Efficacy of acupuncture in rheumatic diseases with spine involvement: Systematic review
| Autor: | Juan Muñoz-Ortego, Claudia Alejandra Pereda, María Betina Nishishinya Aquino |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Ankylosing spondylitis business.industry MEDLINE Acupuncture Therapy Lumbar spinal stenosis medicine.disease Clinical trial 03 medical and health sciences 0302 clinical medicine Lumbar Systematic review Treatment Outcome Rheumatic Diseases medicine Acupuncture Physical therapy Humans Spinal Diseases 030212 general & internal medicine Radiculopathies business |
| Zdroj: | Medicina clinica. 153(6) |
| ISSN: | 1578-8989 |
| Popis: | Rheumatic diseases involving the spine, mainly cervical and lumbar spine, are highly prevalent, and consume considerable health resources. Acupuncture is a medical procedure endorsed by the WHO, with a wide spectrum of medical applications. The aim of this study was to review the evidence on acupuncture efficacy in these diseases. A literature search was performed in MEDLINE, CENTRAL and EMBASE (May 2017): 535 citations. We included four global reviews(45 systematic reviews) and three Systematic Reviews(70 clinical trials). Acupuncture improved cervical pain and functionality both immediately and in the short term. It also proved effective in the treatment of acute and chronic low back pain as the first therapeutic line, compared with placebo, and as an adjunct to other conventional treatments. Acupuncture is a safe intervention. However, acupuncture efficacy in radiculopathies (cervical, lumbar), lumbar spinal stenosis and ankylosing spondylitis is still inconclusive. Well-designed studies with medium and long-term evaluation are required. |
| Databáze: | OpenAIRE |
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