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Vol. 153. Issue 6.
Pages 250-255 (September 2019)
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Vol. 153. Issue 6.
Pages 250-255 (September 2019)
Review
DOI: 10.1016/j.medcle.2019.04.018
Efficacy of acupuncture in rheumatic diseases with spine involvement: Systematic review
Eficacia de la acupuntura en las enfermedades reumáticas que afectan el raquis: revisión sistemática
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María Betina Nishishinya Aquinoa,b, Claudia Alejandra Peredab,c, Juan Muñoz-Ortegod,
Corresponding author
juanmunozortego@gmail.com

Corresponding author.
a Instituto Traumatológico Hospital Quirón, Barcelona, Spain
b Grupo de Reumatología Basada en la Evidencia, Sociedad Española de Reumatología, Spain
c Reumatología, Hospital Mediterráneo, Almería, Spain
d Servicio de Reumatología, instituteMYM, Centro Médico Teknon, Barcelona, Spain
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Table 1. Neck pain.
Table 2. Low back pain.
Table 3. Summary of the evidence.
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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
Systematic review
Rheumatic diseases
Spine
Resumen

Las enfermedades reumáticas de afectación axial que cursan con dolor cervical y lumbar son muy prevalentes y conllevan un importante consumo de recursos sanitarios. La acupuntura es un procedimiento médico avalado por la Organización Mundial de la Salud con un amplio abanico de indicaciones. Nuestro objetivo fue revisar la evidencia sobre la eficacia de la acupuntura en estas enfermedades.

Se realizó búsqueda sistemática: MEDLINE, CENTRAL y EMBASE (mayo de 2017): 535 citas, incluimos 4 revisiones globales (45 revisiones sistemáticas) y 3 revisiones sistemáticas (70 ensayos clínicos).

La acupuntura mejora el dolor cervical y la funcionalidad de forma inmediata y a corto plazo. También es eficaz en lumbalgia aguda y crónica como primera línea terapéutica, comparada con placebo, y como coadyuvante de otros tratamientos convencionales. Es una intervención segura.

Los resultados no son concluyentes en radiculopatías (cervicales y lumbares), estenosis canal lumbar y espondilitis anquilosante. Faltan estudios bien diseñados con evaluación a medio y largo plazo.

Palabras clave:
Acupuntura
Revisión sistemática
Enfermedades reumáticas
Raquis

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