Acupuncture for chronic pain

Yin, Chang-Shik; Buchheit, Thomas Edward; Park, Jongbae J.

doi:10.1097/aco.0000000000000501

Cited by 44 publications

(17 citation statements)

References 70 publications

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“…This limitation is reinforced in a review which points out that growing evidence supports the acupuncture use for chronic pain in many conditions as adjuvant in reducing the use of analgesic drugs. The authors emphasize as limitations the heterogeneity of the studies, not only in interventions or general characteristics of the population, but also the outcomes measured [50].…”

Section: Plos Onementioning

confidence: 99%

Use of IMMPACT domains in clinical trials of acupuncture for chronic pain: A methodological survey

et al. 2020

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Acupuncture is one of the therapeutic resources used for the management of chronic pain. Variability in outcome measurements in randomized clinical trials of non-oncologic chronic pain (RCT-NOCP) generates inconsistencies in determining effects of treatments. The objective of this survey was to assess the adherence to the recommendations made by the Initiative on Methods, Measurement, and Pain Assessment in Clinical Trials (IMMPACT) in the measurement of RCT-NOCP of acupuncture. This methodological research made a systematic search for eligible studies from different sources of information. Eligible studies included those with number of patients �100, who randomized and allocated patients with chronic non-oncologic pain to be treated with acupuncture or with "sham" acupuncture, or non-acupuncture. This research included the recommendations for IMMPACT in the measurement of RCT-NOCP: presence of outcomes pain, physical function, emotional state and improvement perception of patient, the source of the outcome information pain and the tools used to measure such domains. From a total of 1,386 studies, 24 were included in this survey. Eleven studies presented low risk of bias. Pain outcome was measured in 23 studies, physical function in 22 studies, emotional state in 14 studies and improvement perception of patient in one study. As for the pain outcome, the patient was the information source in 50% of the studies. The measurement tools recommended for IMMPACT were included in eight studies (35%) that evaluated pain, one study that evaluated the emotional state (7%), and one study that evaluated the improvement perception and satisfaction of patient. It was observed that studies which did not adhere to the recommendations had more favorable results for acupuncture in the outcome pain. This study concludes that randomized clinical trials that used acupuncture to manage chronic pain failed to adhere to IMMPACT recommendations. Clinical societies and IMMPACT do not share the same recommendations. This fact reflects in the diversity of outcomes and instruments adopted in the studies, making it difficult to compare the results.

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Section: Plos Onementioning

confidence: 99%

Use of IMMPACT domains in clinical trials of acupuncture for chronic pain: A methodological survey

et al. 2020

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“…Acupuncture is a traditional East Asian medicine treatment modality that is considered efficacious, safe, and cost-effective for treating several chronic pain. [ 7 , 8 ] Acupuncture is also widely used to treat movement disorders like Parkinson disease. [ 9 ] We report on a patient with DM1 with gradually worsening grip myotonia who, after being unresponsive to medication for 2 years, experienced marked symptom improvement following electroacupuncture (EA) treatment.…”

Section: Introductionmentioning

confidence: 99%

Improved grip myotonia in a patient with myotonic dystrophy type 1 following electroacupuncture therapy

2020

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“…Auricular acupuncture applies auricular microsystems, based on the somatic tissue of the external auricular pavilion and principally on being directly related to the central nervous system or internal organs. All acupuncture methods have been proved to be safe [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Effects of Acupuncture on the Outcomes of Assisted Reproductive Technology: An Overview of Systematic Reviews

Chen

Peng

et al. 2018

Evidence-Based Complementary and Alternative Medicine

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Objectives To conclude the evidence from systematic reviews (SRs) and meta-analyses assessing the effectiveness of acupuncture to treat couples with subfertility undergoing ART. Methods We searched the major databases from their inception to March 2018: PubMed, Embase, The Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang Database, Chongqing VIP, and Sino-Med (the Chinese database). The primary outcomes of the overview were live birth and clinical pregnancy, and secondary outcomes were ongoing pregnancy, miscarriage, and adverse events. Study selection, quality assessment, and data extraction were performed independently by two review authors. Review methodological quality was assessed by using the AMSTAR tool, and the quality of the evidence was rated by GRADE methods. Results Eleven systematic reviews were included and published between 2009 and 2017. Our study showed that the acupuncture treatment seems to be a useful tool to improve the clinical pregnancy rate in patients who undergo assisted reproduction therapy. However, there was no evidence that acupuncture had any effect on live birth rate, ongoing pregnancy rates, or miscarriage regardless of whether acupuncture was performed around the time of oocyte retrieval or around the day of embryo transfer; this evidence is inconclusive because of the low quality of the included studies. Conclusions The evidence for acupuncture to treat couples with subfertility undergoing ART remains unclear. Further research is needed, with high-quality trials undertaken and reported.

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Acupuncture for chronic pain

Abstract: Acupuncture is effective, safe, and cost-effective for treating several chronic pain conditions when performed by well-trained healthcare professionals. Further studies on its use as an adjunct or alternative to opioids, and in perioperative settings are needed.

Cited by 44 publications

References 70 publications

Use of IMMPACT domains in clinical trials of acupuncture for chronic pain: A methodological survey

Use of IMMPACT domains in clinical trials of acupuncture for chronic pain: A methodological survey

Improved grip myotonia in a patient with myotonic dystrophy type 1 following electroacupuncture therapy

Effects of Acupuncture on the Outcomes of Assisted Reproductive Technology: An Overview of Systematic Reviews

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