文献类型：期刊文献

英文题名：Manual acupuncture for myofascial pain syndrome: a systematic review and meta-analysis

作者：Wang, Rong[1,2];Li, Xiuxia[3,4];Zhou, Shenghu[1];Zhang, Xiaogang[5];Yang, Kehu[3,4];Li, Xusheng[1]

第一作者：Wang, Rong;王荣

通信作者：Li, XS[1]

机构：[1]Lanzhou Gen Hosp, Lanzhou Mil Command, Dept Joint Surg, Lanzhou, Gansu, Peoples R China;[2]Gansu Univ Chinese Med, Lanzhou, Gansu, Peoples R China;[3]Lanzhou Univ, Sch Basic Med Sci, Evidence Based Med Ctr, Lanzhou, Gansu, Peoples R China;[4]Key Lab Evidence Based Med & Knowledge Translat, Lanzhou, Gansu, Peoples R China;[5]Gansu Univ Chinese Med, Affiliated Hosp, Lanzhou, Gansu, Peoples R China

第一机构：Lanzhou Gen Hosp, Lanzhou Mil Command, Dept Joint Surg, Lanzhou, Gansu, Peoples R China

通信机构：[1]corresponding author), Lanzhou Gen Hosp, Lanzhou Mil Command, 333 Binhe South Rd, Lanzhou 730050, Gansu, Peoples R China.

年份：2017

卷号：35

期号：4

起止页码：241

外文期刊名：ACUPUNCTURE IN MEDICINE

收录：;Scopus(收录号：2-s2.0-85011105084);WOS:【SCI-EXPANDED(收录号:WOS:000407905900001)】；

语种：英文

外文关键词：ACUPUNCTURE; ORTHOPAEDIC & TRAUMA; SYSTEMATIC REVIEWS

摘要：Objective To assess the efficacy of manual acupuncture (MA) in the treatment of myofascial pain syndrome (MPS). Methods We searched for randomised controlled trials (RCTs) comparing MA versus sham/placebo or no intervention in patients with MPS in the following databases from inception to January 2016: PubMed; Cochrane Library; Embase; Web of Science; and China Biology Medicine. Two reviewers independently screened the literature extracted data and assessed the quality of the included studies according to the risk of bias tool recommended by the Cochrane Handbook (V.5.1.0). Then, a meta-analysis was performed using RevMan 5.3 software. Results Ten RCTs were combined in a meta-analysis of MA versus sham, which showed a favourable effect of MA on pain intensity after stimulation of myofascial trigger points (MTrPs; standardised mean difference (SMD) -0.90, 95% CI -1.48 to -0.32; p=0.002) but not traditional acupuncture points (p>0.05). Benefit was seen both after a single treatment (SMD -1.05, 95% CI -1.84 to -0.27; p=0.009) and course of eight sessions (weighted mean difference (WMD) -1.96, 95% CI -2.72 to -1.20; p<0.001). We also found a significant increase in pressure pain threshold following MA stimulation of MTrPs (WMD 1.00, 95% CI 0.32 to 1.67; p=0.004). Two of the included studies reported mild adverse events (soreness/haemorrhage) secondary to MA. Conclusions Through stimulation of MTrPs, MA might be efficacious in terms of pain relief and reduction of muscle irritability in MPS patients. Additional well-designed/reported studies are required to determine the optimal number of sessions for the treatment of MPS.