PDF herunterladen
CC BY-NC-ND 4.0 · Revista Fisioterapia Invasiva / Journal of Invasive Techniques in Physical Therapy 2020; 03(01): 007-012
DOI: 10.1055/s-0040-1713821
Original Article
Thieme Revinter Publicações Ltda Rio de Janeiro, Brazil

Puntos de acupuntura y vasos perforantes cutáneos identificados con termografía infrarroja en el miembro superior

Artikel in mehreren Sprachen: English | español
F. Soares-Parreira
1   Clínica Fisioefe (Fisioterapia e Bem Estar), Espargo, Portugal
,
D. Álvarez-Prats
2   Clínica Fisioterapia Océano, Madrid, Spain
5   Department of Physiotherapy, CEU San Pablo University, Madrid, Spain
,
O. Carvajal-Fernández
2   Clínica Fisioterapia Océano, Madrid, Spain
,
M. Barbosa-Pereira
4   MVClinic Institute, Madrid, Spain
,
F. Valera-Garrido
4   MVClinic Institute, Madrid, Spain
5   Department of Physiotherapy, CEU San Pablo University, Madrid, Spain
› Institutsangaben
Weitere Informationen

Publikationsverlauf

02. Mai 2020

22. Mai 2020

Publikationsdatum:
30. Juni 2020 (online)

Auch verfügbar auf
  Lizenzen und Reprints

Resumen

Objetivo Comprobar la presencia de vasos perforantes cutáneos (VPC) en diferentes puntos de acupuntura (PA) en el miembro superior mediante termografía infrarroja (TI).

Material y Métodos Estudio observacional transversal analítico en el miembro superior de sujetos voluntarios (n = 7). Se analizaron un total de 91 PA, así como 91 puntos control (PC), uno por cada PA. En cada sujeto se marcaron en primer lugar los PA y sus PC correspondientes y, en segundo lugar, se tomaron las imágenes termográficas. Posteriormente, se procesaron las imágenes mediante el software Physio Thermal Imaging (PTI) observando la presencia o no de estos VPC en los PA y los PC correspondientes.

Resultados Se identificaron VPC en el 68,1% del total de los 91 PA examinados. No obstante, a pesar de la fuerte tendencia en la presencia de VPC en los PA estudiados, existen PA que no demuestran diferencias significativas con sus PC correspondientes.

Conclusiones Este estudio demuestra que los VPC y los PA escogidos en la muestra guardan cierta correlación, debido a que existe una presencia alta de VPC en los PA. La TI es una herramienta útil en el proceso de atención de fisioterapia para la acupuntura.

Palabras clave

acupuntura - puntos de acupuntura - termografía infrarroja - vaso perforante cutáneo

Aprobación Ética

Universidad CEU San Pablo.


 

