Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee Arthroplasty
ObjectiveTo evaluate the effectiveness of acupuncture as adjuvant therapy for postoperative rehabilitation after total knee arthroplasty (TKA).MethodsThe randomized controlled trials (RCTs) of acupuncture assisted postoperative rehabilitation studies were searched from China National Knowledge Infra...
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Editorial Office of Rehabilitation Medicine
2022-06-01
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| Series: | 康复学报 |
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| Online Access: | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.03010 |
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| author | LI Naping YANG Shaofeng KUANG Gaoyan ZENG Fan TU Duxing LU Min |
| author_facet | LI Naping YANG Shaofeng KUANG Gaoyan ZENG Fan TU Duxing LU Min |
| author_sort | LI Naping |
| collection | DOAJ |
| description | ObjectiveTo evaluate the effectiveness of acupuncture as adjuvant therapy for postoperative rehabilitation after total knee arthroplasty (TKA).MethodsThe randomized controlled trials (RCTs) of acupuncture assisted postoperative rehabilitation studies were searched from China National Knowledge Infrastructure (CNKI), Wanfang, VIP, PubMed, Cochrane Library and Web of Science. The Cochrane bias risk assessment tool was used for screening and quality assessment of the included literature, and RevMan 5.3 and Stata 15.1 were used for data analyses.ResultsA total of 11 RCTs with 763 patients were included in final review. Compared with the routine treatment, the meta-analyses indicated that: 1) The resting visual analogue scale (VAS-R) score after TKA in the acupuncture group was significantly decreased [postoperatively 1 d, <italic>MD</italic>=-0.65, 95%<italic>CI</italic> (-0.87, -0.42), <italic>P</italic><0.000 01; postoperatively 2 d, <italic>MD</italic>=-0.35, 95%<italic>CI</italic> (-0.50, -0.21), <italic>P</italic><0.000 01]. 2) The passive functional exercises visual analogue scale (VAS-P) score in the acupuncture group was significantly decreased after the surgery [postoperatively 1 d, <italic>MD</italic>=-1.01, 95%<italic>CI</italic> (-1.70, -0.33), <italic>P</italic>=0.004<0.05; postoperatively 2 d, <italic>MD</italic>=-0.80, 95%<italic>CI</italic> (-1.43, -0.17), <italic>P</italic>=0.001<0.05; postoperatively 3 d, <italic>MD</italic>=-0.90, 95%<italic>CI</italic> (-1.61, -0.18), <italic>P</italic>=0.01<0.05; postoperatively 7 d, <italic>MD</italic>=-0.60, 95%<italic>CI</italic> (-0.98, -0.21), <italic>P</italic>=0.002<0.05; postoperatively 14 d, <italic>MD</italic>=-0.63, 95%<italic>CI</italic> (-1.07, -0.19), <italic>P</italic>=0.005<0.05]. 3) The range of motion of the acupuncture group was significantly improved [postoperatively 3 d, <italic>SMD</italic>=0.47, 95%<italic>CI</italic> (0.19, 0.75), <italic>P</italic>=0.001<0.05; postoperatively 7 d, <italic>SMD</italic>=0.47, 95%<italic>CI</italic> (0.12, 0.83), <italic>P</italic>=0.009<0.05; postoperatively 14 d, <italic>SMD</italic>=0.26, 95%<italic>CI</italic> (0.00, 0.53), <italic>P</italic>=0.05≤0.05]. 4) There was significantly better postoperative improvement in the joint function score of the acupuncture group [postoperatively 7 d, <italic>SMD</italic>=0.71, 95%<italic>CI</italic> (0.41, 1.01), <italic>P</italic><0.000 01; postoperatively 14 d, <italic>SMD</italic>=0.66, 95%<italic>CI</italic> (0.36, 0.96), <italic>P</italic><0.000 1; at the end of the study, <italic>SMD</italic>=0.69, 95%<italic>CI</italic> (0.21, 1.17), <italic>P</italic>=0.005<0.05]. 5) The incidence of postoperative analgesic adverse reactions was lower in the acupuncture group [vomiting, <italic>OR</italic>=0.11, 95%<italic>CI</italic> (0.06, 0.24), <italic>P</italic><0.000 01; urinary retention, <italic>OR</italic>=0.26, 95%<italic>CI</italic> (0.11, 0.63), <italic>P</italic>=0.003<0.05].ConclusionThe effectiveness of acupuncture-assisted TKA postoperative rehabilitation is better than that of routine treatment. Due to certain limitations in this study, the research results need to be further verified by more high-quality research. |
| format | Article |
| id | doaj-art-f1cf89ee52784f7ea1ca1ce36850779d |
| institution | Kabale University |
| issn | 2096-0328 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Editorial Office of Rehabilitation Medicine |
| record_format | Article |
| series | 康复学报 |
