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Acupuncture could significantly relieve pain and increase cure rate for acute ankle sprain, even producing improved results when combined with other therapies.
The researchers executed parallel-group randomized controlled trials without any language or publication date restraints. Participants suffering from acute ankle sprains were included irrespective of their demographic details, or the diagnostic criteria used to confirm their condition. Experimental interventions consisted of acupuncture alone or a combination of acupuncture and traditional therapies, while the control interventions were either no treatment, placebo, or traditional therapies only. The Kofoed ankle score was the main outcome, with secondary outcomes covering a range of parameters from pain scale to cure rate. Several databases were searched to find potentially eligible studies up to the date of September 10, 2020, with trial registry platforms and the reference lists of the eligible studies also being verified for any ongoing or unpublished studies.
The study analysed seventeen eligible studies to study the effect of acupuncture on acute ankle sprains. No significant difference was found between the Kofoed ankle scores of the acupuncture and Rest, Ice, Compression, Elevation (RICE) groups. However, acupuncture did show a significant impact on pain relief and an increased cure rate compared to the RICE group. The combination of acupuncture and RICE also resulted in a significant increase in pain relief and cure rate compared to just the RICE method. Acupuncture, when combined with massage, brought about a significant reduction in pain compared to just massage, while the combination with traditional Chinese medicine outperformed Chinese medicine alone in pain relief, duration of pain, and cure rate. There were almost no adverse reactions reported, with one mild drug-related allergic reaction which healed without any treatment.
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Moderate-quality evidence revealed an association between acupressure and greater pain relief compared with physical therapy.
2021 Evidence-Based Complementary and Alternative Medicine Clinical Efficacy and Safety of Acupressure on Low Back Pain: A Systematic Review and Meta-Analysis Tao Li , Xiaohui Li ,Fan Huang , Qiang Tian , Z. Y. Fan , and S. Wu
Systematic Review Low Back Pain
The systematic review and meta-analysis included 23 RCTs with 2400 participants with low back pain. Consistent with previous systematic reviews, moderate-quality evidence revealed an association between acupressure and greater pain relief compared with physical therapy.
Although rated as very-low to low, poor quality evidence suggested that acupressure, with or without combinative acupuncture therapy, contributed to a greater amelioration of pain and functional disability from low back pain compared with usual care, tuina massage, or acupuncture.
Trial sequential analysis results revealed that adequate studies supported the significance of the clinical response rate of acupressure, with or without combinative acupuncture therapy, compared to other treatments.
Acupuncture showed a more favourable effect in the treatment of lumbar disc herniation than lumbar traction, ibuprofen, diclofenac sodium and meloxicam.
2018 Acupuncture in Medicine Acupuncture for Lumbar Disc Herniation: A Systematic Review and Meta-Analysis Tang S, Mo Z, Zhang R
Systematic Review Lumbar Disc Herniation Lumbar Disc Prolapse Sciatica
Thirty RCTs involving 3503 participants were included in the study. Meta-analysis showed that acupuncture had a higher total effective rate than lumbar traction, ibuprofen, diclofenac sodium and meloxicam. Acupuncture was also better than lumbar traction and diclofenac sodium in terms of visual analogue scale (VAS) scores, and better than lumbar traction with respect to Japanese Orthopaedic Association (JOA) scores.
In addition, the total effective rate in five individual trials was greater for acupuncture than for mannitol plus dexamethasone and mecobalamin, ibuprofen plus fugui gutong capsule, loxoprofen, mannitol plus dexamethasone and huoxue zhitong decoction, respectively. Additionally, two individual trials showed a superior effect of acupuncture in VAS scores comparedwith ibuprofen or mannitol plus dexamethasone, respectively.
Cupping therapy has demonstrated notable effects in reducing chronic back pain in adults.
2018 Revista Latino-Americana de Enfermagem Cupping therapy and chronic back pain: systematic review and meta-analysis Moura, C. C., Chaves, É., Cardoso, A., et al.
Systematic Review Back Pain Cupping
The systematic review and meta-analysis involved two independent researchers who examined national and international databases. They also explored the reference lists of additional systematic reviews. The quality of the studies was evaluated using the Jadad scale, a globally recognized tool assessing the methodological quality of clinical trials.
Extracting 16 studies for qualitative review and 10 for quantitative analysis, the research found positive impacts of cupping therapy on chronic back pain in adults. It was noted that there isn't a standardized protocol for treatment with this therapy. The study mainly evaluated outcomes based on factors such as pain intensity, physical incapacity, the quality of life, and the nociceptive threshold before the application of mechanical stimulus. A noteworthy reduction in pain intensity was seen through the use of cupping therapy.
Acupuncture may be effective at relieving chronic knee pain 12 weeks after acupuncture administration.
2017 Acupuncture in Medicine Updated systematic review and meta-analysis of acupuncture for chronic knee pain Zhang Q, Yue J, Golianu B, Sun Z, Lu Y.
Systematic Review Knee Pain
Nineteen trials were included in this systematic review. Of these, data from 17 studies were available for analysis. Regarding the effectiveness of acupuncture alone or combined with other treatment, the results of the meta-analysis showed that acupuncture was associated with significantly reduced CKP at 12 weeks on WOMAC pain subscale and VAS. As for safety, no difference was found between the acupuncture and control groups.
Acupuncture therapy is more effective than NSAID in improving clinical efficacy rates and pain scores for treatment of chrondomalacia patellae.
2016 Complementary Medicine Research Acupuncture Versus Non-Steroidal Anti-Inflammatory Drugs for Treatment of Chondromalacia Patellae: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Lv Z.-T.a · Li Z.-Q.b · Zhou X.c · Ma W.-W.d · Zhang J.-M.a · Chen A.-M
Systematic Review Knee Pain
To our knowledge, this is the first meta-analysis of acupuncture therapy in the treatment of CMP. Seven RCT involving 707 patients with CMP were selected for this meta-analysis. Based on the findings of the present systematic review, acupuncture therapy can further improve the clinical effect and pain scores when compared with NSAID controls. However, the potential beneficial effect of acupuncture is possibly overstated owing to the low general methodological quality of the included RCT. Conclusions regarding the safety of acupuncture therapy cannot be drawn since the eligible trials provide no evidence on this aspect.
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