  • References

  • 1 Berman BM, Langevin HM, Witt CM, Dubner R. Acupuncture for chronic low back pain. N Engl J Med 2010; 363 (05) 454-461
    CrossrefPubMedSuche in Google Scholar
  • 2 White A, Foster NE, Cummings M, Barlas P. Acupuncture treatment for chronic knee pain: a systematic review. Rheumatology (Oxford) 2007; 46 (03) 384-390
    CrossrefPubMedSuche in Google Scholar
  • 3 Haker E, Egekvist H, Bjerring P. Effect of sensory stimulation (acupuncture) on sympathetic and parasympathetic activities in healthy subjects. J Auton Nerv Syst 2000; 79 (01) 52-59
    CrossrefPubMedSuche in Google Scholar
  • 4 Svedberg L, Nordahl G, Lundeberg T. Effects of acupuncture on skin temperature in children with neurological disorders and cold feet. Dev Med Child Neurol 2001; 43 (05) 358-360
    PubMedSuche in Google Scholar
  • 5 Dhond RP, Yeh C, Park K, Kettner N, Napadow V. Acupuncture modulates resting state connectivity in default and sensorimotor brain networks. Pain 2008; 136 (03) 407-418
    CrossrefPubMedSuche in Google Scholar
  • 6 Hui KK, Liu J, Marina O. , et al. The integrated response of the human cerebro-cerebellar and limbic systems to acupuncture stimulation at ST 36 as evidenced by fMRI. Neuroimage 2005; 27 (03) 479-496
    CrossrefPubMedSuche in Google Scholar
  • 7 Agarwal-Kozlowski K, Lange AC, Beck H. Contact-free infrared thermography for assessing effects during acupuncture: a randomized, single-blinded, placebo-controlled crossover clinical trial. Anesthesiology 2009; 111 (03) 632-639
    CrossrefPubMedSuche in Google Scholar
  • 8 Zhi Wei D, Yu S, Yongqiang Z. Perforators, the Underlying Anatomy of Acupuncture Points. Altern Ther Health Med 2016; 22 (03) 25-30
    PubMedSuche in Google Scholar
  • 9 Taylor GI, Palmer JH. The vascular territories (angiosomes) of the body: experimental study and clinical applications. Br J Plast Surg 1987; 40 (02) 113-141
    CrossrefPubMedSuche in Google Scholar
  • 10 Blondeel PN, Van Landuyt KH, Monstrey SJ. , et al. The “Gent” consensus on perforator flap terminology: preliminary definitions. Plast Reconstr Surg 2003; 112 (05) 1378-1383 , quiz 1383, 1516, discussion 1384–1387
    CrossrefPubMedSuche in Google Scholar
  • 11 Smit JM, Klein S, Werker PM. An overview of methods for vascular mapping in the planning of free flaps. J Plast Reconstr Aesthet Surg 2010; 63 (09) e674-e682
    CrossrefPubMedSuche in Google Scholar
  • 12 Tenorio X, Mahajan AL, Elias B. , et al. Locating perforator vessels by dynamic infrared imaging and flow Doppler with no thermal cold challenge. Ann Plast Surg 2011; 67 (02) 143-146
    CrossrefPubMedSuche in Google Scholar
  • 13 Moreira D, Nohama P. Mapeamento Térmico nos pontos de acupuntura. Três Corações 2016; 14 (02) 1034-1043
    Suche in Google Scholar
  • 14 Álvarez Prats D, Carvajal Fernández Ó. Termografía en fisioterapia. En: Valera Garrido F, Minaya Muñoz F. (editores). Fisioterapia Invasiva 2ª Ed. Barcelona: Elsevier España, S. L.; 2016
    Suche in Google Scholar
  • 15 Merla A, Mattei PA, Di Donato L, Romani GL. Thermal imaging of cutaneous temperature modifications in runners during graded exercise. Ann Biomed Eng 2010; 38 (01) 158-163
    CrossrefPubMedSuche in Google Scholar
  • 16 Ring EF, Ammer K. Infrared thermal imaging in medicine. Physiol Meas 2012; 33 (03) R33-R46
    CrossrefPubMedSuche in Google Scholar
  • 17 Acupuntura SD. teoria y práctica. Buenos Aires: 2000
    Suche in Google Scholar
  • 18 Focks C. Atlas of acupuncture. China: Elsevier Churchilll Livingstone; 2006
    Suche in Google Scholar
  • 19 Hildebrandt C, Raschner C, Ammer K. An overview of recent application of medical infrared thermography in sports medicine in Austria. Sensors (Basel) 2010; 10 (05) 4700-4715
    CrossrefPubMedSuche in Google Scholar
  • 20 Garagiola U, Giani E. Use of telethermography in the management of sports injuries. Sports Med 1990; 10 (04) 267-272
    CrossrefPubMedSuche in Google Scholar
  • 21 Estanol-Vidal B, Gutierrez-Manjarrez F, Martinez-Memije R. , et al. [The two faces of veno-arteriolar reflex: cutaneous vasodilatation and vasoconstriction to raise and to lower the arm]. Rev Neurol 2016; 62 (09) 403-407
    Suche in Google Scholar
  • 22 Álvarez-Prats D, Carvajal-Fernández O, Valera Garrido F. , et al. Acupuncture Points and perforating cutaneous vessels identified using infrared thermography: A cross-sectional study. Evid Based Complement Alternat Med 2019; 2019: 7126439
    PubMedSuche in Google Scholar
  • 23 Yang HQ, Xie SS, Hu XL, Chen L, Li H. Appearance of human meridian-like structure and acupoints and its time correlation by infrared thermal imaging. Am J Chin Med 2007; 35 (02) 231-240
    CrossrefPubMedSuche in Google Scholar
  • 24 Mei J, Morris SF, Ji W, Li H, Zhou R, Tang M. An anatomic study of the dorsal forearm perforator flaps. Surg Radiol Anat 2013; 35 (08) 695-700
    CrossrefPubMedSuche in Google Scholar
  • 25 Hekner DD, Roeling TA, Van Cann EM. Perforator anatomy of the radial forearm free flap versus the ulnar forearm free flap for head and neck reconstruction. Int J Oral Maxillofac Surg 2016; 45 (08) 955-959
    CrossrefPubMedSuche in Google Scholar
  • 26 Itoh Y, Arai K. Use of recovery-enhanced thermography to localize cutaneous perforators. Ann Plast Surg 1995; 34 (05) 507-511
    CrossrefPubMedSuche in Google Scholar
  • 27 de Weerd L, Weum S, Mercer JB. The value of dynamic infrared thermography (DIRT) in perforatorselection and planning of free DIEP flaps. Ann Plast Surg 2009; 63 (03) 274-279
    CrossrefPubMedSuche in Google Scholar
  • 28 Kimura T, Ebisudani S, Osugi I, Inagawa K. Anatomical Analysis of Cutaneous Perforator Distribution in the Forearm. Plast Reconstr Surg Glob Open 2017; 5 (10) e1550
    CrossrefPubMedSuche in Google Scholar
  • 29 Chubb DP, Taylor GI, Ashton MW. True and ‘choke’ anastomoses between perforator angiosomes: part II. dynamic thermographic identification. Plast Reconstr Surg 2013; 132 (06) 1457-1464
    CrossrefPubMedSuche in Google Scholar
  • 30 Aoki S, Tanuma K, Iwakiri I. , et al. Clinical and vascular anatomical study of distally based sural flap. Ann Plast Surg 2008; 61 (01) 73-78
    CrossrefPubMedSuche in Google Scholar