Frequencias para la acupuntura y terapia de areas

Los rayos laser usados en la acupuntura, que producen no  efecto  térmico en  los  tejidos. Sin  embargo,  la  estimulación  de  los puntos es lo suficientemente fuerte. 

2. Estimulación de átomos y moléculas: Los átomos y moléculas irradiados por los photones  del  rayo  laser,  produce  la  estimulación  de  algunos  electrones,  que  se encuentran a un nivel superior de energía y que a su vez de esta manera también emiten más photones, que irrumpen en zonas más profundas de los tejidos. De esta manera  se  produce  una  expansión  rápida  de  la  información  proveniente  del  rayo laser. Hoy en día se aplican cada vez más rayos laser infrarojos, los cuales dan un doble efecto en intensidad que el de la generación anterior.  Una  especialidad  de  la  medicina  auricular  es  el  uso  específico  de  frecuencias. Nogier y Bahr determinaron que un rayo laser, de acuerdo a la frecuencia con que es pulsado, puede aumentar la efectividad en el tratamiento, en vez de que el rayo se  emita de  forma  continua. Estas  frecuencias ofrecen evidentemente  información adicional  que  el  organismo  puede  asimilar  y  usar  muy  bien,  y  a  la  que  no deberíamos de renunciar en cualquier diagnóstico y terapia. Por ejemplo, una zona con problemas circulatorios mejora después de irradiarla con un rayo laser ajustado a la frecuencia "B", pues es entonces cuando recibimos un claro RAC.  

Nogier descubrió las sgtes. frecuencias:

A-292 Hz: disturbios infecciosos 

B-584 Hz: frecuencia nutritiva, estimuladora de la circulación y el metabolismo

C-1168 Hz: enfermedades motoras

D-2336 Hz: lateralidad y coordinación de las funciones cerebrales, por ejemplo, tratamiento de legastenia, incontinencia, ansiedad

E-4672 Hz: columna vertebral y nervios

F-9344 Hz: enfermedades psicosomáticas, depresión, alteración en el desarrollo        de los niños

G-146 Hz: agresión, miedo y excesiva preocupación, origen psicosomático 

Una segunda serie de frecuencias fue descubierta por Bahr: 

1-599,5 Hz: diagnóstico y terapia de síntomas dermatológicos

2-1199  Hz:  diagnóstico  y  terapia  de  efectos  post;  por  ejemplo,  bloqueos  de  la columna  vertebral o reacciones de algunos órganos 

3-2398 Hz: efectos post de caracter psicosomático como depresión, diagnóstico de vitaminas y minerales

4-4796 Hz: diagnóstico de vitaminas y minerales

5-9592 Hz: estímulo intensivo del sistema inmunológico

6-149 Hz: estímulo del lado izquierdo del cuerpo de los pacientes diestros 

7-299 Hz: estímulo del lado izquierdo del cuerpo de los pacientes 

Estas  frecuencias  facilitan  el  diagnóstico,  resultan  en  una  terapia  mucho  más intensiva  y  desde  su  descubrimiento  representan una gran  ventaja de  la medicina auricular. 

Therapy of cervical tendomyosis

A randomised controlled double-blind trial comparing dosed lasertherapy on acupuncture points and classical acupuncture

Ulf Seidel, Christine Uhlemann

Klinik für Orthopädie Klinikum Neustadt
Institut für Physiotherapie Friedrich-Schiller-Universität Jena

Methods:

48 patients (43 f, 5 m) with relevant neck pain were treated twice weekly for 4 weeks (8 treatments), randomised into four groups of different kinds of therapy: LLLT, output power 0 mW (placebo), 7 mW, 30 mW or needle acupuncture (4 ×n = 12).

Acupuncture was performed as a conventional meridian acupuncture, 15 minutes per session to a maximum of 15 needles.

