Skip to content
2000
  1. Home
  2. A-Z Publications
  3. Combinatorial Chemistry & High Throughput Screening
  4. Volume 27, Issue 19
  5. Article
Volume 27, Issue 19
  • ISSN: 1386-2073
  • E-ISSN: 1875-5402
file format text download EPUB
file format pdf download PDF
side by side viewer icon HTML

Abstract

Background

Cervical spondylotic radiculopathy is a serious and common degenerative disease of the cervical spine due to irritation and compression of the nerve roots of the cervical spine, resulting in a series of clinical symptoms based on sensory, motor and reflex disorders, such as numbness and pain in the neck, shoulders, upper limbs and fingers. Acupuncture is highly effective in treating CSR and has become a common treatment accepted by patients. This study aims to systematically review and analyze existing randomized controlled trials (RCTs) to evaluate the efficacy and safety of acupuncture in the treatment of CSR.

Methods

We used the following eight databases for literature data search: PubMed, EMBASE, The Cochrane Library, Web of Science, China National Knowledge Infrastructure, China Biology Medicine Disc (CBMdisc), Wanfang Database and China Science and Technology Journal Database (VIP). The search consisted of randomized controlled studies of acupuncture for CSR between 2000 and 2020 and the methodological quality of the included studies was assessed according to the Cochrane Collaboration's “Risk of Bias Assessment Tool.”RevMan 5.4 software was used for statistical analysis only. Study screening, data extraction and statistics, and assessment of the risk of bias of the included studies were performed independently by two reviewers.

Results

27 studies with 3124 patients were included. The results of the meta-analysis of the total efficiency index for acupuncture for CSR were [RR = 1.14,95% CI (1.09,1.19)]. The results of the meta-analysis of the PPI index were [MD = -0.35, 95% CI (-0.61,-0. 09)]. The results of META analysis of the total effective rate, VAS score, PRI(A) score, PRI(S) score and PRI(T) score showed heterogeneity in the studies included for each outcome index, and sources of heterogeneity were sought through subgroup analysis and sensitivity analysis to ensure more stable and reliable data results. The results of the combined meta-analysis showed that the treatment group was significantly more effective than the control group and more effective in lowering the nerves to reduce the pain index in patients with CSR, with a statistically significant difference (<0.05). This indicates that acupuncture treatment is superior to traction for CSR.

Conclusion

Acupuncture is significantly more effective than traction therapy in the treatment of cervical spondylosis and can reduce the pain index of patients with CSR.

© 2024 Bentham Science Publishers
© 2024 The Author(s). Published by Bentham Science Publisher. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
Loading

Article metrics loading...

/content/journals/cchts/10.2174/0113862073265007231108050338
2024-12-01
2024-11-22

  • From This Site

    /content/journals/cchts/10.2174/0113862073265007231108050338
    dcterms_title,dcterms_subject,pub_keyword
    -contentType:Contributor -contentType:Concept -contentType:Institution
    10
    5
Loading full text...

Full text loading...

/deliver/fulltext/cchts/27/19/CCHTS-27-19-15.html?itemId=/content/journals/cchts/10.2174/0113862073265007231108050338&mimeType=html&fmt=ahah

