Relative Effectiveness of Electroacupuncture and Biofeedback in the Treatment of Neck and Upper Back Myofascial Pain: A Randomized Clinical Trial

Eslamian, Fariba; Jahanjoo, Fatemeh; Dolatkhah, Neda; Pishgahi, Alireza; Pirani, Ali

doi:10.1016/j.apmr.2019.12.009

Cited by 15 publications

(20 citation statements)

References 32 publications

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“…The review revealed, for most of relaxation MF studies, 3 evaluation sessions (before and two after treatment; T0, T1 and T2) (n=8, 80.00%) [50][51][52][53][54][55][56], while the strengthening studies documented mostly 2 evaluation sessions (before and after treatment; T0 and T1) (n=10, 62.50%) [23,[35][36][37][30][31][32][33][34][35][36][37][38][39][40][41][42][43]45,47,48]. On the other hand, Draper (1997) and Christanell (2012) carried out 5 evaluation sessions for strengthening MF (T0-T4) [38,44], while Atteya (2004) reported 7 sessions for relaxation MF (T0 -T6) [52].…”

Section: Accepted Manuscriptmentioning

confidence: 99%

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Efficacy of biofeedback in rehabilitation of musculoskeletal disorders: a systematic review

Ortiz¹,

Matamala²,

Inostroza³

et al. 2022

areh

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Musculoskeletal disorders (MSD) are a frequent reason for consultation and the main cause of disability in population. Electromyographic biofeedback or myofeedback (MF) is a promising treatment in rehabilitation, although studies supporting its benefits in MSD have declined in recent years. The objective of this review was to describe the efficacy of MF in function recovery, strength increase and muscle relaxation in MSD. Randomized clinical trials (RCTs) were identified in Pubmed, Scopus, Web of Science, Cinahl and Science Direct databases dated September 2, 2021. Four independent researchers reviewed articles titles and abstracts to determine their eligibility. Risk of bias and articles quality was assessed using Rob2 tool (Cochrane) and PEDro scale. Functionality improvement, strength increase, and muscle relaxation were considered as main outcome. Search strategy yielded 160 articles after eliminating duplicates, reducing to 26 when selection criteria were applied. Articles were classified in strengthening (n=16) and muscle relaxation (n=10) according to MF therapeutic aim. Eighteen articles were rated as low risk of bias (69.22%) and an average internal validity of 6 points was obtained. Studies show improvements in functionality, strength increase and pain reduction with statistical significance when MF were complemented with therapeutic exercises or other physical agents modalities (p<0.005). MF also shows a decrease in movement fear, depression, and pain perception, suggesting central modulating effects. This review supports MF efficacy in MSD rehabilitation, showing improvements in functionality and pain reduction. The review allowed to establish a dosage recommendation based on articles analysis which can be considered for future RCTs.

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Section: Accepted Manuscriptmentioning

confidence: 99%

“…Main outcomes for muscle relaxation MF studies included functionality (disability) changes (n=8, 80.0%) [24,25,[49][50][51][53][54][55], pain intensity decrease (n=7, 70.0%) [24,25,50,[53][54][55][56],…”

Section: Muscle Relaxation Mf Studiesmentioning

confidence: 99%

Efficacy of biofeedback in rehabilitation of musculoskeletal disorders: a systematic review

Ortiz¹,

Matamala²,

Inostroza³

et al. 2022

areh

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“…Intergroup differences demonstrated that for some parameters, electroacupuncture was better than biofeedback. The study concluded that electroacupuncture appeared to be superior in treating cervical MPS ( 84 ).…”

Section: Acupuncture and Needling For Neck Painmentioning

confidence: 99%

Efficacy of Dry Needling and Acupuncture in the Treatment of Neck Pain

et al. 2021

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Context: Neck pain is a common phenomenon and affects a large segment of the population. Chronic neck pain, lasting more than 3 months, likely occurs in 10% - 30% of patients with acute neck pain and affects up to 288 million cases globally, carrying a significant cost in terms of quality of life, disability, and healthcare dollars. Here we review neck pain background, acupuncture and the evidence that exist to support acupuncture use in chronic neck pain. Results: Neck pain not only affects quality of life directly, but also contributes to depression, job dissatisfaction and reduced productivity. Unfortunately, neck pain is strongly linked to office and computer work and is likely to continue increasing in prevalence. Traditional treatments, such as analgesics, physical therapy, exercise, and non-invasive therapy bring some relief, and invasive therapy is indicated if anatomical pathologies exist. Acupuncture is a form of integrative medicine, originally described and practiced in traditional Chinese medicine and now expanded to include methods including acupressure, dry needling, and others. Traditionally, it focused on restoring the patient’s flow of Qi by puncturing specific points along the meridians. It has previously been shown to be effective in other forms of chronic pain and disability. Clinical trials studying acupuncture for neck pain have shown significant reduction in both pain and associated symptoms. These therapies are reviewed in this text. Conclusions: Neck pain is a common and significant global problem. Acupuncture, dry needling, and cupping were all shown to be effective in alleviating pain both immediately after treatment, as well as provide long-lasting relief. These treatments are generally safe and inexpensive and should be considered as part of a multimodal approach for the treatment of neck pain. More head-to-head studies will provide better data to support a choice of a specific treatment over another.

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“…Acupuncture therapy, which originated from ancient China, 11 is one of the most popular CAM therapies in the world and widely used to effectively manage neck pain. 12 Numerous studies have shown the benefits of acupuncture on neck pain, including pain relief, [13][14][15][16][17] improved quality of life, 18 reduced rate of cervical surgery, 19 and costeffectiveness. 20 One of the reasons patients seek acupuncture therapy is because of its safety and effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Bibliometric Analysis of Research Trends on Acupuncture for Neck Pain Treatment Over the Past 20 Years

Park¹,

Kim²,

Kim³

et al. 2021

JPR

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A bibliometric approach using network analytical methods was applied to explore the research trends on acupuncture for neck pain treatment. Publications related to acupuncture for neck pain treatment from 2000 to 2020 were retrieved from the Web of Science database. The extracted records were analyzed in terms of publication year, research area, journal title, country, organization, authors, and keywords. The research trends on acupuncture for neck pain treatment were visualized using the VOSviewer program. Analyses of 325 articles revealed that the total number of publications has continually increased over the last 20 years. The most represented research area was integrative complementary medicine. The country producing the most articles was the US, followed by China, England, and the Republic of Korea. By assessing the total link strength of organizations and authors, we identified influential organizations and authors who have contributed to research on acupuncture for neck pain treatment. A network analysis based on the cooccurrence of keywords revealed the following two major study designs: clinical study and research methodology. This study examined the research trends on acupuncture for neck pain treatment using bibliometric methods. Our findings provide useful guidelines for researchers in searching for relevant topics.

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Relative Effectiveness of Electroacupuncture and Biofeedback in the Treatment of Neck and Upper Back Myofascial Pain: A Randomized Clinical Trial

Cited by 15 publications

References 32 publications

Efficacy of biofeedback in rehabilitation of musculoskeletal disorders: a systematic review

Efficacy of biofeedback in rehabilitation of musculoskeletal disorders: a systematic review

Efficacy of Dry Needling and Acupuncture in the Treatment of Neck Pain

Bibliometric Analysis of Research Trends on Acupuncture for Neck Pain Treatment Over the Past 20 Years

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