Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study

Michelle Cristina Ichida; Mariana Zemuner; Jorge Hosomi; Hong Jin Pai; Manoel Jacobsen Teixeira; José Tadeu Tesseroli de Siqueira; Silvia R. D. T. de Siqueira

doi:10.1007/s11655-017-2786-0

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Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study

OriginalPaper | Updated：2021-08-27

- Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study
- Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study
- 中国结合医学杂志（英文版） 2017年23卷第11期页码：829-836
- Affiliations：
  
  1. Neurology Department, Medical School, University of São Paulo, São Paulo,Brazil
  2. Group of Acupuncture, Interdisciplinary Pain Group of the Neurology Division, Clinical Hospital, Medical School, University of São Paulo, São Paulo,Brazil
  3. Interdisciplinary Pain Center of Hospital das Clinicas, Neurology Department, Medical School, University of São Paulo, São Paulo,Brazil
  4. Neurosurgery Division, Psychiatry Institute, Clinical Hospital, Medical School, University of Sao Paulo, São Paulo,Brazil
  5. Orofacial Pain Team, Dentistry Division, Clinical Hospital, Medical School, University of São Paulo, São Paulo,Brazil
  6. Group of Oral Medicine and Neuroscience of the Dentistry Division, Psychiatry Institute, Clinical Hospital, Medical School, University of Sao Paulo, São Paulo,Brazil
  7. School of Arts, Science and Humanities, University of São Paulo, São Paulo,Brazil
- Author bio：
- Funds：
  
  Supported by Foundation of Research of the State of São Paulo, Brazil (No.2010/01620-4)
- DOI：10.1007/s11655-017-2786-0
  中图分类号：
- 纸质出版日期：2017，
  
  网络出版日期：2017-10-28，
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Ichida, M.C., Zemuner, M., Hosomi, J. et al. Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study., Chin. J. Integr. Med. 23, 829–836 (2017). https://doi.org/10.1007/s11655-017-2786-0

Michelle Cristina Ichida, Mariana Zemuner, Jorge Hosomi, et al. Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study[J]. Chinese Journal of Integrative Medicine, 2017,23(11):829-836.
Ichida, M.C., Zemuner, M., Hosomi, J. et al. Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study., Chin. J. Integr. Med. 23, 829–836 (2017). https://doi.org/10.1007/s11655-017-2786-0 DOI：

Michelle Cristina Ichida, Mariana Zemuner, Jorge Hosomi, et al. Acupuncture treatment for idiopathic trigeminal neuralgia: A longitudinal case-control double blinded study[J]. Chinese Journal of Integrative Medicine, 2017,23(11):829-836. DOI： 10.1007/s11655-017-2786-0.

摘要

To evaluate the treatment effect of acupuncture on patients with idiopathic trigeminal neuralgia (ITN) by case-control longitudinal blinded study. Sixty ITN patients and 30 healthy subjects were included. The ITN patients were randomly assigned to acupuncture group (15 cases)

sham-acupuncture group (15 cases) and carbamazepine group (30 cases)

respectively. Clinical orofacial evaluation (including pain intensity and medication doses)

research diagnostic criteria for temporomandibular disorders (RDC/TMD) and Helkimo indexes (for functional evaluation of the masticatory system)

and quantitative sensory testing for sensory thresholds (gustative

olfactory

cold

warm

touch

vibration and superficial and deep pain) were evaluated before treatment

immediately after treatment

and 6 months after treatment. The mean pain intensity by the Visual Analogue Scale only decreased in the acupuncture group at the last evaluation (P=0.012). Patients in the sham-acupuncture group had an increase in carbamazepine doses according to the prescriptions (P<0.01). There was a reduction in secondary myofascial pain and mandibular limitations at the acupuncture and sham-acupuncture groups

however only the acupuncture group kept the changes after 6 months (P<0.01

P=0.023). There was a decrease in mechanical thresholds in the acupuncture group (tactile

P<0.01; vibration

P=0.027) and an increase in deep pain thresholds in both acupuncture and sham-acupuncture groups (P=0.013). Acupuncture can be an option in the treatment of ITN due to its analgesic effect in both ITN and secondary myofascial pain associated with it.

