Acupuncture for chronic obstructive pulmonary disease (COPD)

Feng, Junfei; Wang, Xuehui; Li, Xing; Zhao, Dewei; Xu, Jun

doi:10.1097/md.0000000000004879

Cited by 36 publications

(43 citation statements)

References 32 publications

(29 reference statements)

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“…Five studies [ 8 , 10 , 11 , 17 , 18 ] provided numerical data for SGRQ total scores and were included in the meta-analysis. Analysis of the data indicated that there was heterogeneity ( χ 2 = 39.18, P < 0.00001; I 2 = 90%); hence, a random-effect model was used.…”

Section: Resultsmentioning

confidence: 99%

Acupuncture Therapy for Functional Effects and Quality of Life in COPD Patients: A Systematic Review and Meta-Analysis

Wang

et al. 2018

BioMed Research International

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Objective This study aimed to evaluate the efficacy and safety of acupuncture therapy (AT) for improving functional effects and quality of life in COPD patients. Methods PubMed, Embase, Cochrane Library, Web of Science, Chinese Biomedical Literature Database (CBM), China National Knowledge Infrastructure (CNKI), Chongqing VIP (CQVIP), and Wanfang Data were searched. The randomized controlled trials (RCTs) evaluating the effect of AT on COPD patients were included. Primary outcome measures included six-minute walk distance (6MWD) and St. George's Respiratory Questionnaire (SGRQ). Study selection, data extraction, and risk of bias assessment were independently conducted, respectively. Statistical analysis was conducted by RevMan software (version 5.3) and Stata software (version 12.0). Results Nineteen studies (1298 participants) were included. 6MWD improved more (MD: 47.84; 95% CI: 23.33 to 72.35; Z = 3.83, P = 0.0001) and effective rate was higher (OR: 2.26; 95% CI: 1.43 to 3.58; Z = 3.48, P = 0.0005) in the experimental group compared to the control group. Symptom domain scores (MD: −24.86; 95% CI: −32.17 to −17.55; Z = 6.66, P < 0.00001), activity domain scores (MD: −16.52; 95% CI: −22.57 to −10.47; Z = 5.36, P < 0.00001) and impact domain scores (MD: −13.07; 95% CI: −17.23 to −8.92; Z = 6.16, P < 0.00001) of SGRQ in the experimental group improved more compared to the control group. There was no significant improvement in SGRQ total scores between two groups. The improvement of FEV1 was not significant between two groups, yet subgroup analysis showed that patients treated with AT adjunctive to other treatments improved more in FEV1 (MD: 0.41; 95% CI: 0.28 to 0.54; Z = 6.01, P < 0.00001) compared to those treated with other treatments alone. Conclusion AT may be effective in improving functional effects and quality of life in COPD patients. Besides, AT may also improve pulmonary function of patients with COPD. However, further high-quality RCTs are needed to confirm the efficacy and safety of AT for COPD patients.

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Section: Resultsmentioning

confidence: 99%

Acupuncture Therapy for Functional Effects and Quality of Life in COPD Patients: A Systematic Review and Meta-Analysis

Wang

et al. 2018

BioMed Research International

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“…[31] Actually, AT has been used to treat patients with COPD in China. [32] Although the mechanism in still unclear, results of clinical studies indicates that AT has a comparable effect to the medication treatment on patients with moderate to severe COPD and it is safe with few side effects. [33] We hope this systematic review will provide more reliable evidence to help patients and clinicians in the management of COPD.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of acupuncture for the treatment of chronic obstructive pulmonary disease

