A comparison of the effects of electroacupuncture vs transcutaneous electrical nerve stimulation for pain control in knee osteoarthritis

Wenjing Yu; Tong Wang; Qi Shu; Chunjiu Wang; Xue Yang; Changxin Liu; Changqing Guo

doi:10.1097/md.0000000000016265

journal article Open Access Jul 01, 2019

A comparison of the effects of electroacupuncture vs transcutaneous electrical nerve stimulation for pain control in knee osteoarthritis

Wenjing Yu

Tong Wang

Qi Shu

Chunjiu Wang Xue Yang

Changxin Liu

Changqing Guo

Medicine Vol. 98 No. 28 pp. e16265 · Ovid Technologies (Wolters Kluwer Health)

View at Publisher Save 10.1097/md.0000000000016265

Abstract

Abstract

Background:
Knee osteoarthritis (KOA), the most common type of osteoarthritis, is a chronic degenerative joint disease accompanied by pain and functional limitation for the elderly. The 2 nonpharmacologic approaches, electroacupuncture (EA) and transcutaneous electrical nerve stimulation (TENS), are considered beneficial in relieving KOA pain, however, the current conclusions are controversial. Furthermore, no direct or indirect meta-analyses between EA and TENS have been reported for the pain relief of KOA patients.

Methods:
PubMed, EMBASE, Cochrane library, Web of Science, CNKI, VIP, Wan Fang will be systematically searched their inception to May 2018. Randomized controlled trials that compared the effect of EA and TENS on pain control in knee osteoarthritis will be included. The primary outcome was the knee pain levels, and secondary outcome was the comprehensive indicators. Risk of bias assessment of the included studies will be performed according to the Cochrane risk of bias tool. The pairwise and network meta-analysis will be performed by STATA 14.0 software.

Results:
This study is ongoing and will be submitted to a peer-reviewed journal for publication.

Conclusion:
This study will provide comprehensive evidence on the effects of EA and TENS for pain control in knee osteoarthritis.

PROSPERO registration number:
CRD42018091826.

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References

36

[1]

March "Burden of disability due to musculoskeletal (MSK) disorders" Best Pract Res Clin Rheumatol (2014) 10.1016/j.berh.2014.08.002

[2]

Hiligsmann "Health economics in the field of osteoarthritis: an expert's consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO)" Semin Arthritis Rheum (2013) 10.1016/j.semarthrit.2013.07.003

[3]

Kotlarz "Osteoarthritis and absenteeism costs: evidence from US National Survey Data" J Occup Environ Med (2010) 10.1097/jom.0b013e3181cf00aa

[4]

Vos "Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010" Lancet (2012) 10.1016/s0140-6736(12)61729-2

[5]

Lawrence "Estimates of the prevalence of arthritis and other rheumatic conditions in the United States. Part II" Arthritis Rheum (2008) 10.1002/art.23176

[6]

Ma "Incidence, prevalence, costs, and impact on disability of common conditions requiring rehabilitation in the United States: stroke, spinal cord injury, traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain" Arch Phys Med Rehabil (2014) 10.1016/j.apmr.2013.10.032

[7]

Riddle "Psychological health impact on 2-year changes in pain and function in persons with knee pain: data from the Osteoarthritis Initiative" Osteoarthritis Cartilage (2011) 10.1016/j.joca.2011.06.003

[8]

Zhang "OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines" Osteoarthritis Cartilage (2008) 10.1016/j.joca.2007.12.013

[9]

Nguyen "Increasing prevalence of knee pain and symptomatic knee osteoarthritis: survey and cohort data" Ann Intern Med (2011) 10.7326/0003-4819-155-11-201112060-00004

[10]

Knee replacement

Andrew J Carr, Otto Robertsson, Stephen Graves et al.

The Lancet 2012 10.1016/s0140-6736(11)60752-6

[11]

Osteoarthritis

S Glyn-Jones, A J R Palmer, R Agricola et al.

The Lancet 2015 10.1016/s0140-6736(14)60802-3

[12]

Osteoarthritis: an update with relevance for clinical practice

Johannes WJ Bijlsma, Francis Berenbaum, Floris PJG Lafeber

The Lancet 2011 10.1016/s0140-6736(11)60243-2

[13]

Hochberg "American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee" Arthritis Care Res (2012) 10.1002/acr.21596

[14]

OARSI guidelines for the non-surgical management of knee osteoarthritis

T.E. McAlindon, R.R. Bannuru, M.C. Sullivan et al.

