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Brasão da Universidade Federal do Ceará

Universidade Federal do Ceará
Grupo de Atenção Integral e Pesquisa em Acupuntura e Medicina Tradicional Chinesa – GAIPA UFC

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Auriculoterapia

A acupuntura auricular é um recurso terapêutico originário da MTC que envolve a estimulação de pontos de acupuntura específicos na região da orelha (microssistema auricular) utilizando agulhas filiformes. Já a auriculoterapia é um termo guarda-chuva que abrange este e outros meios de estimulação, como sementes de Vacaria ou mostarda torrada, a pressão dos dedos (acupressão), o laser (laseracupuntura), a estimulação elétrica (eletroacupuntura), sangrias, dentre outros, integrando o referencial teórico da MTC com o da neurociência. Sua aplicação pode ser realizada de diferentes maneiras, variando a escolha e número de pontos, ângulo, profundidade e direção de agulhamento, intensidade e tempo de retenção do estímulo e a frequência e o número de atendimentos de acordo com o referencial teórico adotado. A Organização Mundial de Saúde (OMS) iniciou na década de 80 a padronização do mapa auricular, especificando o nome e a localização dos pontos, que posteriormente foi atualizado pela World Federation of Acupuncture-Moxibustion Societies (WFAS).

MeSH Term: Auriculotherapy OR Acupuncture, Ear.
Unitermos: auricular acupuncture, auriculomedicine, auricular acupressure, ear acupuncture, ear acupressure, battlefield acupuncture, auricular electroacupuncture, auricular transcutaneous electrical nerve stimulation, auricular vagus nerve stimulation, transcutaneous auricular vagus stimulation (taVNS), auricular laser acupuncture.

Score 9/10 na escala PEDro

  • Vas J et al. Efficacy and safety of auriculopressure for primary care patients with chronic non-specific spinal pain: a multicentre randomised controlled trial. Acupunct Med. 2014 Jun; 32(3): 227-35. <https://www.ncbi.nlm.nih.gov/pubmed/24568949>. [265 participantes, 2 grupos]
  • Barker R et al. Out-of-hospital auricular acupressure in elder patients with hip fracture: a randomized double-blinded trial. Acad Emerg Med. 2006 Jan; 13(1): 19-23. <https://www.ncbi.nlm.nih.gov/pubmed/16365322>. [38 participantes, 2 grupos]
  • Kober A et al. Auricular acupressure as a treatment for anxiety in prehospital transport settings. Anesthesiology. 2003 Jun; 98(6): 1328-32. <https://www.ncbi.nlm.nih.gov/pubmed/12766639>. [36 participantes, 2 grupos]
  • Sapir-Weise R et al. Acupuncture in alcoholism treatment: a randomized out-patient study. Alcohol Alcohol. Jul-Aug 1999;34(4):629-35. <https://pubmed.ncbi.nlm.nih.gov/10456592/>. [72 participantes, 4 grupos]

Score 8/10 na escala PEDro

  • Zhang JJ et al. Effect of Auricular Acupressure on Acute Pain in Nursing Home Residents with Mild Dementia: A Single-Blind, Randomized, Sham-Controlled Study. Evid Based Complement Alternat Med. 2022 Mar 10;2022:6406383. <https://pubmed.ncbi.nlm.nih.gov/35310034/>. [206 participantes, 2 grupos]
  • Usichenko TI et al. Effectiveness of Acupuncture for Pain Control After Cesarean Delivery: A Randomized Clinical Trial. JAMA Netw Open. 2022 Feb 1;5(2):e220517. <https://pubmed.ncbi.nlm.nih.gov/35226080/>. [120 participantes, 2 grupos]
  • Wang SX et al. Auricular acupressure promotes uterine involution after cesarean section: A randomized controlled trial. Integr Med Res. 2021 Sep;10(3):100724. <https://pubmed.ncbi.nlm.nih.gov/34040981/>. [109 participantes, 2 grupos]
  • Bacelar de Assis B et al. The effects of auricular acupuncture on vascular parameters on the risk factors for diabetic foot: A randomized clinical trial. Complement Ther Clin Pract. 2021 Aug;44:101442. <https://pubmed.ncbi.nlm.nih.gov/34265578/>. [44 participantes, 2 grupos]
  • Wang S et al. Use of auricular acupressure to improve the quality of life in diabetic patients with chronic kidney diseases: a prospective randomized controlled trial. Evid Based Complement Alternat Med. 2014;2014:343608. <https://pubmed.ncbi.nlm.nih.gov/25574180/>. [62 participantes, 2 grupos]
  • Wetzel B et al. The effect of auricular acupuncture on fentanyl requirement during hip arthroplasty: a randomized controlled trial. Clin J Pain. Mar-Apr 2011;27(3):262-7. <https://pubmed.ncbi.nlm.nih.gov/21346689/>. [120 participantes, 2 grupos]
  • Xue CC et al. Semi-self-administered ear acupressure for persistent allergic rhinitis: a randomised sham-controlled trial. Ann Allergy Asthma Immunol. 2011 Feb;106(2):168-70. <https://pubmed.ncbi.nlm.nih.gov/21277520/>. [63 participantes, 2 grupos]
  • Usichenko TI et al. Auricular acupuncture for pain relief after ambulatory knee surgery: a randomized trial. CMAJ. 2007 Jan 16; 176(2): 179-83. <https://www.ncbi.nlm.nih.gov/pubmed/17224599>. [120 participantes, 2 grupos]
  • Alimi D et al. Analgesic effect of auricular acupuncture for cancer pain: a randomized, blinded, controlled trial. J Clin Oncol. 2003 Nov 15; 21(22): 4120-6. <https://www.ncbi.nlm.nih.gov/pubmed/14615440>. [90 participantes, 3 grupos]

