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acupuncture:evaluation:rhumatologie - orthopedie:08. syndrome du canal carpien [24 Mar 2020 16:29]
Goret Olivier [Tableau]
acupuncture:evaluation:rhumatologie - orthopedie:08. syndrome du canal carpien [03 Apr 2020 11:35] (Version actuelle)
Goret Olivier [3.2. Liste]
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 | ☆☆☆ ​ | Preuves en faveur d’une efficacité et d’un effet spécifique de l’acupuncture. ​                          | | ☆☆☆ ​ | Preuves en faveur d’une efficacité et d’un effet spécifique de l’acupuncture. ​                          |
 | ☆☆ ​  | Preuves en faveur d’une efficacité de l’acupuncture. ​                                                   | | ☆☆ ​  | Preuves en faveur d’une efficacité de l’acupuncture. ​                                                   |
-| ☆    | Preuveses ​limitées qualitativement et/ou quantitativement en faveur d’une efficacité de l’acupuncture. ​ |+| ☆    | Preuves ​limitées qualitativement et/ou quantitativement en faveur d’une efficacité de l’acupuncture. ​ |
 | Ø    | Absence de preuve ou preuves insuffisantes. ​                                                            | | Ø    | Absence de preuve ou preuves insuffisantes. ​                                                            |
  
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-=== Wu 2020 ===+=== Wu 2020 ☆☆ ​===
  
 Wu I et al. Acupuncture and related interventions for carpal tunnel syndrome: systematic review. Clinical Rheabilitation. 2020;​34(1):​34-44. [001] Wu I et al. Acupuncture and related interventions for carpal tunnel syndrome: systematic review. Clinical Rheabilitation. 2020;​34(1):​34-44. [001]
  
    
-^ Objective ​    | To synthesize evidence on the effectiveness of acupuncture and related therapies for primary carpal tunnel syndrome (CTS) by conducting a systematic review of randomized controlled trials (RCTs). ​                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      ​+^ Objective ​    | To synthesize evidence on the effectiveness of acupuncture and related therapies for primary carpal tunnel syndrome (CTS) by conducting a systematic review of randomized controlled trials (RCTs). ​                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
-^ Data Sources ​ | Nine databases were searched for potential RCTs from their inception till July 2019.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      +^ Data Sources ​ | Nine databases were searched for potential RCTs from their inception till July 2019.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     ​
-^ Methods ​      | Nine databases were searched for potential RCTs from their inception till July 2019. RCTs which reported at least one of the three outcomes were included: symptom severity, functional status and pain. Included RCTs were appraised using the Cochrane Risk of Bias Tool.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               ​+^ Methods ​      | Nine databases were searched for potential RCTs from their inception till July 2019. RCTs which reported at least one of the three outcomes were included: symptom severity, functional status and pain. Included RCTs were appraised using the Cochrane Risk of Bias Tool.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
-^ Results ​      | A total of **10 RCTs (728 participants)** were included. Majority were at high risk of bias for blinding of participants,​ personnel and outcome assessors. When compared to conventional medications,​ manual acupuncture showed significant superior effect in reducing symptom than ibuprofen (mean difference (MD) on Symptom Severity Scale (SSS)) = –5.80, 95% confidence interval (CI): −7.95 to −3.65) and prednisolone (MD = −6.50, 95% CI: −10.1, −2.86). Electroacupuncture plus splinting was more effective in reducing symptom severity than splinting alone (SSS score: MD = −0.20, 95% CI: −0.36 to −0.03). Manual acupuncture showed significantly superior effect than ibuprofen in improving functional status (Functional Status Scale (FSS): MD = −1.84, 95% CI: −2.66 to −1.02). The combination of electroacupuncture and splinting showed more improvement in functional status compared to splinting alone (FSS: MD = −6.22, 95%CI: −10.7 to −1.71). Triple treatment of acupuncture,​ magnetic spectrum heat lamp and splinting showed stronger pain relief than splinting alone. ​ |+^ Results ​      | A total of **10 RCTs (728 participants)** were included. Majority were at high risk of bias for blinding of participants,​ personnel and outcome assessors. When compared to conventional medications,​ manual acupuncture showed significant superior effect in reducing symptom than ibuprofen (mean difference (MD) on Symptom Severity Scale (SSS) = –5.80, 95% confidence interval (CI): −7.95 to −3.65) and prednisolone (MD = −6.50, 95% CI: −10.1, −2.86). Electroacupuncture plus splinting was more effective in reducing symptom severity than splinting alone (SSS score: MD = −0.20, 95% CI: −0.36 to −0.03). Manual acupuncture showed significantly superior effect than ibuprofen in improving functional status (Functional Status Scale (FSS): MD = −1.84, 95% CI: −2.66 to −1.02).The combination of electroacupuncture and splinting showed more improvement in functional status compared to splinting alone (FSS: MD = −6.22, 95%CI: −10.7 to −1.71). Triple treatment of acupuncture,​ magnetic spectrum heat lamp and splinting showed stronger pain relief than splinting alone. ​ |
  