References

  1. ReddyR.S. TedlaJ.S. DixitS. AbohashrhM. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis.BMC Musculoskelet. Disord.201920144710.1186/s12891‑019‑2846‑z 31615495
     [Google Scholar]
  2. AbbedK.M. CoumansJ.V.C.E. Cervical radiculopathy: Pathophysiology, presentation, and clinical evaluation.Neurosurgery2007601S1S2810.1227/01.NEU.0000249223.51871.C2 17204882
     [Google Scholar]
  3. BlumenkrantzN. SylvestJ. Asboe-HansenG. Local low-collagen content may allow herniation of intervertebral disc: Biochemical studies.Biochem. Med.197718328329010.1016/0006‑2944(77)90062‑X 597277
     [Google Scholar]
  4. RadhakrishnanK. LitchyW.J. O’FallonW.M. KurlandL.T. Epidemiology of cervical radiculopathy.Brain1994117232533510.1093/brain/117.2.325 8186959
     [Google Scholar]
  5. ZhaoHF WangCA WangX Efficacy and safety of acupuncture in the treatment of cervical spondylotic radiculopathy: A meta-analysis.Inplasy protocol202210.37766/inplasy2022.9.0007
     [Google Scholar]
  6. PageM.J. MoherD. BossuytP.M. BoutronI. HoffmannT.C. MulrowC.D. ShamseerL. TetzlaffJ.M. AklE.A. BrennanS.E. ChouR. GlanvilleJ. GrimshawJ.M. HróbjartssonA. LaluM.M. LiT. LoderE.W. Mayo-WilsonE. McDonaldS. McGuinnessL.A. StewartL.A. ThomasJ. TriccoA.C. WelchV.A. WhitingP. McKenzieJ.E. PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews.BMJ2021372160n16010.1136/bmj.n160 33781993
     [Google Scholar]
  7. Expert Group on standardized diagnosis and treatment of cervical spondylotic radiculopathy. Expert consensus on the standardization of diagnosis and treatment of cervical spondylotic radiculopathy.Zhonghua Wai Ke Za Zhi20055311812814
     [Google Scholar]
  8. WangY. ShenW.D. WangW.L. Evaluation of quality of life in patients with cervical spondylotic radiculopathy treated by “Xiang eight acupuncture”.Liaoning J. Trad. Chin. Med.2014410612541256
     [Google Scholar]
  9. BoZY NiuQQ ZhuWG The treatment of cervical spondylotic radiculopathy by abdominal acupuncture is common.Chinese journal of acupuncture20052506387389
     [Google Scholar]
  10. ZhangY. BanH.Y. TianM. Clinical observation on treating cervical spondylotic radiculopathy by burning shanhuo acupuncture manipulation.Guangming. Chin. Med.2020351727372739
     [Google Scholar]
  11. ChenH.Y. XieY.L. YangX.F. Effect of electroacupuncture on cervical jiaji point in the treatment of cervical spondylotic radiculopathy.Guangming. Chin. Med.2015301021802182
     [Google Scholar]
  12. NiuQ.Q. Clinical effect of abdominal acupuncture on cervical spondylotic radiculopathy.TaiyuanShanxi Medical University200256
     [Google Scholar]
  13. LuR. Clinical study on the treatment of cervical spondylotic radiculopathy by acupuncture of Fengchi, Quangu, elderly care and Dazhui.Beijing University of Traditional Chinese Medicine2012
     [Google Scholar]
  14. ZhangJ. ZhangG.Q. Clinical study on the treatment of nerve root cervical spondylosis by cervical Bailao stagnation acupuncture plus moxibustion with Houxi and Handsanli electroacupuncture.World Abstract Latest Med. Infor.201717A3239240
     [Google Scholar]
  15. LuJ. Clinical observation of cervical pinch point with upper limb acupuncture for the treatment of neurogenic cervical spondylosis.J. Shanxi College Trad. Chin. Med.2007014041
     [Google Scholar]
  16. ZhouP. LiG.A. Effect of acupuncture on oblique muscle tone in neurogenic cervical spondylosis.Shanghai J. Acupunct. Moxibustion201029012830
     [Google Scholar]
  17. WanB.J. Clinical study on the Treatment of cervical spondylotic radiculopathy by acupuncture point penetration.WuhanHubei University of Traditional Chinese Medicine200634
     [Google Scholar]
  18. ZhangH.L. JinR. A randomized controlled study of electroacupuncture and traction in the treatment of cervical spondylotic radiculopathy.Chinese Acupuncture2003810
     [Google Scholar]
  19. JinZ.H. Clinical efficacy of electroacupuncture at neck Jiaji point in the treatment of cervical spondylotic radiculopathy.Nanjing University of Traditional Chinese Medicine2011
     [Google Scholar]
  20. WangC.Y. SunZ.R. WangL.J. Clinical observation of 40 cases of cervical spondylotic radiculopathy treated by electroacupuncture at cervical jiaji point.Hunan J. Trad. Chin. Med.202137107476
     [Google Scholar]
  21. ZhangY. QiuX.H. Electroacupuncture treatment of 50 cases of nerve root type cervical spondylosis.Fujian Trad. Chin. Med.201041013536
     [Google Scholar]
