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auriculotherapy in primary health care: A large-scale educational experience in Brazil

Journal of Integrative Medicine 2019年第4期17卷 302-309页

作者： Charles Dalcanale Tesser Ari Ojeda Ocampo More Melissa Costa Santos Emiliana Domingues Cunha da Silva Fatima Terezinha Pelachini Farias Lucio Jose Botelho Department of Public Health Federal University of Santa Catarina Floriandpolis Santa Catarina 88036-800 Brazil Post-graduate Program in Public Health Federal University of Santa Catarina Florianopolis Santa Catarina 88036-800 Brazil Integrative Medicine and Acupuncture Service University Hospital Federal University of Santa Catarina Floriandpolis Santa Catarina 88036-800 Brazil Floriandpolis Municipality Health Office Florianopolis Santa Catarina 88036-800 Brazil

auriculotherapy consists of physical stimuli applied to the outer ear and is commonly associated with traditional Chinese medicine (TCM). The authors present and discuss the development of a course that offers a semi-on-site auriculotherapy course for Brazilian primary health care (PHC) professionals. The course was funded by the Brazilian Ministry of Health and developed at the Federal University of Santa Catarina in 2015 by a team of experts in auriculotherapy. It consisted of 75 h of distance learning (five sequential modules) and 5 h of on-site learning. The modules included the following items:(1) introduction to integrative practices;(2) ear reflexology;(3) introduction to TCM;(4) biomedical view of auriculotherapy;and (5) auriculotherapy in PHC. The teaching material in eluded a workbook for each module, 14 video lectures and an interactive ear(on line resource) to study location and application to the main auricular points. The on-site lectures follow a structured script of ear palpation techniques, auricular seed insertion practice and clinical case discussions, under the supervision of trained instructors. The course was offered in 2016 and 2017 and on-site lectures took place in 25 cities, covering all Brazilian regions, in coordination with municipal or state boards of health. A total of 4273 health professionals concluded the training and their evaluation of the course was highly positive. The Brazilian experience of large-scale training shows the potential to disseminate auriculotherapy in the context of PHC, given that its practice is fast, easy to learn, safe, effective for different health problems and well accepted by the patients.

关键词： auriculotherapy Traditional Chinese medicine Primary health care Health education Distance learning

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Reducing Labor Anxiety with auriculotherapy:A Randomized Clinical Trial Study

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Chinese Journal of Integrative Medicine 2022年第5期28卷 440-444页

作者： Katayon Vakilian Mehrnoush Ghaemmaghami Narges Sheikhganbari Fatemeh Shabani Masoomeh Vahedi Department of Midwifery School of MedicineTraditional and Complementary Medicine Research CenterArak University of Medical SciencesArak(***)Iran Medical School Arak University of Medical SciencesArak(***)Iran Nursing-Midwifery School Iran University of Medical SciencesTehran(***)Iran

Objectives:To investigate the effect of auriculotherapy on reducing labor anxiety.Methods:In this randomized clinical trial,166 nulliparous pregnant women admitted to the Labor Ward of Izadi Hospital in Qom,Iran were included and assigned to two groups by randomized block design.In the intervention group(83 cases),auriculotherapy in"Shenmen,Thalamic,Zero,Brain,and Brain stem"was performed in dilatations of 4,6 and 8 cm,between the contractions for 30 s in both ears at interval 1 h.While the control group received routine care.The Spielberger Inventory were completed pre-and post-interventions.Results:The auriculotherapy was effective to reduce anxiety state in the intervention group compared to the control group(P=0.001).The score of state anxiety in the intervention group reduced for 7.0,8.0 and 11.0 U in 4,6,and 8 cm dilatations after the intervention.The score of trait anxiety in the intervention group reduced for 3.8,4.0 and 8.3 U in 4,6,and 8 cm dilatations after the intervention.There was no significant difference of delivery mode and newborns’weight and Apgar score between groups(P>0.05).No adverse postpartum outcome such as hemorrhage has been observed in both groups.Conclusion:Since most women are anxious during labor,it seems that auriculotherapy can be an easy and safe method to reduce labor anxiety.(Trial registration No.irct20121230011944 n4)

关键词： auriculotherapy childbirth pain anxiety

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Effectiveness and safety of auriculotherapy for breastfeeding: a systematic review

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Journal of Traditional Chinese Medicine 2020年第5期40卷 721-737页

