Systematic Review and Network Meta-analysis of Acupuncture Combined with Massage in Treating Knee Osteoarthritis.

Background. Knee osteoarthritis is a common clinical disease with frequent occurrence. More and more studies have shown that external therapies such as acupuncture and massage are beneficial to the treatment of knee osteoarthritis. Objective. The purpose of this systematic review and meta-analysis o...

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Publicado en:BioMed Research International Vol. 2022; pp. 1 - 22
Autores principales: Wang, Zhen, Wang, Yongquan, Wang, Congan, Li, Xujie, Zhou, Ziyang, Zhang, Lijuan, Li, Miaoxiu, Pan, Yankun, Jiao, Tiyong, Shi, Xiaoyun, Liu, Qing
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Wiley-Blackwell 8/13/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/13/2022
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      pub: Wiley-Blackwell
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        10.1155/2022/4048550
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        atl: Systematic Review and Network Meta-analysis of Acupuncture Combined with Massage in Treating Knee Osteoarthritis.
      aug:
        au:
          Wang, Zhen
          Wang, Yongquan
          Wang, Congan
          Li, Xujie
          Zhou, Ziyang
          Zhang, Lijuan
          Li, Miaoxiu
          Pan, Yankun
          Jiao, Tiyong
          Shi, Xiaoyun
          Liu, Qing
        affil: Shandong University of Traditional Chinese Medicine, Jinan, China
      sug:
        subj:
          Osteoarthritis, Knee Therapy
          Massage Methods
          Acupuncture Methods
          Combined Modality Therapy Methods
          Treatment Outcomes Evaluation
          Massage Adverse Effects
          Acupuncture Adverse Effects
          Combined Modality Therapy Adverse Effects
          Human
          Systematic Review
          Meta Analysis
          PubMed
          Cochrane Library
          Embase
          Data Analysis Software
          Descriptive Statistics
          Pain Measurement
      ab: Background. Knee osteoarthritis is a common clinical disease with frequent occurrence. More and more studies have shown that external therapies such as acupuncture and massage are beneficial to the treatment of knee osteoarthritis. Objective. The purpose of this systematic review and meta-analysis of randomized controlled trials (RCTS) was to evaluate the efficacy and safety of acupuncture and massage combined with treatment of KOA and to provide some reference for clinical treatment of KOA. Methods. Network meta-analysis was used to evaluate the efficacy of acupuncture combined with massage in the treatment of knee osteoarthritis. PubMed, Cochrane Library, Web of Science, Embase, Chinese Knowledge Infrastructure (CNKI), Chinese Biomedical Literature Database (CBM), VIP, and Wanfang were searched by computer for randomized controlled trials on acupuncture combined with massage in the treatment of knee osteoarthritis. All researchers independently screened the literature, extracted data, and evaluated quality, and studies that met the quality criteria were analyzed using Stata16.0 software. Results. A total of 3076 articles were retrieved, and finally, 49 studies involving 10 acupuncture combined with massage methods were included. The total sample size was 4458, including 2182 in the experimental group and 2276 in the control group. The results of network meta-analysis showed the following: in terms of effective rate, the optimal first three interventions were floating needle+massage, needle knife+massage, and silver needle+massage; in terms of reducing VAS score, the optimal first three interventions were common acupuncture+massage, needle knife+massage, and warm needle+massage; in terms of improving total Lysholm index score, the optimal first three interventions were silver needle+massage, electroacupuncture+massage, and needle knife+massage; in terms of reducing total WOMAC score, the optimal first three interventions were silver needle+massage, electrothermal needle+massage, and common acupuncture+massage; in terms of reducing WOMAC stiffness score, the optimal first three interventions were warm needle+massage, silver needle+massage, and common acupuncture+massage; and in terms of reducing WOMAC joint function score, the optimal first three interventions were silver needle+massage, warm needle+massage, and common acupuncture+massage. Conclusion. The results showed that acupuncture combined with massage could improve the clinical therapeutic effect of patients with knee osteoarthritis. Limited by the quality of the included studies, the conclusions obtained still need to be further validated.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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