Acupuncture for neck disorders

Trinh, Kien; Graham, Nadine; Irnich, Dominik; Cameron, Ian D.; Forget, Mario

doi:10.1002/14651858.cd004870.pub4

Cited by 92 publications

(47 citation statements)

References 115 publications

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“…[1][2][7][11][13][12][23][21][28][29][31] The critical difference between the current paper and prior reviews is that the latter reviews did not directly evaluate the time course of acupuncture effects. When a prior review reports that results were significant at an early time point, but not at a later time point, this cannot be taken as evidence that results changed over time.…”

Section: Discussionmentioning

confidence: 99%

The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain

MacPherson

Vertosick

Foster

et al. 2016

PAIN

132

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There is uncertainty regarding how long the effects of acupuncture treatment persist after a course of treatment. We aimed to determine the trajectory of pain scores over time after acupuncture, using a large individual patient data set from high-quality randomized trials of acupuncture for chronic pain. The available individual patient data set included 29 trials and 17,922 patients. The chronic pain conditions included musculoskeletal pain (low back, neck, and shoulder), osteoarthritis of the knee, and headache/migraine. We used meta-analytic techniques to determine the trajectory of posttreatment pain scores. Data on longer term follow-up were available for 20 trials, including 6376 patients. In trials comparing acupuncture to no acupuncture control (wait-list, usual care, etc), effect sizes diminished by a nonsignificant 0.011 SD per 3 months (95% confidence interval: −0.014 to 0.037, P = 0.4) after treatment ended. The central estimate suggests that approximately 90% of the benefit of acupuncture relative to controls would be sustained at 12 months. For trials comparing acupuncture to sham, we observed a reduction in effect size of 0.025 SD per 3 months (95% confidence interval: 0.000-0.050, P = 0.050), suggesting approximately a 50% diminution at 12 months. The effects of a course of acupuncture treatment for patients with chronic pain do not seem to decrease importantly over 12 months. Patients can generally be reassured that treatment effects persist. Studies of the cost-effectiveness of acupuncture should take our findings into account when considering the time horizon of acupuncture effects. Further research should measure longer term outcomes of acupuncture.

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Section: Discussionmentioning

confidence: 99%

The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain

MacPherson

Vertosick

Foster

et al. 2016

PAIN

132

View full text Add to dashboard Cite

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“…Table 2 includes several meta-analysis and systemic reviews related to back pain, neck pain, and arthritis pain. [39][40][41][42][43][44][45][46][47][48][49][50][51][52] Rheumatoid arthritis Rheumatoid arthritis is a common form of inflammatory joint disease. Patients with rheumatoid arthritis often need a prolonged course of treatment with drugs such as non-steroidal anti-inflammatory drugs (NSAIDs) and…”

Section: Sources and Search Criteriamentioning

confidence: 99%

Management of chronic pain using complementary and integrative medicine

Chen

Michalsen

2017

BMJ

145

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Complementary and integrative medicine (CIM) encompasses both Western-style medicine and complementary health approaches as a new combined approach to treat a variety of clinical conditions. Chronic pain is the leading indication for use of CIM, and about 33% of adults and 12% of children in the US have used it in this context. Although advances have been made in treatments for chronic pain, it remains inadequately controlled for many people. Adverse effects and complications of analgesic drugs, such as addiction, kidney failure, and gastrointestinal bleeding, also limit their use. CIM offers a multimodality treatment approach that can tackle the multidimensional nature of pain with fewer or no serious adverse effects. This review focuses on the use of CIM in three conditions with a high incidence of chronic pain: back pain, neck pain, and rheumatoid arthritis. It summarizes research on the mechanisms of action and clinical studies on the efficacy of commonly used CIM modalities such as acupuncture, mind-body system, dietary interventions and fasting, and herbal medicine and nutrients.

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“…This review failed to show any beneficial effects of acupuncture for several types of neck pain. Other reviews are outdated [13, 14, 16, 18]. Currently available guidelines for the management of neck pain or WAD do not include acupuncture as a treatment [19, 20] or include it only in combination with manual and physical therapies and exercise [21, 22].…”

Section: Introductionmentioning

confidence: 99%

Acupuncture for Treating Whiplash Associated Disorder: A Systematic Review of Randomised Clinical Trials

Moon

Posadzki

Choi

et al. 2014

Evidence-Based Complementary and Alternative Medicine

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The aim of this systematic review was to determine the effectiveness of acupuncture for the treatment of whiplash associated disorder (WAD). Twenty databases were searched from their inceptions to Oct. 2013. Randomised clinical trials (RCTs) of acupuncture (AT), electroacupuncture (EA), or dry needling (DN) for the treatment of WAD were considered eligible. The risk of bias was assessed using the Cochrane tool. Six RCTs met the inclusion criteria. Most of the included RCTs have serious methodological flaws. Four of the RCTs showed effectiveness of AT, AT in addition to usual care (UC), AT in addition to herbal medicine (HM) or EA was more effective than relaxation, sham EA, sham EA in addition to HM or UC for conditioned pain modulation (CPM) and alleviating pain. In one RCT, DN in addition to physiotherapy (PT) had no effect compared to sham-DN in addition to PT for the reduction of pain. None of the RCTs showed that AT/EA/DN was more effective than various types of control groups in reducing disability/function. One RCT did not report between-group comparisons of any outcome measures. The evidence for the effectiveness of AT/EA/DN for the treatment of WAD is limited. Therefore, more research in this area is warranted.

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Acupuncture for neck disorders

Cited by 92 publications

References 115 publications

The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain

The persistence of the effects of acupuncture after a course of treatment: a meta-analysis of patients with chronic pain

Management of chronic pain using complementary and integrative medicine

Acupuncture for Treating Whiplash Associated Disorder: A Systematic Review of Randomised Clinical Trials

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