Score 7/10 na escala PEDro

  • Höxtermann MD et al. Efficacy and Safety of Auricular Acupuncture for the Treatment of Insomnia in Breast Cancer Survivors: A Randomized Controlled Trial. Cancers (Basel). 2021 Aug 13;13(16):4082. <https://pubmed.ncbi.nlm.nih.gov/34439234/>. [52 participantes, 2 grupos]
  • Mao JJ et al. Effectiveness of Electroacupuncture or Auricular Acupuncture vs Usual Care for Chronic Musculoskeletal Pain Among Cancer Survivors: The PEACE Randomized Clinical Trial. JAMA Oncol. 2021 May 1;7(5):720-727. <https://pubmed.ncbi.nlm.nih.gov/33734288/>. [360 participantes, 3 grupos]
  • Alimoradi Z, Kazemi F, Gorji M, Valiani M. Effects of ear and body acupressure on labor pain and duration of labor active phase: A randomized controlled trial. Complement Ther Med. 2020 Jun;51:102413. <https://pubmed.ncbi.nlm.nih.gov/32507430/>. [90 participantes, 3 grupos]
  • Xia B et al. Effect of Auricular Point Acupressure on Axial Neck Pain After Anterior Cervical Discectomy and Fusion: A Randomized Controlled Trial. Pain Med. 2018 Jan 1; 19(1): 193-201. <https://www.ncbi.nlm.nih.gov/pubmed/28505292>. [29 participantes, 2 grupos]
  • Moura CC et al. Action of ear acupuncture in people with chronic pain in the spinal column: a randomized clinical trial. Rev Lat Am Enfermagem. 2018 Sep 3;26:e3050. <https://pubmed.ncbi.nlm.nih.gov/30183875/>. [110 participantes, 3 grupos]
  • Ushinohama A et al. Effect of a single session of ear acupuncture on pain intensity and postural control in individuals with chronic low back pain: a randomized controlled trial. Braz J Phys Ther. 2016 Jul-Aug; 20(4): 328-35. <https://www.ncbi.nlm.nih.gov/pubmed/27556389>. [80 participantes, 2 grupos]
  • Chang LH et al. Auricular acupressure for managing postoperative pain and knee motion in patients with total knee replacement: a randomized sham control study. Evid Based Complement Alternat Med. 2012; 2012: 528452. <https://www.ncbi.nlm.nih.gov/pubmed/22844334>. [62 participantes, 2 grupos]
  • Wang M-C et al. Effects of auricular acupressure on menstrual symptoms and nitric oxide for women with primary dysmenorrhea. J Altern Complement Med. 2009 Mar;15(3):235-42. <https://pubmed.ncbi.nlm.nih.gov/19292653/>. [90 participantes, 2 grupos]
  • Usichenko TI et al. Auricular acupuncture for pain relief after total hip arthroplasty – a randomized controlled study. Pain. 2005 Apr; 114(3): 320-7. <https://www.ncbi.nlm.nih.gov/pubmed/15777857>. [61 participantes, 2 grupos]
  • Wang SM et al. Parental auricular acupuncture as an adjunct for parental presence during induction of anesthesia. Anesthesiology. 2004 Jun; 100(6): 1399-404. <https://www.ncbi.nlm.nih.gov/pubmed/15166558>. [67 participantes, 2 grupos]

