Laser Acupuncture for Postoperative Pain Management in Cats

Marques, Virgínia Ines Moreira; Cassu, Renata Navarro; Nascimento, Felipe Franco; Tavares, Rafaela C. P.; Crociolli, G. C.; Guilhen, Rafael Costa; Nicácio, Gabriel Montoro

doi:10.1155/2015/653270

Cited by 21 publications

(24 citation statements)

References 28 publications

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“…A multimodal analgesic strategy is strongly suggested to reduce opioid-induced side effects [ 6 , 7 ], and acupuncture or electroacupuncture (EA) has been selected to improve the quality [ 8 ]. Some LLLA studies have assessed its application for postoperative pain [ 3 , 9 ], but these studies were mostly limited to dental, orofacial, and small incision surgeries. Furthermore, whether LLLA exerts equal analgesic effects as LLLT and EA remains unclear.…”

Section: Introductionsmentioning

confidence: 99%

Laser acupuncture-induced analgesic effect and molecular alterations in an incision pain model: a comparison with electroacupuncture-induced effects

et al. 2017

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Low-level laser acupuncture (LLLA) produces photobiomodulation through acupuncture point and is an alternative to low-level laser therapy. Although the analgesic effect of LLLA on chronic pain has been proven, its effect on acute postincisional pain has yet to be investigated. A plantar incision (PI) model was used to mimic human postsurgical pain. Male adult rats received GaAlAs laser irradiation at the right ST36 acupoint immediately after operation and on the following 4 days. Three laser treatment groups (two red laser groups with a 30- or 15-min treatment duration and one 30-min near-infrared laser group) were compared with sham LLLA and naive groups and an electroacupuncture (EA) group (separate study). Behavioral withdrawal thresholds of both hind paws were measured before and after incision. Expression of mitogen-activated protein kinases (p-ERK and p-p38), inducible nitric oxide synthase (iNOS), and tumor necrosis factor (TNF) in the spinal cord was analyzed. All three LLLA treatments attenuated post-PI tactile allodynia in the ipsilateral paw, but only the 30-min red laser treatment affected the contralateral paw and had similar efficacy to that of EA. All laser treatments barely reduced heat hyperalgesia in both hind paws. At 3 days after PI, the 30-min red laser group showed reversed increases of PI-induced p-ERK, p-p38, and iNOS but not TNF expression in the spinal cord. Repetitive LLLA treatments ameliorated PI-induced mechanical pain. The inhibition of multiple sensitization signals highlights the unique clinical role of LLLA. Thus, LLLA is an alternative to EA as an adjuvant for postoperative pain control.Electronic supplementary materialThe online version of this article (10.1007/s10103-017-2367-7) contains supplementary material, which is available to authorized users.

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Section: Introductionsmentioning

confidence: 99%

Laser acupuncture-induced analgesic effect and molecular alterations in an incision pain model: a comparison with electroacupuncture-induced effects

et al. 2017

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“…Foram atendidos 21 pacientes com LASER. A laserpuntura é uma técnica não invasiva que consiste na utilização de LASER em acupontos e que apresenta efeito anti-inflamatório e analgésico em cães (56) e gatos (57) . Consoante os casos, as agulhas são mantidas no animal por cinco a 25 minutos.…”

Section: Resultsunclassified

Estudo Retrospectivo De 98 Felinos Submetidos À Acupuntura Atendidos Em Serviço De Reabilitação E Dor Crônica

Silva

Joaquim²,

Luna

et al. 2018

Ciênc. anim. bras.

