The Role of Acupuncture in Postoperative Pain Management of Patients Undergoing Knee Arthroplasty Surgery

Lindsey, Matthew H; Mortensen, Sharri J.; Xu, Haijun; McNichol, Megan; Abdeen, Ayesha

doi:10.2106/jbjs.rvw.20.00252

Cited by 7 publications

(6 citation statements)

References 33 publications

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“…As agulhas de acupuntura propagam um potencial elétrico na ponta, pois possuem propriedades biofísicas, e quando introduzidas e manipuladas, provocam estímulos que agem sobre as estruturas presentes nos acupontos, alterando o potencial da membrana celular, e também ocasionando o desencadeamento do potencial de ação, bem como da condução dos estímulos nervosos, que por sua vez resultam em efeitos locais e sistêmicos (Collazo, 2012;Lindsey et al, 2021). Os estímulos provocados pelas agulhas produzem efeitos pré-sinápticos espinhal, por ativação de fibras aferentes de nervos periféricos, como A-delta e C (Gabriela, 2018).…”

Section: Grauunclassified

Acupuntura asociada a la técnica del implante de oro en el tratamiento de la displasia de cadera en un perro

Neto¹,

Souza²

2023

Pubvet

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A displasia coxofemoral (DCF) é uma doença degenerativa e ortopédica decorrente do desenvolvimento anormal do quadril, de origem hereditária e acomete principalmente cães de raças grandes ou gigantes. Além disso, fatores ambientais e nutricionais influenciam no favorecimento da expressão dessa enfermidade e gravidade do distúrbio, comprometendo o desenvolvimento do animal. O presente trabalho teve como objetivo relatar a utilização da acupuntura direcionada ao tratamento da DCF em cães, no intuito de ativar os processos anti-inflamatórios e promover dessensibilização da área. Para isso, os impulsos neurais acessam o sistema nervoso central (SNC) e proporcionam a recuperação do equilíbrio do vigor da estrutura corporal. Os sinais clínicos decorrentes da má formação da articulação do quadril são dor intensa, na região coxofemoral, redução na amplitude do movimento, podendo evoluir para perda da mobilidade e claudicação. O diagnóstico é atestado com avaliação clínica e exames de imagem. O protocolo direcionado ao tratamento da doença baseou-se no fortalecimento da espinha dorsal, da região coxofemoral e da coluna lombo sacral, por meio do método da acupuntura com implante de glóbulos de ouro, no intuito de promover o restabelecimento da força muscular e, consequentemente melhora das atividades motoras, redução de dor e inflamação local. Este tratamento oferece um melhor custo-benefício, além de ser um método pouco invasivo, comparado aos procedimentos cirúrgicos. Embora ainda haja poucos relatos a respeito da acupuntura veterinária no tratamento da displasia coxofemoral, neste estudo observou-se a eficácia e evolução positiva no quadro clínico do animal submetido a terapia integrativa.

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Section: Grauunclassified

Acupuntura asociada a la técnica del implante de oro en el tratamiento de la displasia de cadera en un perro

Neto¹,

Souza²

2023

Pubvet

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“…Systematic reviews and meta-analysis, however, favor some analgesic effect of acupuncture, with benefits also in controlling postoperative nausea and vomiting and possible reduction in opioid consumption. 40 Evidence supports the use of massage therapy; meditative movement therapies, such as yoga and tai chi; dietary interventions; and other mind-body techniques for the treatment of acute pain, including postoperative pain, 1 although the evidence is typically not specific to knee surgery or even orthopaedic surgery in general.…”

Section: Non-western Interventionsmentioning

confidence: 99%

Section: Multimodal Approachesmentioning

confidence: 99%

Current Evidence-based Approaches to Multimodal Pain Control and Opioid Minimization After Arthroscopic and Knee Preservation Surgery

