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Pesquisas

Randomized Controlled Trials of Acupuncture for Neck Pain: Systematic Review and Meta-Analysis.

ACUPUNTURA

14/08/2012

 

 

3. J Altern Complement Med. 2009 Feb 13. [Epub ahead of print]   
Randomized Controlled Trials of Acupuncture for Neck Pain: Systematic Review and Meta-Analysis. 

Fu LM, Li JT, Wu WS.   Southern California University of Health Sciences, Whittier , CA .  

Abstract Objectives: The objectives of this study were to assess the effectiveness and efficacy of acupuncture in the treatment of neck pain.

Data sources: The following computerized databases were searched from their inception to January 2008: MEDLINE (PubMed), ALT HEALTH WATCH (EBSCO), CINAHL, and Cochrane Central. Review methods: Systematic review and meta-analysis were conducted on randomized controlled trials of acupuncture for neck pain. Two (2) reviewers independently extracted data concerning study characteristics, methods, and outcomes, as well as performed quality assessment based on the adapted criteria of Jadad.

Results: Fourteen (14) studies were included in this review. Meta-analysis was performed only in the absence of statistically significant heterogeneity among studies that were selected for testing a specific clinical hypothesis. While only a single meta-analysis was done in previous reviews, this review performed nine meta-analyses addressing different clinical issues. Seven out of nine meta-analyses yielded positive results. In particular, the meta-analysis based on the primary outcome of short-term pain reduction found that acupuncture was more effective than the control in the treatment of neck pain, with a pooled standardized mean difference (SMD) of -0.45 (95% confidence interval [CI], -0.69 to -0.22). Moreover, the meta-analysis with a pooled SMD of -0.53 (95% CI, -0.94 to -0.11) showed that acupuncture was significantly more effective than sham acupuncture for pain relief. However, there was limited evidence based on the qualitative analysis of the trial data to support the above conclusions. We provided a detailed analysis on the issue of heterogeneity of the studies involved in meta-analysis and examined the consistencies and inconsistencies among the present review and two other reviews conducted previously.

Conclusions: The quantitative meta-analysis conducted in this review confirmed the short-term effectiveness and efficacy of acupuncture in the treatment of neck pain. Further studies that address the long-term efficacy of acupuncture for neck pain are warranted.

 

 

 

200106 Autor: Brecheret, Ana Paula; Lima, Evandro Emílio A. de Souza; Yamamura, Ysao; Juliano, Yara; Tabosa, Angela. Título: Efeito da acupuntura no tratamento de pacientes portadores de sono näo reparador / Acupuncture effect in the treatment of patients with non-repairing sleep Fonte: Rev. paul. acupunt;3(2):72-8, 1997. tab, graf. Idioma: Pt. Resumo: Os distúrbios do sono, principalmente o sono näo reparador, constituem um dos achados mais freqüentes na clínica diária. Estäo, geralmente, relacionados à dores crônicas do sistema músculo-esquelético, fadiga crônica e alteraçöes emocionais. Material - Foram estudados 23 pacientes com sono näo reparador, dos quais 22 do sexo feminino e 1 do sexo masculino. O tempo médio de duraçäo da queixa foi de 6 anos e 4 meses (mínimo de 6 meses e máximo de 20 anos). Método - Os pacientes foram avaliados e tratados individualmente, de acordo com suas manifestaçöes clínicas e energéticas. Em todos os pacientes, foram usados os pontos B-62 (Shenmmai), ID-3 (Houxi) e R-3 (Taixi). De acordo com suas sintomatologias, foram utilizados os seguintes pontos específicos: distúrbios emocionais: VG-20 (Baihui), Yin Tang, C-7 (Shenmen) e VC-17 (Shanzhong); enxaqueca: VB-41 (Linqi), TA-5 (Waiguan) e TaiYang; enxaqueca catamenial: VB-3 (Shangguan), VB-4 (Hanyan), VB-5 (Xuanlu), BP-6 (Sanyinjiao) e VC-3 (Zhongji); epigastralgia: E-36 (Zusanli), VC-12 (Zhongwan), IG-4 (Hegu) e E-25 (tianshu); cervicodorsalgia: VB-21 (Jianjing), VG-14 (Dazhui) e VG-16 (Fengfu); lombalgia: B-27 (Xiaochangshu); B-28 (Pangguangshu) e B-32 (Ciliao); gonalgia: 4 pontos curiosos locais do joelho, F-8 (Ququan), E-36 (Zusanli) e VB-34 (Yanglingquan). Foram realizadas duas aplicaçöes semanais de acupuntura, totalizando 15, com agulhas individuais e esterelizadas, 40x30x0,30mm (Lautz). Resultado - Os testes de Freidman, Kappa de concordância e de McNemar, aplicados aos dados, mostraram melhora significante em relaçäo à insônia, cansaço ao acordar (SNR), dores crônicas, contraturas musculares matinais, fadiga, sono tranqüilo e disposiçäo para lazer. Nos parâmetros emocionais, os testes näo mostraram diferença significante entre a situaçäo de pré e pós-tratamento. Conclusäo - O estudo evidenciou melhora significante, segundo a metodologia empregada, no tratamento de pacientes que apresentavam sono näo reparador e seus sintomas associados. Näo se verificou melhora significante nas manifestaçöes emocionais dos pacientes. (AU)

