Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis.

IF 2.5 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Pain Research Pub Date : 2025-03-29 eCollection Date: 2025-01-01 DOI:10.2147/JPR.S509967

PeiZhen Zhang, YuJing Zhang, Meng Guo

{"title":"Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis.","authors":"PeiZhen Zhang, YuJing Zhang, Meng Guo","doi":"10.2147/JPR.S509967","DOIUrl":null,"url":null,"abstract":"Introduction: Acupuncture, in particular, has received increasing attention in pain management in traditional medicine treatments. This study evaluated the effectiveness of acupuncture in treating nape back myofascial pain syndrome (MPS).Methods: The literature on randomized controlled trials of acupuncture in the treatment of nape back MPS was retrieved by searching nine databases. Review Manager 5.4 software was used to merge and statistically analyze the extracted data, and Stata 18.0 was used to assess the risk of bias.Results: Finally, 10 randomized controlled trials were included, with a total of 624 samples. The meta-analysis results indicated that acupuncture therapy could lower the NDI score [MD=-6.64, 95% CI (-10.95, -2.33), Z = 3.02, P = 0.003]. Acupuncture demonstrated superiority over the control group in addressing nape back myofascial pain condition, which reflected that the VAS score of the acupuncture treatment group was significantly lower than that of other treatment controls [SMD=-0.71, 95% CI (-1.07, -0.36), Z = 3.94, P < 0.0001]. Furthermore, in contrast to the control group, the improvement of PPT and right flexion CROM and rotation CROM in the acupuncture group was more evident (PPT: [MD = 0.95, 95% CI (0.63, 1.27), P < 0.001]) (right flexion CROM: [MD = 4.86, 95% CI (1.61, 8.12), P = 0.003]), (rotation CROM: [MD = 0.52, 95% CI (0.43,0.61), P < 0.00001]).Conclusion: This study demonstrates that acupuncture is more effective in treating nape back MPS than the control group and provides strong evidence for the effectiveness of acupuncture in treating nape back MPS, filling a gap in the treatment of nape back MPS by Traditional Chinese Medicine.","PeriodicalId":16661,"journal":{"name":"Journal of Pain Research","volume":"18 ","pages":"1667-1681"},"PeriodicalIF":2.5000,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11963815/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pain Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/JPR.S509967","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Acupuncture, in particular, has received increasing attention in pain management in traditional medicine treatments. This study evaluated the effectiveness of acupuncture in treating nape back myofascial pain syndrome (MPS).

Methods: The literature on randomized controlled trials of acupuncture in the treatment of nape back MPS was retrieved by searching nine databases. Review Manager 5.4 software was used to merge and statistically analyze the extracted data, and Stata 18.0 was used to assess the risk of bias.

Results: Finally, 10 randomized controlled trials were included, with a total of 624 samples. The meta-analysis results indicated that acupuncture therapy could lower the NDI score [MD=-6.64, 95% CI (-10.95, -2.33), Z = 3.02, P = 0.003]. Acupuncture demonstrated superiority over the control group in addressing nape back myofascial pain condition, which reflected that the VAS score of the acupuncture treatment group was significantly lower than that of other treatment controls [SMD=-0.71, 95% CI (-1.07, -0.36), Z = 3.94, P < 0.0001]. Furthermore, in contrast to the control group, the improvement of PPT and right flexion CROM and rotation CROM in the acupuncture group was more evident (PPT: [MD = 0.95, 95% CI (0.63, 1.27), P < 0.001]) (right flexion CROM: [MD = 4.86, 95% CI (1.61, 8.12), P = 0.003]), (rotation CROM: [MD = 0.52, 95% CI (0.43,0.61), P < 0.00001]).

Conclusion: This study demonstrates that acupuncture is more effective in treating nape back MPS than the control group and provides strong evidence for the effectiveness of acupuncture in treating nape back MPS, filling a gap in the treatment of nape back MPS by Traditional Chinese Medicine.

查看原文本刊更多论文

针刺治疗颈背肌筋膜疼痛综合征的疗效：一项综合系统评价和荟萃分析。

在传统医学治疗中，针灸在疼痛管理中受到越来越多的关注。本研究评价针刺治疗颈背肌筋膜痛综合征（MPS）的有效性。方法：通过9个数据库检索针刺治疗后颈MPS的随机对照试验文献。采用Review Manager 5.4软件对提取的资料进行合并和统计分析，采用Stata 18.0软件对偏倚风险进行评估。结果：最终纳入10项随机对照试验，共计624份样本。meta分析结果显示，针刺治疗可降低NDI评分[MD=-6.64, 95% CI (-10.95, -2.33), Z = 3.02, P = 0.003]。针刺治疗后颈肌筋膜疼痛优于对照组，针刺治疗组VAS评分显著低于其他治疗组[SMD=-0.71, 95% CI (-1.07, -0.36), Z = 3.94, P < 0.0001]。此外，与对照组相比，针刺组PPT、右屈曲CROM和旋转CROM的改善更为明显（PPT: [MD = 0.95, 95% CI (0.63, 1.27), P < 0.001]）（右屈曲CROM: [MD = 4.86, 95% CI (1.61, 8.12), P = 0.003]）（旋转CROM: [MD = 0.52, 95% CI (0.43,0.61), P < 0.00001]）。结论：本研究表明针刺治疗后颈MPS比对照组更有效，为针刺治疗后颈MPS的有效性提供了有力证据，填补了中医治疗后颈MPS的空白。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Pain Research CLINICAL NEUROLOGY-

CiteScore

4.50

自引率

3.70%

发文量

411

审稿时长

16 weeks

期刊介绍： Journal of Pain Research is an international, peer-reviewed, open access journal that welcomes laboratory and clinical findings in the fields of pain research and the prevention and management of pain. Original research, reviews, symposium reports, hypothesis formation and commentaries are all considered for publication. Additionally, the journal now welcomes the submission of pain-policy-related editorials and commentaries, particularly in regard to ethical, regulatory, forensic, and other legal issues in pain medicine, and to the education of pain practitioners and researchers.