| Purpose:Systematically combing the application of motion style acupuncture treatment(MSAT)in the treatment of neck and low back pain,understanding the research progress of motion style acupuncture treatment(MSAT)in the treatment of neck and low back pain,sorting out the commonly used clinical treatment schemes,using Cohrane system evaluation criteria for its efficacy,analgesic effect,safety of systematic evaluation and Meta analysis,to provide high-quality evidence-based medicine for clinical practice decision-making.Material and method:This study comprehensively searched the Chinese biomedical literature database(CBM),China knowledge Network database(CNKI),Wan fang data knowledge service platform,VIP Chinese sci-tech journal database,Pubmed,Embase,Cochrane Library and other Chinese and English databases,and collected randomized controlled trials on the use of motion style acupuncture treatment(MSAT)in the treatment of neck and low back pain.The search time range is that each database will be established until January 1,2021.Retrospective inclusion of references in the literature to supplement the acquisition of literature.According to the pre-established inclusion exclusion criteria,the two researchers independently screened the literature and extracted the data,and used the risk offset tool recommended by the Cochrane assistance network to evaluate the methodological quality of the included literature.The outcome index mainly focused on the total effective rate,VAS pain score and safety.The selected literatures were analyzed by Review Manager5.4and Stata15.1 software,and forest map,funnel map,Egger and Harbin linear regression map,star map and so on were drawn to obtain the objective evaluation of the efficacy,analgesic effect and safety of motion style acupuncture treatment(MSAT)in the treatment of neck and low back pain.Results:All the 57 articles included in this study reported the effective rate of motion style acupuncture treatment(MSAT)in the treatment of neck and low back pain.The conclusions are as follows: ⑴ the effective rate:(1)the curative effect of motion style acupuncture treatment(MSAT)is better than that of traditional acupuncture(OR=3.95,95%CI=[2.54,6.14],P < 0.00001),Egger’s regression test showed that there was no publication deviation,and the result of sensitivity analysis was consistent with that of Meta analysis.(2)the curative effect of motion style acupuncture treatment(MSAT)was better than that of electroacupuncture(I~2= 37% < 40%,OR=1.83,95%CI=[1.00087,3.35163,P=0.005).Significance analysis found that the results were located at the boundary of statistical significance.After subgroup analysis according to the location of pain,there was no statistical significance in neck pain group,but the result of low back pain group was consistent with Meta analysis,and the difference between groups was I~2= 84.4%.The heterogeneity may come from pain site,because the sample size of neck pain group is only 2 articles,which need to be further verified in the future.at present,it can be concluded that motion style acupuncture treatment(MSAT)has more advantages than electroacupuncture in the treatment of low back pain;(3)the curative effect of motion style acupuncture treatment(MSAT)in the treatment of low back pain was better than that of western medicine(OR=4.34,95% CI =[2.23,8.44],P= 0.0001 < 0.05).(4)the curative effect of motion style acupuncture treatment(MSAT)was better than that of traditional acupuncture combined with other therapies(OR=4.77,95%CI= [2.55,8.93],P < 0.00001).(5)there was no significant difference between motion style acupuncture treatment(MSAT)and other therapies(I~2:=45% < 50%,OR=0.90,95%CI= [0.12,6.84],P > 0.00001).As only 3 articles were included,the results should be treated with caution.(6)the curative effect of motion style acupuncture treatment(MSAT)combined with traditional acupuncture was better than that of traditional acupuncture(OR=2.91,95%CI= [1.24,6.82],P=0.01 < 0.05).(7)the curative effect of motion style acupuncture treatment(MSAT)combined with other therapies is better than that of non-exercise acupuncture(I~2=8%﹤20%,OR=5.36,95%CI=[3.70,7.76]P﹤0.00001),The Harbord inspection results:P=0.232﹥0.05,There is no statistical significance and there is no publication deviation.The results of sensitivity analysis are consistent with those of Meta analysis,indicating that the results are stable.⑵Analgesia effect:(1)the analgesic effect of motion style acupuncture treatment(MSAT)was better than that of traditional acupuncture(I~2=83% > 50% SMD= 1.08,95% CI = [0.74,1.42],P < 0.01).The sensitivity analysis excluded the heterogeneity found by Galbr test,and the results were consistent with Meta analysis,the results were stable but the evidence quality was low.(2)the analgesic effect of motion style acupuncture treatment(MSAT)is better than that of electroacupuncture(WMD=0.80,95%CI= [0.85,1.06]);(3)the analgesic effect of motion style acupuncture treatment(MSAT)is better than that of western medicine(I~2= 95% > 50%,WMD=2.04,95%CI = [0.47,3.61]),and the results are not credible with large heterogeneity,so qualitative analysis is carried out.(4)the analgesic effect of motion style acupuncture treatment(MSAT)is better than that of traditional acupuncture combined with other therapies(I~2= 30% < 40% WMD= 0.89,95%CI = [0.85,1.22] P < 0.01).(5)the analgesic effect of motion style acupuncture treatment(MSAT)combined with traditional acupuncture is better than that of traditional acupuncture(I~2=78% > 50%,WMD=0.78,95% CI =[0.53,1.04],P < 0.01).After sensitivity analysis by subtraction and supplement,the result is stable,but because of large heterogeneity,the quality of evidence is low.(6)the analgesic effect of motion style acupuncture treatment(MSAT)combined with other therapies was better than that of non-exercise acupuncture(I~2=82% > 50% WMD= 2.11,95%CI = [1.64,2.58],P < 0.01).Calculated by egger linear regression method,P= 0.732 > 0.1,there was no statistical significance,the results of subgroup analysis and sensitivity analysis were stable,the quality of evidence was low.(7)qualitative analysis showed that the short-term analgesic effect of motion style acupuncture treatment(MSAT)was stronger than that of western medicine,and the long-term effect remained to be verified.⑶Safety: there were 20 reports on the safety and side effects of the intervention measures,all of which had no serious adverse reactions,and the safety of motion style acupuncture treatment(MSAT)was better.Conclusion:Through the analysis of this study,we can draw the following conclusions for clinical practice:(1)the use of motion style acupuncture treatment(MSAT)in the treatment of neck and low back pain can get a better clinical effect,but the use of electroacupuncture or exercise acupuncture in the treatment of neck pain still needs to be further discussed in the future.(2)when using motion style acupuncture treatment(MSAT)to treat neck and low back pain,compared with other treatments,motion style acupuncture treatment(MSAT)is more effective in relieving neck and low back pain.(3)the use of motion style acupuncture treatment(MSAT)is safe in the treatment of neck and low back pain. |
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