  
-=== Wang 2019 === 
  
 +=== Wang 2019 ☆☆ ===
  
-Wang Qingsong, Zhang Jun, Chen Huaxian, Ding Xudong. [Acupuncture in patients with carpal tunnel syndrome: a meta-analysis]. Journal of Modern Medicine & Health. 2019;​4:​514-517. ​  ​[201733]. + 
- +Wang Qingsong, Zhang Jun, Chen Huaxian, Ding Xudong. [Acupuncture in patients with carpal tunnel syndrome: a meta-analysis]. Journal of Modern Medicine & Health. 2019;​4:​514-517. ​  {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​wang-201733.pdf|[201733]}}
 ^Objective| To evaluate the efficiency of acupuncture in patients with carpal tunnel syndrome. | ^Objective| To evaluate the efficiency of acupuncture in patients with carpal tunnel syndrome. |
 ^ Methods| The databases such as the ISI Web of Knowledge databases, PubMed, Embase, Cochrane Central Register of Controlled Trials(CENTRAL),​CBM,​CNKI and WanFang from establishment to October 1,2017 were searched, and the randomized controlled trials(RCTs)about acupuncture in patients with carpal tunnel syndrome were collected. After study selection, meta-analysis was performed by using the RevMan 5.2software.In accordance with the principles of relevant inclusion and exclusion criteria, the level of evidence was assessed by using the GRADE system. | ^ Methods| The databases such as the ISI Web of Knowledge databases, PubMed, Embase, Cochrane Central Register of Controlled Trials(CENTRAL),​CBM,​CNKI and WanFang from establishment to October 1,2017 were searched, and the randomized controlled trials(RCTs)about acupuncture in patients with carpal tunnel syndrome were collected. After study selection, meta-analysis was performed by using the RevMan 5.2software.In accordance with the principles of relevant inclusion and exclusion criteria, the level of evidence was assessed by using the GRADE system. |
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-Choi GH, Wieland LS, Lee H, Sim H, Lee MS, Shin BC. Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome. Cochrane Database Syst Rev. 2018.   ​[193265]. ​+Choi GH, Wieland LS, Lee H, Sim H, Lee MS, Shin BC. Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome. Cochrane Database Syst Rev. 2018.   {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​choi-193265.pdf|[193265]}}
  
