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Acupuncture versus sham-acupuncture : a meta-analysis on evidence for non-immediate effects of acupuncture in musculoskeletal disorders

(2020) CLINICAL JOURNAL OF PAIN. 36(7). p.533-549
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Abstract
Objective: Acupuncture is a common modality in the therapy of musculoskeletal disorders. The evidence for acupuncture has been examined frequently, but a clear synthesis of previous research is currently lacking. This meta-analysis aimed to summarize the evidence for nonimmediate effects of acupuncture on pain, functionality, and quality of life in patients with musculoskeletal disorders, when compared with sham acupuncture. Methods: Search results from PubMed and Web of Science were brought together. All screening procedures were executed twice by 2 independent researchers. The pooled standardized mean difference (SMD) with its confidence interval (CI) was estimated at follow-up at <1 month, 1 to 3 months, 3 to 6 months, and >6 months. Results: For pain, the SMD equalled respectively −0.47 (CI −0.76 to −0.19), −0.27 (CI −0.44 to −0.11), −0.32 (CI −0.51 to −0.13) and −0.12 (CI −0.36 to 0.11) for <1 month, 1 to 3 months, 3 to 6 months, and >6 months follow-up. For functionality, the pooled SMD equalled −0.43 (CI −0.76 to −0.10), −0.41 (CI −0.76 to −0.05), 0.07 (CI −0.22 to 0.36), and −0.13 (−0.46 to 0.19). In the area of QOL, pooled SMD of respectively 0.20 (CI 0.04 to 0.35), 0.19 (CI −0.01 to 0.39), 0.02 (CI −0.09 to 0.14) and −0.04 (CI −0.25 to 0.16) were obtained. Discussion: A significant difference in therapy effect, favoring acupuncture, was found for pain at <1 month, 1 to 3 months, and 3 to 6 months, as well as on quality of life at <1 month, and on functionality at <1 month and 1 to 3 months.
Keywords
acupuncture, meta-analysis, musculoskeletal disorders, pain, functionality, quality of life, LOW-BACK-PAIN, TRIAL COMPARING ACUPUNCTURE, QUALITY-OF-LIFE, SIMULATED ACUPUNCTURE, CHRONIC EPICONDYLITIS, MIGRAINE PROPHYLAXIS, CLINICAL-TRIALS, PLACEBO NEEDLE, FOLLOW-UP, THERAPY

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MLA
Lenoir, Dorine, et al. “Acupuncture versus Sham-Acupuncture : A Meta-Analysis on Evidence for Non-Immediate Effects of Acupuncture in Musculoskeletal Disorders.” CLINICAL JOURNAL OF PAIN, vol. 36, no. 7, 2020, pp. 533–49, doi:10.1097/AJP.0000000000000812.
APA
Lenoir, D., De Pauw, R., Van Oosterwijck, S., Cagnie, B., & Meeus, M. (2020). Acupuncture versus sham-acupuncture : a meta-analysis on evidence for non-immediate effects of acupuncture in musculoskeletal disorders. CLINICAL JOURNAL OF PAIN, 36(7), 533–549. https://doi.org/10.1097/AJP.0000000000000812
Chicago author-date
Lenoir, Dorine, Robby De Pauw, Sophie Van Oosterwijck, Barbara Cagnie, and Mira Meeus. 2020. “Acupuncture versus Sham-Acupuncture : A Meta-Analysis on Evidence for Non-Immediate Effects of Acupuncture in Musculoskeletal Disorders.” CLINICAL JOURNAL OF PAIN 36 (7): 533–49. https://doi.org/10.1097/AJP.0000000000000812.
Chicago author-date (all authors)
Lenoir, Dorine, Robby De Pauw, Sophie Van Oosterwijck, Barbara Cagnie, and Mira Meeus. 2020. “Acupuncture versus Sham-Acupuncture : A Meta-Analysis on Evidence for Non-Immediate Effects of Acupuncture in Musculoskeletal Disorders.” CLINICAL JOURNAL OF PAIN 36 (7): 533–549. doi:10.1097/AJP.0000000000000812.
Vancouver
1.
Lenoir D, De Pauw R, Van Oosterwijck S, Cagnie B, Meeus M. Acupuncture versus sham-acupuncture : a meta-analysis on evidence for non-immediate effects of acupuncture in musculoskeletal disorders. CLINICAL JOURNAL OF PAIN. 2020;36(7):533–49.
IEEE
[1]
D. Lenoir, R. De Pauw, S. Van Oosterwijck, B. Cagnie, and M. Meeus, “Acupuncture versus sham-acupuncture : a meta-analysis on evidence for non-immediate effects of acupuncture in musculoskeletal disorders,” CLINICAL JOURNAL OF PAIN, vol. 36, no. 7, pp. 533–549, 2020.
@article{8641799,
  abstract     = {{Objective: Acupuncture is a common modality in the therapy of musculoskeletal disorders. The evidence for acupuncture has been examined frequently, but a clear synthesis of previous research is currently lacking. This meta-analysis aimed to summarize the evidence for nonimmediate effects of acupuncture on pain, functionality, and quality of life in patients with musculoskeletal disorders, when compared with sham acupuncture.

Methods: Search results from PubMed and Web of Science were brought together. All screening procedures were executed twice by 2 independent researchers. The pooled standardized mean difference (SMD) with its confidence interval (CI) was estimated at follow-up at <1 month, 1 to 3 months, 3 to 6 months, and >6 months.

Results: For pain, the SMD equalled respectively −0.47 (CI −0.76 to −0.19), −0.27 (CI −0.44 to −0.11), −0.32 (CI −0.51 to −0.13) and −0.12 (CI −0.36 to 0.11) for <1 month, 1 to 3 months, 3 to 6 months, and >6 months follow-up. For functionality, the pooled SMD equalled −0.43 (CI −0.76 to −0.10), −0.41 (CI −0.76 to −0.05), 0.07 (CI −0.22 to 0.36), and −0.13 (−0.46 to 0.19). In the area of QOL, pooled SMD of respectively 0.20 (CI 0.04 to 0.35), 0.19 (CI −0.01 to 0.39), 0.02 (CI −0.09 to 0.14) and −0.04 (CI −0.25 to 0.16) were obtained.

Discussion: A significant difference in therapy effect, favoring acupuncture, was found for pain at <1 month, 1 to 3 months, and 3 to 6 months, as well as on quality of life at <1 month, and on functionality at <1 month and 1 to 3 months.}},
  author       = {{Lenoir, Dorine and De Pauw, Robby and Van Oosterwijck, Sophie and Cagnie, Barbara and Meeus, Mira}},
  issn         = {{0749-8047}},
  journal      = {{CLINICAL JOURNAL OF PAIN}},
  keywords     = {{acupuncture,meta-analysis,musculoskeletal disorders,pain,functionality,quality of life,LOW-BACK-PAIN,TRIAL COMPARING ACUPUNCTURE,QUALITY-OF-LIFE,SIMULATED ACUPUNCTURE,CHRONIC EPICONDYLITIS,MIGRAINE PROPHYLAXIS,CLINICAL-TRIALS,PLACEBO NEEDLE,FOLLOW-UP,THERAPY}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{533--549}},
  title        = {{Acupuncture versus sham-acupuncture : a meta-analysis on evidence for non-immediate effects of acupuncture in musculoskeletal disorders}},
  url          = {{http://doi.org/10.1097/AJP.0000000000000812}},
  volume       = {{36}},
  year         = {{2020}},
}

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