Acupressure Therapy for Acute Ankle Sprains: A Randomized Clinical Trial

Zhao, Mingxing; Gao, Wei; Zhang, Long; Huang, Wei; Zheng, Sihua; Wang, Guanliang; Hong, Brian Y.; Tang, Baoyong

doi:10.1016/j.pmrj.2017.06.009

Cited by 10 publications

(27 citation statements)

References 23 publications

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“… 31 Recently, a RCT have also shown that acupressure is effective in improving acute ankle sprain injuries. 32 …”

Section: Discussionmentioning

confidence: 99%

Clinical effects of acupressure on neck pain syndrome (nakchim): a systematic review

Kwon¹,

Lee

2018

Integrative Medicine Research

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BackgroundNakchim is a kind of neck pain syndrome that causes neck pain and stiffness without obvious trauma in East Asian traditional medicine. We aimed to summarize and critically evaluate the evidence regarding the efficacy and safety of acupressure on nakchim.MethodsWe searched eight databases for studies published up to August 29, 2017. Clinical studies evaluating the efficacy of acupressure on nakchim were included. The acupressure methods of included studies were divided into proximal acupressure performed on acupuncture points located in neck and shoulder, and distal acupressure performed on acupuncture points located in other areas. Overall clinical effective rate (CER) and immediately cured rate (ICR), which means rate of the symptom totally resolved after one treatment session, were calculated as mean percentage with 95% confidence interval. All included studies were assessed for methodological quality.ResultsTwo case studies and 13 case series with 1037 participants were included, and 17 types of proximal acupuncture points and 14 types of distal acupuncture points were used. The most commonly used proximal and distal acupuncture points were GB20 and GB39, respectively. The CER in one study using both proximal and distal acupressure was 100%. The CER and ICR in studies using only proximal acupressure was 95.65% and 71.61%, respectively. The CER and ICR in studies using only distal acupressure was 99.37% and 69.08%, respectively. Eight studies performed simple acupressure technique using one acupuncture point, of which SI11, GB39, BL57, and TE3 were used. None of the studies reported adverse events.ConclusionThis review suggests that acupressure may be effective on nakchim. However, it is not conclusive due to low methodological quality and low evidence level of included studies.

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“… 31 Recently, a RCT have also shown that acupressure is effective in improving acute ankle sprain injuries. 32 …”

Section: Discussionmentioning

confidence: 99%

Clinical effects of acupressure on neck pain syndrome (nakchim): a systematic review

Kwon¹,

Lee

2018

Integrative Medicine Research

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“…Seven trials 97,98,105,109,112,116,118 evaluated opioid therapy (KQ 3a and 3c), 13 trials [93][94][95][96]99,[101][102][103]107,108,111,120,122 evaluated a nonopioid medication versus nonpharmacologic treatment or another nonopioid (KQ 3i and 3j), and 10 trials 100,104,106,110,[113][114][115]117,119,121 (KQ 3m and 3n) evaluated nonpharmacologic treatment versus an inactive control or another nonpharmacologic treatment. Twelve trials 95,99,101,[104][105][106]109,110,113,117,119,121 evaluated patients with ankle sprain, 3 trials 98,100,115 fractures, 1 trial 93 acute rotator cuff tear, and 14 trials 94,96,97,102,103,107,108,…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…Twelve trials 95,99,101,[104][105][106]109,110,113,117,119,121 evaluated patients with ankle sprain, 3 trials 98,100,115 fractures, 1 trial 93 acute rotator cuff tear, and 14 trials 94,96,97,102,103,107,108,111,112,114,116,118,120,122 various musculoskeletal pain conditions (e.g., fracture, trauma, and/or sprains/strains). The duration of pain was <7 days in 12 trials 93,95,96,99,[101][102][103][104]109,110,117,119,121,122 was <14 days in 2 trials, 94,97 and not described in 14 trials. 98,100,[105][106][107][108][111][112][113]…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…98,100,[105][106][107][108][111][112][113][114][115][116]118,120 The duration of treatment ranged from a single dose or treatment session 98,107,117,118 to 8 weeks. 104 The duration of followup was less than 1 week in 16 trials, 95,[98][99][100][101][102][103][104][105]107,[109][110][111]116,118,120 1 week to <4 weeks in 15 trials, [94][95][96][97][99][100][101]106,108,112,113,117,119,121,122 and ≥4 weeks in 5 trials. 93,99,104,…”

