Kien Trinh1,2, Fangwen Zhou3, Nikita Belski4, Jiawen Deng3, Chi Yi Wong3. 1. Michael G. Degroote School of Medicine, McMaster University, Hamilton, Ontario, Canada. 2. Ancaster Sports Medicine Centre, Ancaster, Ontario, Canada. 3. Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. 4. Faculty of Applied Health Sciences, Brock University, St. Catharine's, Ontario, Canada.
Abstract
Objective: This systematic review examined the effects of acupuncture on hand-and-wrist pain intensity, functional status, quality of life, and incidence of adverse effects in adults. Methods: Searches of 6 databases and previous reviews for randomized controlled trials (RCTs) were performed. Each outcome was analyzed for participant conditions, interventions, controls, and follow-up times determined a priori. Active controls were excluded. Follow-up periods were based on Cochrane 5.1.0 guidelines. The results were tabulated and described narratively. Results: In the 10 included RCTs (622 participants), 6 had a low risk of bias. For cryotherapy-induced pain, 1 trial showed significant pain reduction post treatment. For rheumatoid arthritis, 1 trial shown significant pain reduction and function improvements post treatment and short-term. For carpal tunnel syndrome, 1 trial showed significant pain reduction and functional improvements intermediate-term, while 3 trials suggested no significant difference. For tenosynovitis, 1 trial showed significant pain reduction and function improvements short-term. For poststroke impairments, 1 trial showed significant function improvements post treatment and at short-term, while another trial suggested no significant difference. No significant improvements were noted for trapezio-metacarpal joint osteoarthritis. In 2 trials, adverse effects occurred in patients with carpal tunnel syndrome; yet acupuncture appeared to be relatively safe. Conclusions: Acupuncture may be effective and safe for short-term pain reduction and functional improvement in hand-and-wrist conditions. Clinicians should interpret the results with caution due to small sample sizes and clinical heterogeneity. Future research is warranted. Copyright 2022, Mary Ann Liebert, Inc., publishers.
Objective: This systematic review examined the effects of acupuncture on hand-and-wrist pain intensity, functional status, quality of life, and incidence of adverse effects in adults. Methods: Searches of 6 databases and previous reviews for randomized controlled trials (RCTs) were performed. Each outcome was analyzed for participant conditions, interventions, controls, and follow-up times determined a priori. Active controls were excluded. Follow-up periods were based on Cochrane 5.1.0 guidelines. The results were tabulated and described narratively. Results: In the 10 included RCTs (622 participants), 6 had a low risk of bias. For cryotherapy-induced pain, 1 trial showed significant pain reduction post treatment. For rheumatoid arthritis, 1 trial shown significant pain reduction and function improvements post treatment and short-term. For carpal tunnel syndrome, 1 trial showed significant pain reduction and functional improvements intermediate-term, while 3 trials suggested no significant difference. For tenosynovitis, 1 trial showed significant pain reduction and function improvements short-term. For poststroke impairments, 1 trial showed significant function improvements post treatment and at short-term, while another trial suggested no significant difference. No significant improvements were noted for trapezio-metacarpal joint osteoarthritis. In 2 trials, adverse effects occurred in patients with carpal tunnel syndrome; yet acupuncture appeared to be relatively safe. Conclusions: Acupuncture may be effective and safe for short-term pain reduction and functional improvement in hand-and-wrist conditions. Clinicians should interpret the results with caution due to small sample sizes and clinical heterogeneity. Future research is warranted. Copyright 2022, Mary Ann Liebert, Inc., publishers.
Entities:
Keywords:
Acupuncture; function; hand; pain; quality of life; wrist
Authors: Ingvild Kjeken; Geir Smedslund; Rikke H Moe; Barbara Slatkowsky-Christensen; Till Uhlig; Kåre Birger Hagen Journal: Arthritis Care Res (Hoboken) Date: 2011-06 Impact factor: 4.794
Authors: Vincent C H Chung; Robin S T Ho; Siya Liu; Marc K C Chong; Albert W N Leung; Benjamin H K Yip; Sian M Griffiths; Benny C Y Zee; Justin C Y Wu; Regina W S Sit; Alexander Y L Lau; Samuel Y S Wong Journal: CMAJ Date: 2016-06-06 Impact factor: 8.262