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- Title
Effectiveness of Acupuncture for Chronic Obstructive Pulmonary Disease: A Literature Review.
- Authors
Seonsook Kim
- Abstract
Objective: Chronic obstructive pulmonary disease (COPD) is a slowly progressing morbid disease and a leading cause of mortality. Dyspnea, one of cardinal symptoms of COPD, increases in severity as COPD progresses and is closely associated with a patient's quality of life. The World Health Organization estimates 65 million people worldwide currently suffer from moderate to severe COPD. Estimates indicate it will be ranked as the third leading cause of death by 2030. Acupuncture has been used to treat respiratory conditions for more than 2000 years. In China it is a suggested treatment for COPD; however, many literature reviews, studies, and other current evidence do not indicate a firm conclusion regarding acupuncture's efficacy and its routine use for COPD. This literature review aims to evaluate the effectiveness of acupuncture to treat patients with COPD. Methods: Three electronic databases spanning July 2017 to July 2019 were searched: PubMed, Google scholar, and EBSCO databases. Keywords used were: Acupuncture, COPD, dyspnea, randomized controlled trials (RCTs), and clinically controlled case series. Forty-two primary articles were found based on selection criteria and final five studies were included in this review. Methodological quality for risk of bias was assessed using the Cochrane Risk of Bias tool. Results: The results of the effectiveness of acupuncture show that: (1) the Borg Scale (Borg Scale is used to rate the dyspnea, high score indicates severity) score and 6-minute walk distance (6MWD) improved in the real acupuncture group compared to the control group; (2) the improvement of Forced Expiratory Volume in 1 Second (FEV1) was significant in the real acupuncture group compared to the placebo group; (3) the total score of St. George's Respiratory Questionnaire (SGRQ) was significantly decreased, which means improvement of the Quality of Life index (QoL); (4) the 10 cm visual analogue scale for dyspnea was decreased. Conclusion: Acupuncture may improve dyspnea and quality of life in patients with COPD. More long-term, high-quality RCTs should be performed to confirm the effective use of acupuncture for COPD.
- Subjects
OBSTRUCTIVE lung disease treatment; ACUPUNCTURE; DYSPNEA; MEDLINE; ONLINE information services; QUALITY of life; SYSTEMATIC reviews; TREATMENT effectiveness
- Publication
JASA: Journal of the American Society of Acupuncturists, 2020, Vol 7, Issue 2, p15
- ISSN
2377-3723
- Publication type
Article