1
|
Cao CF, Ma KL, Li QL, Luan FJ, Wang QB, Zhang MH, Viswanath O, Myrcik D, Varrassi G, Wang HQ. Balneotherapy for Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis. J Clin Med 2021; 10:jcm10071493. [PMID: 33916744 PMCID: PMC8038322 DOI: 10.3390/jcm10071493] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 03/23/2021] [Accepted: 03/31/2021] [Indexed: 02/07/2023] Open
Abstract
(1) Background: The efficiency of balneotherapy (BT) for fibromyalgia syndrome (FMS) remains elusive. (2) Methods: Cochrane Library, EMBASE, MEDLINE, PubMed, Clinicaltrials.gov, and PsycINFO were searched from inception to 31 May 2020. Randomized controlled trials (RCTs) with at least one indicator were included, i.e., pain, Fibromyalgia Impact Questionnaire (FIQ), Tender Points Count (TPC), and Beck’s Depression Index (BDI). The outcome was reported as a standardized mean difference (SMD), 95% confidence intervals (CIs), and I2 for heterogeneity at three observational time points. GRADE was used to evaluate the strength of evidence. (3) Results: Amongst 884 citations, 11 RCTs were included (n = 672). Various BT regimens were reported (water types, duration, temperature, and ingredients). BT can benefit FMS with statistically significant improvement at different time points (pain of two weeks, three and six months: SMD = −0.92, −0.45, −0.70; 95% CI (−1.31 to −0.53, −0.73 to −0.16, −1.34 to −0.05); I2 = 54%, 51%, 87%; GRADE: very low, moderate, low; FIQ: SMD = −1.04, −0.64, −0.94; 95% CI (−1.51 to −0.57, −0.95 to −0.33, −1.55 to −0.34); I2 = 76%, 62%, 85%; GRADE: low, low, very low; TPC at two weeks and three months: SMD = −0.94, −0.47; 95% CI (−1.69 to −0.18, −0.71 to −0.22); I2 = 81%, 0; GRADE: very low, moderate; BDI at six months: SMD = −0.45; 95% CI (−0.73 to −0.17); I2 = 0; GRADE: moderate). There was no statistically significant effect for the TPC and BDI at the remaining time points (TPC at six months: SMD = −0.89; 95% CI (−1.85 to 0.07); I2 = 91%; GRADE: very low; BDI at two weeks and three months: SMD = −0.35, −0.23; 95% CI (−0.73 to 0.04, −0.64 to 0.17); I2 = 24%, 60%; GRADE: moderate, low). (4) Conclusions: Very low to moderate evidence indicates that BT can benefit FMS in pain and quality-of-life improvement, whereas tenderness and depression improvement varies at time phases. Established BT regimens with a large sample size and longer observation are needed.
Collapse
Affiliation(s)
- Chun-Feng Cao
- Department of Orthopedics, The Yongchuan Hospital of Chongqing Medical University, 439# Xuanhua Road, Yongchuan, Chongqing 402160, China; (C.-F.C.); (K.-L.M.); (F.-J.L.); (Q.-B.W.); (M.-H.Z.)
| | - Kun-Long Ma
- Department of Orthopedics, The Yongchuan Hospital of Chongqing Medical University, 439# Xuanhua Road, Yongchuan, Chongqing 402160, China; (C.-F.C.); (K.-L.M.); (F.-J.L.); (Q.-B.W.); (M.-H.Z.)
| | - Qian-Lu Li
- Department of Neurology, The Yongchuan Hospital of Chongqing Medical University, 439# Xuanhua Road, Yongchuan, Chongqing 402160, China;
| | - Fu-Jun Luan
- Department of Orthopedics, The Yongchuan Hospital of Chongqing Medical University, 439# Xuanhua Road, Yongchuan, Chongqing 402160, China; (C.-F.C.); (K.-L.M.); (F.-J.L.); (Q.-B.W.); (M.-H.Z.)