LLLT was done as a stimulation to the same meridian points, 1 minute per point, totally 15 points. Laser parameters: cw-IR-GaAlAs-Laser, 830 nm, energy density 0 J/cm²; 21 J/cm²; 90 J/cm², irradiation area 0.02 cm², laser-skin-difference 8 mm. Subsequent evaluation was done four weeks after treatment (follow up). Assessment of outcome measurements comprised: Primary outcomes: 1. pain: pain intensity (visual analogue scale, VAS), pain sensation (pressure pain threshold, PPT); 2. cervical mobility: range of motion (ROM) (clinical distance measure, three-dimensional analysis of cervical spine, Zebris®). Secondary outcomes: 1. mental health (questionnaire); 2. subjective assessment (pain, mobility); 3. clinical autonomic parameters (blood pressure, heart rate, skin temperature).

Results:

Acupuncture and LLLT showed a significantly reducing of pain intensity, this effect could be proved four weeks after the end of the series (follow up): reduction in VAS by acupuncture 82.2 %, by LLLT 7 mW 55.4 %, 30 mW 29.1 %, 0 mW 26.1 %. PPT was significantly increased by all kinds of therapy.

There was a significant improvement of cervical mobility caused by acupuncture, LLLT 7 mW and LLLT 30 mW in contrast to placebo (0 mW LLLT).

Mental health was influenced positively by all therapy modes, significant only by LLLT 7 mW. With regard to subjective assessment (pain, mobility) there was no complaint aggravation. An increased (systolic and diastolic) blood pressure by decreased heart rate and increased skin temperature post each procedure with either method was measured.

Conclusions

Acupuncture is a therapeutical option in the treatment of common neck pain. Dose dependent effects of LLLT seems to be relevant, outcome power and energy density has to be considered as important parameters in efficacy of this method. LLLT 7 mW (energy density 21 J/cm²) seems to be more effective but also placebo influences pain and mental health positively.

Keywords

Acupuncture - Low level laser therapy (LLLT) - Dosed lasertherapy - Cervical tendomyosis - Clinical trial

Source

Dt Ztschr f Akup 2002;  258-269
DOI: 10.1055/s-2002-36555

LASERACUPUNCTURE

Pekka J. Pöntinen, M.D, Ph.D, F.I.C.A.E., Tampere University, Tampere, Kuopio University, Kuopio, Finland E-mail: pontinen@sci.fi

Traditionally acupuncture means stimulation of specific points on the surface of the body in order to produce mainly regulatory effects on the functions of the internal organs. The same points have been used to increase or decrease the functional state of different organs. In Traditional Chinese Medicine (TCM) the acupuncture points (AP) are connected by channels or meridians in and under the skin and have deep connections to the internal organs. The selection of the proper points has been as important as the correct type of stimulation, either reinforcement or sedation. In the traditional Chinese medicine the human model has been mainly energetic, physiological, not anatomical. The changes in the energy flow induced by the blocks in the channels or acceleration of the flow leading either to the deficit or excess of the vital energy, Chih, were believed to be the origin of diseases. The APs were the loci to balance the energy flow through needle stimulation. Modern acupuncture has a different nature. For the consensus conference arranged by the National Institutes of Health (NIH) and held in Bethesda, Maryland in November 1997 the term acupuncture was defined as stimulation, primarily by the use of solid needles, of traditionally and clinically defined points on and beneath the skin, in an organized fashion for therapeutic and/or preventive purposes. Application of stimulus to the reactive points (by needle, heat, massage, transcutaneous electric nerve stimulation/TENS, laser, etc.) according to TCM can influence the pathophysiological function of the affected organ-meridian systems.