  22. ShaoP. XinZ.P. QiuM.L. The efficacy of electroacupuncture pinch points in the treatment of nerve root type cervical spondylosis.Chinese Journal of Trad. Chin. Med. Orthope. Traumatol.2004042628
     [Google Scholar]
  23. ZhaoX.T. FangY.T. Lin, MH Clinical observation of 45 cases of cervical spondylotic radiculopathy treated by acupuncture at houxi point combined with traction.Chin. Med. Bulletin20151415960
     [Google Scholar]
  24. LiuX.F. WangF. ZhangW.C. Abdominal acupuncture combined with traction for cervical spondylotic radiculopathy: A report of 30 cases.Henan J. Trad. Chin. Med.2017372350352
     [Google Scholar]
  25. ZhouL.H. ZhouG.H. Treatment of cervical spondylotic radiculopathy with traction and acupuncture: A report of 50 cases.Guangming. Chin. Med.2010251120642065
     [Google Scholar]
  26. PengJ.M. ZengS.P. Clinical observation on the treatment of cervical spondylosis of nerve root type by combining traction with electroacupuncture pinch points.Hainan Medicine20020877
     [Google Scholar]
  27. GaoL. ZhangH. XiaoL. Electroacupuncture plus traction for 40 cases of neurogenic cervical spondylosis.Chinese Acupuncture200525S18384
     [Google Scholar]
  28. XueP.W. Clinical analysis of acupuncture-based treatment of neurogenic cervical spondylosis.J. Cerv. Low Back Pain2003015455
     [Google Scholar]
  29. ChenB.L. WangY.F. Observation on the efficacy of traction with abdominal acupuncture in 50 cases of neurogenic cervical spondylosis.New Chin. Med.2005086768
     [Google Scholar]
  30. ChenZ.F. Treatment of neurogenic cervical spondylosis with traction and acupuncture in 52 cases.J. Zhejiang Coll. Trad. Chin. Med.20010256
     [Google Scholar]
  31. LiaoJ. WangS.Z. XuT. Efficacy of acupuncture with traction in 55 cases of neurogenic cervical spondylosis.J. Fujian Coll. Trad. Chin. Med.200919054546
     [Google Scholar]
  32. WangQF LiF LiL Randomized controlled observation of non-pharmacologic al combination therapy for the treatment of neurogenic cervical spondylosis. Clini. J. Acupunct. Moxibustion20080214+59
     [Google Scholar]
  33. WuJ.S. Summary of 300 cases of cervical spondylosis (nerve root type) treated by traction with acupuncture and massage. Chin. Med. Herald2007124860
     [Google Scholar]
  34. HeZ.S. Analysis of the efficacy of acupuncture, moxibustion, tui-na combined with traction in treating 32 cases of neurogenic cervical spondylosis.Acupunct. Moxibustion Clin. J.2004031314
     [Google Scholar]
  35. ZhangQ.J. Understanding and treatment progress of cervical spondylotic radiculopathy in traditional medicine.Res. Trad. Chin. Med.2005095456
     [Google Scholar]
  36. ZhuW. JiaL.S. Research progress on the pathogenesis of radicular pain in nerve root type cervical spondylosis.Zhonghua Guke Zazhi2004126063
     [Google Scholar]
  37. RheeJ.M. YoonT. RiewK.D. Cervical radiculopathy.J. Am. Acad. Orthop. Surg.200715848649410.5435/00124635‑200708000‑00005 17664368
     [Google Scholar]
  38. JiangX.Y. Clinical observation of 90 cases of cervical spondylosis head ache treated by acupuncture of cervical spondylosis point.J. Tradit. Chin. Med.201117067577
     [Google Scholar]
  39. BoZ.Y. Characteristics of abdominal acupuncture therapy. 2012 Chinese Association of Integrated Traditional and Western Medicine Emergency Medicine Professional Committee academic annual Conference proceedings., 2012
     [Google Scholar]
  40. ChenL. ZhaoX.T. Clinical research progress of acupuncture and moxibust ion in treatment of cervical spondylotic radiculopathy in recent five years.China Medical Guide20222211768776
     [Google Scholar]
  41. WuH. WangL.L. DouD.B. Heat sensitive moxibustion combined with acupuncture in the treatment of 30 cases of cold-stasis type cervical spondylotic radiculopathy.Shanghai J. Trad. Chin. Med.202054S19597
     [Google Scholar]
/content/journals/cchts/10.2174/0113862073265007231108050338
Loading
Efficacy and Safety of Acupuncture in the Treatment of Radicular Cervical Spondylosis: A Systematic Review and Meta-Analysis
Comb Chem High Throughput Screen 27, 2951 (2024); https://doi.org/10.2174/0113862073265007231108050338
/content/journals/cchts/10.2174/0113862073265007231108050338
/content/journals/cchts/10.2174/0113862073265007231108050338
Loading

Data & Media loading...

Supplements

file format download Download

  • Article Type:     Research Article
Keyword(s): acupuncture treatment; Cervical spondylotic radiculopathy; pain index; randomized controlled trials; safety of acupuncture; traction therapy

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error
Please enter a valid_number test