 

 

 

 

Nishimura, Eiko; Yamamura, Ysao; Novo, Neil Ferreira; Yamane, Jaime Yoshijuki; Orii, Ricardo T. Título:Efeitos da acupuntura no tratamento da enxaqueca sem aura (cefaléia Shao Yang) / Acupuncture effects in migraine treatment (Shao Yang headache) Fonte: Rev. paul. acupunt;3(2):79-84, 1997. tab, graf. Idioma:Pt. Resumo: A enxaqueca sem aura ou enxaqueca comum é uma cefaléia idiopática recorrente, que se manifesta em crises que duram de 4 a 72 horas, caracterizada pela localizaçao unilateral, natureza pulsátil, intensidade de moderada a grave, intensificada pela atividade física rotineira e associada com náuseas, fotofobia e fonofobia. A cefaléia, na concepçäo da Medicina Tradicional Chinesa, deve-se a uma estagnaçäo de Qi e Sangue, no Canal de Energia Unitário Shao Shang. Material - Foram estudados 20 pacientes com cefaléia Shao Yang (enxaqueca). Foram avaliadas a intensidade de dor relatada e a freqüência das crises, assim como os sintomas clínicos associados (fotofobia, fonofobia, alteraçoes psíquicas). Método - Foram realizadas 30 aplicaçöes de acupuntura, nos pontos VG-20 (Baihui), VB-20 (Fengchi), B-10 (Tianzhu), VB-12 (Wangu), VB-14 (Yangbai), M-CP-9 (Taiyang), M-CP-3 (Yintang). Os parâmetros estudados foram avaliados a cada 5 aplicaçöes de acupuntura e os resultados submetidos aos testes Kappa de concordância, de McNemar, de variância por postos de Friedman e G de Cochran. Resultado - Os testes Kappa e McNemar mostraram uma melhora significante em relaçäo à intensidade e freqüência da dor relatada. O teste de Friedman mostrou melhora significante a partir da 2ª avaliaçao para a dor relatada e 3ª, para freqüência das crises. O teste G de Cochran mostrou uma melhora significante em relaçäo aos parâmetros fotofobia, fonofobia, ansiedade, irritaçao e náuseas e vômitos. Em relaçäo à insônia näo houve melhora significante. Conclusäo - A metodologia empregada neste estudo mostrou efeito significante em relaçäo à enxaqueca comum e seus sintomas associados (fotofobia, fonofobia, ansiedade, irritaçäo e náuseas e vômitos). Näo mostrou efeito significante em relaçäo à insônia. (AU)

 

 




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