Safe acupuncture and dry needling during pregnancy: New Zealand physiotherapists’ opinion and practice

McDowell, Jillian Marie; Kohut, Susan; Betts, Debra

doi:10.1016/j.joim.2018.11.006

Cited by 13 publications

(23 citation statements)

References 36 publications

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“…They conclude that of 124 responses obtained, only 60 therapists needle pregnant women and only 66% of them express safety. More training is needed in this field, particularly on dry needling [120].…”

Section: Type Of Populationmentioning

confidence: 99%

Needling Therapies in the Outpatient Care: Adverse Effects

Llamas-Ramos¹,

Llamas-Ramos²

2022

Ultimate Guide to Outpatient Care

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The invasive techniques have been used for many years. There is a lot of literature on the advances that have been made, as well as the adverse effects or possible complications that have occurred during the performance of these treatments. Acupuncture and injections (saline, anesthetics, corticosteroids or botulinum toxin) have reported several cases of complications. Dry needling is also beginning to have several publications of this type. The objective of this chapter is to summarize the articles published in relation to adverse effects of needling therapies to promote a good practice and knowledge. Original articles in form of randomized controlled trials, case reports and reviews relating adverse effects and possible complications due to invasive/needling techniques: acupuncture, injections and dry needling have been included. 102 articles met the inclusion criteria between January 2000 and January 2020. The first limitation found in the literature was the huge variety of cases, therapists and incidents to generalize. As a conclusion we can stated the importance of a good knowledge of the anatomy and its variants, the correct application of these techniques and a continuous training of these therapists must be essential.

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Section: Type Of Populationmentioning

confidence: 99%

Needling Therapies in the Outpatient Care: Adverse Effects

Llamas-Ramos¹,

Llamas-Ramos²

2022

Ultimate Guide to Outpatient Care

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“…A total of 2060 healthcare professionals were included, with a range of 5 to 500 participants per study. The investigated healthcare professionals included GPs (n = 7 studies) [3,8,[12][13][14][15]33], Plunket nurses (registered child health nurses working in the community) (n = 1) [9], midwives (n = 1) [32], pharmacists (n = 1) [34], physiotherapists (n = 1) [35], and specialists (n = 1) [15]. The CAM modalities investigated in the studies varied greatly: one study [35] [33,34] and one focus group study [9]).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The investigated healthcare professionals included GPs (n = 7 studies) [3,8,[12][13][14][15]33], Plunket nurses (registered child health nurses working in the community) (n = 1) [9], midwives (n = 1) [32], pharmacists (n = 1) [34], physiotherapists (n = 1) [35], and specialists (n = 1) [15]. The CAM modalities investigated in the studies varied greatly: one study [35] [33,34] and one focus group study [9]). The sampling methods used included census (n = 4) [3,12,15,35], convenience (n = 1) [9], simple random (n = 3) [8,13,14], systematic random (n = 1) [32], stratified (n = 1) [33], and a mixed use of purposive and convenience approaches (n = 1) [34].…”

Section: Study Characteristicsmentioning

confidence: 99%

Complementary and alternative medicine - practice, attitudes, and knowledge among healthcare professionals in New Zealand: an integrative review

Liu

Tang

Baxter

et al. 2021

BMC Complement Med Ther

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Background The prevalence of CAM use is increasing. This integrative review investigated New Zealand healthcare professionals’ practice of, attitudes toward, and knowledge about complementary and alternative medicine (CAM). Methods Literature search was conducted in four databases from inception to April 2020. Studies were included if they reported results from primary data collection on practice of, attitudes toward, or knowledge about CAM amongst New Zealand healthcare professionals. Results Eleven studies (two of ‘high-quality’, seven of ‘moderate-quality’, and two of ‘low-quality’) were identified with 2060 healthcare professionals including general practitioners (GPs), nurses, midwives, pharmacists, physiotherapists, and medical specialists. New Zealand healthcare professionals were generally positive regarding CAM use, but have concerns on the scientific evidence, regulation, safety, financial costs of CAM, and encourage an evidence-based CAM practice and stronger CAM regulation. Findings indicated that around 25% of GPs practise CAM, and 82.3% refer patients to CAM practitioners. When treating pregnant women, 48.4% of physiotherapists practise acupuncture, and 37.3% of midwives recommend CAM. GPs believe that acupuncture is the most helpful CAM modality, and most commonly practiced and referred patients to acupuncture. Up to 58% of GPs and Plunket nurses wanted to receive further education on CAM, and up to 66.7% GPs favour the idea CAM should be included in medical curriculums. Conclusions Nine of the 11 included studies were of moderate to high quality, thus enhancing the reliability of the review findings. In order to better manage CAM in New Zealand New Zealand clinical settings, there is a need to invest in CAM research and education, and enhance CAM regulation. This review is a first step in developing an evidence base to offer insights for further development of effective CAM policies regarding safety, efficacy, regulation and integration in New Zealand.

