Pos-Graduation Program in Rehabilitation Sciences, Human Performance Research Laboratory, Institute of Motor Sciences, Federal University of Alfenas, Santa Clara Campus, Alfenas-MG, Brazil.
Human Performance Research Laboratory, Institute of Motor Sciences, Federal University of Alfenas, Santa Clara Campus, Alfenas-MG, Brazil.
J Acupunct Meridian Stud. 2023 Aug 31;16(4):139-151. doi: 10.51507/j.jams.2023.16.4.139.
Fibromyalgia is a syndrome of chronic, generalized muscular pain, accompanied by sleep disturbances, fatigue and cardic autonomic dysfunction that will affect the quality of life. There is currently no gold standard treatment. There are limitations of studies with electroacupuncture in auricular acupuncture.
We evaluate the effects of systemic electroacupuncture (EA) with frequencies of 2/100 Hz associated of auricular acupuncture with a Nogier frequency (2.28, 4.56 and 9.12 Hz) for pain intensity, heart rate variability (HRV), and quality of life in fibromyalgia.
Randomized clinical trial, a pilot study. Eighteen volunteers were randomized into a control group (CG, n = 9) and an experimental group (EG, n = 9). Six systemic EA sessions systemic and auricular were applied in the EG for 20 min, twice a week, for six weeks consecutive. The Numerical Pain Assessment Scale (NPRS), 2010 diagnostic criteria of the American College of Rheumatology (FDC 2010), Fibromyalgia Impact Questionnaire (FIQ) and analysis of HRV were the instruments used. The independent t-test compared to the groups was applied.
There was no statistically significant difference for the primary outcome for NPRS ( > 0.05). In the secondary outcome there was a significant difference in the total score and in some FIQ domains ( = 0.008) and some variables such as pain ( = 0.02) and anxiety ( = 0.006). There was no significant difference for the FDC 2010 and HRV variables ( > 0.05).
2/100 Hz systemic EA associated with the Nogier frequency positively influenced some quality of life variables; however, pain intensity, diagnostic criteria, and HRV variables did not change.
纤维肌痛是一种慢性、全身性肌肉疼痛综合征，伴有睡眠障碍、疲劳和心脏自主神经功能障碍，会影响生活质量。目前还没有金标准治疗方法。耳针的电针研究存在局限性。
我们评估了 2/100 Hz 系统电针（EA）与诺吉耳频率（2.28、4.56 和 9.12 Hz）联合耳针治疗纤维肌痛疼痛强度、心率变异性（HRV）和生活质量的疗效。
随机临床试验，一项初步研究。18 名志愿者随机分为对照组（CG，n = 9）和实验组（EG，n = 9）。EG 接受 6 次系统 EA 和耳针治疗，每次 20 分钟，每周 2 次，连续 6 周。使用数字疼痛评估量表（NPRS）、美国风湿病学会 2010 年诊断标准（FDC 2010）、纤维肌痛影响问卷（FIQ）和 HRV 分析作为评估工具。对组间进行独立 t 检验。
NPRS 的主要结局无统计学差异（> 0.05）。次要结局中，总评分和 FIQ 的一些领域有显著差异（= 0.008），一些变量如疼痛（= 0.02）和焦虑（= 0.006）也有显著差异。FDC 2010 和 HRV 变量无统计学差异（> 0.05）。
2/100 Hz 系统 EA 联合诺吉耳频率对一些生活质量变量有积极影响；然而，疼痛强度、诊断标准和 HRV 变量没有变化。
