Acupuncture Treatment for Hip Pain: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Criteria for Inclusion and Exclusion of Studies
2.1.1. Study Design
2.1.2. Participants
2.1.3. Interventions
2.1.4. Comparisons
2.1.5. Outcomes
2.2. Search Strategy
2.3. Data Selection
2.4. Data Extraction
2.5. Risk of Bias
2.6. Meta-Analysis
3. Results
3.1. Study Selection and Description
3.2. Participants
3.3. Intervention
3.3.1. Acupuncture Points
3.3.2. Needle Type (Diameter, Length)
3.3.3. Depth of Insertion
3.3.4. Angle of Insertion
3.3.5. Needle Retention Time
3.3.6. Stimulation
3.4. Control Intervention
3.5. Intervention Effects
3.5.1. Outcome Measures
3.5.2. Types of Disease
3.5.3. AT versus CM (Conventional Medicine)
3.5.4. AT + CM versus CM
3.5.5. AT + CM versus Sham AT + CM
3.5.6. AT versus No-treatment
3.5.7. AT versus Sham AT
3.6. Adverse Events
3.7. Assessment for ROB
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Abbreviations
References
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Author (1st) | Year | Study Design | Types of Disease (Condition) | Sample Size, Gender (M/F) | Interventional Group (No. of Participants Analysed/Randomised) | Control Group (No. of Participants Analysed/Randomised) | Outcome Measures | Main Results | AE |
---|---|---|---|---|---|---|---|---|---|
Haslam [11] | 2001 | RCT | Hip OA; Awaiting total hip arthroplasty | 32 (16/16) | (A) AT (16/16) | (B) CM (12/16) | WOMAC Scores (Post, 8 wks F/U) | Postitive a (Post, 8 wks F/U) | NR |
Sheng [12] | 2010 | RCT | Hip OA | 60 (23/37) | (A) AT (30/30) | (B) CM (30/30) | 1. VAS 2. Harris score 2-1. Pain 2-2. Function 2-3. ROM 2-4. Total | 1. Positive a 2-1. Positive a 2-2. Positive a 2-3. NS 2-4. Positive a | NR |
Brennan [13] | 2017 | Non-inferiority RCT | Greater Trochanteric Pain Syndrome (greater trochanteric or subgluteal bursitis) | 50 (21/22) * | (A) AT (21/25) | (B) CM (22/25) | 1. NRS (base, >1 wk, >3 wks, >6 wks) 2. PSFS (Weighted average)(base, >1 wk, >3 wks, >6 wks) | 1. NS (base, >1 wk, >3 wks, >6 wks) 2. NS (base, >1 wk, >3 wks, >6 wks) | None |
Zhuanping [14] | 2022 | RCT | Before THA | 74 (41/33) | (A) AT (37/37) | (B) No-treatment (37/37) | 1. VAS (>6 h, >12 h, >24 h) 2. T lymphocytes 2-1. CD3+ (>24 h) 2-2. CD4+ (>24 h) 2-3. CD8+ (>24 h) 2-4. CD4+/CD8+ (>24 h) 3. Serological test 3-1. IL-1β (>24 h) 3-2. TNF-α (>24 h) 3-3. ACTH (>24 h) | 1. Positive a (>6 h, >12 h, >24 h) 2-1. Positive a (>24 h) 2-2. Positive a (>24 h) 2-3. Positive a (>24 h) 2-4. Positive a (>24 h) 3-1. Positive a (>24 h) 3-2. Positive a (>24 h) 3-3. Positive a (>24 h) | NR |
Witt [15] | 2006 | RCT | Hip OA | 92 (51/41) | (A) AT (51/51) | (B) No-treatment (41/41) | 1. WOMAC 2. SF-36 | 1. NS 2. NS | (A) Minor local bleeding or hematoma, Pain at the site of needle insertion, Vegetative symptoms, Other (B) None |