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“…10 With acupuncture on Large Intestine 4 (LI 4), Spleen 6 (SP 6), Bladder 32 (BL 32), and Bladder 67 (BL 67) being incorporated into medical-acupuncture research as part of point prescriptions for care, concerns about the possibility of these treatments stimulating preterm contractions (PTC) have been raised. 11,12 PTC, even if they are self-resolving and do not result in preterm labor, are obviously very concerning to women. This has the potential to limit women's willingness to continue with treatment and practitioners' willingness to treat women during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…24 The loss of the traditional frameworks is reflected in some of the current evidence in which segmental acupuncture points are common with no reference to the guiding treatment principles. Use of these forbidden points is standardized regardless of individual presenting patterns 12 and the quality of evidence has not been assessed using specific critical-assessment tools designed for acupuncture interventions.…”

Section: Introductionmentioning

confidence: 99%

Using Forbidden Points in Pregnancy: Adverse Outcomes and Quality of Evidence in Randomized Controlled Trials—A Systematic Narrative Review

Levett

Sutcliffe

Betts

2019

Medical Acupuncture

Self Cite

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Objective: Pregnancy is a complex physical and hormonal condition. Many women experience back and pelvic pain, reflux, and headaches during pregnancy. There has been a significant rise in the popularity of acupuncture for pain conditions in pregnancy, wherein nonpharmacologic options are important. Concerns have been raised by both traditional and medical acupuncturists about using ''forbidden points'' during pregnancy and the risk of preterm contractions (PTC), as this could limit women's and practitioners' willingness to continue treatment during pregnancy. There is also a risk of bias introduced into clinical trials when participants are highly selected or they drop out of studies due to adverse outcomes. This review examined randomized controlled trials (RCTs) of acupuncture using forbidden points prior to 37 weeks of pregnancy to treat pain conditions, with the primary outcome of PTC. Methods: A database search identified RCTs, including trials of penetrating acupuncture that used forbidden points in their protocols to treat pregnancy-related pain conditions. STRICTA [Standards for Reporting Interventions in Clinical Trials of Acupuncture] and GRADE [Grades of Recommendation, Assessment, Development, and Evaluation] criteria were used to assess the quality of evidence. This review includes 8 RCTs reporting on 713 women. Results: Only 2 studies reported on the primary outcome of PTC, and there were insufficient data to perform a primary analysis. In these 2 studies, 6 participants withdrew due to PTC. No study was at a low risk of bias for all GRADE domains, and 3 studies were at high or unclear risk of bias in all domains. Conclusions: PTC is an important clinical outcome and should be reported routinely. The strength of evidence to date is insufficient to recommend using forbidden points prior to 37 weeks of pregnancy. Highly selected patient populations, risk of bias in study design, and participant withdrawal rates, suggest that high-quality trials are required.

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Safe acupuncture and dry needling during pregnancy: New Zealand physiotherapists’ opinion and practice

Cited by 13 publications

References 36 publications

Needling Therapies in the Outpatient Care: Adverse Effects

Needling Therapies in the Outpatient Care: Adverse Effects

Complementary and alternative medicine - practice, attitudes, and knowledge among healthcare professionals in New Zealand: an integrative review

Using Forbidden Points in Pregnancy: Adverse Outcomes and Quality of Evidence in Randomized Controlled Trials—A Systematic Narrative Review

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