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--- acupuncture:evaluation:rhumatologie - orthopedie:19. entorse de la cheville [06 Nov 2018 17:18]
Pernice Claude Links to pathologies:rhumatologie:19. entorse de la cheville changed to acupuncture:pathologies:rhumatologie:19. entorse de la cheville
+++ acupuncture:evaluation:rhumatologie - orthopedie:19. entorse de la cheville [16 May 2025 16:29] (Version actuelle)
Nguyen Johan [3. Clinical Practice Guidelines]
@@ Ligne 1: / Ligne 1: @@
+/*English:Ankle Sprain*/
+=======  Ankle Sprain  =======
 ====== Entorse de la cheville : évaluation de l'acupuncture ======
-| Articles connexes : - [[acupuncture:pathologies:rhumatologie::19. entorse de la cheville|pathologie]] - [[acupuncture:conduites therapeutiques:rhumatologie:19. entorse de la cheville|conduites thérapeutiques]] - [[acupuncture:acupuncture experimentale:pathologies experimentales:pathologies orthopediques et rhumatismales et appareil locomoteur#entorse de la cheville|acupuncture expérimentale]] - |
+| Articles connexes : -  [[acupuncture:pathologies et zheng:rhumatologie:19. entorse de la cheville|pathologie et zheng]] - [[acupuncture:conduites therapeutiques:rhumatologie:19. entorse de la cheville|conduites thérapeutiques]] - [[acupuncture:acupuncture experimentale:pathologies experimentales:pathologies orthopediques et rhumatismales et appareil locomoteur#entorse de la cheville|acupuncture expérimentale]] - |
-===== Revues systématiques et méta-analyses =====
+===== Systematic Reviews and Meta-Analysis=====
-==== Kim 2014 ★ ====
+|☆☆☆ |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.|
+==== Generic Acupuncture ====
+=== Liu 2020 ☆ ===
+Liu AF, Gong SW, Chen JX, Zhai JB. Efficacy and Safety of Acupuncture Therapy for Patients with Acute Ankle Sprain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med. 2020.   {{:medias securises:acupuncture:evaluation:rhumatologie - orthopedie:liu-213669.pdf|[213669]}}. [[https://doi.org/10.1155/2020/9109531|doi]]
+^Background|The efficacy of acupuncture for acute ankle sprain (AAS) is controversial. This study aimed to critically assess the efficacy and safety of acupuncture for AAS.|
+^Methods| Parallel-group randomized controlled trials (RCTs) were included regardless of language or publication date. Participants with AAS were included regardless of age, sex, race, nationality, or diagnostic criteria for AAS. Experimental interventions included acupuncture alone or in combination with traditional therapies. Control interventions included no treatment, placebo, or traditional therapies. The primary outcome was the Kofoed ankle score. The secondary outcomes included visual analogue scale, duration of pain, use of painkiller, ankle circumference, effective rate, cure rate, and adverse events. PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure, Wanfang Digital Periodicals, and Chinese Science and Technology Periodicals database were searched to identify potentially eligible studies from inception to September 10, 2020. World Health Organization International Clinical Trials Registry Platform (WHO ICTRP), ClinicalTrials.gov, Chinese Clinical Trial Registry (ChiCTR), and the reference list of eligible RCTs were checked to identify ongoing or unpublished studies. Risk of bias was assessed by the Cochrane Collaboration's tool. Statistical analyses were performed by RevMan 5.3 software. P < 0.05 indicated statistical significance. |
