Efficacy of acupressure for chronic low back pain: A systematic review

Godley, Erica; Smith, Michael A.

doi:10.1016/j.ctcp.2020.101146

Cited by 27 publications

(14 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Currently, there is no systematic review on acupressure for OA. In comparison to prior systematic reviews on acupressure for musculoskeletal conditions including low back pain [10,12], neck pain syndrome [16], and musculoskeletal pain [46], our results are found to be only partially consistent with their findings on acupressure showing positive effect in pain reduction. Our pooled results showed that acupressure has superior effects in reducing pain as a complementary intervention to conventional intervention, but not as sole intervention.…”

Section: Agreements and Disagreements With Other Studies Or Reviewscontrasting

confidence: 78%

“…Acupressure is a non-invasive and cost-efficient medical approach and involves applying pressure to the acupoints or meridian points as practiced in Chinese Medicine [10]. Acupressure has been used for various purposes.…”

Section: Introductionmentioning

confidence: 99%

“…Acupressure has been used for various purposes. Previous systematic reviews have investigated the efficacy or the impact of acupressure as a sole intervention on pain [11], low back pain [10,12], labor or labor pain [13][14][15], neck pain syndrome [16], sleep quality, or sleep disorders [17][18][19], promoting the health of older adults [20], respiratory allergic diseases [21], postoperative gastrointestinal symptoms [22], chemotherapy-induced nausea and vomiting [23], primary dysmenorrhea [24][25][26], anxiety [27], neurological disorders [28], and symptom management [29][30][31]; and other reviews considered acupressure as a complementary intervention with acupuncture on cancer pain [32], cancer-related fatigue [33], weight reduction [34], uremic pruritus [35], premenstrual syndrome [36], and labor pain [37].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Acupressure for Managing Osteoarthritis: A Systematic Review and Meta-Analysis

et al. 2021

View full text Add to dashboard Cite

This review aims to evaluate the effectiveness of acupressure as a treatment method for osteoarthritis. Fourteen electronic databases were searched from the date of inception until 16 March 2021, for eligible studies. Studies comparing acupressure with sham acupuncture, no intervention or conventional intervention were eligible for inclusion. The risk of bias of the included studies was assessed using the Cochrane Collaboration’s Risk of Bias Assessment tool Version 2.0. A total of eight trials were included in this review, focusing on the seven trials investigating knee osteoarthritis. The risk of bias is judged as low in only two trials and concerning in the remaining six trials. The meta-analysis showed that acupressure has equivalent effects in reducing pain (p = 0.12), relieving stiffness (p = 0.38), and improving physical function (p = 0.12), as compared to sham acupressure. Pooled results also showed similar results where acupressure has an equivalent effect in reducing pain (p = 0.09), and relieving stiffness (p = 0.68), but showed a favorable effect in improving physical function of joints (MD –6.30, CI 95%: −11.69 to −0.92, p = 0.02), as compared to no intervention. For acupressure complementing conventional intervention, pooled results showed superior effects for easing pain compared to conventional intervention alone (MD −3.72, 95% CI: −4.84 to −2.61, p < 0.00001). Overall, the studies included in this review have concerning quality and suffer from small sample sizes, and the findings of this review should be interpreted with caution. More clinical trials with proper methodology are needed to confirm the effectiveness of acupressure for osteoarthritis.

show abstract

Section: Agreements and Disagreements With Other Studies Or Reviewscontrasting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acupressure for Managing Osteoarthritis: A Systematic Review and Meta-Analysis

et al. 2021

View full text Add to dashboard Cite

show abstract

“…The efficacy of acupressure on LBP has been assessed in several meta-analyses. However, these reviews discussed the effectiveness of auricular acupressure on LBP based on limited researches or the acupressure treatments from nontherapists or the use of instrumentation [ 9 – 11 ]. We performed this analysis because of the absence of a meta-analysis on the therapeutic effects and safety of traditional acupressure on the effectiveness of traditional acupressure treatment of LBP.…”

Section: Introductionmentioning

confidence: 99%

Clinical Efficacy and Safety of Acupressure on Low Back Pain: A Systematic Review and Meta-Analysis

