Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20190065
Brazilian Journal of Pain
Review Article

Auriculotherapy: neurophysiology, points to choose, indications and results on musculoskeletal pain conditions: a systematic review of reviews

Auriculoterapia: neurofisiologia, pontos de escolha, indicações e resultados em condições dolorosas musculoesqueléticas: revisão sistemática de revisões

Dérrick Patrick Artioli; Alana Ludemila de Freitas Tavares; Gladson Ricardo Flor Bertolini

http://dx.doi.org/10.5935/2595-0118.20190065 BrJP, vol.2, n4, p.356-361, 2019
PDF English
PDF Português
SciELO
Downloads: 2
Views: 699

Abstract

BACKGROUND AND OBJECTIVES: Auriculotherapy is widely used to relieve painful conditions, therefore, allowing systematic reviews on the subject. However, they did not propose a unified bank of points of possible choice, their possible combinations or described the location of such points, thus making it the objective of this study.

CONTENTS: The systematic review of revisions methodology (Overview) was chosen to achieve the proposed goal. The quality of such material was ascertained by the tool Assessment of Multiple Systematic Reviews, and the databases consulted were PEDro database, Pubmed, Scielo, and LILACS. The keywords and boolean index applied were: auriculotherapy AND pain; ear acupuncture AND pain, ear acupressure AND pain; auricular therapy and pain; auricular medicine AND pain. A total of 242 studies were found, but only six were systematic reviews in humans involving pain and auriculotherapy alone (without association with another technique). The methodological quality of the studies was high (8-10/11 Assessment of Multiple Systematic Reviews). There is variability in the neurophysiological explanation of action, many possible disorders that can be approached with auriculotherapy (acute, chronic, trauma, pre- and postoperative pain among others). Auriculotherapy showed to be promising in the remission of the pain, adjunct to the conventional treatment, low risk, cost, and easy administration.

CONCLUSION: There are several ways of justifying its neurophysiological effects, and the most used points were ShenMen, the corresponding somatotopic region and the cavum conchae region (vagal stimulation). Auriculotherapy meets the needs of an immense possibility of painful musculoskeletal conditions, with favorable and promising results.

Keywords

Auriculotherapy, Modalities of physiotherapy, Pain, Physiotherapy, Rehabilitation, Traditional Chinese Medicine

Resumo

JUSTIFICATIVA E OBJETIVOS: A auriculoterapia é amplamente utilizada para o alívio de condições dolorosas, portanto, com número considerável de estudos, permitindo a realização de revisões sistemáticas no assunto. No entanto, não propuseram um banco unificado de pontos de possível escolha, suas possíveis combinações ou descreveram a localização de tais pontos, tornando-se então, o objetivo deste estudo.

CONTEÚDO: Optou-se por uma revisão sistemática de revisões (Overview). A qualidade de tal material foi realizada por intermédio da ferramenta Assessment of Multiple Systematic Reviews e as bases de dados consultadas foram: PEDro, Pubmed, Scielo e LILACS. As palavras-chaves e índice booleano aplicados como a seguir: Auriculotherapy AND pain; ear acupuncture AND pain, ear acupressure AND pain; auricular therapy AND pain; auricular medicine AND pain. Foram encontrados primariamente 242 estudos, mas apenas seis eram revisões sistemáticas em humanos, envolvendo dor e apenas auriculoterapia (sem associação a outra técnica). A qualidade metodológica dos estudos foi alta (8-10/11 - Assessment of Multiple Systematic Reviews). Há variabilidade na explicação neurofisiológica de ação, muitas possibilidades de afecções que podem ser abordadas com auriculoterapia (dores agudas, crônicas, por traumas, pré e pós-operatórias entre outras). A auriculoterapia apresentou-se como promissora na remissão da dor, meio adjunto ao tratamento convencional, baixo risco, custo e de fácil administração.

CONCLUSÃO: A auriculoterapia apresenta diversas formas de justificar seus efeitos neurofisiológicos e os pontos mais utilizados foram ShenMen, a região somatotópica correspondente e a região da concha cava (estimulação vagal). Atende uma imensa possibilidade de condições dolorosas musculoesqueléticas, com resultados favoráveis e promissores.

Palavras-chave

Auriculoterapia, Dor, Fisioterapia, Medicina Tradicional Chinesa, Modalidades da fisioterapia, Reabilitação

References

Tesser CD, Sousa IM, Nascimento MC. Práticas integrativas e complementares na atenção primária à saúde brasileira. Saúde Debate. 2018;42(n. spe1):174-88.

Jackson C. Trends in the use of complementary health approaches among adults in the United States: new data. Holist Nurs Pract. 2015;29(3):178-9.

WHO Traditional Medicine Strategy. 2013:1-78.