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ResumoEste estudo retrospectivo avaliou os casos clínicos de felinos atendidos em Serviço de Reabilitação e Dor Crônica, durante 13 anos, totalizando 98 prontuários. Os objetivos deste estudo foram caracterizar o perfil do paciente atendido e avaliar a eficácia da acupuntura (AP) e dos métodos associados a esta técnica no tratamento de doenças em felinos e respectiva evolução clínica. Constatou-se que 69,7% dos pacientes melhoraram após tratamento com AP, 16,7% não apresentaram resposta significativa e 13,6% vieram a óbito. Não foram registrados casos de piora relacionados ao tratamento com AP, embora, dos nove animais que vieram a óbito, três foram devido à progressão da doença primária tratada exclusivamente com AP. As principais afecções tratadas foram relacionadas ao sistema nervoso -sobretudo trauma medular e encefálico -em que se registrou uma melhora em 53,7% dos animais. O tratamento foi considerado eficaz quando os pacientes recuperaram a capacidade normal de deambulação e em casos de doenças medulares quando o escore neurológico mudou de IV (grave) ou V (muito grave) para I (normal) ou II (leve alteração). A técnica de agulha seca foi a mais utilizada para os tratamentos, com 94,7% de prevalência, seguida da eletroacupuntura (30,6%) e da laserpuntura (21,4%). O número de sessões totais de AP foi em média de 6,97±14,97, sendo as mesmas semanais. Conclui-se que o estímulo de acupontos utilizando diferentes métodos foi eficiente para tratar a maioria dos gatos com diversas condições clínicas, evidenciando que esta espécie provavelmente responde tão bem como os cães após o tratamento de AP.

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“…Various techniques may be used to replace or complement the effect of dry needle acupuncture. The main techniques are electroacupuncture [ 6 ], pharmacopuncture [ 7 ], and laserpuncture [ 8 ]. Laserpuncture consists of using a light amplification by stimulated emission of radiation (LASER) to stimulate acupoints.…”

Section: Introductionmentioning

confidence: 99%

“…LASER presents local anti-inflammatory effects in the affected area [ 10 ]. In cats undergoing ovariohysterectomy, laserpuncture reduced postoperative analgesic requirements [ 8 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy

Tomacheuski

Taffarel

Cardoso

et al. 2020

Veterinary Sciences

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Background: This prospective, randomised and blind study investigated the efficacy of laserpuncture for postoperative pain management in dogs. Method: Sixteen bitches were sedated with acepromazine and randomly treated before ovariohysterectomy with meloxicam 0.2 mg·kg−1 intramuscular or laserpuncture (wavelength 904 mm, frequency 124 Hz, potency 10 Joules, 100 s in each acupoint). Anaesthesia was performed with propofol, isoflurane/O2, and fentanyl. The Glasgow Composite Measure Pain Scale (GCMPS) and Dynamic Interactive Visual Analog Scale (DIVAS) were used to evaluate postoperative pain before and for 24 h after surgery. Morphine was administrated as rescue analgesia when pain scores were ≥3.33 (GCMPS). Differences between treatments, time points, and amount of rescue analgesia between groups were investigated by the Mann–Whitney test and the area under the curve (AUC) for GCMPS, Friedman, and Chi-squared tests, respectively (p < 0.05). Results: Dogs treated with laserpuncture presented lower GCMPS AUC for 24 h and lower GCMPS scores at 2 and 4 h postoperatively (p = 0.04). Three dogs treated with meloxicam required postoperatively rescue analgesia against none treated with laserpuncture. Conclusions: In this preliminary study, laserpuncture mitigated postoperative pain in dogs following ovariohysterectomy, and the technique is a promising adjunct to perioperative pain management in dogs undergoing soft tissue surgery.

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Laser Acupuncture for Postoperative Pain Management in Cats

Cited by 21 publications

References 28 publications

Laser acupuncture-induced analgesic effect and molecular alterations in an incision pain model: a comparison with electroacupuncture-induced effects

Laser acupuncture-induced analgesic effect and molecular alterations in an incision pain model: a comparison with electroacupuncture-induced effects

Estudo Retrospectivo De 98 Felinos Submetidos À Acupuntura Atendidos Em Serviço De Reabilitação E Dor Crônica

Postoperative Analgesic Effects of Laserpuncture and Meloxicam in Bitches Submitted to Ovariohysterectomy

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