| | - Qun-Bo Wang
- Department of Orthopedics, The Yongchuan Hospital of Chongqing Medical University, 439# Xuanhua Road, Yongchuan, Chongqing 402160, China; (C.-F.C.); (K.-L.M.); (F.-J.L.); (Q.-B.W.); (M.-H.Z.)
| | - Ming-Hua Zhang
- Department of Orthopedics, The Yongchuan Hospital of Chongqing Medical University, 439# Xuanhua Road, Yongchuan, Chongqing 402160, China; (C.-F.C.); (K.-L.M.); (F.-J.L.); (Q.-B.W.); (M.-H.Z.)
| | - Omar Viswanath
- Department of Anesthesiology, Creighton University School of Medicine, Omaha, NE 68114, USA;
- Department of Anesthesiology, University of Arizona College of Medicine-Phoenix, Phoenix, AZ 85003, USA
- Department of Anesthesiology, Louisiana State University Shreveport, Shreveport, LA 71106, USA
- Department of Pain Management, Valley Pain Consultants-Envision Physician Services, Phoenix, AZ 85003, USA
| | - Dariusz Myrcik
- Department of Internal Medicine, Medical University of Silesia, Katowice, 42-600 Bytom, Poland;
| | - Giustino Varrassi
- Department of Research, Polo Procacci Foundation, via Tacito 7, 00193 Roma, Italy
- Correspondence: (G.V.); (H.-Q.W.)
| | - Hai-Qiang Wang
- Institute of Integrative Medicine, Shaanxi University of Chinese Medicine, Xixian Avenue, Xixian District, Xi’an 712046, China
- Correspondence: (G.V.); (H.-Q.W.)
| |
Collapse
|
3
|
Li S, Xie P, Liang Z, Huang W, Huang Z, Ou J, Lin Z, Chai S. Efficacy Comparison of Five Different Acupuncture Methods on Pain, Stiffness, and Function in Osteoarthritis of the Knee: A Network Meta-Analysis. EVIDENCE-BASED COMPLEMENTARY AND ALTERNATIVE MEDICINE : ECAM 2018; 2018:1638904. [PMID: 30515231 PMCID: PMC6236871 DOI: 10.1155/2018/1638904] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 10/05/2018] [Accepted: 10/16/2018] [Indexed: 12/02/2022]
Abstract
The principal objective of this present study was to compare the effects of different acupuncture methods on pain, stiffness, and physical function for osteoarthritis of the knee by the pairwise and network meta-analysis (NMA). A network meta-analysis of randomized controlled trials (RCTs) was searched from three English databases and one Chinese database until January 2018. A pairwise meta-analysis was performed with a random effects model. Then we carried out the NMA within a Bayesian framework. Mean difference (MD) and its 95% confidence interval (CI) were calculated by R 3.4.1, Stata 14.0, and RevMan 5.3 software to assess the relief of pain, the effectiveness for stiffness, and physical function recovery. Node-splitting method was used to calculate the inconsistency. Rank probabilities were assessed and clustered by the surface under the cumulative ranking curve (SUCRA). 16 trials mostly researched short-term effectiveness and showed that fire needle and electro-acupuncture were statistically significant to decrease WOMAC pain and physical function scores when compared with other treatments, but there was no significant difference in stiffness calculations. Our NMA demonstrated that acupuncture with heat pain or electrical stimulation might be suggested as the better choices in all acupuncture methods to osteoarthritis of the knee.
Collapse
Affiliation(s)
- Shaowei Li
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - Pingjin Xie
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
- Department of Orthopaedics, the Affiliated Orthopaedics and Trauma Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong, China
| | - Zhenghui Liang
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
- Department of Orthopaedics, the Affiliated Orthopaedics and Trauma Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong, China
| | - Weihan Huang
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - Zhanhui Huang
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - Jinming Ou
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - Zhiyong Lin
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
| | - Shengting Chai
- Guangzhou University of Chinese Medicine, Guangzhou 510405, Guangdong, China
- Department of Orthopaedics, the Affiliated Orthopaedics and Trauma Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510240, Guangdong, China
| |
Collapse
|