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Med Clin (Barc). 2019 Sep 27;153(6):250-255. doi: 10.1016/j.medcli.2019.04.020. Epub 2019 Jun 27.

Efficacy of acupuncture in rheumatic diseases with spine involvement: Systematic review.

[Article in English, Spanish]

Author information

1
Instituto Traumatológico Hospital Quirón, Barcelona, España; Grupo de Reumatología Basada en la Evidencia, Sociedad Española de Reumatología, España.
2
Grupo de Reumatología Basada en la Evidencia, Sociedad Española de Reumatología, España; Reumatología, Hospital Mediterráneo, Almería, España.
3
Servicio de Reumatología, instituteMYM, Centro Médico Teknon, Barcelona, España. Electronic address: juanmunozortego@gmail.com.

Abstract

Rheumatic diseases involving the spine, mainly cervical and lumbar spine, are highly prevalent, and consume considerable health resources. Acupuncture is a medical procedure endorsed by the WHO, with a wide spectrum of medical applications. The aim of this study was to review the evidence on acupuncture efficacy in these diseases. A literature search was performed in MEDLINE, CENTRAL and EMBASE (May 2017): 535 citations. We included four global reviews(45 systematic reviews) and three Systematic Reviews(70 clinical trials). Acupuncture improved cervical pain and functionality both immediately and in the short term. It also proved effective in the treatment of acute and chronic low back pain as the first therapeutic line, compared with placebo, and as an adjunct to other conventional treatments. Acupuncture is a safe intervention. However, acupuncture efficacy in radiculopathies (cervical, lumbar), lumbar spinal stenosis and ankylosing spondylitis is still inconclusive. Well-designed studies with medium and long-term evaluation are required.

KEYWORDS:

Acupuncture; Acupuntura; Enfermedades reumáticas; Raquis; Revisión sistemática; Rheumatic diseases; Spine; Systematic review

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