The effects of acupuncture on occipital neuralgia: a systematic review and meta-analysis

Yun, Jungmin; Lee, Sook-Hyun; Cho, Jaeheung; Kim, Koh-Woon; Ha, In‐Hyuk

doi:10.1186/s12906-020-02955-y

Cited by 7 publications

(19 citation statements)

References 25 publications

(19 reference statements)

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“… 13 We included 82 publications in this map. 8 , 9 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , …”

Section: Resultsunclassified

“…The number of studies included for acupuncture in the reviews ranged from 1 to 73 studies. Thirty-seven reviews included fewer than 10 studies, 8 , 9 , 15 , 17 , 18 , 19 , 22 , 23 , 28 , 29 , 30 , 32 , 36 , 41 , 42 , 43 , 45 , 47 , 50 , 52 , 54 , 56 , 61 , 63 , 66 , 68 , 69 , 73 , 79 , 80 , 81 , 82 , 83 , 85 , 90 , 91 , 92 34 reviews included 10 to 25 studies, 14 , 20 , 21 , 25 , 26 , 27 , 29 , 30 , 31 , 33 , 34 , 35 , 37 , 38 , 39 , 40 , 44 , 48 , 51 , 53 , 55 , 58 ,…”

Section: Resultsmentioning

confidence: 99%

“…The country of origin for reviews varied, with the highest number of reviews originating from China (34 studies). 27 , 30 , 31 , 33 , 35 , 38 , 42 , 44 , 46 , 49 , 51 , 54 , 55 , 60 , 63 , 65 , 67 , 70 , 72 , 73 , 74 , 75 , 76 , 77 , 83 , 84 , 85 , 86 , 87 , 89 , 90 , 91 , 92 , 93 Other countries included Australia (4 studies), 56 , 68 , 69 , 79 Brazil (1 study), 43 Italy (1 study), 36 Korea (7 studies), 32 , 34 , 37 , 59 , 66 , 80 , 88 Taiwan (1 study), 53 the United Kingdom (1 study), 8 and the United States (7 studies). 9 , 28 , 29 , 45 , 50 , 58 , 61 Twenty-six publications involved teams from multiple countries,…”

Section: Resultsmentioning

confidence: 99%

“…Fifty-nine reviews included more than 1 type of acupuncture, 9 , 15 , 16 , 18 , 20 , 21 , 22 , 23 , 25 , 29 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 46 , 47 , 48 , 49 , 51 , 52 , 54 , 55 , 57 , 59 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 70 , 71 , 72 , 75 , 77 , 78 , 79 , 80 , 84 , 85 , 86 , 87 , 88 , 89 , 91 , 92 , 93 while 23 reviews included only 1 type of acupuncture as the intervention. 8 ,...…”

Section: Resultsmentioning

confidence: 99%

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Use of Acupuncture for Adult Health Conditions, 2013 to 2021

et al. 2022

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ImportanceAcupuncture is a popular treatment that has been advocated for dozens of adult health conditions and has a vast evidence base.ObjectiveTo map the systematic reviews, conclusions, and certainty or quality of evidence for outcomes of acupuncture as a treatment for adult health conditions.Evidence ReviewComputerized search of PubMed and 4 other databases from 2013 to 2021. Systematic reviews of acupuncture (whole body, auricular, or electroacupuncture) for adult health conditions that formally rated the certainty, quality, or strength of evidence for conclusions. Studies of acupressure, fire acupuncture, laser acupuncture, or traditional Chinese medicine without mention of acupuncture were excluded. Health condition, number of included studies, type of acupuncture, type of comparison group, conclusions, and certainty or quality of evidence. Reviews with at least 1 conclusion rated as high-certainty evidence, reviews with at least 1 conclusion rated as moderate-certainty evidence, and reviews with all conclusions rated as low- or very low-certainty evidence; full list of all conclusions and certainty of evidence.FindingsA total of 434 systematic reviews of acupuncture for adult health conditions were found; of these, 127 reviews used a formal method to rate certainty or quality of evidence of their conclusions, and 82 reviews were mapped, covering 56 health conditions. Across these, there were 4 conclusions that were rated as high-certainty evidence, and 31 conclusions that were rated as moderate-certainty evidence. All remaining conclusions (&gt;60) were rated as low- or very low-certainty evidence. Approximately 10% of conclusions rated as high or moderate-certainty were that acupuncture was no better than the comparator treatment, and approximately 75% of high- or moderate-certainty evidence conclusions were about acupuncture compared with a sham or no treatment.Conclusions and RelevanceDespite a vast number of randomized trials, systematic reviews of acupuncture for adult health conditions have rated only a minority of conclusions as high- or moderate-certainty evidence, and most of these were about comparisons with sham treatment or had conclusions of no benefit of acupuncture. Conclusions with moderate or high-certainty evidence that acupuncture is superior to other active therapies were rare.

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Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Use of Acupuncture for Adult Health Conditions, 2013 to 2021

et al. 2022

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“…These methods were not the only ones that physicians also made determinations based on their clinical experience. With the deepening of clinical research, the efficacy of acupuncture on neuropathic pain has been confirmed by several systemic reviews and meta-analyses, which were listed in Table 2 ( Heo et al, 2013 ; Dimitrova et al, 2017 ; Hu et al, 2019 ; Liu et al, 2019 ; Pei et al, 2019 ; Yun et al, 2020 ; Cui et al, 2021 ; Yu et al, 2021 ). A study described the effectiveness and safety of acupuncture for the treatment of chemotherapy-induced peripheral neuropathy.…”

Section: Application Of Acupuncture For Neuropathic Painmentioning

confidence: 93%

Potential mechanisms of acupuncture for neuropathic pain based on somatosensory system

Chen

Yang

et al. 2022

Front. Neurosci.

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Neuropathic pain, caused by a lesion or disease of the somatosensory system, is common and distressing. In view of the high human and economic burden, more effective treatment strategies were urgently needed. Acupuncture has been increasingly used as an adjuvant or complementary therapy for neuropathic pain. Although the therapeutic effects of acupuncture have been demonstrated in various high-quality randomized controlled trials, there is significant heterogeneity in the underlying mechanisms. This review aimed to summarize the potential mechanisms of acupuncture on neuropathic pain based on the somatosensory system, and guided for future both foundational and clinical studies. Here, we argued that acupuncture may have the potential to inhibit neuronal activity caused by neuropathic pain, through reducing the activation of pain-related ion channels and suppressing glial cells (including microglia and astrocytes) to release inflammatory cytokines, chemokines, amongst others. Meanwhile, acupuncture as a non-pharmacologic treatment, may have potential to activate descending pain control system via increasing the level of spinal or brain 5-hydroxytryptamine (5-HT), norepinephrine (NE), and opioid peptides. And the types of endogenously opioid peptides was influenced by electroacupuncture-frequency. The cumulative evidence demonstrated that acupuncture provided an alternative or adjunctive therapy for neuropathic pain.

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