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  4. Effects of Acupuncture on Neuropathic Pain Induced by Spinal Cord Injury: A Systematic Review and Meta-Analysis

Effects of Acupuncture on Neuropathic Pain Induced by Spinal Cord Injury: A Systematic Review and Meta-Analysis

Evidence-Based Complementary and Alternative Medicine, 2022 · DOI: https://doi.org/10.1155/2022/6297484 · Published: August 19, 2022

Spinal Cord InjuryAlternative MedicinePain Management

Simple Explanation

Neuropathic pain is a common and difficult symptom after spinal cord injury (SCI). This review investigates if acupuncture helps with this pain. The study looked at multiple research papers to see if acupuncture helps SCI-induced neuropathic pain. The analysis suggests acupuncture may help manage pain after SCI, especially electroacupuncture.

Study Duration
Not specified
Participants
286 participants (145 in experimental groups, 141 in control groups)
Evidence Level
Systematic Review and Meta-Analysis of 6 Randomized Controlled Trials

Key Findings

  • 1
    Acupuncture shows a positive effect on pain severity.
  • 2
    Acupuncture shows benefits regarding the present pain intensity.
  • 3
    Electroacupuncture (EA) demonstrates better effects on SCI-induced neuropathic pain compared to other acupuncture methods.

Research Summary

This meta-analysis evaluated the effect of acupuncture on SCI-induced neuropathic pain, including six studies, and indicated that acupuncture has a positive effect. Electroacupuncture (EA) may have better therapeutic efficacy on SCI-induced neuropathic pain. The findings revealed a potential publication bias where 'negative' studies were less likely to be reported.

Practical Implications

Clinical Practice

Acupuncture, particularly electroacupuncture, may be considered as a complementary therapy for managing neuropathic pain following spinal cord injury.

Future Research

Further high-quality studies with larger sample sizes are needed to confirm the efficacy of acupuncture and explore the underlying mechanisms.

Treatment Guidelines

These results may provide an important reference value for clinical investigation and provide essential information to decision-makers.

Study Limitations

  • 1
    Small sample sizes of included studies.
  • 2
    Variable methodological quality across studies.
  • 3
    Heterogeneity in study design.

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