Section: Summary Of Findingsmentioning

confidence: 99%

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Treatments for Acute Pain: A Systematic Review

Chou¹,

Wagner²,

Ahmed³

et al. 2020

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Objectives. To evaluate the effectiveness and comparative effectiveness of opioid, nonopioid pharmacologic, and nonpharmacologic therapy in patients with specific types of acute pain, including effects on pain, function, quality of life, adverse events, and long-term use of opioids. Data sources. Electronic databases (Ovid® MEDLINE®, PsycINFO®, Embase®, the Cochrane Central Register of Controlled Trials, and the Cochrane Database of Systematic Reviews) to August 2020, reference lists, and a Federal Register notice. Review methods. Using predefined criteria and dual review, we selected randomized controlled trials (RCTs) of outpatient therapies for eight acute pain conditions: low back pain, neck pain, other musculoskeletal pain, neuropathic pain, postoperative pain following discharge, dental pain (surgical or nonsurgical), pain due to kidney stones, and pain due to sickle cell disease. Meta-analyses were conducted on pharmacologic therapy for dental pain and kidney stone pain, and likelihood of repeat or rescue medication use and adverse events. The magnitude of effects was classified as small, moderate, or large using previously defined criteria, and strength of evidence was assessed. Results. One hundred eighty-three RCTs on the comparative effectiveness of therapies for acute pain were included. Opioid therapy was probably less effective than nonsteroidal anti-inflammatory drugs (NSAIDs) for surgical dental pain and kidney stones, and might be similarly effective as NSAIDs for low back pain. Opioids and NSAIDs were more effective than acetaminophen for surgical dental pain, but opioids were less effective than acetaminophen for kidney stone pain. For postoperative pain, opioids were associated with increased likelihood of repeat or rescue analgesic use, but effects on pain intensity were inconsistent. Being prescribed an opioid for acute low back pain or postoperative pain was associated with increased likelihood of use of opioids at long-term followup versus not being prescribed, based on observational studies. Heat therapy was probably effective for acute low back pain, spinal manipulation might be effective for acute back pain with radiculopathy, acupressure might be effective for acute musculoskeletal pain, an opioid might be effective for acute neuropathic pain, massage might be effective for some types of postoperative pain, and a cervical collar or exercise might be effective for acute neck pain with radiculopathy. Most studies had methodological limitations. Effect sizes were primarily small to moderate for pain, the most commonly evaluated outcome. Opioids were associated with increased risk of short-term adverse events versus NSAIDs or acetaminophen, including any adverse event, nausea, dizziness, and somnolence. Serious adverse events were uncommon for all interventions, but studies were not designed to assess risk of overdose, opioid use disorder, or long-term harms. Evidence on how benefits or harms varied in subgroups was lacking. Conclusions. Opioid therapy was associated with decreased or similar effectiveness as an NSAID for some acute pain conditions, but with increased risk of short-term adverse events. Evidence on nonpharmacological therapies was limited, but heat therapy, spinal manipulation, massage, acupuncture, acupressure, a cervical collar, and exercise were effective for specific acute pain conditions. Research is needed to determine the comparative effectiveness of therapies for sickle cell pain, acute neuropathic pain, neck pain, and management of postoperative pain following discharge; effects of therapies for acute pain on non-pain outcomes; effects of therapies on long-term outcomes, including long-term opioid use; and how benefits and harms of therapies vary in subgroups.