Fan

et al. 2021

Evidence-Based Complementary and Alternative Medicine

View full text Add to dashboard Cite

Objectives. To evaluate the effectiveness and safety of acupressure on low back pain (LBP). Methods. We searched 7 electronic databases and 2 trial registries through December 28, 2020. Randomized controlled trials (RCTs) of acupressure on LBP were considered for meta-analysis with Revman 5.3 and Stata 15.0 software. Methodological quality was evaluated using the Cochrane Collaboration’s tool. Trial sequential analysis (TSA) was used to quantify the statistical reliability. HETRED analysis and GRADE were used to determine the heterogeneity and quality of the results, respectively. Results. Twenty-three RCTs representing 2400 participants were included. Acupressure was superior to tuina massage on response rate (RR 1.25; 95% CI, 1.16 to 1.35; P < 0.00001 ) and in the standardized mean difference (SMD) for pain reduction [SMD −1.92; 95% CI, −3.09 to −0.76; P = 0.001 ]. Likewise, acupressure was superior to physical therapy [SMD, −0.88; 95% CI, −1.10 to −0.65; P < 0.00001 ] and to usual care [SMD, −0.32; 95% CI, −0.61 to −0.02; P = 0.04 ] in pain reduction. The Oswestry Disability Index was significantly improved by acupressure compared with usual care [SMD, −0.55; 95% CI, −0.84 to −0.25; P = 0.0003 ]. The combination of acupressure with either manual acupuncture or electro-acupuncture showed significant improvements over the adjuvant therapies alone in response rate [RR 1.19; 95% CI, 1.13 to 1.26; P < 0.00001 ], pain reduction, and the Japanese Orthopedic Association score (JOA). However, each study displayed substantial heterogeneity. Through subgroup sensitivity analysis and -HETRED analysis, the heterogeneity of acupressure compared with manual acupuncture decreased while the results maintained significance with respect to pain reduction [SMD −0.9; 95% CI, −1.21 to −0.6; P < 0.00001 ] and JOA [SMD, 0.66; 95% CI, 0.33 to 0.98; P < 0.00001 ]. Similar results were obtained comparing acupressure with electro-acupuncture with respect to pain [SMD, −1.07; 95% CI, −1.33 to −0.81; P < 0.00001 ] and JOA [SMD, 0.89; 95% CI, 0.51 to 1.27, P < 0.00001 ]. TSA demonstrated the effectiveness of acupressure as a standalone or as a combinative treatment (with manual acupuncture or electro-acupuncture) for LBP. Conclusion. Acupressure is an effective treatment for LBP. However, GRADE assessments downgraded the evidence in the trials, indicating that additional investigations are needed to confirm these observations.

show abstract

“…Acupressure techniques such as Shiatsu and Tuiná are variants of Acupuncture and use hands and fingers to rub, knead or strike soft tissues and joints of the Acupuncture point regions in the body. They are non-invasive body practices and can be administered by the patients themselves ( 130 ).…”

Section: Discussionmentioning

confidence: 99%

Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map

Fogaça

Portella²,

Ghelman³

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

Background: The mind-body therapies of traditional Chinese medicine include several intervention types and combine physical poses with conscious relaxation and breathing techniques. The purpose of this Evidence Map is to describe these different interventions and report related health outcomes.Methods: This evidence map is based on the 3iE Evidence Gap Map methodology. We searched seven electronic databases (BVS, PUBMED, EMBASE, PEDro, ScienceDirect, Web of Sciences, and PschyInfo) from inception to November 2019 and included systematic reviews only. Systematic reviews were analyzed based on AMSTAR 2. We used Tableau to graphically display quality assessment, the number of reviews, outcomes, and effects.Results: The map is based on 116 systematic reviews and 44 meta-analyses. Most of the reviews were published in the last 5 years. The most researched interventions were Tai Chi and Qi Gong. The reviews presented the following quality assessment: 80 high, 43 moderate, 23 low, and 14 critically low. Every 680 distinct outcome effect was classified: 421 as potential positive; 237 as positive; 21 as inconclusive/mixed; one potential negative and none no effect. Positive effects were related to chronic diseases; mental indicators and disorders; vitality, well-being, and quality of life. Potential positive effects were related to balance, mobility, Parkinson's disease, hypertension, joint pain, cognitive performance, and sleep quality. Inconclusive/mixed-effects justify further research, especially in the following areas: Acupressure as Shiatsu and Tuiná for nausea and vomiting; Tai Chi and Qi Gong for acute diseases, prevention of stroke, stroke risk factors, and schizophrenia.Conclusions: The mind-body therapies from traditional Chinese medicine have been applied in different areas and this Evidence Map provides a visualization of valuable information for patients, professionals, and policymakers, to promote evidence-based complementary therapies.

show abstract

Efficacy of acupressure for chronic low back pain: A systematic review

Cited by 27 publications

References 23 publications

Acupressure for Managing Osteoarthritis: A Systematic Review and Meta-Analysis

Acupressure for Managing Osteoarthritis: A Systematic Review and Meta-Analysis

Clinical Efficacy and Safety of Acupressure on Low Back Pain: A Systematic Review and Meta-Analysis

Mind-Body Therapies From Traditional Chinese Medicine: Evidence Map

Contact Info

Product

Resources

About