Biblioteca de los Sistemas de Salud de la OMS
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Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials
(87 pages)

Índice de contenido
Ver el documentoAcknowledgements
Abrir esta carpeta y ver su contenidoIntroduction
Abrir esta carpeta y ver su contenido1. General considerations
cerrar esta carpeta2. Review of clinical trial reports
cerrar esta carpeta2.1. Pain
Ver el documento2.1.1. Head and face
Ver el documento2.1.2. Locomotor system
Ver el documento2.1.3. Gout
Ver el documento2.1.4. Biliary and renal colic
Ver el documento2.1.5. Traumatic or postoperative pain
Ver el documento2.1.6. Dentistry
Ver el documento2.1.7. Childbirth
Ver el documento2.1.8. Surgery
Ver el documento2.2. Infections
Ver el documento2.3. Neurological disorders
Ver el documento2.4. Respiratory disorders
Ver el documento2.5. Digestive disorders
Ver el documento2.6. Blood disorders
Ver el documento2.7. Urogenital disorders
Ver el documento2.8. Gynaecological and obstetric disorders
Ver el documento2.9. Cardiovascular disorders
Ver el documento2.10. Psychiatric disorders and mental disturbances
Ver el documento2.11. Paediatric disorders
Ver el documento2.12. Disorders of the sense organs
Ver el documento2.13. Skin diseases
Ver el documento2.14. Cancers
Ver el documento2.15. Other reports
Ver el documento3. Diseases and disorders that can be treated with acupuncture
Ver el documento4. Summary table of controlled clinical trials
Ver el documentoReferences
 

2.1.2. Locomotor system

Chronically painful conditions of the locomotor system accompanied by restricted movements of the joints are often treated with acupuncture if surgical intervention is not necessary. Acupuncture not only alleviates pain, it also reduces muscle spasm, thereby increasing mobility. Joint damage often results from muscle malfunction, and many patients complain of arthralgia before any changes are demonstrable by X-ray. In these cases, acupuncture may bring about a permanent cure. Controlled studies on common diseases and conditions in this category have been reported by different authors, with favourable results for acupuncture treatments compared with standard therapy, delayed-treatment controls, control needling, mock TENS, or other sham acupuncture techniques. The conditions concerned include cervical spondylitis or neck pain due to other causes (33-37), periarthritis of the shoulder (38, 39) fibromyalgia (40), fasciitis (41), epicondylitis (tennis elbow) (42-44), low back pain (45-49), sciatica (50-53), osteoarthritis with knee pain (54-56), and radicular and pseudoradicular pain syndromes (57). In some reports, comparison was made between standard care and acupuncture as an adjunct to standard care. The conclusion from one such randomized controlled trial was that acupuncture is an effective and judicious adjunct to conventional care for patients with osteoarthritis of the knee (58).

Rheumatoid arthritis is a systemic disease with extra-articular manifestations in most patients. In this disease, dysfunction of the immune system plays a major role, which explains the extra-articular and articular features. Acupuncture is beneficial in the treatment of rheumatoid arthritis (4-6). While acupuncture may not improve the damage that has been done to the joints, successful pain relief has been verified in the majority of controlled studies (58). The action of acupuncture on inflammation and the dysfunctional immune system is also beneficial (5, 59).

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Última actualización: le 4 mayo 2012