Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis.
Acupuncture
Meta-analysis
Pregnancy-related low back pain
Pregnancy-related pelvic girdle pain
Systematic review
Journal
Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560
Informations de publication
Date de publication:
Aug 2023
Aug 2023
Historique:
received:
09
11
2022
revised:
17
07
2023
accepted:
18
07
2023
medline:
18
8
2023
pubmed:
18
8
2023
entrez:
18
8
2023
Statut:
epublish
Résumé
Pregnancy-related low back pain (PLBP) is a common musculoskeletal disorder, affecting people's physical and psychological health. Acupuncture is widely used in clinical practice as a treatment for PLBP. This study aimed to evaluate the efficacy and safety of acupuncture or acupuncture combined with other treatments for PLBP patients. The Cochrane Library, PubMed, EMBASE, Web of Science, the Chinese Biological Medicine Database, China National Knowledge Infrastructure, WanFang Database, and VIP information database were searched from inception to January 31, 2022. Randomized controlled trials (RCTs) were eligible, without blinding and language restriction. Cochrane's risk of bias tool was used to assess the methodological quality. Meta-analysis was performed using RevMan 5.3. Twelve randomized controlled trials involving 1302 patients were included. The results showed that compared to the control group, the VAS score was significantly decreased after acupuncture treatment. In addition, no significant difference was found in the preterm delivery rate (RR = 0.38, 95%CI: 0.24 to 0.61, P = 0.97) after acupuncture treatment. Compared with other therapies, acupuncture or acupuncture plus other therapies revealed a significant increase in the effective rate (OR: 6.92, 95%CI: 2.44 to 19.67, I Acupuncture or acupuncture combined with other interventions was a safe and effective therapy for treating PLBP. However, the methodological quality of the RCTs was low. More rigorous and well-designed trials should be conducted.
Sections du résumé
Background
UNASSIGNED
Pregnancy-related low back pain (PLBP) is a common musculoskeletal disorder, affecting people's physical and psychological health. Acupuncture is widely used in clinical practice as a treatment for PLBP. This study aimed to evaluate the efficacy and safety of acupuncture or acupuncture combined with other treatments for PLBP patients.
Methods
UNASSIGNED
The Cochrane Library, PubMed, EMBASE, Web of Science, the Chinese Biological Medicine Database, China National Knowledge Infrastructure, WanFang Database, and VIP information database were searched from inception to January 31, 2022. Randomized controlled trials (RCTs) were eligible, without blinding and language restriction. Cochrane's risk of bias tool was used to assess the methodological quality. Meta-analysis was performed using RevMan 5.3.
Results
UNASSIGNED
Twelve randomized controlled trials involving 1302 patients were included. The results showed that compared to the control group, the VAS score was significantly decreased after acupuncture treatment. In addition, no significant difference was found in the preterm delivery rate (RR = 0.38, 95%CI: 0.24 to 0.61, P = 0.97) after acupuncture treatment. Compared with other therapies, acupuncture or acupuncture plus other therapies revealed a significant increase in the effective rate (OR: 6.92, 95%CI: 2.44 to 19.67, I
Conclusion
UNASSIGNED
Acupuncture or acupuncture combined with other interventions was a safe and effective therapy for treating PLBP. However, the methodological quality of the RCTs was low. More rigorous and well-designed trials should be conducted.
Identifiants
pubmed: 37593601
doi: 10.1016/j.heliyon.2023.e18439
pii: S2405-8440(23)05647-5
pmc: PMC10427988
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e18439Informations de copyright
© 2023 Published by Elsevier Ltd.
Déclaration de conflit d'intérêts
The authors have no competing interests to declare for this review.
