Quelle:
Medline Abstract
Akupunktur hilft auch gelegentlich bei Schmerzen
im Halsbereich: Ein der jüngsten Vergangenheit haben mehrere
Studien den Beweis dafür erbracht, daß die in asiatischen Ländern
seit Jahrtausenden weit verbreitete Akupunktur bei Schmerzerkrankungen
kurzfristig eine schwache Wirkung entfaltet. Daher haben sich
deutsche Krankenkassen trotz leerer Kassen kürzlich dazu entschlossen
die Akupunktur bei ausgewählten Krankheiten als Kassenleistung
anzuerkennen.
In der hier vorliegenden Studie analysierten die Autoren
zehn bisher angefertigten Akupunktur-Studien bei denen bei chronischen
Schmerzen im Halsbereich eine Akupunktur zum Einsatz kam. Es zeigte
sich, daß die behandelten Patienten unmittelbar nach der Behandlung
und über einen kurzen Zeitraum nach Behandlungsende oft eine leichte
Besserung der Schmerzen zu Protokoll gaben. Dabei wirkte die Akupunktur
im statistischen Durchschnitt etwas besser als die verschiedenen
zu Kontrollzwecken angewandten Placebo-Behandlungen. Die schmerzlindernde
Wirkung hielt aber nur für eine kurze Zeitspanne an. Es
zeigte sich weiter, daß es schwache Hinweise darauf gab, daß die
Akupunktur für kurze Zeit etwas besser wirkte als die angewandten
Massagen.
Acupuncture for neck disorders.
Trinh K, Graham N, Gross A, Goldsmith Ch, Wang E, Cameron I, Kay
T; Cervical Overview Group.
BACKGROUND: Neck pain is one of the three most frequently
reported complaints of the musculoskeletal system. Treatments
for neck pain are varied, as are the perceptions of benefits.
Acupuncture has been used as an alternative to more traditional
treatments for musculoskeletal pain. This review summarizes the
most current scientific evidence on the effectiveness of acupuncture
for acute, subacute and chronic neck pain.
OBJECTIVES: To determine the effects of acupuncture for
individuals with neck pain.
SEARCH STRATEGY: We searched CENTRAL (2006, issue 1) and
MEDLINE, EMBASE, MANTIS, CINAHL from their beginning to February
2006. We searched reference lists and the acupuncture database
TCMLARS in China.
SELECTION CRITERIA: Any published trial using randomized
(RCT) or quasi-randomized (quasi-RCT) assignment to the intervention
groups, either in full text or abstract form, were included.
DATA COLLECTION AND ANALYSIS: Two reviewers made independent
decisions for each step of the review: article inclusion, data
abstraction and assessment of trial methodological quality. Study
quality was assessed using the Jadad criteria. Consensus was used
to resolve disagreements. When clinical heterogeneity was absent,
we combined studies using random-effects meta-analysis models.
MAIN RESULTS: We did not find any trials that examined
the effects of acupuncture for acute or subacute pain, but we
found 10 trials that examined acupuncture treatments for
chronic neck pain. Overall, methodological quality had a mean
of 2.3/5 on the Jadad Scale. For chronic mechanical neck disorders,
there was moderate evidence that acupuncture was more
effective for pain relief than some types of sham controls, measured
immediately post-treatment.
There was moderate evidence that acupuncture was more
effective than inactive, sham treatments measured immediately
post-treatment and at short-term follow-up (pooled standardized
mean difference (SMD) -0.37, 95% confidence interval (CI) -0.61
to -0.12).
There was limited evidence that acupuncture was more effective
than massage at short-term follow-up. For chronic neck disorders
with radicular symptoms, there was moderate evidence that acupuncture
was more effective than a wait-list control at short-term follow-up.
AUTHORS' CONCLUSIONS: There is moderate evidence that acupuncture
relieves pain better than some sham treatments, measured at the
end of the treatment. There is moderate evidence that those who
received acupuncture reported less pain at short term follow-up
than those on a waiting list. There is also moderate evidence
that acupuncture is more effective than inactive treatments for
relieving pain post-treatment and this is maintained at short-term
follow-up.
PMID: 16856065 [PubMed - in process]
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