Fink [16] | 2001 | RCT | Coxarthrosis (Hip OA) | 65 (43/22) | (A) AT (33/33) | (B) Sham AT (32/32) | 1. Hip function (Lequesne) 2. Pain (VAS) 3. Overall assessment (Clarsson) | 1. NS (>2 wks, >6 wks, >6 mths) 2. NS (>2 wks, >6 wks, >6 mths) 3. NS (>6 wks, >6 mths) | NR |
Li [17] | 2021 | RCT | After PFNA due to intertrochanteric fracture | 97 (48/49) | (A) AT + CM (48/48) | (B) CM (49/49) | 1. VAS (>1 d, >3 d, >5 d, >7 d) 2. Harris score 2-1. Pain (>2 mth) 2-2. Function (>2 mth) 2-3. Deformity (>2 mth) 2-4. ROM (>2 mth) 3. MBI score (>2 mth) 4. Bone metabolism indexes 4-1. β-CTx (>2 mth) 4-2. PINP (>2 mth) 5. Inflammatory factors (>2 mth) 5-1. CRP 5-2. TNF-α | 1. NS (>1 d, >3 d), Positive a (>5 d, >7 d) 2-1. Positive a (>2 mth) 2-2. Positive a (>2 mth) 2-3. NS (>2 mth) 2-4. Positive (>2 mth) 3. Positive a (>2 mth) 4-1. NS (>2 mth) 4-2. NS (>2 mth) 5-1. Positive a (>2 mth) 5-2. Positive a (>2 mth) | NR |
Ronghua [18] | 2022 | RCT | Before Surgery Due to hip fracture | 60 (17/43) | (A) AT + CM (30/30) | (B) CM (30/30) | 1. VAS 1-1. Entering 1-2. Before positioning 1-3. After positioning 2. Anaesthesia-related time indicators 2-1. Anaesthesia positioning time 2-2. Anaesthesia completion time 2-3. Temperature sense disappearance time | 1-1. NS 1-2. Positive a 1-3. Positive a 2-1. Positive a 2-2. Positive a 2-3. NS | NR |
Usichenko [19] | 2005 | RCT | After THA due to hip OA | 61 (26/35) | (A) AT + CM (29/31) | (B) Sham AT + CM (25/30) | 1. Intraoperative fentanyl requirement 2. Time to first piritramide request 3. Piritramide requirement (>36 h, 36 h/kg, Total, Total/kg) 4. VAS 5. Total ibuprofen | 1. NS 2. Positive a 3. Positive b (>36 h, >36 h/kg, Total, Total/kg) 4. NS 5. NS | (A) Auricular hemorrhage, Local pain, Headache, Hip pain after needles (B) Auricular hemorrhage, Local pain |
Usichenko [20] | 2006 | RCT | During THA due to hip OA | 64 (28/29) * | (A) AT + CM (30/33) | (B) Sham AT + CM (27/31) | Fentanyl requirement adjusted to weight | Positive b | None |
Wang [21] | 2012 | RCT | After THA due to AVN | 60 (23/37) | (A) AT + CM (30/30) | (B) Sham AT + CM (30/30) | 1. VAS (>12 h, >24 h, >36 h, >48 h, >3 d, >4 d, >5 d, >7 d) 2. Dosage of analgesia (<12 h, 12–24 h, 24–36 h, 36–48 h) 3. Harris Score (>2 wks, >3 mths) | 1. NS (>12 h, >36 h, >24 h, >48 h), Positive a (>3 d, >4 d, >5 d, >7 d) 2. NS 3. NS (>3 mths), Positive a (>2 wks) | None |
Wetzel [22] | 2011 | RCT | During THA due to hip OA | 120 (50/70) | (A) AT + CM (57/60) | (B) Sham AT + CM (59/60) | 1. Fentanyl amount adjusted to body mass (ug/kg) 2. Time to first piritramide request 3. Piritramide requirement | 1. Positive b 2. NS 3. NS | None |
