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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Main Authors: Rong Li, Liping Chen, Yulan Ren, Jinzhu Huang, Yuqi Xu, Xiaoding Lin, Runchen Zhen
Format: Article
Language:English
Published: Elsevier 2023-08-01
Series:Heliyon
Subjects:
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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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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