+^Results|**Seventeen eligible studies** were included for the statistical analysis. There was no statistically significant difference of Kofoed ankle score between acupuncture and Rest, Ice, Compression, and Elevation (RICE) group (P=0.75). However, acupuncture could significantly relieve pain (P=0.02) and increase cure rate (P=0.004) compared with RICE. Moreover, acupuncture plus RICE could also significantly relieve pain (P < 0.00001) and increase cure rate (P=0.01) compared with RICE alone. Acupuncture combined with massage could significantly relieve pain (P=0.04) compared with massage alone. Acupuncture plus Chinese medicine might be more effective for relieving pain (P < 0.00001), reducing the duration of pain (P < 0.00001), and increasing cure rate (P=0.0002) compared with Chinese medicine alone. Two studies reported no adverse reactions. One study reported that a participant suffered from mild drug-related allergic reaction and was healed without treatment. |
+^Conclusions| The findings of the present study suggest that acupuncture may be beneficial for AAS. However, more large-scale and well-designed RCTs are warranted.|
+=== Kim 2014 Ø ===
 Kim Th, Lee Ms, Kim Kh, Kang Jw, Choi Ty , Ernst E. Acupuncture for treating acute ankle sprains in adults. Cochrane Database Syst Rev. 2014;(6):CD009065. {{:medias securises:acupuncture:evaluation:rhumatologie - orthopedie:kim-183395.pdf|[183395].}}
@@ Ligne 16: / Ligne 39: @@
-==== Park 2013 ★ ====
+=== Park 2013 Ø ===
@@ Ligne 29: / Ligne 52: @@
 ^Conclusion | Given methodological shortcomings and the small number of high-quality primary studies, the available evidence is insufficient to recommend acupuncture as an evidence-based treatment option. |
-===== Revues de revues systématiques =====
+==== Special Acupuncture Techniques ====
-==== Doherty 2017 ★ ====
+=== Ding 2019 (Combined with Traditional Chinese Medicine) ===
+Ding Yuan-Tai, Di Na, Zhao Yi-Ping, Cheng Yue-Yue. [Treatment of ankle injury with acupuncture and moxibustion combined with traditional Chinese medicine: a Meta-analysis]. Journal of Lanzhou University(Medical Sciences). 2019;Issue 2:10-17+25.   [201720].
+^Objective| A systematic evaluation of efficacy and safety of acupuncture and moxibustion combined with traditional Chinese medicine in the treatment of ankle injury. |
+^ Methods| A computer search of Cochrane Library, PubMed, Web of Science, Chinese Biomedical Literature Database, China Knowledge Network Infrastructure, Wanfang Database, Weipu Database including acupuncture and moxibustion combined with traditional Chinese medicinal external application treatment of Chinese ankle injury patients in the randomized control group. The bias risk and quality of each participant were assessed in accordance with Cochrane standards. Stata14.0 software was used for the statistical system evaluation and analysis.  |
+^Results| **A total of 821 patients were included in 8 studies**. The meta-analysis revealed that the heterogeneity of the included literature was χ~2= 3.75(df = 7), P = 0.81, I~2= 0%, and the heterogeneity between the literatures was relatively small. The cure rate was(OR = 2.85, 95% CI: [2.07, 3.94], P < 0.01), callus rate(OR = 3.46 > 1, 95%CI: [2.36, 5.06], P < 0.001), effective rate(OR= 0.48 < 1, 95% CI: [0.31, 0.74], P > 0.05) and total effective rate(OR = 4.99, 95% CI: [2.66, 9.36], P <0.01), and the differences were statistically significant. But the excellence rate was(OR = 0.87, 95% CI: [0.62, 1.35], P > 0.05) and 95% CI had invalid line(OR = 1), making the difference not statistically significant(P > 0.05). |
+^Conclusion |The curative rate of acupuncture and moxibustion combined with traditional Chinese medicine in the treatment of ankle joint injury was high. The total effective rate was obvious, the effective rate in the treatment difference was small, the obvious efficiency effect was not obvious. |
+===== Overviews of Systematic Reviews =====
+==== Doherty 2017 Ø ====
 Doherty C, Bleakley C, Delahunt E, Holden S. Treatment and prevention of acute and recurrent ankle sprain: an overview of systematic reviews with meta-analysis Br J Sports Med. 2017;51(2):113-25.   {{:medias+securises:acupuncture:evaluation:rhumatologie+-+orthopedie:doherty-175708.pdf|[175708]}}.
