Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis
Background: 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 acupunct...
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Elsevier
2023-08-01
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844023056475 |
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author | Rong Li Liping Chen Yulan Ren Jinzhu Huang Yuqi Xu Xiaoding Lin Runchen Zhen |
author_facet | Rong Li Liping Chen Yulan Ren Jinzhu Huang Yuqi Xu Xiaoding Lin Runchen Zhen |
author_sort | Rong Li |
collection | DOAJ |
description | Background: 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: 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: 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, I2 = 0%). No serious adverse events owing to acupuncture were reported. Conclusion: 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. |
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institution | Directory Open Access Journal |
issn | 2405-8440 |
language | English |
last_indexed | 2024-03-12T12:22:28Z |
publishDate | 2023-08-01 |
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series | Heliyon |
spelling | doaj.art-47011ba447b446178d696edf4323a0e62023-08-30T05:51:19ZengElsevierHeliyon2405-84402023-08-0198e18439Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysisRong Li0Liping Chen1Yulan Ren2Jinzhu Huang3Yuqi Xu4Xiaoding Lin5Runchen Zhen6School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China; School of Chinese Classics, Chengdu University of Traditional Chinese Medicine, Chengdu, China; Corresponding author. School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 610075, China.School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, China; Corresponding author. School of Nursing, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, 610075, China.School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaSchool of Chinese Classics, Chengdu University of Traditional Chinese Medicine, Chengdu, ChinaBackground: 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: 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: 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, I2 = 0%). No serious adverse events owing to acupuncture were reported. Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S2405844023056475Pregnancy-related low back painPregnancy-related pelvic girdle painAcupunctureSystematic reviewMeta-analysis |
spellingShingle | Rong Li Liping Chen Yulan Ren Jinzhu Huang Yuqi Xu Xiaoding Lin Runchen Zhen Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis Heliyon Pregnancy-related low back pain Pregnancy-related pelvic girdle pain Acupuncture Systematic review Meta-analysis |
title | Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis |
title_full | Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis |
title_fullStr | Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis |
title_full_unstemmed | Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis |
title_short | Efficacy and safety of acupuncture for pregnancy-related low back pain: A systematic review and meta-analysis |
title_sort | efficacy and safety of acupuncture for pregnancy related low back pain a systematic review and meta analysis |
topic | Pregnancy-related low back pain Pregnancy-related pelvic girdle pain Acupuncture Systematic review Meta-analysis |
url | http://www.sciencedirect.com/science/article/pii/S2405844023056475 |
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