Références
Clin Rehabil. 2017 Dec;31(12):1592-1603
pubmed: 28459161
Acupunct Med. 2023 Feb;41(1):48-54
pubmed: 36112861
Spine (Phila Pa 1976). 2005 Apr 15;30(8):983-91
pubmed: 15834344
J Obstet Gynaecol Can. 2018 Aug;40(8):1038-1043
pubmed: 30103876
Mediators Inflamm. 2003 Apr;12(2):59-69
pubmed: 12775355
J Acupunct Meridian Stud. 2020 Jun;13(3):87-93
pubmed: 32224119
Pain Pract. 2010 Jan-Feb;10(1):60-71
pubmed: 19863747
Drugs. 2010 Mar 5;70(4):387-402
pubmed: 20205483
Acta Obstet Gynecol Scand. 2000 May;79(5):331-5
pubmed: 10830757
Acta Obstet Gynecol Scand. 2004 Mar;83(3):246-50
pubmed: 14995919
JAMA Intern Med. 2016 Feb;176(2):199-208
pubmed: 26752509
J Pain Res. 2020 Mar 10;13:527-536
pubmed: 32210608
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
BMJ. 2021 Mar 29;372:n71
pubmed: 33782057
Indian J Pharmacol. 2021 May-Jun;53(3):192-197
pubmed: 34169903
Midwifery. 2018 Jan;56:102-111
pubmed: 29096278
Hippokratia. 2011 Jul;15(3):205-10
pubmed: 22435016
BMJ. 1992 Nov 21;305(6864):1249-52
pubmed: 1477566
Sci Rep. 2018 Apr 25;8(1):6523
pubmed: 29695862
Curr Rheumatol Rep. 2020 Sep 25;22(11):80
pubmed: 32978666
BMJ. 2005 Apr 2;330(7494):761
pubmed: 15778231
Cureus. 2021 Jan 30;13(1):e13011
pubmed: 33728108
Acta Obstet Gynecol Scand. 2019 Oct;98(10):1307-1317
pubmed: 31034580
BMC Pregnancy Childbirth. 2020 Nov 27;20(1):739
pubmed: 33246422
Spine (Phila Pa 1976). 2008 Jan 1;33(1):95-103
pubmed: 18165754
J Adv Nurs. 2014 May;70(5):1054-64
pubmed: 24102725
Cochrane Database Syst Rev. 2015 Sep 30;(9):CD001139
pubmed: 26422811
Cureus. 2017 Apr 8;9(4):e1144
pubmed: 28491485
J Womens Health (Larchmt). 2018 Apr;27(4):510-517
pubmed: 28832267
Spine (Phila Pa 1976). 2021 Jul 15;46(14):944-949
pubmed: 33492087
Int J Gynaecol Obstet. 2018 May;141(2):151-158
pubmed: 29355951
J Physiother. 2022 Oct;68(4):244-254
pubmed: 36266185
Acta Obstet Gynecol Scand. 2015 May;94(5):453-64
pubmed: 25603694
Ann Intern Med. 2017 Apr 4;166(7):514-530
pubmed: 28192789
PLoS One. 2019 Apr 22;14(4):e0214195
pubmed: 31009470
Cochrane Database Syst Rev. 2019 Oct 3;10:ED000142
pubmed: 31643080
Eur J Pain. 2012 May;16(5):624-35
pubmed: 22337285
PLoS One. 2016 Oct 24;11(10):e0164573
pubmed: 27776141
Am Fam Physician. 2019 Jul 15;100(2):89-96
pubmed: 31305037
Clin Med (Lond). 2021 Mar;21(2):131-134
pubmed: 33762373
Qual Life Res. 2008 Dec;17(10):1303-13
pubmed: 18953670
Br J Sports Med. 2018 Sep;52(18):1215-1216
pubmed: 28954795
Curr Pain Headache Rep. 2002 Oct;6(5):379-83
pubmed: 12207851
Acupunct Med. 2004 Jun;22(2):60-7
pubmed: 15253580
J Adv Nurs. 2014 Aug;70(8):1702-16
pubmed: 24605910
BMC Pregnancy Childbirth. 2019 Jul 15;19(1):247
pubmed: 31307421
Phys Ther. 2021 Feb 4;101(2):
pubmed: 33210717
Pain Med. 2007 Apr;8(3):223-34
pubmed: 17371409
Surg Clin North Am. 1999 Apr;79(2):231-52
pubmed: 10352653
Acupunct Med. 2014 Jun;32(3):257-66
pubmed: 24554789
BMC Pregnancy Childbirth. 2015 Oct 05;15:237
pubmed: 26437972
J Clin Orthop Trauma. 2021 Apr 29;18:171-180
pubmed: 34017678
Eur Spine J. 2008 Jun;17(6):794-819
pubmed: 18259783
Pain. 2018 Mar;159(3):481-495
pubmed: 29194127