly more than LI4. Other papers were of lower quality but suggest benefits from other acupuncture approaches. Conclusions There is evidence supporting the effectiveness of acupuncture for PHP. This is comparable to the evidence available for conventionally used interventions, such as stretching, night splints or dexamethasone. Therefore acupuncture should be considered in recommendations for the management of patients with PHP. Future research should recognise the complexity of PHP, of acupuncture and of the relationship between them, to explore the optimum use and integration of this approach. There is a need for more uniformity in carrying out and reporting such work and the use of STRICTA is recommended.

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Section: Methodsmentioning

confidence: 99%

Section: Individual Papersmentioning

confidence: 99%

The Effectiveness of Acupuncture for Plantar Heel Pain: A Systematic Review

Clark

Tighe

2012

Acupunct Med

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“…Several papers [5,10,17] reported prior duration to be a particularly significant parameter, i.e. it was inversely proportional to the benefit obtained, however others [3,11,14,18] provided no data on this.…”

Section: Primary Findingsmentioning

confidence: 99%

“…[15] Most asserted or assumed an inflammatory basis for PF; [2,4,[9][10][11]15,17,18,21] one argued against it. [22] Two papers [19,21] diagnosed heel spurs based on X-ray evidence, another [18] used clinical criteria, labelling the condition 'heel spur' even when it was not objectively confirmed by X-ray. Others [2,15,22,24] noted the lack of correlation between heel spurs and pain.…”

Section: Primary Findingsmentioning

confidence: 99%

“…Some sources reported a single rationale to explain the approach; others integrated more than one rationale into their explanation (Table 2). Pathophysiological + Pragmatic 2 [24,25] TEAM + Pragmatic 3 [6,16] TEAM + Pragmatic + Empirical 5 [10,11,20,22] TEAM + Other 1 [14] TEAM + Other + Empirical 1 [19] TEAM + Other + Pragmatic 1 [18] Pragmatic + Other 1 [5] No rationale given 1 [8]…”

Section: Primary Findingsmentioning

confidence: 99%

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Rationales and Treatment Approaches Underpinning the Use of Acupuncture and Related Techniques for Plantar Heel Pain: A Critical Interpretive Synthesis

Clark

Clark²,

Toohey

et al. 2017

Acupunct Med

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The complexity of the field of acupuncture was illustrated through the 'lens' of PHP. The 'patchwork' metaphor provides a unifying framework for a previously divergent community of practice and research. Several directions for future research were identified, such as: importance of prior duration; existence of diagnostic subgroups; and how practitioners make clinical decisions and report their findings. CIS was found to provide visibility for multiple viewpoints in developing theory and modelling the processes of 'real world' practice by acupuncturists addressing the problem of PHP.

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Terapia por láser de baja potencia: consideraciones óptico-físicas y biológicas determinantes en su aplicación clínica

Quintero¹,

Sande

Arroyo

2011

Fisioterapia

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ResumenObjetivos: Analizar la distribución de energía en un tejido cuando se emplea terapia por láser de baja potencia y estudiar las especificaciones mínimas de equipos de terapia láser para estimar la dosis. Material y métodos: Se ha empleado el método de Monte Cario para obtener la distribución de energía absorbida por la piel para dos tipos de láser y la teoría de la difusión para estimar la longitud de penetración y el recorrido libre medio. Se ha estudiado la variación de esa distribución en función de la raza (caucásico, asiático, afroamericano) y para dos localizaciones anatómicas distintas. Se ha analizado la información facilitada por diversos fabricantes de equipos comerciales para determinar si es necesario adaptar la dosimetría recomendada. Resultados: La radiación láser infrarroja (810nm) se absorbe mayoritariamente en un espesor de piel de 1,9±0,2mm para caucásicos, entre 1,73±0,08mm (volar del antebrazo) y 1,80±0,11mm (palma) para asiáticos y entre 1,25±0,09mm (volar del antebrazo) y 1,65 ±0,2 mm (palma) para afroamericanos. El recorrido libre medio de la luz siempre es menor que 0,69 ±0,09 mm. Para los equipos comerciales analizados la única característica geométrica del haz láser que se menciona es la superficie que oscila entre 0,08 y 1 cm 2 , pero no se especifica cómo es la distribución de energía, la divergencia del haz, forma de la sección transversal, etc.Conclusiones: Dependiendo del equipo de terapia por láser de baja potencia utilizado, el tipo de paciente y la zona a tratar, el clínico debe adaptar las dosis recomendadas.

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Láser infrarrojo frente a acupuntura en el tratamiento del espolón calcáneo

Cited by 4 publications

References 9 publications

The Effectiveness of Acupuncture for Plantar Heel Pain: A Systematic Review

The Effectiveness of Acupuncture for Plantar Heel Pain: A Systematic Review

Rationales and Treatment Approaches Underpinning the Use of Acupuncture and Related Techniques for Plantar Heel Pain: A Critical Interpretive Synthesis

Terapia por láser de baja potencia: consideraciones óptico-físicas y biológicas determinantes en su aplicación clínica

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