Abstract

sham-acupuncture group (15 cases) and carbamazepine group (30 cases)

respectively. Clinical orofacial evaluation (including pain intensity and medication doses)

research diagnostic criteria for temporomandibular disorders (RDC/TMD) and Helkimo indexes (for functional evaluation of the masticatory system)

and quantitative sensory testing for sensory thresholds (gustative

olfactory

cold

warm

touch

vibration and superficial and deep pain) were evaluated before treatment

immediately after treatment

however only the acupuncture group kept the changes after 6 months (P<0.01

P=0.023). There was a decrease in mechanical thresholds in the acupuncture group (tactile

P<0.01; vibration

关键词

acupunctureidiopathic trigeminal neuralgiaorofacial paintemporomandibular disordersquantitative sensory testingcase-control study

Keywords

acupunctureidiopathic trigeminal neuralgiaorofacial paintemporomandibular disordersquantitative sensory testingcase-control study

references

Merskey H, Bogduk N. Classification of chronic pain. Seattle, WA: IASP Press; 1994:59–68.

European Federation of Neurological Societies (EFNS). American Academy of Neuroroly: Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review). Neurology 2008;71:1183–1190.

Broggi G, Ferroli P, Franzini A. Treatment strategy for trigeminal neuralgia: a thirty years experience. Neurol Sci 2008;29S:79–82.

Ong KS, Keng SB. Evaluation of surgical procedures for trigeminal neuralgia. Anesth Prog 2003;50:181–188.

Jellinger KA. Principles and application of acupuncture in neurology. Wien Med Wochenschr 2000;150:278–285.

Irnich D, Winklmeier S, Beyer A, Peter K. Electric stimulation acupuncture in peripheral neuropathic pain syndromes. Clinical pilot study on analgesic effectiveness. Schmerz 2002;16:114–120.

Mishra D, Raji MA, Sierpina VS. Trigeminal neuralgia in an octogenarian: sustained clinical response to acupuncture. Explore 2005;1:46–47.

Shuai P, Zhou XH, Lao L, Li XS. Issues of design and statistical analysis in controlled clinical acupuncture trials: an analysis of English-language reports from Western journals. Stat Med 2012;31:606–618.

Cabýoglu MT, Ergene N, Tan U. The mechanism of acupuncture and clinical applications. Int J Neurosci 2006;116:115–125.

Jung A, Shin B, Lee MS, Sim H, Ernst E. Acupuncture for treating temporomandibular joint disorders: a systematic review and meta-analysis of randomized, sham-controlled trials. J Dent 2011;39:341–350.

Deng QS. Ionic mechanism of acupuncture on improvement of learning and memory in age mammals. Am J Chin Med 1995;23:1–9.

Wang Y, Yin LM, Xu YD, Lui YY, Ran J, Yang YQ. The research of acupuncture effective biomolecules: retrospect and prospect. Evid Based Complement Alternat Med 2013; 2013:608026.

Cheng KJ. Neuroanatomical basis of acupuncture treatment for some common illnesses. Acupunct Med 2009;27:61–64.

Siqueira SRDT, Nobrega JCM, Teixeira MJ, de Siqueira JTT. Masticatory problems after balloon compression for trigeminal neuralgia, a longitudinal study. J Oral Rehabil 2007;34:88–96.

Gongwang L, Pai HJ. Contemporary treaty of accupuncture and moxibustion: points and meridians. São Paulo: Roca; 2004:672.

Siqueira JTT, Ching LH, Nasri C, Siqueira SRDT, Teixeira MJ, Heir G, Valle LBS. Clinical study of patients with persistent orofacial pain. Arq Neropsiquiatr 2004;62:988–996.

Dworkin SF, LeResche L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomand Disord 1992;6:301–355.

Helkimo H. Studies on function and dysfunction of the masticatory system. II Index for anamnestic dysfunction and occlusal state. Swed Dent J 1974;67:101–119.

Siviero M, Teixeira MJ, de Siqueira JTT, Siqueira SRDT. Somesthetic, gustatory, olfactory function and salivary flow in patients with neuropathic trigeminal pain. Oral Dis 2010;16:482–487.

Liu H, Li H, Xu M, Chung KF, Zhang SP. A systematic review on acupuncture for trigeminal neuralgia. Altern Ther Health Med 2010;16:30–35.

Costantini D, Tomasello C, Buonopane CE, Sances D, Marandola M, Delogu G. Treatment of trigeminal neuralgia with electroacupuncture. Experience with 104 cases. Ann Ital Chir 1995;66:373–378.

White A, Cummings M, Filshie J, eds. An introduction to western medical acupuncture. London: Churchill Livington, Elsevier; 2008:230.

Millán-Guerrero RO, Isáis-Millán S. Acupuncture in trigeminal neuralgia management. Headache 2006;46:532.

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