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Ci-dessous, les différences entre deux révisions de la page.
| Les deux révisions précédentes Révision précédente Prochaine révision | Révision précédente | ||
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acupuncture:evaluation:rhumatologie - orthopedie:19. entorse de la cheville [11 Dec 2020 07:43] Nguyen Johan Replacement automatique de 'Ø recommandation négative ' par 'Ø negative recommendation' |
acupuncture:evaluation:rhumatologie - orthopedie:19. entorse de la cheville [16 May 2025 16:29] (Version actuelle) Nguyen Johan [3. Clinical Practice Guidelines] |
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| + | /*English:Ankle Sprain*/ | ||
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| + | ======= Ankle Sprain ======= | ||
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| ====== Entorse de la cheville : évaluation de l'acupuncture ====== | ====== Entorse de la cheville : évaluation de l'acupuncture ====== | ||
| | 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]] - | | | 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]] - | | ||
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| |Ø |No evidence or insufficient evidence.| | |Ø |No evidence or insufficient evidence.| | ||
| - | ==== Acupuncture générique ==== | + | ==== Generic Acupuncture ==== |
| + | === Liu 2020 ☆ === | ||
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| + | 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]] | ||
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| + | ^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 2014 Ø === | ||
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| ^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. | | ^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. | | ||
| - | ==== Techniques particulières ==== | + | ==== Special Acupuncture Techniques ==== |
| - | === Ding 2019 (association à pharmacopée chinoise) === | + | === Ding 2019 (Combined with Traditional Chinese Medicine) === |
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| ^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. | | ^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. | | ||
| - | ===== Overview of Systematic Reviews ===== | + | ===== Overviews of Systematic Reviews ===== |
| ==== Doherty 2017 Ø ==== | ==== 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]}}. | 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]}}. | ||
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| | 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 | | | 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 ===== |
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| + | | ⊕ positive recommendation (regardless of the level of evidence reported) \\ Ø negative recommendation (or lack of evidence) | | ||
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| + | ==== Haute Autorité de Santé (HAS, France) 2025 Ø ==== | ||
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| + | 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 | ||
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| + | | 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 ⊕ ==== | ||
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| + | 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**.| | ||
| - | | ⊕ positive recommendation (regardless of the level of evidence reported) \\ Ø negative recommendation(ou absence de preuve) | | ||
