Efectividad de la acupuntura en el tratamiento del dolor en la artrosis de rodilla
Effectiveness of acupuncture in the treatment of pain from osteoarthritis of the knee
A. Ferrández Infantea,
, L. García Olmosb, A. González Gamarrac, M.J. Meis Meisd, B.M. Sánchez Rodrígueze
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a Centro de Salud Montesa. Madrid. España
b Unidad Docente de Medicina Familiar y Comunitaria MadridÁrea 2. Madrid. España
c Centro de Salud Don Ramón de la Cruz. Madrid. España
d Departamento de Rehabilitación y Medicina Física. Universidad Complutense de Madrid. España
e Centro de Salud Francia. Fuenlabrada (Madrid). España
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Fuenlabrada (Madrid). España" "etiqueta" => "<span class="elsevierStyleSup">e</span>" "identificador" => "aff0025" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: C/ Virgen de la Novena, 5, 2° 2. 28027 Madrid. España" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Effectiveness of acupuncture in the treatment of pain from osteoarthritis of the knee" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2002-05-29" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec194855" "palabras" => array:4 [ 0 => "Artrosis" 1 => "Rodilla" 2 => "Acupuntura" 3 => "Dolor" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec194854" "palabras" => array:4 [ 0 => "Arthritis" 1 => "Knee" 2 => "Acupuncture" 3 => "Pain" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Determinar la efectividad de la acupuntura en el control del dolor de la artrosis de rodilla.</p> <span class="elsevierStyleSectionTitle">Diseño</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Revisión sistemática.</p> <span class="elsevierStyleSectionTitle">Fuentes de datos</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">MEDLINE, The Cochrane Library.</p> <span class="elsevierStyleSectionTitle">Selección de estudios</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">De los 9 estudios encontrados, sólo 4 superaron los criterios de selección. Se trata de ensayos clínicos controlados aleatorios que estudian el efecto de la acupuntura únicamente en la articulación de la rodilla.</p> <span class="elsevierStyleSectionTitle">Extracción de datos</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Los indicadores de resultado primarios valorados son: intensidad del dolor, medición global (mejoría general, proporción de pacientes recuperados, mejoría subjetiva de los síntomas) y estado funcional. Son considerados indicadores de resultado secundarios: mediciones fisiológicas objetivas (amplitud del movimiento de la rodilla, fuerza muscular, tiempo para caminar una determinada distancia, tiempo para escalar una altura determinada), estado general de salud y otros datos, como la necesidad de utilizar medicación o los efectos secundarios.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Existe una evidencia moderada sobre la efectividad de la acupuntura en el tratamiento del dolor de la gonartrosis frente al no tratamiento, que puede ser explicada por su fuerte efecto placebo.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">En la actualidad no existe suficiente evidencia para recomendar la acupuntura como tratamiento del dolor de la gonartrosis. Son necesarios nuevos estudios, y mejor diseñados, para determinar el verdadero papel de la acupuntura en esta enfermedad.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Aim</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">To determine the effectiveness of acupuncture in controlling pain from arthritis of the knee.</p> <span class="elsevierStyleSectionTitle">Design</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Systematic review.</p> <span class="elsevierStyleSectionTitle">Data sources</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">MedLine, the Cochrane Library.</p> <span class="elsevierStyleSectionTitle">Study selection</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Of the 9 studies located, only 4 met the inclusion criteria. All were controlled, randomized clinical trials that studied the effect of acupuncture only in the knee joint.