Clinical effectiveness and safety of acupotomy: An overview of systematic reviews

Kwon, Chan-Young; Yoon, Sang-Hoon; Lee, Boram

doi:10.1016/j.ctcp.2019.07.002

Cited by 29 publications

(30 citation statements)

References 25 publications

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“…PCA is a common analgesic method after thoracoscopic surgery in clinical practice [1,28], and acupotomy is a traditional Chinese acupuncture treatment focusing on the pain treatment of clinical diseases [29,30]. The combination of acupotomy and conventional PCA can provide new insights into complicated postoperative pain management and functional rehabilitation of patients after thoracoscopy.…”

Section: Discussionmentioning

confidence: 99%

Postoperative analgesic effect of acupotomy combined with patient-controlled analgesia in patients undergoing video-assisted thoracoscopic surgery: a study protocol for a randomized controlled trial

Jiang

et al. 2020

Trials

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Background Postoperative acute pain is a common issue following thoracic surgery. Acupotomy is a common and safe intervention method for pain treatment in clinical practice. In previous preliminary experiments, we found that acupotomy has a good clinical effect and good safety in the treatment of pain after thoracoscopic surgery. However, due to a lack of a rigorous design and an adequate sample size, its efficacy still requires further confirmation. The purpose of this study will be to explore the efficacy and safety of acupotomy combined with patient-controlled analgesia (PCA) for the treatment of pain after video-assisted thoracic surgery (VATS). Methods The study will be a single-centre, parallel group, randomized controlled trial. Seventy patients with significant pain after thoracoscopic surgery with a visual analogue scale (VAS) score ≥ 7 will be included and randomly distributed into two groups: G1, the acupotomy combined with PCA group; and G2, the conventional PCA group. The primary outcome measure is pain scores at rest and coughing evaluated with the VAS by a blinded observer in the postanaesthesia care unit (PACU) and postoperatively at 1, 2, 4, 8, 12, 24, 48, and 72 h. The secondary outcome measures are postoperative requirements for rescue analgesia, the cumulative amount of self-administered analgesics, the level of sedation (LOS), the Bruggemann comfort scale (BCS), and the functional activity score (FAS) concerning adverse effects and patient satisfaction. Discussion This trial has the potential to identify an innovative and effective analgesic method for postoperative pain management for VATS. The findings may advocate for the inclusion of the treatment of comorbid pain after thoracoscopy in current pain management practice guidelines. Trial registration Chinese Clinical Trial Registry ChiCTR1900027191. Registered on 4 November 2019

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Section: Discussionmentioning

confidence: 99%

Postoperative analgesic effect of acupotomy combined with patient-controlled analgesia in patients undergoing video-assisted thoracoscopic surgery: a study protocol for a randomized controlled trial

Jiang

et al. 2020

Trials

View full text Add to dashboard Cite

show abstract

“…PCIA is a common analgesic method after thoracoscopic surgery in clinics [27,28], and acupotomy is a traditional Chinese acupuncture treatment that focuses on the pain treatment of clinical diseases [29,30]. The combination of acupotomy and conventional PCIA can provide new insights into complicated postoperative pain management and functional rehabilitation of patients after thoracoscopy.…”

Section: Discussionmentioning

confidence: 99%

Postoperative analgesic effect of acupotomy combined with patient-controlled intravenous analgesia in patients undergoing video-assisted thoracoscopic surgery: A study protocol for a randomized controlled trial

Jiang

et al. 2020

Preprint

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Background: Postoperative acute pain is a common issue following thoracic surgery. Acupotomy is a common and safe intervention method for pain treatment in the clinic. In previous preliminary experiments, we found that acupotomy has a good clinical effect and safety in the treatment of pain after thoracoscopic surgery. However, due to a lack of rigorous design and adequate sample size, the efficacy still needs to be further confirmed. The purpose of this study will be to explore the efficacy and safety of acupotomy combined with patient-controlled intravenous analgesia (PCIA) for the treatment of pain after video-assisted thoracic surgery (VATS). Methods: The study will be a single-centre, parallel group, randomized controlled trial. Seventy patients with significant pain after thoracoscopic surgery with a visual analogue scale (VAS) score ≥7 will be included and randomly distributed into two groups: G1, the acupotomy combined with PCIA group; or G2, the conventional PCIA group. The primary outcome measure is pain scores at rest and coughing evaluated with the VAS by a blinded observer in the PACU and postoperatively at 1, 2, 4, 8, 12, 24, 48 and 72 h. The secondary outcome measures are postoperative requirements for rescue analgesia, the cumulative amount of self-administered analgesics, the level of sedation (LOS), Bruggemann comfort scale (BCS), and functional activity score (FAS) concerning adverse effects and patient satisfaction. Discussion: This trial has the potential to identify a novel strategy for postoperative pain management in VATS. Findings may advocate for the inclusion of the treatment of comorbid pain after thoracoscopy in current pain management practice guidelines.

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“…. Some studies suggest that acupotomy treatment has higher, longer lasting cure effect than any other treatments including nerve block or other surgical methods 10) . Though acupotomy treatment may have higher risk of adverse effect than using conventional acupuncture .…”

Section: Discussionmentioning

confidence: 99%

“…However, lateral malleolar bursitis is known to relapse quite frequently, despite these conservative treatments done . Many researchers are trying to prove the advantage of higher-efficacy, quickerrecovery, and the safety of acupotomy treatment compared to ordinary other treatments in musculoskeletal diseases recently [8][9][10] .…”

Section: Introductionmentioning

confidence: 99%

Effects of Acupotomy Treatment on Relapsed Lateral Malleolar Bursitis: A Case Report

Kim

Lee

et al. 2019

Korean J Acupunct

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This study details on a case of acupotomy for relapsed lateral malleolar bursitis. Methods : A 71-year-old woman with lateral malleolar bursitis was treated with acupotomy twice in an outpatient setting. A sterilized, disposable, blade width 0.5 mm × needle length 50 mm sized acupotomy was administered on GB40 and BL62 on each visit. Pain intensity assessment using Numeric Rating Scale (NRS) and the response evaluation criteria was conducted right after each treatment. Results : Pain on NRS declined from 5 to less than 1 after twice of acupotomy treatment. This result was regarded as 'Complete Response' using the response evaluation criteria. There were no side effects during whole treatment procedure at all. Conclusions : It is turned out that acupotomy can have a positive clinical effect on lateral malleolar bursitis in this case without any adverse effect. Further controlled studies on acupotomy for lateral malleolar bursitis are required for clinical application.

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Clinical effectiveness and safety of acupotomy: An overview of systematic reviews

Cited by 29 publications

References 25 publications

Postoperative analgesic effect of acupotomy combined with patient-controlled analgesia in patients undergoing video-assisted thoracoscopic surgery: a study protocol for a randomized controlled trial

Postoperative analgesic effect of acupotomy combined with patient-controlled analgesia in patients undergoing video-assisted thoracoscopic surgery: a study protocol for a randomized controlled trial

Postoperative analgesic effect of acupotomy combined with patient-controlled intravenous analgesia in patients undergoing video-assisted thoracoscopic surgery: A study protocol for a randomized controlled trial

Effects of Acupotomy Treatment on Relapsed Lateral Malleolar Bursitis: A Case Report

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