Action of Chinese Auricular Acupuncture with Laser associated with Systemic Cupping in people with Chronic Spine Pain

INTERVENTION: E02.190.044.133 E02.594.540 The individuals will be divided into three groups, and group 1 will consist of 30 participants and will receive 10 sessions of auricular acupuncture with laser, once a week lasting 4 minutes per attendance. The DCM ®‐branded 808 nm (Therapy EC) Infrared low‐power laser will be used. This equipment has a useful output power of 100mw. A dosage of 4j per stimulated point will be used. As for the time of application per point, the equipment automatically calculates according to the dosage used. The following ear points will be stimulated: Shemen, Rim, sympathetic, bladder, liver, subcortex, cervical, thoracic and/or lumbar vertebrae depending on the place of pain (Wfas, 2013). The volunteer will be instructed to remain in dorsal decubitus during the intervention and, firstly, will be performed the asepsis of the Auricular Pavilion with alcohol 70%. For the location of the headset points will be used a locator of ACU‐Treat points, Brand Dongbang, in order to ensure greater accuracy. In addition, it will be necessary to use the goggles, both by the patient and the professional involved in the procedure. The application of the laser will be alternated in the ear pavilions between the sessions. Group 2 will consist of 30 participants and will receive 5 sessions of auricular acupuncture with laser associated to systemic cupping, twice a week, lasting 15 minutes each service. The dry and fine application of plastic suction cups will be made of 4.5; 3 or 2.3 cm diameter (Dongbang) in systemic acupuncture points: F8, VB21, VB30, in addition to specific points in the cervical region (B10 and B11), thoracic (B12, B17 and B21) and lumbar (B23, B24 and B25) according to the site of the volunteer's pain. The points were chosen based on their analgesic effects already described in the literature. The volunteer will be instructed to remain in ventral decubitus for asepsis of the application site of the suction cups with 70% alcohol. A manual suction pump capable of elevating the sk CONDITION: A02.835.232.834 C05.651.538 C23.888.592.612.274 Chronic pain in the spine; chronic pain; auricular acupuncture; musculoskeletal pain; spine; low‐level light therapy; diseases of the musculoskeletal system and connective tissue; musculoskeletal diseases ; C23.888.592.612.274 ; C05.651.538 ; A02.835.232.834 ; M00‐M99 ; C05 M00‐M99 PRIMARY OUTCOME: Decreased pain intensity in the spine assessed by the analog pain scale. A variation of at least 25% in pre‐and post‐intervention measurements is expected ; SECONDARY OUTCOME: Reduction of pain interference in daily activities assessed through the subject characterization questionnaire, beneficial alterations in the nociceptive threshold that will be evaluated by the algometer, and alterations in tissue temperature of the spine regions That will be evaluated by means of the thermographic camera. A variation of at least 25% in pre‐and post‐intervention measurements is expected ; ; INCLUSION CRITERIA: Age (18‐80 years old); Presence of chronic pain, existing for three months or more; Self‐reported pain intensity, with score ? four in the numerical pain intensity scale; and time availability for laser auricular acupuncture sessions.