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“…S druge strane, kod uganuća (distorzije) potrebno je odmah primeniti RICE protokol, odnosno (Rest, Ice, Compression i Elevation -odmor, pošteda povređenog zgloba, hlađenje, kompresija i elevacija tj. povređeni ekstremitet podignut iznad nivoa tela) (17)(18)(19).…”

Section: Najčešće Povrede Na Sportskim Manifestacijamaunclassified

Physician at sport events: First aid or something more

Rančić¹,

Pilipović²,

Savic³

et al. 2018

Medicinski časopis

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UvodPrema članu 157. stav 2. Zakona o sportu iz 2016, godine, sportska društva su u toku održavanja sportske priredbe dužna da "preduzmu mere kojima se omogućava predupređenje rizika nastanka štete za sportiste, gledaoce i druge učesnike sportske priredbe i treća lica (upozorenja, isticanje zabrana, davanje obaveštenja i uputstava i sl.), kao i mere kojima se na povećane rizike utiče (bezbednost sportskog objekta, ispravnost i adekvatnost instalirane i druge opreme, obezbeđenje hitne medicinske pomoći, odvijanje manifestacije u skladu sa propozicijama i dr.)" (1). Na osnovu ove zakonske odredbe tokom održavanja sportskih manifestacija organizatori su dužni da omoguće bezbedno odvijanje takmičenja, ali i da u slučaju nastanka bilo kakve povrede učesnika, i gledaoca i članova stručnih štabova omogući njihovo bezbedno i adekvatno zbrinjavanje. Da bi tako nešto bilo moguće, neophodno je da tokom sportskog takmičenja, a nekada i na masovnim treninzima, bude prisutan lekar koji ima iskustva u zbrinjavanju tih vrsta povreda.Klupski lekari su veoma značajni ne samo kada se odlučuje da li neko može ili ne može da učestvuje na sportskom takmičenju, nego i kada se sportsko nadmetanje odvija, kada lekar koga angažuju sportska društava i organizator takmičenja.Zbog želje i potrebe da se nadmaše drugi, što je suština sportskih takmučenja, postoji povećan rizik od povređivanja takmičara, kojima treba obezbediti najviši standard medicinske nege (2). To su razlozi za angažovanje lekara na sportskim manifestacijama i isticanje njihove značajne uloge u adekvatnom funkcionisanju manifestacije. Osim pružanja adekvatne medicinske pomoći nakon nastanka povrede ili poremećaja, sportski lekar ima ulogu i u edukaciji i davanju saveta o adekvatnim pripremama za takmičenje, ishrani sportista, upućivanju na preventivne specijalističke preglede, kao i u prepoznavanju mogućeg dopingovanja sportiste i drugo.Sportske povrede su po mnogim karakteristikama specifične, u odnosu na isti tip poremećaja u opštoj populaciji. Još 2011. godine pokazano je da se sportske povrede značajno razlikuju od nesportskih poremećaja iste etiopatogeneze, i to na primeru potresa mozga (3). Zbog toga je bitno imati iskustva, adekvatnu edukaciju, sposobnost i veštinu u radu sa sportskim povredama. Takođe je bitno obratiti pažnju i na razlike u povređivanju u odnosu na pol i starost (4), odnosno u odnosu na vrstu sporta, jer svaki sport ima svoje specifičnosti zbog većeg angažovanja određene grupe mišića i delova koštano-zglobnog sistema usled repetitivnog ponavljanja određenog pokreta (5-8).

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Acupressure Therapy for Acute Ankle Sprains: A Randomized Clinical Trial

Abstract: I.

Cited by 10 publications

References 23 publications

Clinical effects of acupressure on neck pain syndrome (nakchim): a systematic review

Clinical effects of acupressure on neck pain syndrome (nakchim): a systematic review

Treatments for Acute Pain: A Systematic Review

Physician at sport events: First aid or something more

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