Meta Analysis the Effect of Acupuncture Therapy on Pain Reduction in Osteoarthritis Patients
Abstract
Background: Osteoarthritis (OA) is the most common joint condition and is characterized by progressive erosion of the articular cartilage. Based on data from Basic Health Research (2018) the prevalence of joint disease in Indonesia is recorded at around 7.3% and osteoarthritis (OA) or arthritis is a common joint disease. As the two main non-surgical methods, physiotherapy and acupuncture have been shown to be safe and effective in the therapy of osteoarthritis.
Subjects and Method: This was a systematic review and meta-analysis study. The articles used in this study were obtained from several databases including PubMed, Google Scholar, and Springer Link. The articles used in this study were those published from 2000-2020. The article search was carried out by considering the eligibility criteria defined using the PICO model. The population in the study were patients with osteoarthritis complaints with intervention in the form of acupuncture therapy, the comparison was the sham acupuncture outcome in the form of pain reduction. The keywords for finding articles are as follows: "Acupuncture" OR "Osteoarthritis" AND "Randomized Controlled Trials". The articles included in this study are full text articles with an observational study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.
Results: A total of 9 articles were reviewed in this study. A meta-analysis of 9 randomized control trials showed that acupuncture therapy reduced pain in osteoarthritis patients (SMD= -0. 49; 95% CI= -0.88 to -0.10; p= 0.01).
Conclusion: Acupuncture therapy reduces pain in osteoarthritis patients.
Keywords: acupuncture, osteoarthritis, acupuncture osteoarthritis, randomized control trial
Correspondence: Fahmi Eko Susilo. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: fahmiekss@gmail.com. Mobile: 081393644991.
Indonesian Journal of Medicine (2021), 06(01): 95-103
https://doi.org/10.26911/theijmed.2021.06.01.10.
References
Almazor MES, Looney C, Liu Y, Cox V,Pietz K, Marcus DM, Street (2007). A ran-domized controlled trial of acupuncture for osteoarthritis of the knee: Effects of patient-provider communication. Arthritis Care Res. 62 (9): 1229–1236. https://doi.org/10.1002/acr.20225.
American Academy Orthopaedic Surgeons (AAOS). (2013). Distal Radius Frac-ture (Broken Wrist). Accessed from http://orthoinfo.aaos.org/PDFs/A00412.pdf.
Bashori A, Santoso TB (2009). Perbedaan penambahan diclofenac topikal pada intervensi IRR dan aktif excercise terhadap pengurangan nyeri OA lutut (The difference of the addition of topical diclofenac to the intervention of IRR and active excercise on the reduction of knee pain). J Physiother. 9 (1). https://ejurnal.esaunggul.ac.id-/index.php/Fisio/article/view/619.
Bermann BM, et al (2004). Effectiveness of Acupuncture as Adjunctive Therapy in Osteoarthritisof the Knee. Ann Intern Med. 141:901-910
Foster NE et al (2007). Acupuncture as an adjunct to exercise based physiotherapy for osteoarthritis of the knee: randomised controlled trial. Bmj.1-12
Hinmann RS, Mccrory P, Pirrota M, Forbes A, Crossley KM, Williamson E, Kyriakides M, Novy K, Metcalf BR, Harris A, Reddy P, Conaghan PG, Bennel KL. (2014). Acupuncture for Chronic Knee Pain
Ho-Pham LT, Lai TQ, Mai LD, Doan MC, Pham HN, Nguyen (2014). Prevalence of radiographic osteoarthritis of the knee and its relationship to self-reported pain. Journal. Plos.one. 9(4)
Jubb RW, Tukmachi ES, Jones PW, Dem-pesy E, Waterhouse L, dan Brailsford (2015). A blinded randomised trial of acupuncture (manual and electroacu-puncture) compared with a non-pene-trating sham for the symptoms of osteoarthritis of the knee. Acupunct Med. 26(2): 69-78. https://doi.org/10.1136/aim.26.2.69.
Haryanto JT (2017). Pengaruh terapi aku-punktur jin’s 3 needle terhadap penu-runan skala nyeri pada pasien nyeri lutut Di dusun sidorejo desa Ngargo-rejo Kecamatan ngemplak boyolali (The effect of acupuncture therapy with genie 's 3 needles on reducing pain scale in knee pain patients in Sidorejo hamlet, Ngargorejo village, Ngemplak boyolali sub-district). Jurnal Keterapian Fisik. 2(1): 1-61.
Laporan RISKESDAS (2018). Riset Kese-hatan Dasar: Badan Penelitian dan Pengembangan Kesehatan Kemenkes RI tahun 2018 (Basic Health Rese-arch: Research and Development Agency for Health Ministry of Health of the Republic of Indonesia in 2018).
Lin LL, Li YT, Tu JF, Yang JW, Sun N, Zhang S, Wang TQ, et al. (2018). Effectiveness and feasibility of acu-puncture for knee osteoarthritis:a pilot randomized controlled trial. Clin Rehabil. 32(12): 1666-1675. https://-doi.org/10.1177/0269215518790632.
Mora JC, Przkora R, Almeida YC (2018). Knee osteoarthritis: pathophysiology and current treatment modalities. J Pain Res. 11: 2189–2196. https://doi-.org/10.2147/jpr.s154002.
Murti B (2018). Prinsip dan Metode Riset Epidemiologi (5th ed) (Principles and Methods of Epidemiological Research (5th ed)). Surakarta: Program Studi Ilmu Kesehatan Masyarakat, Program Pascasarjana, Universitas Sebelas Maret.
Plaster R, Vieira WB, Alencar FAD, Nakano EYN, Liebano RE (2014). Immediate effects of electroacupuncture and manual acupuncture on pain, mobility and muscle strength in patients with knee osteoarthritis: a randomized controlled trial. Acupunct Med. 32(3): 236–241. https://doi.org/10.1136/ac-upmed-2013-010489.
Riset Kesehatan Dasar (Riskesdas) (2018). Badan Penelitian dan Pengembangan Kesehatan Kementerian RI tahun 2018 (Ministry of Health Research and Development Agency of the Republic of Indonesia in 2018).
Saputra K, Sudirman S (2009). Akupunktur untuk nyeri dengan pendekatan neurosain (Acupuncture for pain with a neuroscience approach). Jakarta: Sagung Seto.
Scharf HP, Mansmann U, Streitberger K, Witte S, Kramer J, Maier J, Trampisch HJ, Victor N (2016). Acupuncture and Knee Osteoarthritis. Ann Intern Med. 145(1): 12-20. https://doi.org/-10.7326/0003-4819-145-1-2006070-40-00005.
Witt C, Brinkhaus B, Jena S, Linde K, Streng A, Wagenfeil S, Hmmelserger J, Walther HU, Melchar D, Wilich SN (2005). Acupuncture in patients with osteoarthritis of the knee or hip: a randomized, controlled trial with an additional nonrandomized arm. Ar-thritis Rheum. 54(11): 3485-93. https://doi.org/10.1002/art.22154.
Xu H, Ryan JD, Li K (2007). Clinical inves-tigation into the effectiveness of needleless acupuncture in the management of the symptoms of osteo-arthritis of the knee: A preliminary, single-blind and sham controlled study. Aust J Acupunct Chinese Med. 2(2):9-15. https://dx.doi.org/10.1097-%2F01.FCH.0000324482.78577.0f.
