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Lian Gong for treatment of fibromyalgia – a case study

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Ileck N. A., de Azevedo M. V. G. T., Artioli D. P., Bertolini G. R. F.
European Journal of Clinical and Experimental Medicine
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2021
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issue 2
179-185
EN
Introduction. As a Complementary Integrative Practices (CIPs), Lian Gong has been increasingly used in the practice of Physiotherapy. Aim. This study aims to verify the effects of Lian Gong in a patient with fibromyalgia. Description of the case. In this case study the patient (one patient is evaluated) was diagnosed with fibromyalgia 29 years ago and sought care following discontent with previous treatments. Pain intensity was assessed with a visual analog scale (VAS), quality of life with SF-36, and the pressure pain threshold algometer (PPT). There were 16 visits with two weekly 60-minute sessions. When the patient was reevaluated, a Global Perception of Change (GPC) scale was added to assess general health. A folder was submitted to the patient for follow-up of exercises at home and asked to return after 4 weeks (follow-up period). Conclusion. The results indicate improvement in pain, functional capacity and general health. As a first therapy treatment, Lian Gong proved promising results in one case of fibromyalgia. The possible benefits when combined with other forms of care should be explored by clinical trials to expand knowledge of health benefit potential.
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Low-level laser therapy on the rat’s gastrocnemius morphometry submitted to a rheumatoid arthritis model

76%
Marin E., Fuse J. L., Lopes L. P., Neves M., da Silva Leal T. S., de Fátima Chasko Ribeiro L., Bertolini G. R. F.
European Journal of Clinical and Experimental Medicine
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2021
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issue 2
111-115
EN
Introduction. Rheumatoid arthritis (RA) is a chronic, systemic, autoimmune inflammatory disease of unknown origin, mainly affecting synovial joints and related structures, including the adjacent musculature, generating great disability and reduction in quality of life. Aim. This study was designed to investigate the effect of low-level laser therapy (LLLT) on gastrocnemius of Wistar rats subjected to an experimental model of RA. Material and methods. Forty male Wistar rats were used, separated into: acute and chronic, being subdivided into Control Group (CG): without intervention, Lesion Group (LG): submitted to lesion, Laser Control Group (LCG): without lesion and with treatment, and Laser Lesion Group (LLG): submitted to lesion and LLLT. The treatment with LLLT occurred in four points of the right knee, wavelength of 660 nm, energy density of 5 J/cm², energy per point of 0.003 J. Morphometric analysis was performed using a 40x magnification photomicrograph and analyzed using the Image-Pro-Plus 6.0 program. Results. As result of the acute group there was a difference only for muscle mass, being higher in CG. For the chronic group there was significant difference for cross-sectional area, larger and smaller diameter, again with the control group obtaining higher values than the others, for the number of nuclei LG was lower than CG and LCG, but LLG was not different from any of them. Conclusion. It is concluded that treatment with LLLT was not very effective in reversing the harmful effects of RA on the gastrocnemius muscle.
3
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Histological aspects of whole-body vibration in the knee remobilization of Wistar rats

64%
da Costa J. R. G., Tavares A. L. d. F., Bertolini G. R. F., Wutzke M. L. S., Boaro C. D. T., Rodriguez D. F. S., Costa R. M., Ribeiro L. d. F. C.
European Journal of Clinical and Experimental Medicine
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2022
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issue 2
159-166
EN
Introduction and aim. The knee is one of the joints where immobilization is most used, however, it can cause morphological changes in the joint tissues and is a challenge to be overcome during rehabilitation. Whole-body vibration (WBV) is capable of generating repetitive oscillatory movements, which cause mechanical stimuli that interfere with tissue plasticity. The aim of this study was to analyze the knee morphology of Wistar rats submitted to remobilization with WBV. Material and methods. 32 male rats were used, divided into four groups (n=8): Control Group (G1), Immobilization Group (G2), Immobilized Group and Free Remobilization (G3), Remobilized Group with WBV (G4). For immobilization, a plastered apparatus was used for 15 days. G3 and G4 carried out free remobilization or with WBV, respectively, for 2 weeks. The knee joints were processed for light microscopy. Results. The WBV led to a reduction in the inflammatory infiltrate in the articular cavity and greater presence of adipocytes in the subintima of the synovial membrane. Conclusion. Remobilization with WBV induced a better tissue response in the synovial membrane when compared to free remobilization.
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