The Yamamoto scalp acupuncture effects in knee osteoarthritis: a case study. Lorine da DESCRITORES: acupuntura; osteoartrite; dor; joelho. ABSTRACT. Efeitos do Ai Chi e da cranioacupuntura de Yamamoto na dor lombar crônica o tratamento deste sintoma dentre eles, a acupuntura e a fisioterapia aquática. A acupuntura escalpeana japonesa (Yamamoto New Scalp Acupuncture -YNSA)  foi efetuada através dos pontos cinéticos, conforme a somatotopia de.
|Genre:||Health and Food|
|Published (Last):||21 January 2011|
|PDF File Size:||13.45 Mb|
|ePub File Size:||12.68 Mb|
|Price:||Free* [*Free Regsitration Required]|
Low Back pain affects a large part of the population and represents a major socioeconomic problem. There acupuntuda many resources for treatment of this symptom, among them: Sixty six individuals with chronic low back pain, of both genders were selected, however 44 individuals completed the study. The control group received the intervention only after the end of the study.
Craniopuntura de Yamamoto – YNSA | craniopuntura | Pinterest | Yamamoto and Tech
Pain intensity was assessed by a visual analogue scale VAS and the functional capacity by Owestry functionality Index. Low back pain is very common and affects a large part of the population acupintura 2.
In Brazil about 10 million people become disabled by low back pain 3. The low back pain can cause a large economic impact, since most people with low back pain remain out of work or their productivity is reduced 5 6 7 8 9. Treatment costs are high and represents onus to patients and to government 5 7 A common resource used to treat low back pain is the aquatic therapy also known as hydrotherapy, in which exercises are performed yamaoto a heated swimming pool for therapeutic purposes Yamamotk is a treatment performed with the water at shoulder level and the movements of the arms, legs and trunk are slow and wide, tamamoto are associated to a deep and calm breath.
The acupunturra are associated to the stabilization of the trunk, pain control and improvement of the metabolism and blood flow Another resource that can be applied to the treatment of low back pain is the acupuncture, in which needles are inserted at specific points on the skin acupuncture points in order to treat and prevent diseases and reduction of the pain 14 15 This technique was developed by Yamamoto and collaborators in the 70’s and consists of a microsystem, in which the stimulation or puncture of points in the scalp causes effects in another corporal region, contributing to the treatment of diseases, especially the painful and neurological ones The aquatic 18,19,20,21, 22 and acupuncture therapy 23 acupunrura 25 26 27 have been used in treatment of low back pain.
The YNSA was effective in the treatment of acute low back pain 28until now there is no research of the low back treatment with AI CHI technique or with the combination of these two techniques.
So, the objective of this research was to compare the effects of an aquatic physical therapy program AI CHI and YNSA in the intensity of pain and functionality in people with low back pain. This research was experimental, with sample randomization into 3 groups: The initial sample had 66 individuals, but in the AI CHI group 4 people dropped out due to difficulties to get to the study sit, 3 from respiratory pathologies and 1 because the symptoms became worse.
In the YNSA 5 acupuntuda dropped out due yamamooto to get to the site and one was excluded for presenting uterine bleeding that is a contra-indication of the technique. In the control group 5 participants gave up yammoto difficulties to get to the site and 3 gave up acupunura reason. All the participants were informed of the procedure and signed the consent term.
Temporary exclusion factors were considered, that is, if on the day of the participation the volunteers were under the following conditions: If the volunteers submit this conditions they would not participate in the experimental protocol and would be rescheduled and treated in another.
It was performed ten 10 interventions twice a week. The control group participants received the interventions after 5 weeks of the evaluation date and received a similar protocol of the group that presented a better benefit.
The acupuncture was done according yamamotk Yamamoto et al The volunteers were in a seated position and it was done a palpation of D point bilaterally. The side yyamamoto which the volunteer presented more painful sensation or pressure was punctured.
After that D1-D5 point was punctured, in the same side of the D point. The needles were maintained for 20 minutes. The data yamamooto age, mass, height, BMI were assessed using descriptive statistics mean and standard deviation. The data pattern distribution of each of these variables was analyzed using the Lilliefors test and the evaluating of the homogeneity of the variances between groups was done using the Levene test.
Once the assumptions of normality and homogeneity were checked, the means of the variables were compared aculuntura groups by analysis of variance – one way factor followed by Fisher’s follow up test Least Square Difference. The data regarding acupunturq Oswestry and the pain scores VAS were analyzed by descriptive statistics mean and standard deviationit was also assessed the assumptions of normality and homogeneity of the variances, as described above.
Then it was applied the analysis of variance to repeated measures, and then the Yama,oto follow up test Least Square Difference. The visual analogic scale assesses pain in the acupyntura moment of the evaluation. Regarding the functionality obtained by the Oswestry Disability Index, the evaluation criteria refers to the best functionality as the scores reduces. Thus, the subjects submitted to the interventions showed improvement in functionality after the intervention period Table 3.
Low back pain is one of the major causes of disability, it interferes in quality of life, work wcupuntura and it is the most common cause to medical consultation 30 The clinical recommendations for low back pain treatment, done according to systematic review of literature, includes interdisciplinary rehabilitation, exercises including aquaticsacupuncture, massage, manipulation, yoga and patient reeducation 32 The aquatic exercises have shown positive results in low back pain symptoms Researches show reduction in pain 18 19 20 21 acupuntufa and increment in functionality 35 36 in treatments done in aquatic environment; these findings confirm the results observed in the present study.
However, it should be noted that it was not found, until now, researches that evaluate the effects of AI CHI in low back pain, so the results found in the present study may be due to the action of the physical and thermic properties of the water.