Osteoarthritis and Cartilage 2014 10.1016/j.joca.2014.01.003

[15]

Fernandes "EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis" Ann Rheum Dis (2013) 10.1136/annrheumdis-2012-202745

[16]

Pain Mechanisms: A New Theory

Ronald Melzack, Patrick D. Wall

Science 1965 10.1126/science.150.3699.971

[17]

Zeng "Electrical stimulation for pain relief in knee osteoarthritis: systematic review and network meta-analysis" Osteoarthritis Cartilage (2015) 10.1016/j.joca.2014.11.014

[18]

Barnes "Complementary and alternative medicine use among adults and children: United States, 2007" Natl Health Stat Report (2007)

[19]

Ulett "Electroacupuncture: mechanisms and clinical application" Biol Psychiatry (1998) 10.1016/s0006-3223(97)00394-6

[20]

Manheimer "Acupuncture for peripheral joint osteoarthritis" Cochrane Database Syst Rev (2010)

[21]

Langevin "Manual and electrical needle stimulation in acupuncture research: pitfalls and challenges of heterogeneity" J Altern Complement Med (2015) 10.1089/acm.2014.0186

[22]

Transcutaneous Electrical Nerve Stimulation in Patients With Knee Osteoarthritis

Ling-Xiao Chen, Zhi-Rui Zhou, Yu-Lin Li et al.

The Clinical Journal of Pain 2016 10.1097/ajp.0000000000000233

[23]

Chen "Electro-acupuncture is beneficial for knee osteoarthritis: the evidence from meta-analysis of randomized controlled trials" Am J Chin Med (2017) 10.1142/s0192415x17500513

[24]

Shim "Effects of electroacupuncture for knee osteoarthritis: a systematic review and meta-analysis" Evid Based Complement Alternat Med (2016) 10.1155/2016/3485875

[25]

Caldwell "Simultaneous comparison of multiple treatments: combining direct and indirect evidence" BMJ (2005) 10.1136/bmj.331.7521.897

[26]

Lu "Combination of direct and indirect evidence in mixed treatment comparisons" Stat Med (2004) 10.1002/sim.1875

[27]

Mills "How to use an article reporting a multiple treatment comparison meta-analysis" JAMA (2012) 10.1001/2012.jama.11228

[28]

Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation

L. Shamseer, D. Moher, M. Clarke et al.

BMJ 2015 10.1136/bmj.g7647

[29]

Crichton "Information point: visual analogue scale (VAS)" J Clin Nurs (2001)

[30]

Theiler "Clinical evaluation of the WOMAC 3.0 OA Index in numeric rating scale format using a computerized touch screen version" Osteoarthritis Cartilage (2002) 10.1053/joca.2002.0807

[31]

Clinical importance of changes in chronic pain intensity measured on an 11-point numerical pain rating scale

John T. Farrar, James P. Young, Linda LaMoreaux et al.

Pain 2001 10.1016/s0304-3959(01)00349-9

[32]

Validating the SF-36 health survey questionnaire: new outcome measure for primary care.

J. E. Brazier, R. Harper, N. M. Jones et al.

BMJ 1992 10.1136/bmj.305.6846.160

[33]

Puhan "A GRADE Working Group approach for rating the quality of treatment effect estimates from network meta-analysis" BMJ (2014) 10.1136/bmj.g5630

[34]

The Cochrane Collaboration's tool for assessing risk of bias in randomised trials

J. P. T. Higgins, D. G. Altman, P. C. Gotzsche et al.

BMJ 2011 10.1136/bmj.d5928

[35]

Mills "Demystifying trial networks and network meta-analysis" BMJ (2013) 10.1136/bmj.f2914

[36]

Bovey "Acupuncture for osteoarthritis in the UK: a turning point for NICE?" Eur J Integr Med (2016) 10.1016/j.eujim.2016.08.001

Metrics

8

Citations

36

References

Details

Published: Jul 01, 2019
Vol/Issue: 98(28)
Pages: e16265
License: View

Authors

W

Wenjing Yu

Department of pediatrics, Beijing University of Chinese Medicine Third Affiliated Hospital

T

Tong Wang