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Acupuncture for treating fibromyalgia

  1. John C Deare1,
  2. Zhen Zheng2,*,
  3. Charlie CL Xue2,
  4. Jian Ping Liu3,
  5. Jingsheng Shang4,
  6. Sean W Scott5,
  7. Geoff Littlejohn6

Editorial Group: Cochrane Musculoskeletal Group

Published Online: 31 MAY 2013

Assessed as up-to-date: 15 JAN 2012

DOI: 10.1002/14651858.CD007070.pub2


How to Cite

Deare JC, Zheng Z, Xue CCL, Liu JP, Shang J, Scott SW, Littlejohn G. Acupuncture for treating fibromyalgia. Cochrane Database of Systematic Reviews 2013, Issue 5. Art. No.: CD007070. DOI: 10.1002/14651858.CD007070.pub2.

Author Information

  1. 1

    Compmed Health Institute, Southport, Queensland, Australia; and Traditional & Complementary Medicine Program, Health Innovations Research Institute, Discipline of Chinese Medicine, School of Health Sciences, RMIT University, Bundoora, Victoria, Australia

  2. 2

    RMIT University, Traditional & Complementary Medicine Research Program, Health Innovations Research Institute and Discipline of Chinese Medicine, School of Health Sciences, Bundoora, Victoria, Australia

  3. 3

    Beijing University of Chinese Medicine, Centre for Evidence-Based Chinese Medicine, Beijing, China

  4. 4

    Akupunktoren Bruno Aamo AS, Tromsoe, Norway

  5. 5

    Royal North Shore Hospital, Department of Emergency Medicine, St Leonards, New South Wales, Australia

  6. 6

    Monash Medical Centre, Department of Rheumatology, Clayton, VIC, Australia

*Zhen Zheng, Traditional & Complementary Medicine Research Program, Health Innovations Research Institute and Discipline of Chinese Medicine, School of Health Sciences, RMIT University, PO Box 71, Bundoora, Victoria, 3083, Australia. zhen.zheng@rmit.edu.au.