</p> <span class="elsevierStyleSectionTitle">Data extraction</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Primary outcome variables were intensity of pain, overall measure (general improvement, proportion of patients who recovered, subjective improvement in symptoms) and functional status. As secondary outcome measures we used objective physiological measures (range of knee movement, muscle strength, time needed to walk a certain distance, time needed to climb a certain number of stairs), general health status, and other information such as medication needed and side effects.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">There was moderately strong evidence that acupuncture was more effective in treating knee joint pain than no treatment. The difference can be explained by its marked placebo effect.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">There is currently insufficient evidence to recommend acupuncture as a treatment for pain from osteoarthritis of the knee. Additional, better designed studies are needed to determine the actual role of acupuncture in this disease.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:22 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Osteoarthritis" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "P. Creamer" 1 => "M.C. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 1 | 0 | 1 |
| 2024 Octubre | 16 | 4 | 20 |
| 2024 Septiembre | 30 | 9 | 39 |
| 2024 Agosto | 16 | 7 | 23 |
| 2024 Julio | 19 | 9 | 28 |
| 2024 Junio | 15 | 16 | 31 |
| 2024 Mayo | 16 | 8 | 24 |
| 2024 Abril | 19 | 20 | 39 |
| 2024 Marzo | 33 | 21 | 54 |
| 2024 Febrero | 26 | 24 | 50 |
| 2024 Enero | 25 | 38 | 63 |
| 2023 Diciembre | 39 | 28 | 67 |
| 2023 Noviembre | 36 | 50 | 86 |
| 2023 Octubre | 56 | 39 | 95 |
| 2023 Septiembre | 24 | 26 | 50 |
| 2023 Agosto | 30 | 22 | 52 |
| 2023 Julio | 14 | 52 | 66 |
| 2023 Junio | 32 | 36 | 68 |
| 2023 Mayo | 13 | 10 | 23 |
| 2023 Abril | 11 | 2 | 13 |
| 2023 Marzo | 5 | 9 | 14 |
| 2023 Febrero | 16 | 6 | 22 |
| 2023 Enero | 6 | 17 | 23 |
| 2022 Diciembre | 18 | 13 | 31 |
| 2022 Noviembre | 31 | 17 | 48 |
| 2022 Octubre | 25 | 21 | 46 |
| 2022 Septiembre | 14 | 23 | 37 |
| 2022 Agosto | 31 | 18 | 49 |
| 2022 Julio | 16 | 17 | 33 |
| 2022 Junio | 16 | 24 | 40 |
| 2022 Mayo | 19 | 33 | 52 |
| 2022 Abril | 27 | 25 | 52 |
| 2022 Marzo | 16 | 12 | 28 |
| 2022 Febrero | 6 | 4 | 10 |
| 2022 Enero | 6 | 7 | 13 |
| 2021 Diciembre | 7 | 8 | 15 |
| 2021 Noviembre | 17 | 29 | 46 |
| 2021 Octubre | 13 | 14 | 27 |
| 2021 Septiembre | 5 | 8 | 13 |
| 2021 Agosto | 7 | 11 | 18 |
| 2021 Julio | 9 | 16 | 25 |
| 2021 Junio | 12 | 8 | 20 |
| 2021 Mayo | 4 | 5 | 9 |
| 2021 Abril | 11 | 22 | 33 |
| 2021 Marzo | 14 | 11 | 25 |
| 2021 Febrero | 12 | 3 | 15 |
| 2021 Enero | 13 | 19 | 32 |
| 2020 Diciembre | 16 | 9 | 25 |
| 2020 Noviembre | 13 | 9 | 22 |
| 2020 Octubre | 13 | 28 | 41 |
| 2020 Septiembre | 13 | 18 | 31 |
| 2020 Agosto | 8 | 15 | 23 |
| 2020 Julio | 5 | 3 | 8 |
| 2020 Junio | 3 | 1 | 4 |
| 2020 Mayo | 2 | 8 | 10 |
| 2020 Abril | 5 | 7 | 12 |
| 2020 Marzo | 5 | 21 | 26 |
| 2020 Febrero | 6 | 11 | 17 |
| 2020 Enero | 15 | 32 | 47 |
| 2019 Diciembre | 24 | 49 | 73 |
| 2019 Noviembre | 5 | 9 | 14 |
| 2019 Octubre | 1 | 5 | 6 |
| 2019 Septiembre | 1 | 7 | 8 |
| 2019 Agosto | 1 | 12 | 13 |
| 2019 Julio | 6 | 12 | 18 |
| 2019 Junio | 37 | 33 | 70 |
| 2019 Mayo | 91 | 113 | 204 |
| 2019 Abril | 23 | 18 | 41 |
| 2019 Marzo | 1 | 5 | 6 |
| 2019 Febrero | 2 | 12 | 14 |
| 2019 Enero | 1 | 8 | 9 |
| 2018 Diciembre | 5 | 9 | 14 |
| 2018 Noviembre | 8 | 14 | 22 |
| 2018 Octubre | 9 | 19 | 28 |
| 2018 Septiembre | 1 | 6 | 7 |
| 2018 Agosto | 1 | 3 | 4 |
| 2018 Julio | 3 | 2 | 5 |
| 2018 Junio | 1 | 2 | 3 |
| 2018 Mayo | 4 | 6 | 10 |
| 2018 Abril | 2 | 1 | 3 |
| 2018 Marzo | 2 | 3 | 5 |
| 2018 Febrero | 0 | 1 | 1 |
| 2018 Enero | 0 | 1 | 1 |
| 2017 Noviembre | 3 | 3 | 6 |
| 2017 Octubre | 0 | 2 | 2 |
| 2017 Septiembre | 4 | 3 | 7 |
| 2017 Agosto | 3 | 2 | 5 |
| 2017 Julio | 2 | 0 | 2 |
| 2017 Junio | 4 | 15 | 19 |
| 2017 Mayo | 8 | 2 | 10 |
| 2017 Abril | 7 | 0 | 7 |
| 2017 Marzo | 19 | 21 | 40 |
| 2017 Febrero | 7 | 3 | 10 |
| 2017 Enero | 4 | 0 | 4 |
| 2016 Diciembre | 9 | 0 | 9 |
| 2016 Noviembre | 8 | 0 | 8 |
| 2016 Octubre | 20 | 6 | 26 |
| 2016 Septiembre | 9 | 1 | 10 |
| 2016 Agosto | 8 | 1 | 9 |
| 2016 Julio | 4 | 1 | 5 |
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