IEPS - INSTITUTO DE ENSINO E PESQUISA EM SAÚDE

Efeito da acupressura e pontos-gatilhos no tratamento da cefaléia: um ensaio controlado e randomizado.

Hsieh LL, Liou HH, Lee LH, Chen TH, Yen AM. Department of Rehabilitation, Kaohsiung Medical University , Taiwan, [email protected] The efficacy of acupressure in relieving pain has been documented; however, its effectiveness for chronic headache compared to the muscle relaxant medication has not yet been elucidated. To address this, a randomized, controlled clinical trial was conducted in a medical center in Southern Taiwan in 2003. Twenty-eight patients suffering chronic headache were randomly assigned to the acupressure group (n = 14) or the muscle relaxant medication group (n = 14). Outcome measures regarding self-appraised pain scores (measured on a visual analogue scale; VAS) and ratings of how headaches affected life quality were recorded at baseline, 1 month after treatment, and at a 6-month follow-up. Pain areas were recorded in order to establish trigger points. Results showed that mean scores on the VAS at post-treatment assessment were significantly lower in the acupressure group (32.9+/-26.0) than in the muscle relaxant medication group (55.7+/-28.7) (p = 0.047). The superiority of acupressure over muscle relaxant medication remained at 6-month follow-up assessments (p = 0.002). The quality of life ratings related to headache showed similar differences between the two groups in the post treatment and at six-month assessments. Trigger points BL2, GV20, GB20, TH21, and GB5 were used most commonly for etiological assessment. In conclusion, our study suggests that 1 month of acupressure treatment is more effective in reducing chronic headache than 1 month of muscle relaxant treatment, and that the effect remains 6 months after treatment. Trigger points help demonstrate the treatment technique recommended if a larger-scale study is conducted in the future.
Dr. Dirceu de Lavôr Sales

About Dr. Dirceu de Lavôr Sales

Dr. Dirceu de Lavôr Sales, médico especializado em Clínica Médica, Acupuntura, Homeopatia, tratamento da Dor e presidente do Instituto de Ensino e Pesquisa em Saúde

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