Publication History

  1. Publication Status: New
  2. Published Online: 31 MAY 2013

SEARCH

[Figure 1]
Figure 1. A flow chart of study selection. ('English' refers to English databases and 'Chinese' refers to Chinese databases).
[Figure 2]
Figure 2. Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
[Figure 3]
Figure 3. Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.
[Analysis 1.1]
Analysis 1.1. Comparison 1 Acupuncture versus non-acupuncture treatment, Outcome 1 Pain up to 1 month after treatment.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Acupuncture versus non-acupuncture treatment, Outcome 2 Global well-being: rated by participants up to 1 month after treatment.
[Analysis 1.3]
Analysis 1.3. Comparison 1 Acupuncture versus non-acupuncture treatment, Outcome 3 Sleep up to 1 month after treatment.
[Analysis 1.4]
Analysis 1.4. Comparison 1 Acupuncture versus non-acupuncture treatment, Outcome 4 Fatigue up to 1 month after treatment.
[Analysis 1.5]
Analysis 1.5. Comparison 1 Acupuncture versus non-acupuncture treatment, Outcome 5 Stiffness up to 1 month after treatment.
[Analysis 1.6]
Analysis 1.6. Comparison 1 Acupuncture versus non-acupuncture treatment, Outcome 6 Adverse events.
[Analysis 1.7]
Analysis 1.7. Comparison 1 Acupuncture versus non-acupuncture treatment, Outcome 7 Mental well-being up to 1 month after treatment.
[Analysis 2.1]
Analysis 2.1. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 1 Pain (subgroup EA & MA) up to 1 month after treatment.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 2 Pain follow-up to 7 months after treatment (subgroup EA vs MA).
[Analysis 2.3]
Analysis 2.3. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 3 Pain: sham non-invasive acupuncture (not breaking skin) vs sham invasive acupuncture (breaking skin).
[Analysis 2.4]
Analysis 2.4. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 4 Physical function (SF-36).
[Analysis 2.5]
Analysis 2.5. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 5 Global well-being: rated by participants (subgroup EA vs MA) up to 1 month after treatment.
[Analysis 2.6]
Analysis 2.6. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 6 Global well-being follow-up to 7 months after treatment (subgroup EA & MA).
[Analysis 2.7]
Analysis 2.7. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 7 Sleep (subgroup EA & MA) up to 1 month after treatment.
[Analysis 2.8]
Analysis 2.8. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 8 Sleep follow-up to 7 months after treatment (subgroup EA & MA).
[Analysis 2.9]
Analysis 2.9. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 9 Fatigue (subgroup EA vs MA) up to 1 month after treatment.
[Analysis 2.10]
Analysis 2.10. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 10 Fatigue follow-up to 7 months after treatment (subgroup EA vs MA).
[Analysis 2.11]
Analysis 2.11. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 11 Stiffness up to 1 month after treatment.
[Analysis 2.12]
Analysis 2.12. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 12 Stiffness follow-up to 7 months after treatment.
[Analysis 2.13]
Analysis 2.13. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 13 Adverse events.
[Analysis 2.14]
Analysis 2.14. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 14 Mental well-being up to 1 month after treatment.
[Analysis 2.15]
Analysis 2.15. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 15 Mental well-being follow-up to 7 months.
[Analysis 2.16]
Analysis 2.16. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 16 Analgesic use (number of tablets per week) up to 1 month after treatment.
[Analysis 2.17]
Analysis 2.17. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 17 Analgesic use (number of participants taking analgesics up to 1 month after treatment).
[Analysis 2.18]
Analysis 2.18. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 18 Tenderness up to 1 month after treatment.
[Analysis 2.19]
Analysis 2.19. Comparison 2 Acupuncture versus placebo or sham acupuncture, Outcome 19 Overall well-being: rated by care giver at end of treatment.
[Analysis 3.1]
Analysis 3.1. Comparison 3 Acupuncture versus medication, Outcome 1 Pain up to 1 month after treatment.
[Analysis 3.2]
Analysis 3.2. Comparison 3 Acupuncture versus medication, Outcome 2 Adverse events.
[Analysis 3.3]
Analysis 3.3. Comparison 3 Acupuncture versus medication, Outcome 3 Tenderness up to 1 month after treatment.
[Analysis 4.1]
Analysis 4.1. Comparison 4 Acupuncture as an adjunct therapy, Outcome 1 Pain up to 1 month after treatment.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Acupuncture as an adjunct therapy, Outcome 2 Pain up to 7 months after treatment.
[Analysis 4.3]
Analysis 4.3. Comparison 4 Acupuncture as an adjunct therapy, Outcome 3 Adverse events.
[Analysis 4.4]
Analysis 4.4. Comparison 4 Acupuncture as an adjunct therapy, Outcome 4 Tenderness - number of tender points below kg/cm2 up to 1 month after treatment.
[Analysis 4.5]
Analysis 4.5. Comparison 4 Acupuncture as an adjunct therapy, Outcome 5 Tenderness - number of tender points below kg/cm2 up to 7 month after treatment.
[Analysis 4.6]
Analysis 4.6. Comparison 4 Acupuncture as an adjunct therapy, Outcome 6 Tenderness - mean pressure threshold by pressure algometry up to 1 month after treatment.
[Analysis 4.7]
Analysis 4.7. Comparison 4 Acupuncture as an adjunct therapy, Outcome 7 Tenderness - mean pressure threshold by pressure algometry, follow up to 7 months after treatment.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Deep needling with stimulation (T/S) versus deep needling without stimulation (T/O), Outcome 1 Pain up to 1 month after treatment.
[Analysis 5.2]
Analysis 5.2. Comparison 5 Deep needling with stimulation (T/S) versus deep needling without stimulation (T/O), Outcome 2 Physical function (SF-36) up to 1 month after treatment.
[Analysis 5.3]
Analysis 5.3. Comparison 5 Deep needling with stimulation (T/S) versus deep needling without stimulation (T/O), Outcome 3 Fatigue up to 1 month after treatment.