In modern Chinese AP therapy, a combination of local tender points (AHSHI) and classical peripheral APs is common. Laseracupuncture (LAP) Today LAP provides a noninvasive and low risk alternative to needle stimulation. A combination of local reactive (tender) points or Ahshi points and active muscle TPs form a practical and effective basis for LAP in pain treatment. LAP can replace needles in the treatment of functional disorders and is then directed to classical APs. As a painless modality of acupuncture LAP is well accepted by children and other sensitive patients. LAP provides excellent possibilities for clinical studies on acupuncture. Recently Schlager and coworkers confirmed the efficacy of AP Neiguan (PC6) in the prevention of postoperative vomiting in children undergoing strabismus surgery. In another randomized, double-blind placebo-controlled study low-intensity laser therapy effectively prevented the recurrence of Herpes simplex infection.

Our study groups at the Universities of Kuopio and Tampere have studied the analgetic effect of peripheral stimulation (needle acupuncture, transcutaneous electrical stimulation/TENS, massage, electric stimulation, low energy laser) applied on APs or TPs using pressure algometry . We have conducted a series of experiments using different wavelengths (633-904 nm) and both coherent and noncoherent irradiation. LEPT was given directly to TPs (1-2 J/TP) or local tender spots.

In blind, cross-over studies both HeNe- and IR-diode (904 nm) lasers elevated pressure pain threshold (PTH). In a follow-up study on 54 MPS patients LEPT (820 nm, 1-2 J/TP) PTH increased from 2.94+1.44 tp 6.56+0.96 kg/cm² (p<0.001) and MGF from 0.60+0.28 to 1.03+0.29 bar (p<0.05), whereas VAS decreased from 44.6+11.3 to 9.3+6.4 (p<0.001). In this and other series we have found that the effect is greater on the side where PTH and MGF values are initially lower. As in our earlier studies with low and high freguency TENS one sided HeNe-laser irradiation elevated PTH of the corresponding, contralateral nontreated TPs in addition to the response on the treated side. More recently the main emphasis has been turned to the central mechanisms and pathways. In a pilot study LED-light (880 nm, 1J/cm2) given to TPs in trapezius muscle (TE15) bilaterally and upon proc. spinosus of C7 (DU14) significantly altered regional cerebral blood flow e.g. in thalamus, caudate nucleus and prefrontal cortex.

In our experience less than 1 J/point or 100-200 J/cm² given in a contact mode is mainly ineffective in clinical practice when treating musculoskeletal disorders and myofascial pain through TPs. In many well controlled, blind and double-blind cross-over studies showing insignificant results the actual radiant exposure to the target site has been a mere fraction of the dose normally used in clinical practice. When treating APs of low resistance and high sensitivity the irradiation dose should be reduced to about 0.1-0.2 J/point (10 per cent of the normal dose [1-2 J/point] used at muscle TPs).

Treatment of the acute Periarthritis humeroscapular with laserpuncture.

Odalys Gonzáles Álvarez, Main Educational Clinic of Urgencies "Antonio Maceo", Cerro Municipality, Havana City.

The periarthritis humeroscapular is a syndrome that contains very precise affections: the bursitis, the calcified tendinitis of supraespinoso, the bicipital tendinitis, among others. Pain and limitation of the joint movements of the shoulder characterize it. The treatment with laser of low power can produce resolution of the lesion, whenever it is made in early phases of the disease. In this study we propose the use of the laserpuncture, due to our accumulated experience in the treatment of these affection in acute phase, with acupuncture.

A prospective study was carried out during 2 years (1997 - 1999), where 62 patients were selected because they accomplished the Approaches of Inclusion for the study. The sample was divided by aleatory assignment in 2 Groups of Treatment. Th study Group I was treated with laserpuncture, using Cuban laser equipment of HeNe of 632,8 nm and a dose of joule/cm2 was applied, and the Control Group II was treated with acupuncture needles. The conventional medical treatment was suspended. Daily sessions were given from Monday to Friday, for two weeks, until a total of 10. Both techniques demonstrated to be effective in the treatment of these affections, improving the clinical and radiological symptoms significantly when the treatment sessions was concluded. The patients accepted the laserpuncture better because of its painless character, less time of application, and the absence of bleeding and stress.

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