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运动针法治疗肌肉骨骼疼痛的应用与处方:临床对照试验的范围综述

The Applications and Prescriptions of Motion Style Acupuncture Treatment for Musculoskeletal Pain: A Scoping Review of Clinical Controlled Trials.

作者信息

Chen Yetong, Zhu Fenglin, Zhu Yang, Duan Yucheng, Bai Zhenmin

机构信息

School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing, People's Republic of China.

Research Laboratory of Physical Training, Beijing Research Institute of Sport Science, Beijing, People's Republic of China.

出版信息

J Pain Res. 2025 Jun 28;18:3275-3287. doi: 10.2147/JPR.S529676. eCollection 2025.

Abstract

PURPOSE

Motion style acupuncture treatment (MSAT) is a new treatment which comprises acupuncture therapy and exercise therapy. Musculoskeletal pain is highly prevalent and a significant contributor to global disability and disease. In recent years, an increasing number of studies have applied MSAT to the management of musculoskeletal pain. This scoping review systematically collected clinical studies on the use of MSAT in the management of different musculoskeletal pain conditions and identified any adverse events.

METHODS

Seven databases were searched from their inception through to 2024. RCTs and CCTs on MSAT for pain conditions meeting the inclusion criteria were identified. Data were extracted on patients, interventions, details of MSAT, control treatments and outcomes.

RESULTS

This review included 36 clinical studies. These included, 27 (75%) RCTs and 9 (25%) CCTs, treating 2620 patients with 16 different pain-related diseases or symptoms. The most frequently reported conditions were acute lumbar sprain (8, 22.22%), adhesive capsulitis (5, 13.89%). Selection of movement and acupuncture was different in the treatment of different musculoskeletal pain conditions. MSAT was used alone in about one-third of the studies and of the remaining studies it was combined with other treatment. All studies reported relevant outcomes of pain and 9 (25%) adverse events.

CONCLUSION

MSAT, which seems to be a promising intervention used in the management of diverse musculoskeletal pain conditions, has been gradually studied in China and Korea. However, given the variety of study designs and reported treatment outcomes, conclusions about the evidence for MSAT for specific conditions are not possible at this stage.

摘要

目的

运动式针刺疗法(MSAT)是一种将针刺疗法与运动疗法相结合的新型治疗方法。肌肉骨骼疼痛极为普遍,是导致全球残疾和疾病的重要因素。近年来,越来越多的研究将MSAT应用于肌肉骨骼疼痛的管理。本范围综述系统收集了关于使用MSAT治疗不同肌肉骨骼疼痛状况的临床研究,并确定了任何不良事件。

方法

检索了七个数据库,时间跨度从建库至2024年。确定了符合纳入标准的关于MSAT治疗疼痛状况的随机对照试验(RCT)和临床对照试验(CCT)。提取了关于患者、干预措施、MSAT细节、对照治疗和结果的数据。

结果

本综述纳入了36项临床研究。其中包括27项(75%)RCT和9项(25%)CCT,共治疗了2620名患有16种不同疼痛相关疾病或症状的患者。最常报告的疾病是急性腰扭伤(8项,22.22%)、肩周炎(5项,13.89%)。在治疗不同的肌肉骨骼疼痛状况时,运动和针刺的选择有所不同。约三分之一的研究单独使用MSAT,其余研究则将其与其他治疗方法联合使用。所有研究均报告了疼痛的相关结果以及9项(25%)不良事件。

结论

MSAT似乎是一种用于管理多种肌肉骨骼疼痛状况的有前景的干预措施,在中国和韩国已逐渐得到研究。然而,鉴于研究设计的多样性和报告的治疗结果,现阶段无法得出关于MSAT对特定状况的证据的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/823a/12223269/695baa942ef7/JPR-18-3275-g0001.jpg

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