Schveitzer MC, Esper MV, Silva MJ. Práticas integrativas e complementares na atenção primária em saúde: em busca da humanização do cuidado. Mundo Saúde. 2012;36(3):442-51.

Clarke TC, Black LI, Stussman BJ, Barnes PM, Nahin RL. Trends in the use of complementary health approaches among adults: United States, 2002-2012. Natl Health Stat Report. 2015;10(79):1-16.

UF de SC - Formação em auriculoterapia. Formação em auriculoterapia para profissionais de saúde da atenção básica. 2018.

Yang LH, Duan PB, Hou QM, Du SZ, Sun JF, Mei SJ. Efficacy of auricular acupressure for chronic low back pain: a systematic review and meta-analysis of randomized controlled trials. Evid Based Complement Alternat Med. 2017;2017.

Vieira A, Reis AM, Matos LC, Machado J, Moreira A. Does auriculotherapy have therapeutic effectiveness? An overview of systematic reviews. Complement Ther Clin Pract. 2018;33:61-70.

Alimi D, Chelly JE. New universal nomenclature in auriculotherapy. J Altern Complement Med. 2018;24(1):7-14.

Yeh CH, Chiang YC, Hoffman SL, Liang Z, Klem ML, Tam WW. Efficacy of auricular therapy for pain management: a systematic review and meta-analysis. Evid Based Complement Alternat Med. 2014;2014:934670.

Murakami M, Fox L, Dijkers MP. Ear acupuncture for immediate pain relief-a systematic review and meta-analysis of randomized controlled trials. Pain Med. 2017;18(3):551-64.

Carvalho RC, Maglioni CB, Machado GB, Araújo JE, Silva JR, Silva ML. Prevalence and characteristics of chronic pain in Brazil: a national internet-based survey study. BrJP. 2018;1(4):331-8.

Vasconcelos FH, Araújo GC. Prevalence of chronic pain in Brazil: a descriptive study. BrJP. 2018;1(2):176-9.

Asher GN, Jonas DE, Coeytaux RR, Reilly AC, Loh YL, Motsinger-Reif AA. Auriculotherapy for pain management: a systematic review and meta-analysis of randomized controlled trials. J Altern Complement Med. 2010;16(10):1097-108.

Damien J, Colloca L, Bellei-Rodriguez CÉ, Marchand S. Pain modulation: from conditioned pain modulation to placebo and nocebo effects in experimental and clinical pain. Int Rev Neurobiol. 2018;139:255-96.

Quah-Smith I, Litscher G, Rong P, Oleson T, Stanton G, Pock A. Report from the 9th International Symposium on Auriculotherapy Held in Singapore, 10-12 August 2017. Medicines. 2017;4(3):46.

Mercante B, Deriu F, Rangon CM. Auricular neuromodulation: the emerging concept beyond the stimulation of vagus and trigeminal nerves. Medicines. 2018;5(1).

Jiang Y, Cao Z, Ma H, Wang G, Wang X, Wang Z. Auricular vagus nerve stimulation exerts antiinflammatory effects and immune regulatory function in a 6-OHDA model of Parkinson's disease. Neurochem Res. 2018;43(11):2155-64.

Mercante B, Ginatempo F, Manca A, Melis F, Enrico P, Deriu F. Anatomo-physiologic basis for auricular stimulation. Med Acupunct. 2018;30(3):141-50.

Zhao HJ, Tan JY, Wang T, Jin L. Auricular therapy for chronic pain management in adults: a synthesis of evidence. Complement Ther Clin Pract. 2015;21(2):68-78.

Usichenko TI, Lehmann Ch, Ernst E. Auriculoterapia para el control del dolor postoperatorio: una revisión sistemática de ensayos clínicos aleatorizados. Rev Int Acupunt. 2009;3(3):130-2.

Oleson T. Auriculotherapy Manual: Chinese and Western Systems of Ear Acupuncture. 2013.

Kajsa L. British Library Cataloguing in Publication Data. 2008.

Souza MP. Tratado de auriculoterapia. 2000.

Garcia EG. Auriculoterapia. 1999.

Levy CE, Casler N, Fitzgerald DB. Battlefield acupuncture: an emerging method for easing pain. Am J Phys Med Rehabil. 2018;97(3):e18-9.

Moura CC, Iunes DH, Ruginsk SG, Souza VHS, Assis BB, Chaves ECL. Action of ear acupuncture in people with chronic pain in the spinal column: a randomized clinical trial. Rev Lat Am Enfermagem. 2018;26.

Submitted date:
02/25/2019

Accepted date:
05/20/2019

5f248ea90e8825171fe56d7d brjp Articles
2595-3192 (Electronic) 2595-0118 (Printed)
BrJP ©2024 All rights reserved.

BrJP

Share this page
Page Sections