| spelling | doaj-art-f1cf89ee52784f7ea1ca1ce36850779d2025-01-14T10:07:52ZengEditorial Office of Rehabilitation Medicine康复学报2096-03282022-06-013226327328090587Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee ArthroplastyLI NapingYANG ShaofengKUANG GaoyanZENG FanTU DuxingLU MinObjectiveTo evaluate the effectiveness of acupuncture as adjuvant therapy for postoperative rehabilitation after total knee arthroplasty (TKA).MethodsThe randomized controlled trials (RCTs) of acupuncture assisted postoperative rehabilitation studies were searched from China National Knowledge Infrastructure (CNKI), Wanfang, VIP, PubMed, Cochrane Library and Web of Science. The Cochrane bias risk assessment tool was used for screening and quality assessment of the included literature, and RevMan 5.3 and Stata 15.1 were used for data analyses.ResultsA total of 11 RCTs with 763 patients were included in final review. Compared with the routine treatment, the meta-analyses indicated that: 1) The resting visual analogue scale (VAS-R) score after TKA in the acupuncture group was significantly decreased [postoperatively 1 d, <italic>MD</italic>=-0.65, 95%<italic>CI</italic> (-0.87, -0.42), <italic>P</italic><0.000 01; postoperatively 2 d, <italic>MD</italic>=-0.35, 95%<italic>CI</italic> (-0.50, -0.21), <italic>P</italic><0.000 01]. 2) The passive functional exercises visual analogue scale (VAS-P) score in the acupuncture group was significantly decreased after the surgery [postoperatively 1 d, <italic>MD</italic>=-1.01, 95%<italic>CI</italic> (-1.70, -0.33), <italic>P</italic>=0.004<0.05; postoperatively 2 d, <italic>MD</italic>=-0.80, 95%<italic>CI</italic> (-1.43, -0.17), <italic>P</italic>=0.001<0.05; postoperatively 3 d, <italic>MD</italic>=-0.90, 95%<italic>CI</italic> (-1.61, -0.18), <italic>P</italic>=0.01<0.05; postoperatively 7 d, <italic>MD</italic>=-0.60, 95%<italic>CI</italic> (-0.98, -0.21), <italic>P</italic>=0.002<0.05; postoperatively 14 d, <italic>MD</italic>=-0.63, 95%<italic>CI</italic> (-1.07, -0.19), <italic>P</italic>=0.005<0.05]. 3) The range of motion of the acupuncture group was significantly improved [postoperatively 3 d, <italic>SMD</italic>=0.47, 95%<italic>CI</italic> (0.19, 0.75), <italic>P</italic>=0.001<0.05; postoperatively 7 d, <italic>SMD</italic>=0.47, 95%<italic>CI</italic> (0.12, 0.83), <italic>P</italic>=0.009<0.05; postoperatively 14 d, <italic>SMD</italic>=0.26, 95%<italic>CI</italic> (0.00, 0.53), <italic>P</italic>=0.05≤0.05]. 4) There was significantly better postoperative improvement in the joint function score of the acupuncture group [postoperatively 7 d, <italic>SMD</italic>=0.71, 95%<italic>CI</italic> (0.41, 1.01), <italic>P</italic><0.000 01; postoperatively 14 d, <italic>SMD</italic>=0.66, 95%<italic>CI</italic> (0.36, 0.96), <italic>P</italic><0.000 1; at the end of the study, <italic>SMD</italic>=0.69, 95%<italic>CI</italic> (0.21, 1.17), <italic>P</italic>=0.005<0.05]. 5) The incidence of postoperative analgesic adverse reactions was lower in the acupuncture group [vomiting, <italic>OR</italic>=0.11, 95%<italic>CI</italic> (0.06, 0.24), <italic>P</italic><0.000 01; urinary retention, <italic>OR</italic>=0.26, 95%<italic>CI</italic> (0.11, 0.63), <italic>P</italic>=0.003<0.05].ConclusionThe effectiveness of acupuncture-assisted TKA postoperative rehabilitation is better than that of routine treatment. Due to certain limitations in this study, the research results need to be further verified by more high-quality research.http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.03010total knee arthroplastyacupuncturerandomized controlled trialsmeta analysis |
| spellingShingle | LI Naping YANG Shaofeng KUANG Gaoyan ZENG Fan TU Duxing LU Min Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee Arthroplasty 康复学报 total knee arthroplasty acupuncture randomized controlled trials meta analysis |
| title | Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee Arthroplasty |
| title_full | Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee Arthroplasty |
| title_fullStr | Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee Arthroplasty |
| title_full_unstemmed | Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee Arthroplasty |
| title_short | Meta Analysis of Effectiveness on Acupuncture Assisted Rehabilitation after Total Knee Arthroplasty |
| title_sort | meta analysis of effectiveness on acupuncture assisted rehabilitation after total knee arthroplasty |
| topic | total knee arthroplasty acupuncture randomized controlled trials meta analysis |
| url | http://kfxb.publish.founderss.cn/thesisDetails#10.3724/SP.J.1329.2022.03010 |
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