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

PeiZhen Zhang, YuJing Zhang, Meng Guo College of Acupuncture and Tuina, Changchun University of Chinese Medicine, Jilin, People’s Republic of ChinaCorrespondence: Meng Guo, Email 55609410@qq.comIntroduction: Acupuncture, in particular, has received increasing attention in pain management in traditio...

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Main Authors: Zhang P, Zhang Y, Guo M
Format: Article
Language:English
Published: Dove Medical Press 2025-03-01
Series:Journal of Pain Research
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Online Access:https://www.dovepress.com/efficacy-of-acupuncture-in-treating-nape-back-myofascial-pain-syndrome-peer-reviewed-fulltext-article-JPR
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author Zhang P
Zhang Y
Guo M
author_facet Zhang P
Zhang Y
Guo M
author_sort Zhang P
collection DOAJ
description PeiZhen Zhang, YuJing Zhang, Meng Guo College of Acupuncture and Tuina, Changchun University of Chinese Medicine, Jilin, People’s Republic of ChinaCorrespondence: Meng Guo, Email 55609410@qq.comIntroduction: 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.Keywords: nape back myofascial pain syndrome, acupuncture therapy, system evaluation, meta-analysis
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spelling doaj-art-cfc47956953c423ebab4c3c2e55f10602025-08-20T02:48:57ZengDove Medical PressJournal of Pain Research1178-70902025-03-01Volume 1816671681101584Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-AnalysisZhang PZhang YGuo MPeiZhen Zhang, YuJing Zhang, Meng Guo College of Acupuncture and Tuina, Changchun University of Chinese Medicine, Jilin, People’s Republic of ChinaCorrespondence: Meng Guo, Email 55609410@qq.comIntroduction: 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.Keywords: nape back myofascial pain syndrome, acupuncture therapy, system evaluation, meta-analysishttps://www.dovepress.com/efficacy-of-acupuncture-in-treating-nape-back-myofascial-pain-syndrome-peer-reviewed-fulltext-article-JPRnape back myofascial pain syndromeacupuncture therapysystem evaluationmeta-analysis
spellingShingle Zhang P
Zhang Y
Guo M
Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis
Journal of Pain Research
nape back myofascial pain syndrome
acupuncture therapy
system evaluation
meta-analysis
title Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis
title_full Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis
title_fullStr Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis
title_full_unstemmed Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis
title_short Efficacy of Acupuncture in Treating Nape Back Myofascial Pain Syndrome: a Comprehensive Systematic Review and Meta-Analysis
title_sort efficacy of acupuncture in treating nape back myofascial pain syndrome a comprehensive systematic review and meta analysis
topic nape back myofascial pain syndrome
acupuncture therapy
system evaluation
meta-analysis
url https://www.dovepress.com/efficacy-of-acupuncture-in-treating-nape-back-myofascial-pain-syndrome-peer-reviewed-fulltext-article-JPR
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AT guom efficacyofacupunctureintreatingnapebackmyofascialpainsyndromeacomprehensivesystematicreviewandmetaanalysis