目的:针灸或类似的针刺疗法长期以来一直用于改善幸福感,但其在治疗慢性踝关节不稳定(CAI)方面的有效性尚不清楚。为了研究针刺或类似针刺疗法对疼痛的疗效,本体感受,balance,以及CAI患者自我报告的功能。
方法:九个数据库(PubMed,Embase,科克伦图书馆,WebofScience,EBSCO,PEDro,CNKI,万方,和CQVIP)从开始到2023年4月进行了系统搜索。这项研究包括涉及针灸或类似针刺疗法的随机对照试验,以干预CAI患者。数据由两名评估员使用标准化表格独立提取。使用PEDro量表评估文献质量和风险偏倚。
结果:发现了12项试验(n=571),其中最终的荟萃分析与8.与没有针灸或类似针刺疗法的对照相比,针刺或类似的针刺干预可改善疼痛(WMD1.33,95%CI0.14至2.52,I²=90%,p=0.03),本体感觉(主动关节位置感,大规模杀伤性武器1.71,95%CI0.95至2.48,I²=0%,p<0.0001),余额(SMD0.54,95%CI0.03至1.04,I²=46%,p=0.04),和自我报告功能(坎伯兰脚踝不稳定工具(WMD2.92,95%CI0.94至4.90,I²=78%,p=0.004);美国骨科足踝协会(WMD9.36,95%CI6.57至12.15,I²=0%,p<0.001);脚和脚踝能力测量:日常生活活动(WMD5.09,95%CI1.74至8.44,I²=0%,p=0.003))对于患有CAI的个体。
结论:现有证据表明,针灸或类似的针刺疗法可以改善疼痛,本体感受,balance,以及CAI个体的自我报告功能,但需要更多的试验来验证这些发现。
OBJECTIVE: Acupuncture or similar needling therapy has long been used to improve well-being, but its effectiveness in management of chronic ankle instability (CAI) is unclear. To investigate the efficacy of acupuncture or similar needling therapy on pain, proprioception, balance, and self-reported function in individuals with CAI.
METHODS: Nine databases (PubMed, Embase, Cochrane Library, Web of Science, EBSCO, PEDro, CNKI, WanFang, and CQVIP) were systematically searched from inception to April 2023. This study included randomized controlled trials involving acupuncture or similar needling therapy as an intervention for individuals with CAI. Data were extracted independently by two assessors using a standardized form. Literature quality and risk bias were assessed by using the PEDro scale.
RESULTS: Twelve trials (n = 571) were found, of which the final meta-analysis was conducted with eight. Different studies employ varying treatments, including specific needle types, techniques, and therapeutic frameworks. Compared to control without acupuncture or similar needling therapy, acupuncture or similar needling intervention resulted in improved pain (WMD 1.33, 95 % CI 0.14-2.52, I²=90 %, p = 0.03), proprioception (active joint position sense, WMD 1.71, 95 % CI 0.95-2.48, I²=0 %, p < 0.0001), balance (SMD 0.54, 95 % CI 0.03-1.04, I²=46 %, p = 0.04), and self-reported function (Cumberland Ankle Instability Tool (WMD 2.92, 95 % CI 0.94-4.90, I²=78 %, p = 0.004); American Orthopedic Foot and Ankle Society (WMD 9.36, 95 % CI 6.57-12.15, I²=0 %, p < 0.001); Foot and Ankle Ability Measure: activities of daily living (WMD 5.09, 95 % CI 1.74-8.44, I²=0 %, p = 0.003)) for individuals with CAI.
CONCLUSIONS: The available evidence suggests that acupuncture or similar needling therapy may improve pain, proprioception, balance, and self-reported function in individuals with CAI, but more trials are needed to verify these findings. Furthermore, various needles and techniques using in different studies have resulted in methodologic limitations that should be addressed in the future.