Utilização da auriculoterapia e fisioterapia combinadas como recurso na melhora na modulação da dor, de marcadores oxidantes e inflamatórios e da qualidade de vida em pacientes com dor lombar crônica

Abstract

Patients with chronic health conditions present with Chronic Pain (CD) with compromised muscle strength, inflammation and joint dysfunction. Both auriculotherapy and physiotherapy present evidence of effectiveness in relieving CD and improving quality of life, in addition to reducing oxidative stress, as well as improving mobility, inflammation, activity avoidance, depression, sleep impairment and social isolation. Objective: To analyze the effects of using auriculotherapy and physiotherapy combined as a resource in improving the modulation of dros, oxidant and inflammatory markers and quality of life in Methodology: Study with a quantitative and longitudinal approach, interventional, descriptive and comparative. The patients captured come from the Basic Health Units (UBS) of the SUS in the city of Passo Fundo-RS. Data collection was carried out through individual interviews using questionnaires and blood collection via venipuncture in order to evaluate inflammatory and stress markers - Vitamin C, Thiols, PSH and NPSH, Myeloperoxidase (MPO), TBARs, Interleukins 6, 10 and 4, tumor necrosis factor alpha and interferon gamma concentration (INF-g) - laboratory data before and after interventions. Among the parameters evaluated, antioxidant compounds were quantified and vitamin C concentrations showed an increase after the interventional protocol (p= 0.0368). The determination of plasma PSH levels indicated an increase in this antioxidant group post-intervention (p= 0.0198), however, plasma NPSH levels showed a post-intervention reduction (p= 0.0041). The determination of plasma MPO levels demonstrates a significant decrease in the concentration of this component (p= 0.0139). Regarding TBARS levels, a significant decrease in plasma levels was also observed (p= 0.0081). The inflammatory assessment demonstrated that there were no significant changes in the plasma levels of TNF and INF-γ (p= 0.9545 and p= 0.9868) and the anti-inflammatory interleukins IL-10 and IL-4 (p= 0.4821 and p = 0.4505) after the intervention. However, there was a significant decrease in IL-6 concentrations (0.0475) post-intervention, which is an important pro-inflammatory interleukin. The present study presented an important result of effectiveness of the use of the interventional protocol of auriculotherapy with combined physiotherapy, indicating both the improvement of laboratory parameters and the quality of life parameters of the patients represented by the questionnaires (Item Short Form Survey-SF-36 - Quality of Life and the Brief Pain Inventory – BPI), which were answered before and after the interventions.