Author (1st) | Year | Regimen | Acupuncture Points | Type of Needle (Diameter, Length) | Depth of Insertion | Angle of Insertion | Needle Retention Time | Stimulation |
---|---|---|---|---|---|---|---|---|
Haslam [11] | 2001 | 6 sessions (once a wk for 6 wks) | GB29, GB30, GB34, GB43, ST44, LI4, Ashi points * | GB30: 0.25 mm, 40 mm Etc: 0.25 mm, 25 mm | NR | NR | 25 min | Manual stimulation of acupuncture |
Sheng [12] | 2010 | 8 sessions (2 times a wk for 4 wks) | ST31, GB29, LR10, LR11 | 0.40 mm, 75 mm | 30~40 mm | 90° | 45 min | EA (2 Hz/100 Hz) |
Brennan [13] | 2017 | 3~7 sessions (for 6 wks) | Ashi points * | 0.30~0.50 mm, 50~100 mm | NR | NR | 5~7 min | Manual stimulation of dry needling |
Zhuanping [14] | 2022 | Once | LI4, LV3, ST36, EX28 | 0.30 mm, 40 mm | NR | NR | NR | EA (2 Hz/10 Hz) |
Witt [15] | 2006 | 15 sessions (for 3 mth) | NR | NR | NR | NR | NR | Manual stimulation of acupuncture |
Fink [16] | 2001 | 9 sessions (for 3 wks) | BL37, BL54, ST31, ST40, GB30, GB31, GB34, Ashi points * | 0.30 mm, 60 mm | NR | NR | 30 min | NR |
Li [17] | 2021 | 7 sessions (daily for 7 days) | SP10, Ashi points * | SP10: 0.30 mm, 50 mm Ashi points: 0.30 mm, 75 mm | SP10: 30 mm Ashi point: 50 mm | NR | NR | EA |
Ronghua [18] | 2022 | Once | 1 cun anterior to mandibular angle (hip joint) | 0.18 mm, 30 mm | 5~10 mm | 90° | NR | NR |
Usichenko [19] | 2005 | Once | MA-AH4 (hip joint), MA-TF1 (shenmen), MA-IC1 (lung), MA-AT1 (thalamus) | 0.22 mm, 1.5 mm (AA) | NR | NR | 4 days | NR |
Usichenko [20] | 2006 | Once | MA-AH4 (hip joint), MA-TF1 (shenmen), MA-IC1 (lung), MA-AT1 (thalamus) | 0.22 mm, 1.5 mm (AA) | NR | NR | NR | NR |
Wang [21] | 2012 | 4 sessions (once for 4 days) | MA-AH4 (hip joint), MA-TF1 (shenmen), MA-AT1 (subcortex), MA-SC (kidney) | 0.22 mm, 1.3 mm (AA) | NR | NR | 4 days | NR |
Wetzel [22] | 2011 | Once | MA-AH4 (hip joint), MA-TF1 (shenmen), MA-IC1 (lung) | 0.22 mm, 1.5 mm (AA) | NR | NR | 2 days | NR |
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Park, H.S.; Jeong, H.I.; Sung, S.-H.; Kim, K.H. Acupuncture Treatment for Hip Pain: A Systematic Review and Meta-Analysis. Healthcare 2023, 11, 1624. https://doi.org/10.3390/healthcare11111624
Park HS, Jeong HI, Sung S-H, Kim KH. Acupuncture Treatment for Hip Pain: A Systematic Review and Meta-Analysis. Healthcare. 2023; 11(11):1624. https://doi.org/10.3390/healthcare11111624
Chicago/Turabian StylePark, Hyun Suk, Hye In Jeong, Soo-Hyun Sung, and Kyeong Han Kim. 2023. "Acupuncture Treatment for Hip Pain: A Systematic Review and Meta-Analysis" Healthcare 11, no. 11: 1624. https://doi.org/10.3390/healthcare11111624
APA StylePark, H. S., Jeong, H. I., Sung, S.-H., & Kim, K. H. (2023). Acupuncture Treatment for Hip Pain: A Systematic Review and Meta-Analysis. Healthcare, 11(11), 1624. https://doi.org/10.3390/healthcare11111624