Day,

Boryan

2023

J Am Acad Orthop Surg

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Nonarthroplasty knee procedures are common and may cause a wide spectrum of postoperative pain, ranging from minimal to severe, depending on the patient, pathology, and procedure. Procedures include ligament repair and reconstruction, especially anterior cruciate ligament reconstruction, meniscal débridement, repair and transplant, periarticular osteotomy, and cartilage restoration. Multimodal analgesia regimens have been implemented successfully, but notable variation characterizes current protocols. Increased public and physician awareness of the burden of opioid usage in the United States has encouraged the medical community to embrace opioid-minimizing and nonopioid techniques to mitigate the deleterious effects of these medications. Nonopioid medications; anesthesia techniques; surgical techniques; and postoperative nonmedication strategies, including physical therapy, transcutaneous electrical nerve stimulation, cryotherapy, cognitive techniques, and non-Western interventions, can form part of an effective multimodal approach. A multimodal approach can facilitate adequate analgesia without compromising patient satisfaction or outcome.

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“…Acupuncture has been used as an adjunctive therapy in perioperative settings. [4][5][6][7][8][9] Main effects include facilitating analgesia, reducing anesthesia-related complications and organ protection. [6][7][8][9] Acupressure on specific acupoints like Shenmen (HT7) and Ximen (PC4) can significantly reduce stress levels and induces significant relaxation and drowsiness.…”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7][8][9] Main effects include facilitating analgesia, reducing anesthesia-related complications and organ protection. [6][7][8][9] Acupressure on specific acupoints like Shenmen (HT7) and Ximen (PC4) can significantly reduce stress levels and induces significant relaxation and drowsiness. [10,11] However, whether acupoint stimulation at these specific acupoints could induce sedative effects and reduce propofol consumption in patients undergoing laparoscopic surgery remains unclear.…”

Section: Introductionmentioning

confidence: 99%

Transcutaneous electric acupoint stimulation reduced consumption of profopol in patients undergoing laparoscopic surgery: A randomized clinical trial

Zhang,

Cairen,

Liu

et al. 2024

Medicine

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Background: Propofol is a common regimen for general anesthesia maintenance. But propofol can dose-dependently generate cardiopulmonary depression. Thus, any strategy to reduce propofol dosage during laparoscopic surgery may have underlying beneficial effect for patient prognosis. Previous studies indicated both analgesic and sedative effect of acupoint stimulation. However, its main sedative effect on patients under general anesthesia remains unclear. Objective: The aim of this study was to investigate the sedative effect of transcutaneous electrical acupoint stimulation (TEAS) on patients scheduled for laparoscopic surgery under general anesthesia. Design, setting, participants and interventions: In this randomized clinical trial, patients scheduled for laparoscopic surgery under general anesthesia in Xijing hospital were randomly assigned to 3 groups, receiving electrical stimulation at the Shenmen (HT7)/Ximen (PC4) (TEAS group), stimulation at the shoulder (non-acupoint group) or no stimulation (control group), respectively. Main outcome measures: One hundred sixty-two patients completed the study. The primary outcome was the consumption of propofol, and secondary outcomes included features of recovery after surgery, major complications after surgery and by 1 year after surgery. Results: In patients undergoing laparoscopic surgery, the doses of propofol decreased significantly in the TEAS group compared (0.10 ± 0.02 mg·kg−1·min−1) with the other 2 groups (both 0.12 ± 0.02 mg·kg−1·min−1, P < .001). The mean differences (95% confidence interval) for non-acupoint versus TEAS and control versus TEAS were 0.021 (0.012, 0.030) and 0.024 (0.013, 0.034), respectively. Time to awake and to extubation were not significantly different among the groups. The incidences of major complications after surgery and by 1 year after surgery were not significantly different among the groups. Conclusion: TEAS could induce additional sedative effect in patients during laparoscopic surgery and reduce propofol consumption.

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The Role of Acupuncture in Postoperative Pain Management of Patients Undergoing Knee Arthroplasty Surgery

Cited by 7 publications

References 33 publications

Acupuntura asociada a la técnica del implante de oro en el tratamiento de la displasia de cadera en un perro

Acupuntura asociada a la técnica del implante de oro en el tratamiento de la displasia de cadera en un perro

Current Evidence-based Approaches to Multimodal Pain Control and Opioid Minimization After Arthroscopic and Knee Preservation Surgery

Transcutaneous electric acupoint stimulation reduced consumption of profopol in patients undergoing laparoscopic surgery: A randomized clinical trial

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