The heated water has a relaxing effect that can contribute in the reduction of the activation of paravertebral muscles 11 21 and consequently reduce the low back pain and improved the functionality. In addition, the pain reduction can also be due to the action of the yamaamoto properties of the water.
Effects of Ai Chi and Yamamoto new scalp acupuncture on chronic low back pain
The hydrostatic pressure Pascal’s Principlefor the action of body support and movement assistance, can promoted less effort to maintain posture and, yaamoto reducing muscular tone and muscular relaxation Furthermore, the treatments for low back pain in yamamooto environment can be done with less risk of damage such as gravitational overload incident on the spine, due to yamamoro action of the thrust Arquimedes’s Principlewhich promotes reduction in the apparent weight and, so can reduce the muscle spasm 37 21 38 Camilotti et al 40 observed, by spinal shrinkage, that in the seated position in aquatic environment the overload in the spine is lower than in land environment.
They attributed the lower overload to the physical properties of water, like thrust and hydrostatic pressure and to the relaxation promoted by the heated water. So, the reduction in the intensity of the pain and consequently improvement in the functionality of the spine acipuntura be due to the physical and thermal effects of water. With regard to acupuncture, it was observed that the YNSA technique promoted significant reduction in pain and increment in functionality of the lower back.
Similar results were observed in the treatment of acute low back pain with YNSA Acupuntra reduction in pain, with the YNSA treatment, can be due to the activation of afferent fibers A delta and C, that promoted signals that are transmitted to the spine cord and leads to production of dynorphin and enkephaline.
These afferent stimuli propagate to the brain setting a sequence of excitatory and inhibitory mediators on the spinal cord, resulting in release of neurotransmitters such as serotonin, dopamine and norepinephrine at spinal acupintura to pre and post synaptic pain inhibition. When these signals reach the hypothalamus and pituitary gland, the stimulus releases endorphin and acetylcholine promoting reduction in pain 41and consequently the pain relief may improve the functionality.
The literature regarding the acupuncture for the treatment for low back pain is controversial, some studies 23 24 25 26 27 indicate that systemic acupuncture promotes remission of low back acjpuntura, however, in these studies the systemic acupuncture was significantly effective for reducing low back pain compared to conventional treatment physiotherapy, exercise and medicationsbut there was no significant difference when comparing ackpuntura sham acupuncture superficial puncture and out of the acupuncture point or simulation of placement of needles In other studies there are ineffectiveness reports or there is little evidence that acupuncture is effective for reducing the low back pain 43 44 Cherkin et al 26 observed that treatments with massage promoted a reduction in back pain significantly superior to the treatment with acupuncture.
On the other hand, Manheimer and col 42in a literature review meta-analysisconcluded that acupuncture is effective for relieving chronic low back pain. The acupuncture treatments are significantly more effective compared to sham acupuncture or the fact that the individual does not perform any kind of treatment, however, there is evidence yammamoto acupuncture is more effective compared to other therapies, such as exercise and physiotherapy.
In addition to the divergence of results, there is no consensus among authors regarding the choice of acupuncture points and treatment methods systemic acupuncture, auricular acupuncture, electroacupunture, among others.
With respect to systemic acupuncture, most authors yamaoto local points associated with distal points 23 26 43 46 47but there is no consensus regarding the choice of points gamamoto some authors choose the points according to the patient needs 44 According to Hall 9 the acupuncture practice is not sufficient standardized which makes it difficult for a reliable evaluation. In Witt’s study 24for example, the choice of the points were taken randomly and according to the clinical experience of the person who applied the technique and the points chosen in the treatment is not mentioned in the study.
Wang, Kain and White 49 report that some of the problems found in the studies are: This research used a well-defined methodology, with randomized sample, but the number of participants and interventions were small.
Despite these factors, the results observed in these study show that Yamamogo and AI CHI are effective methods to reduce chronic low back pain and can stimulate the development of new researches. However, more studies are needed acupuntuea evaluate the effects of Ai Chi and YNSA in individuals with low back pain using larger sample of participants and also with the combined techniques.
Diagnosis and treatment of low back aymamoto. Management of chronic low back yxmamoto. Americam Journal of Physical Medical Rehabilitation.
Curso de Acupuntura Craniana de Yamamoto
Chronic diseases and health promotion. The relationship of low-back pain, work history, work environment, and stress: A retrospective cross-sectional study of acupintura to 64 year old women. An assessment of seated activity and postures at five work places.
International Journal of Industrial Ergonomics. New in vivo measurements of pressures in the intervertebral disc in daily life. An in vivo model of degenerative disc disease. Low back pain ant the health public. Annu Rev Public Health. Aquatic physical therapy for hip and knee osteoarthritis: Nova cranioacupuntura de Yamamoto.
Short and long-term effect of spa therapy in chronic low back pain. Aquatic rehabilitation of the spine: Efficacy of aquatic exercises for patients with low back pain. Acupuncture in patients with chronic low back pain: Pragmatic randomized trial evaluating the yammoto and economic effectiveness of acupuncture for chronic low back pain.
Yamamoto Nueva Acupuntura Del Cuero Cabelludo.
Am j of epidemiol. The German multicenter, randomized, partially blinded, prospective trial of acupuncture for back pain: J of altern complement med. Characteristics of patients with chronic back pain who benefit from acupuncture. Acupuncture for acute non-specific low back pain: American college of rheumatology.
Annals of Annual Scientific Meeting, Philadelphia, Development of a brasilian portuguese version of the oswestry disability index: Bioengineering principles of hydrotherapy.
J burn care and rehabil. Diagnosis and treatment of low back pain: