Ang Lin, Song Eunhye, Choi Tae-Young, Jun Ji Hee, Lee Boram, Yim Mi Hong, Lee Hye Won, Lee Myeong Soo
Korean Medicine Science Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Global Cooperation Center, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea.
Front Med (Lausanne). 2025 Aug 11;12:1575226. doi: 10.3389/fmed.2025.1575226. eCollection 2025.
Musculoskeletal pain is a leading cause of disability and reduced quality of life worldwide. Given the growing interest in complementary and alternative therapies, acupuncture has been widely explored as a potential treatment for alleviating musculoskeletal pain. This evidence map aimed to identify, describe, and summarize the current available evidence about acupuncture interventions on musculoskeletal pain.
For this map, searches were conducted in PubMed, Embase, Cochrane Library, Allied and Complementary Medicine Database (AMED), Web of Science, and Epistemonikos to identify systematic reviews (SRs) with meta-analysis published up to 23 August 2024. Included SRs were independently assessed for eligibility in pairs. The data from the eligible SRs were extracted and evaluated for methodological quality using AMSTAR 2. The findings were tabulated and mapped using bubble plots.
A total of 111 SRs fulfilled the eligibility criteria and were included in this evidence map. All of the SRs included manual acupuncture or electroacupuncture. Comparators included in SRs involved active comparators, inactive comparators, sham acupuncture, and no intervention. The included 111 SRs were categorized into 35 musculoskeletal pain conditions. The short-term effects of acupuncture showed a positive effect across most comparators in major musculoskeletal pain. All included SRs were rated low or critically low in terms of methodological quality.
This evidence map demonstrated that acupuncture has favorable effects on major musculoskeletal disorders. Further improvements in the quality of evidence should be prioritized and more clinical trials on the acupuncture for treating musculoskeletal pain are needed.
肌肉骨骼疼痛是全球范围内导致残疾和生活质量下降的主要原因。鉴于人们对补充和替代疗法的兴趣日益浓厚，针灸作为缓解肌肉骨骼疼痛的一种潜在治疗方法已得到广泛探索。本证据图谱旨在识别、描述和总结当前关于针灸干预肌肉骨骼疼痛的现有证据。
对于本图谱，在PubMed、Embase、Cochrane图书馆、补充与替代医学数据库（AMED）、科学网和Epistemonikos中进行检索，以识别截至2024年8月23日发表的带有荟萃分析的系统评价（SRs）。纳入的SRs由两人独立评估其 eligibility。从符合条件的SRs中提取数据，并使用AMSTAR 2评估其方法学质量。研究结果使用气泡图进行列表和绘制。
共有111篇SRs符合纳入标准并被纳入本证据图谱。所有的SRs都包括手动针灸或电针。SRs中包括的对照包括活性对照、非活性对照、假针灸和无干预。纳入的111篇SRs被分为35种肌肉骨骼疼痛情况。针灸的短期效果在大多数主要肌肉骨骼疼痛的对照中显示出积极作用。所有纳入的SRs在方法学质量方面被评为低或极低。
本证据图谱表明针灸对主要肌肉骨骼疾病有良好效果。应优先进一步提高证据质量，并且需要更多关于针灸治疗肌肉骨骼疼痛的临床试验。