et al. 2019

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Background:Chronic obstructive pulmonary disease (COPD) is a common chronic respiratory disease with increasing morbidity and mortality that cause huge social and economic loss. Although recommended by guidelines, pulmonary rehabilitation has not been widely applied in clinics because of its inherent limitations. Acupuncture therapy (AT) as one of the most popular treatments in traditional Chinese medicine has been used to treat COPD. We aim to evaluate the safety and efficacy of acupuncture in the treatment of COPD.Methods:Web of science, PubMed, Springer, Medline, Cochrane Library, EBASE, WHO International Clinical Trials Registry Platform (ICTRP), China National Knowledge Infrastructure Database (CNKI), Wan Fang Database, Chinese Scientific Journal Database (VIP), and Chinese Biomedical Literature Database will be searched from their inception to May 10, 2019. Randomized controlled trials that evaluated the safety and efficacy of acupuncture for the treatment on patients with COPD will be included. The primary outcome measures will include Dyspnea scores, lung function and blood eosinophils. The secondary outcome measures will include St George's Respiratory Questionnaire and 6-minute walk distance. Study selection, data extraction, and risk of bias assessment will be independently undertaken, respectively. Statistical analysis will be conducted by RevMan software (version 5.3).Results:This study will provide high-quality synthesis based on current evidence of acupuncture treatment for COPD in several aspects, including symptom score, quality of life score, side effects and laboratory examination, such as lung function text, blood eosinophils (EOS) etc.Conclusion:The results of this study will provide updated evidence for weather acupuncture is an effective and safe intervention for COPD.Ethics and dissemination:It is not necessary for this systematic review to acquire an ethical approval. This review will be disseminated in a peer-reviewed journal or conference presentation.PROSPERO registration number:PROSPERO CRD42019136087.

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“…Since the deep site of the acupoint Futu (LI-18) is in the neighborhood of C2-C4 nerves, we consider that stimulation applied to LI-18 would activate the sternocleitomastoid muscles. Acupoint LI-18 has been used, together with other acupoints which have specific application in three clinical studies to treat COPD patients [57] [58] [59]; the consequence of acupuncturing the other acupoints have been explained in section (12.2) of our very recent study [18]. When the superior muscle fibers of the trapzius contract, they help to raise the rib cage, and the superior part is an inspiratory muscle.…”

Section: Four Important Muscles Of Inspiration-the Scalene Muscles Inmentioning

confidence: 99%

A Novel Apprehension of the Primary Lung Meridian, Sinew Channel, Divergent Channel, Luo-Connecting Channel Acting as a Single Unit System to Serve Respiration Function Based on Modern Neurophysiology and Kinesiology

Fung¹,

Kong²

2020

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The TCM philosophy of a meridian and associated channels pertains to the specific function of one or more organs. We define the Lung Primary Meridian (LUM) together with the Lung Sinew (LUSC), Divergent (LUDC), Luo-connecting (LULCC) Channels as a system of routes plus some parts of the body (such as muscles) to fulfil respiration, as a main function under different situations. There is very limited information about the Lung associated channels in classical literature of TCM. With a clear focus on the function of respiration, we have carried out a detailed analysis of the biomedical consequence of stimulating the LUM, analysed the roles played by LUSC, LUDC, and LULCC. The updated LUM and LUDC include acupoints of other meridians, serving the same purpose of performing satisfactory respiration starting from checking the quality of the inflow through the nose. The LUSC includes the respiratory muscles (plus the associated connective tissues) extending to various parts of the body. The muscles of the limb (as part of the LUSC) embrace the nerves that provide routes for somatosensory reflexes and play the role of locomotion, providing voluntary respiration via the pectoralis muscles. The muscles of LUSC are bounded by stiff connective tissue layers, forming compartments, and are part of the pulley system for various body locomotions. Within a compartment, the interstitial fluid, blood, lymph flows must be potent to protect the associated nerves related to LUM; the healthy state of the LUSC also provides freedom of various types of locomotion. The LULCC exists because the vagus nerve has a part of it passing through the spinal cords all the way down to the sacrum domain, with

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Acupuncture for chronic obstructive pulmonary disease (COPD)

Cited by 36 publications

References 32 publications

Acupuncture Therapy for Functional Effects and Quality of Life in COPD Patients: A Systematic Review and Meta-Analysis

Acupuncture Therapy for Functional Effects and Quality of Life in COPD Patients: A Systematic Review and Meta-Analysis

Safety and efficacy of acupuncture for the treatment of chronic obstructive pulmonary disease

A Novel Apprehension of the Primary Lung Meridian, Sinew Channel, Divergent Channel, Luo-Connecting Channel Acting as a Single Unit System to Serve Respiration Function Based on Modern Neurophysiology and Kinesiology

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