Cochrane · systematic review · CD011215
Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome
Choi, GH, Wieland, LS, Lee, H, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
NeuromuscularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
31
current version
GRADE rated
25
No studies
6
Included studies
NR
No studies 6 · 19.4%Ungraded 0 · 0%Very low 14 · 45.2%Low 10 · 32.3%Moderate 1 · 3.2%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Acupuncture versus placebo/sham acupuncture for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Acupuncture vs placebo/sham acupuncture | no estimate extracted | 1 study · 111 participants | Very low Downgraded: risk of bias, imprecision |
Overall clinical improvement at short‐term Acupuncture vs placebo/sham acupuncture | no estimate extracted | 1 study · 41 participants | Low Downgraded: imprecision |
Overall clinical improvement (at long‐term Acupuncture vs placebo/sham acupuncture | no estimate extracted | NR | No studies |
Adverse events Acupuncture vs placebo/sham acupuncture | RR 2.86 [0.12, 66.44] | 1 study · 41 participants | Low Downgraded: imprecision |
Laser acupuncture versus placebo/sham laser acupuncture for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Laser acupuncture vs placebo/sham laser acupuncture | RR 1.59 [1.14, 2.22] | 1 study · 60 participants | Low Downgraded: imprecision |
Overall clinical improvement at short‐term Laser acupuncture vs placebo/sham laser acupuncture | no estimate extracted | 1 study · 60 participants | Low Downgraded: imprecision |
Overall clinical improvement at long‐term Laser acupuncture vs placebo/sham laser acupuncture | no estimate extracted | NR | No studies |
Adverse events (serious) Laser acupuncture vs placebo/sham laser acupuncture | no estimate extracted | NR | Moderate Downgraded: imprecision |
Acupuncture versus oral corticosteroid for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Acupuncture vs oral corticosteroid | no estimate extracted | 1 study · 77 participants | Very low Downgraded: risk of bias, imprecision |
Overall clinical improvement at long‐term Acupuncture vs oral corticosteroid | no estimate extracted | 1 study · 77 participants | Very low Downgraded: risk of bias, imprecision |
Overall clinical improvement at long‐term Acupuncture vs oral corticosteroid | RR 1.34 [1.05, 1.72] | 1 study · 77 participants | Very low Downgraded: risk of bias, imprecision |
Overall clinical improvement at long‐term Acupuncture vs oral corticosteroid | RR 1.73 [1.22, 2.45] | 1 study · 77 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events Acupuncture vs oral corticosteroid | RR 0.29 [0.06, 1.32] | 1 study · 77 participants | Very low Downgraded: risk of bias, imprecision |
Acupuncture versus vitamin B12 for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Acupuncture vs vitamin B12 | RR 1.16 [0.99, 1.36] | 2 studies · 100 participants | Very low Downgraded: risk of bias, imprecision |
Overall clinical improvement at long‐term Acupuncture vs vitamin B12 | no estimate extracted | NR | No studies |
Adverse events Acupuncture vs vitamin B12 | no estimate extracted | NR | Low Downgraded: risk of bias, imprecision |
Acupuncture versus ibuprofen for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Acupuncture vs ibuprofen | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |
Improvement in functional status at short‐term Acupuncture vs ibuprofen | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |
Improvement in pain at short‐term Acupuncture vs ibuprofen | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events Acupuncture vs ibuprofen | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |
Electroacupuncture versus night splints for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Electroacupuncture vs night splints | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Overall clinical improvement at long‐term Electroacupuncture vs night splints | no estimate extracted | NR | No studies |
Adverse events Electroacupuncture vs night splints | RR 13 [0.76, 220.96] | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Electroacupuncture plus night splints versus night splints alone for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Electroacupuncture plus night splints vs night splints alone | no estimate extracted | 1 study · 181 participants | Low Downgraded: risk of bias, imprecision |
Overall clinical improvement at short‐term Electroacupuncture plus night splints vs night splints alone | no estimate extracted | 1 study · 181 participants | Low Downgraded: risk of bias, imprecision |
Overall clinical improvement at long‐term Electroacupuncture plus night splints vs night splints alone | no estimate extracted | 1 study · 181 participants | Low Downgraded: risk of bias, imprecision |
Overall clinical improvement of functional status at long‐term Electroacupuncture plus night splints vs night splints alone | no estimate extracted | 1 study · 181 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Electroacupuncture plus night splints vs night splints alone | no estimate extracted | 1 study · 181 participants | Low Downgraded: risk of bias, imprecision |
Acupuncture plus NSAID plus vitamins versus NSAID plus vitamins for carpal tunnel syndrome
Population: carpal tunnel syndrome
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Overall clinical improvement at short‐term Acupuncture plus NSAID plus vitamins vs NSAID plus vitamins | no estimate extracted | 1 study · 80 participants | Very low Downgraded: risk of bias, imprecision |
Overall clinical improvement at long‐term Acupuncture plus NSAID plus vitamins vs NSAID plus vitamins | no estimate extracted | NR | No studies |
Adverse events Acupuncture plus NSAID plus vitamins vs NSAID plus vitamins | no estimate extracted | NR | No studies |