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| Les deux révisions précédentes Révision précédente Prochaine révision | Révision précédente | ||
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acupuncture:evaluation:rhumatologie - orthopedie:12. nevralgie cervico-brachiale [28 Aug 2025 19:16] Nguyen Johan [1.2. Special Acupuncture Techniques] |
acupuncture:evaluation:rhumatologie - orthopedie:12. nevralgie cervico-brachiale [25 Oct 2025 11:37] (Version actuelle) Nguyen Johan |
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| ===== Systematic Reviews and Meta-Analysis===== | ===== Systematic Reviews and Meta-Analysis===== | ||
| - | |☆☆☆ |Evidence for effectiveness and a specific effect of acupuncture. | | + | |
| - | |☆☆| Evidence for effectiveness of acupuncture.| | + | |
| - | | ☆ |Evidence for effectiveness of acupuncture mais limitées qualitativement et/ou quantitativement.| | + | |
| - | |Ø |No evidence or insufficient evidence.| | + | |
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| === Acupotomy === | === Acupotomy === | ||
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| + | == Choi 2025 == | ||
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| + | Choi HK, Lee SH, Lee JH, Choi S, Park S, Lim YS, Kim HJ, Kim YI, Park TY. Effectiveness of acupotomy combined with nerve block therapy for cervical radiculopathy: A systematic review and meta-analysis. Medicine (Baltimore). 2025 Jun 13;104(24):e42771. https://doi.org/10.1097/MD.0000000000042771 | ||
| + | ^Backgound| This systematic review and meta-analysis aimed to evaluate the effectiveness and safety of combining acupotomy with nerve block therapy (NBT) for cervical radiculopathy (CR) compared to NBT alone.| | ||
| + | ^Methods| A comprehensive search was conducted across multiple databases to identify randomized controlled trials (RCTs) investigating the combined use of acupotomy and NBT for CR. Studies were assessed for risk of bias using the Cochrane Risk of Bias 2 tool. Data were synthesized through meta-analysis where applicable.| | ||
| + | ^Results|** Four RCTs with a total of 540 patients** were included. Meta-analysis showed that the combination of acupotomy and NBT significantly improved the total effective rate compared to NBT alone (risk ratio 1.16, 95% confidence interval 1.08-1.24, P < .0001). However, no significant pain reduction was observed based on the pain visual analog scale (SMD - 2.55, 95% confidence interval -5.32 to 0.22, P = .07), and there was substantial heterogeneity among the included studies (I² = 99%). The overall risk of bias was high, and safety data were limited, with only one study reporting adverse events.| | ||
| + | ^Conclusion| The findings suggest that acupotomy combined with NBT may enhance treatment effectiveness for CR, particularly in terms of overall therapeutic response. However, due to the high risk of bias, study heterogeneity, and insufficient safety reporting, further well-designed, large-scale RCTs with long-term follow-ups are needed to establish robust clinical evidence.| | ||
| == Zhao 2016 == | == Zhao 2016 == | ||
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| ===== Overviews of Systematic Reviews ===== | ===== Overviews of Systematic Reviews ===== | ||
| + | ==== Chen 2025 ==== | ||
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| + | Chen R, Chen J, Cao D, Du C, Zhong J, Liu A. Acupuncture for the Treatment of Cervical Spondylotic Radiculopathy: An Overview of Systematic Reviews. Int J Gen Med. 2025 Sep 29;18:5959-5975. https://doi.org/10.2147/IJGM.S553977 | ||
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| + | ^Background| Acupuncture has been extensively applied in the clinical management of cervical spondylotic radiculopathy (CSR). This overview aims to systematically summarize the efficacy and safety of acupuncture for the treatment of CSR, as well as to assess the methodological rigor and quality of evidence of the included studies.| | ||
| + | ^Methods| A comprehensive literature search for systematic reviews and meta-analyses was conducted across four Chinese and five international databases (PubMed, Web of Science, Cochrane Library, MEDLINE, Embase, China National Knowledge Infrastructure Database, Wanfang Database, Chinese Biomedical Literature Database, and Chongqing VIP). The search covered the inception of each database to May 2025 (1996–2025). The PRISMA 2020 statement, AMSTAR 2, ROBIS, and GRADE tools were used to assess reporting quality, methodological quality, risk of bias, and evidence strength. Qualitative and quantitative evaluations were also performed.| | ||
| + | ^Results| **Six SR/MA** studies were included. One study had relatively complete reporting with a PRISMA score of 24.5, while five showed reporting deficiencies (scores 18–20). All six studies scored very low on methodological quality according to AMSTAR 2. Only one study was rated as low risk of bias by ROBIS, while five were high risk. GRADE assessment of 41 outcomes showed 2.4% moderate quality, 24.3% low quality, and 73.2% very low quality, mainly downgraded due to study design limitations and publication bias.| | ||
| + | ^Conclusion| Acupuncture combined with conventional treatment may provide therapeutic benefits for CSR patients compared to conventional treatment alone. However, the safety of acupuncture for CSR has not been systematically evaluated, and the overall evidence quality is low, so conclusions should be interpreted cautiously.| | ||
| ==== Wei 2015 ==== | ==== Wei 2015 ==== | ||