 ^Background|Carpal tunnel syndrome (CTS) is a compressive neuropathic disorder at the level of the wrist. Acupuncture and other methods that stimulate acupuncture points, such as electroacupuncture,​ auricular acupuncture,​ laser acupuncture,​ moxibustion,​ and acupressure,​ are used in treating CTS. Acupuncture has been recommended as a potentially useful treatment for CTS, but its effectiveness remains uncertain. We used Cochrane methodology to assess the evidence from randomised and quasi-randomised trials of acupuncture for symptoms in people with CTS. | ^Background|Carpal tunnel syndrome (CTS) is a compressive neuropathic disorder at the level of the wrist. Acupuncture and other methods that stimulate acupuncture points, such as electroacupuncture,​ auricular acupuncture,​ laser acupuncture,​ moxibustion,​ and acupressure,​ are used in treating CTS. Acupuncture has been recommended as a potentially useful treatment for CTS, but its effectiveness remains uncertain. We used Cochrane methodology to assess the evidence from randomised and quasi-randomised trials of acupuncture for symptoms in people with CTS. |
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 ^Conclusions| There is no evidence that traditional Korean medicine treatments are effective for treating wrist pain associated with carpal tunnel syndrome. All of the included studies lacked appropriate methodological qualities and internal validity. Future well-designed clinical trials that evaluate the effects and safety of traditional Korean medicine treatment for patients with carpal tunnel syndrome are needed. | ^Conclusions| There is no evidence that traditional Korean medicine treatments are effective for treating wrist pain associated with carpal tunnel syndrome. All of the included studies lacked appropriate methodological qualities and internal validity. Future well-designed clinical trials that evaluate the effects and safety of traditional Korean medicine treatment for patients with carpal tunnel syndrome are needed. |
  
-==== Références des essais inclus dans les revues systématiques ​==== +===== Recommandation de bonne pratique =====
-\\+
  
 +| ⊕ recommandation positive (quel que soit le niveau de preuve annoncé) \\ Ø recommandation négative (ou absence de preuve) |
 +==== Emblemhealth (insurance provider, USA) 2017 ⊕====
 + 
  