作者： Boram Lee Chan-Young Kwon Sun Haeng Lee Department of Clinical Korean Medicine Graduate SchoolKyung Hee UniversitySeoul 02453Republic of Korea Clinical Medicine Division Korea Institute of Oriental MedicineDaejeon 34054Republic of Korea Department of Oriental Neuropsychiatry Dong-eui University College of Korean MedicineBusan 47227Republic of Korea Department of Pediatrics of Korean Medicine Kyung Hee University Korean Medicine HospitalKyung Hee University Medical CenterSeoul 02447Republic of Korea

OBJECTIVE:To summarize and critically evaluate the evidence pertaining to the effectiveness and safety of auriculotherapy for breastfeeding.METHODS:We performed a systematic search of10 databases from their inception dates to May 15,2017.Randomized controlled trials evaluating the effectiveness and safety of auriculotherapy for breastfeeding were included.Risk of bias was assessed using the Cochrane risk of bias tool.RESULTS:This review included 31 randomized controlled trials with 5389 participants.Owing to the obvious clinical or statistical heterogeneity,a Meta-analysis was not conducted.Twenty-nine studies compared auriculotherapy plus routine care with routine care alone.No consistent adjunctive effect of auriculotherapy was observed in increasing the volume of milk production(9 studies showed significant results in favor of auriculotherapy and 5 did not)and serum prolactin level(7 studies showed significant results in favor of auriculotherapy and 2 did not),and in facilitating the initiation of milk secretion(10 studies showed significant results in favor of auriculotherapy and 7 did not).Two studies compared auriculotherapy with no treatment.auriculotherapy as a monotherapy showed significant effects in increasing serum prolactin level and facilitating the onset of milk secretion;however,it was limited and inconclusive because only two studies were included in this comparison.The subgroup analysis of women who underwent cesarean delivery showed inconsistent results with respect to all outcomes.No serious adverse events were reported with the use of auriculotherapy.The methodological quality of the included studies was generally poor.CONCLUSION:Although some studies showed positive results,no definite conclusion about the effectiveness and safety of auriculotherapy for breastfeeding could be drawn,owing to the low methodological quality of the included studies and the heterogeneity among trials.Large-scale,well-designed studies are warranted on this topic.

关键词： Breastfeeding auriculotherapy Systematic review

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Whole body vibration and auriculotherapy improve handgrip strength in individuals with knee osteoarthritis

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Journal of Traditional Chinese Medicine 2019年第5期39卷 707-715页

作者： Eloa Moreira-Marconi Carla F Dionello Danielle S Morel Danubia C Sa-Caputo Cintia R Sousa-Goncalves Laisa L Paineiras-Domingos Ygor Teixeira-Silva Mario Jose dos Santos Pereira Mario Bernardo-Filho Postgraduate Program in Clinical and Experimental Physiopathology University of the State of Rio de JaneiroRio de JaneiroRJBrazil Department of Biophysics and Biometrics Laboratory of Mechanical Vibrations and Integrative Practices-LAVIMPIInstitute of Biology Roberto Alcantara GomesRio de Janeiro State UniversityRio de JaneiroRJBrazil Postgraduate Program in Medical Sciences Rio de Janeiro State UniversityRio de JaneiroRJBrazil Danubia C Sa-Caputo Faculdade Bezerra de AraujoRio de JaneiroBrazilCentro Universitario Serra dos OrgaosTeresopolisRio de JaneiroBrasil Universidade do Estado do Rio de Janeiro Rio de JaneiroRJBrazil-Department of Biophysics and BiometricsInstitute of Biology Roberto Alcantara Gomes-Department of Physiological Sciences

OBJECTIVE: To verify the action of non-pharmacological interventions, whole body vibration exercise (WBVE) and auriculotherapy (AT) on the management of knee osteoarthritis (KOA) analyzing the handgrip strength (HS). METHODS: One hundred twelve participants with KOA were allocated in (a) WBVE group with peak-to-peak displacement of 2.5 to 7.5 mm, frequency from 5 up to 14 Hz, acceleration peak from 0.12 up to 2.95 g (2 d/weekly for 5 weeks),(b) AT group, points of both ears (Kidney, Knee-correspondent point and Shenmen) were stimulated with seeds,(c) WBVE + AT group and (d) respective control groups. HS was assessed in all the participants, in acute and cumulative responses. RESULTS: The intervention with WBVE alone and combined with AT improved (P < 0.05), in a cumulative response, the HS. CONCLUSION: WBVE alone or combined with AT might promote biological effects that interfere with the HS in individuals with KOA.

关键词： Osteoarthritis,knee Exercise therapy Physical and rehabilitation medicine auriculotherapy Muscle strength dynamometer

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