Score 6/10 na escala PEDro

  • Azevedo C et al. Effectiveness of auricular acupuncture and pelvic floor muscle training in the management of urinary incontinence following surgical treatment for prostate cancer: A randomized clinical trial. Eur J Oncol Nurs. 2023 Dec 12;68:102490. <https://pubmed.ncbi.nlm.nih.gov/38113770/>. [60 participantes, 2 grupos]
  • Tan JY et al. Effects of auricular acupressure on chemotherapy-induced nausea and vomiting in breast cancer patients: a preliminary randomized controlled trial. BMC Complement Med Ther. 2022 Mar 24;22(1):87. <https://pubmed.ncbi.nlm.nih.gov/35331208/>. [114 participantes, 3 grupos]
  • Hendawy HA, Abuelnaga ME. Postoperative analgesic efficacy of ear acupuncture in patients undergoing abdominal hysterectomy: a randomized controlled trial. BMC Anesthesiol. 2020 Nov 9;20(1):279. <https://pubmed.ncbi.nlm.nih.gov/33167893/>. [56 participantes, 2 grupos]
  • Vas J et al. Effect of ear acupuncture on pregnancy-related pain in the lower back and posterior pelvic girdle: A multicenter randomized clinical trial. Acta Obstet Gynecol Scand. 2019 Oct; 98(10): 1307-1317. <https://www.ncbi.nlm.nih.gov/pubmed/31034580>. [220 participantes, 4 grupos]
  • Collinsworth KM, Goss DL. Battlefield Acupuncture and Physical Therapy Versus Physical Therapy Alone After Shoulder Surgery. Med Acupunct. 2019 Aug 1;31(4):228-238.  <https://pubmed.ncbi.nlm.nih.gov/31456869/>. [41 participantes, 2 grupos]
  • Yeh CH et al. Day-to-Day Changes of Auricular Point Acupressure to Manage Chronic Low Back Pain: A 29-day Randomized Controlled Study. Pain Med. 2015 Oct; 16(10): 1857-69. <https://www.ncbi.nlm.nih.gov/pubmed/25988270>. [61 participantes, 2 grupos]
  • Yeh M-L et al. Auricular acupressure for pain relief in adolescents with dysmenorrhea: a placebo-controlled study. J Altern Complement Med. 2013 Apr;19(4):313-8. <https://pubmed.ncbi.nlm.nih.gov/23130943/>. [113 participantes, 2 grupos]
  • Avants SK et al. A randomized controlled trial of auricular acupuncture for cocaine dependence. Arch Intern Med. 2000 Aug 14-28;160(15):2305-12. <https://pubmed.ncbi.nlm.nih.gov/10927727/>. [82 participantes, 3 grupos]
  • Richards D, Marley J. Stimulation of auricular acupuncture points in weight loss. Aust Fam Physician. 1998 Jul;27 Suppl 2:S73-7. <https://pubmed.ncbi.nlm.nih.gov/9679359/>. [60 participantes, 2 grupos]
  • Waite NR, Clough JB. A single-blind, placebo-controlled trial of a simple acupuncture treatment in the cessation of smoking. Br J Gen Pract. 1998 Aug;48(433):1487-90. <https://pubmed.ncbi.nlm.nih.gov/10024707/>. [78 participantes, 2 grupos]
  • Bullock ML et al. Controlled trial of acupuncture for severe recidivist alcoholism. Lancet. 1989 Jun 24;1(8652):1435-9. <https://pubmed.ncbi.nlm.nih.gov/2567439/>. [80 participantes, 2 grupos]

Aguardando classificação

  • Ma J et al. The effect of auricular acupuncture on preoperative blood pressure across age groups: a prospective randomized controlled trial. Clin Exp Hypertens. 2023 Dec 31;45(1):2169452. <https://pubmed.ncbi.nlm.nih.gov/36681906/>. [120 participantes, 2 grupos]
  • Aminizadeh M et al. Effectiveness of auricular acupressure on constipation and related quality of life among the older people in the residential care home: a randomized clinical trial. BMC Geriatr. 2023 Mar 27;23(1):171. <https://pubmed.ncbi.nlm.nih.gov/36973676/>. [60 participantes, 2 grupos]
  • Wang L et al. The efficacy and safety of transcutaneous auricular vagus nerve stimulation in patients with mild cognitive impairment: A double blinded randomized clinical trial. Brain Stimul. 2022 Sep 20;S1935-861X(22)00207-8. <https://pubmed.ncbi.nlm.nih.gov/36150665/>. [60 participantes, 2 grupos]
  • Zhang X et al. Auricular acupressure for treating early stage of knee osteoarthritis: a randomized, sham-controlled prospective study. QJM. 2022 Aug 13;115(8):525-529. <https://pubmed.ncbi.nlm.nih.gov/34463759/>. [62 participantes, 2 grupos]
  • Zhang CS et al. Ear acupressure for perennial allergic rhinitis: A multicenter randomized controlled trial. Am J Rhinol Allergy. Jul-Aug 2014;28(4):e152-7. <https://pubmed.ncbi.nlm.nih.gov/25197908/>.  [245 participantes, 2 grupos]
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