@@ Ligne 39: / Ligne 75: @@
 | acupuncture | [One] review (quality=9/11) concuded that acupuncture was likely to have a therapeutic effect in improving acute symptoms, but acknowlodged that the results were likely to be overestimated due to the low quality of the concluded studies |
-===== Recommandation de bonne pratique =====
+===== Clinical Practice Guidelines =====
+| ⊕ positive recommendation (regardless of the level of evidence reported) \\ Ø negative recommendation (or lack of evidence) |
+==== Haute Autorité de Santé (HAS, France) 2025 Ø ====
+Haute Autorité de Santé. Entorse du ligament collatéral latéral (ligament latéral externe) de cheville : diagnostic, rééducation et reprise de l’activité physique et de la pratique sportive. Saint-Denis La Plaine: HAS; 2025. https://www.has-sante.fr/jcms/p_3460983/fr/entorse-du-ligament-collateral-lateral-ligament-lateral-externe-de-cheville-diagnostic-reeducation-et-reprise-de-l-activite-physique-et-de-la-pratique-sportive
+| En phase aiguë, l’acupuncture n’est pas recommandée (C). \\ En phase chronique, l’acupuncture n’est pas recommandée (C).|
+==== American Physical Therapy Association (APTA, USA) 2021 ⊕ ====
+Martin RL, Davenport TE, Fraser JJ, Sawdon-Bea J, Carcia CR, Carroll LA, Kivlan BR, Carreira D. Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021. J Orthop Sports Phys Ther. 2021;51(4):CPG1-CPG80. [207937]. [[https://doi.org/10.2519/jospt.2021.0302|doi]]
+|There is conflicting evidence regarding the use of acupuncture to reduce symptoms associated with an acute LAS. \\ Tertiary Prevention (chronic) : **may do acupuncture and trigger point dry needling**.|
+ ==== Royal Dutch Society for Physical Therapy (The Netherlands) 2018 Ø ====
+Vuurberg G, Hoorntje A, Wink LM, et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. Br J Sports Med. 2018;52(15):956.   {{:medias securises:acupuncture:evaluation:rhumatologie - orthopedie:vuurberg-141507.pdf|[141507]}}. [[https://doi.org/10.1136/bjsports-2017-098106|doi]]
+|Recommendation : [Other therapies, including acupuncture]  As no strong evidence exists on the effectiveness of these treatment modalities, they are not advised in the treatment of acute LAS (level 2).|
+Reviews included :
+  * Kim Th, Lee Ms, Kim Kh, Kang Jw, Choi Ty , Ernst E. Acupuncture for treating acute ankle sprains in adults. Cochrane Database Syst Rev. 2014;(6):CD009065. [183395].
+  * Park J, Hahn S, Park JY, Park HJ, Lee H. Acupuncture for ankle sprain: systematic review and meta-analysis. BMC Complement Altern Med. 2013;13(1):55. [167180].
+==== Korean Institute of Oriental Medicine and Korean Acupuncture and Moxibustion Medicine Society (KAMMS, Korea)  2017 ⊕ ====
-==== American College of Occupational and Environmental Medicine 2015 (ACOEM, USA) ====
+Choi Jiae, Ji Hee Jun, Jong Uk Kim, Tae-Young Choi, Ju Ah Lee, Tae Han Yook, Tae Hun Kim, Myeong Soo Lee. Korean medicine clinical practice guideline on acupuncture for acute ankle sprains in adults: Evidence-based approach. European Journal of Integrative Medicine. 2017;12:182-8.   {{:medias securises:acupuncture:evaluation:rhumatologie - orthopedie:choi-198229.pdf|[198229]}}.
+|Acupuncture treatment is recommended to mitigate acute ankle sprain symptoms in adults. recommendation grade A/ level of evidence Moderate.\\ Acupuncture should be considered instead of conventional nonsurgical treatment for acute ankle sprain in adults. B/Moderate \\  Instead of only conventional non-surgical treatment for acute ankle sprain in adults, conventional non-surgical treatment combined with acupuncture should be considered. B/Moderate \\ |
+Reviews included:
+  * Park J, Hahn S, Park JY, Park HJ, Lee H. Acupuncture for ankle sprain: systematic review and meta-analysis. BMC Complement Altern Med. 2013;13(1):55. [167180].
+==== American College of Occupational and Environmental Medicine  (ACOEM, USA) 2015 Ø====
@@ Ligne 52: / Ligne 120: @@
-==== American College of Occupational and Environmental Medicine (ACOEM, 2011) ====
+==== American College of Occupational and Environmental Medicine (ACOEM, 2011) ∅====
@@ Ligne 62: / Ligne 130: @@
-==== Accident Compensation Corporation 2011 (ACC, New-Zealand). ====
+==== Accident Compensation Corporation (ACC, New-Zealand) 2011 Ø ====

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