-^       ^ Essais contrôlés randomisés ​                                                                                                                                                                                                                                                                                                                           ^ Revues systématiques ​                        ^ +Acupuncture — Medicare Dual-Eligible Members Emblemhealth2017  ​{{:medias securises:​acupuncture:​evaluation:​soins peri-operatoires:emblemhealth-111547.pdf|[111547].}} 
-| 2016  | Chung VC, Ho RS, Liu S, Chong MK, Leung AW, Yip BH, Hon SM, Zee BC, Wu JC, Sit RW, Lau AY, Wong SYElectroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trialCMJ. CMAJ. 2016; [186302]{{:medias securises:​acupuncture:​evaluation:​rhumatologie ​orthopedie:chung-186302.pdf|[186302]}}  ​| ​                                             | +  
-2016  | Cai Y, Zheng J. [Grain-sized moxibustion combined ​with acupuncture for mild and moderate carpal tunnel syndrome]. Zhongguo Zhen Jiu. 2016 ;36(4):387-8. {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​cai-186710.pdf|[186710]}} ​                                                                                                ​| ​                                             | +|Members ​with the Medicare Dual-Eligible benefit are eligible ​for acupuncture ​when performed by an individual licensed by New York State to perform ​acupuncture ​and when performed ​for the following diagnoses1Adult postoperative nausea and vomiting 2Chemotherapy related nausea and vomiting 3Pregnancy related nausea ​and vomiting ​4. **Carpal tunnel syndrome** 5. Epicondylitis (tennis elbow) 6Headache 7Low back pain 8Menstrual pain 9Myofascial pain 10. Osteoarthritis ​|
-| 2014  | Ho CY, Lin HC, Lee YC, Chou LW, Kuo TW, Chang HW, Chen YS, Lo SF. Clinical effectiveness of acupuncture ​for carpal tunnel syndrome. Am J Chin Med. 2014;​42(2):​303-14. ​ {{:medias securises:acupuncture:​evaluation:​rhumatologie - orthopedie:​ho-171949.pdf| [171949] }}                                                                                 ​| ​                                             | +
-| 2012  | Yao E, Gerritz Pk, Henricson E, Abresch T, Kim J, Han J, Wang K, Zhao H. Randomized controlled trial comparing acupuncture with placebo ​acupuncture for the treatment of carpal tunnel syndrome. PM R. 2012;4(5)::367-73{{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​yao-166055.pdf|[166055]}} ​                            |                                              | +
-| 2012  | Khosrawi S, Moghtaderi A, Haghighat S. Acupuncture in treatment of carpal tunnel syndrome: a randomized controlled trial study. J Res Med Sci. 2012;​17:​1e7. ​                                                                                                                                                                                           |                                              | +
-| 2011  | Jin Ling-Qing, Lang Bo-Xu. [Effect of electroacupuncture plus acupoint injection in treating carpal tunnel syndrome of early stage]. Shanghai Journal Of Acupuncture And Moxibustion. 2011;​30(7):​464. ​  ​[176783]. ​                                                                                                                                     |                                              | +
-| 2009  | Yang CP, Hsieh CL, Wang NH, et al. Acupuncture in patients with carpal tunnel syndrome: a randomized controlled trial. Clin. J. Pain 2009;​25:​327–333 ​                                                                                                                                                                                                  | Carlson 2010 \\ Sim 2011                     | +
-| 2007  | Cai DF: Acupuncture treatment ​and releasing manipulation of carpal tunnel syndrome. Traditional Chinese Medicine Information 24:56, 2007.                                                                                                                                                                                                              | Sim 2011                                     | +
-| 2006  | Shi YS, Fang W, Zhao XY: Control study on effect of pricking collateral blood therapy combined with massage on mild carpal tunnel syndrome. Chin J Integrated Traditional Western Med 26:497-499, 2006.                                                                                                                                                | Sim 2011                                     | +
-| 2003  | Weinstein A, Pan J, Richardson P. A controlled pilot trial of acupuncture for carpal tunnel syndrome. Clin Acupunct Orient Med. 2003;4:48.                                                                                                                                                                                                             | Sim 2011                                     | +
-| 2002  | Naeser MA, Hahn KA, Lieberman BE, Branco KF. Carpal tunnel syndrome ​pain treated with lowlevel laser and microamperes transcutaneous electric nerve stimulation:​ a controlled study. Arch. Phys. Med. Rehabil 2002;​83:​978–988. ​                                                                                                                        | Carlson 2010                                 | +
-| 2000  | Hu NW, Liu JY, Wang FM. Clinical observation of acupuncture treatment for carpal tunnel syndrome. Acta Chin Med Pharmacol :57, 2000.                                                                                                                                                                                                                   | Sim 2011                                     | +
-| 1999  | Branco K, Naeser MA. Carpal tunnel syndrome: clinical outcome after low-level laser acupuncture,​ microamps transcutaneous electrical nerve stimulation,​ and other alternative therapies – an open protocol study. J. Altern. Complement. Med 1999;5:5–26                                                                                             | Carlson ​ 2010                                | +
-| :::   | Aigner N, Zoch G, Petje GResults of laser-acupuncture in carpal tunnel syndrome: a prospective,​ randomised and blinded study [Laserakupunktur bei der praoperativen schmerzbekampfung beim karpaltunnelsyndrom:​ eine prospektiv randomisierte studie]Deutsche Zeitschrift für Akupunktur 1999;​42:​70–5                                            | Gerritsen 2002 \\ O'​Connor 2003 \\ Sim 2011  | +
-| 1988  | Aigner N, Fialka CResults of laser-acupuncture in carpal tunnel syndrome - a prospective,​ randomised and blinded study (presented at the 5th Annual Symposium on Complementary Healthcare, ​10-12 December 1998, Exeter)FACT: Focus on Alternative and Complementary Therapies 1988;​4:​180. ​                                                         | Goodyear-Smith 2004                          ​|+
  
  
 +==== American College of Occupational and Environmental Medicine (ACOEM, USA) 2016 Ø====
  
  
 +Hand, wrist and forearm disorder guideline. American College of Occupational and Environmental Medicine. 2016; 650P.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​acoem-182053.pdf|[182053].}} ​
 +|Recommendation. Acupuncture for Acute, Subacute, or Chronic CTS(carpal tunnel syndrome) ; Acupuncture is not recommended for treatment of acute, subacute, or chronic CTS. Strength of Evidence - Not Re-commended,​ Evidence (C); Level of Confidence – Low;|
  
  
 +==== American Academy of Orthopaedic Surgeons (AAOS, USA) 2016 Ø ====
  
  
 +Clinical Practice Guideline on The Treatment of Carpal Tunnel Syndrome. The American Academy of Orthopaedic Surgeons. 2016:​982P. ​ {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​aaos-197685.pdf| [197685]}}. ​
 +|Further research in acupuncture is warranted. In a prospective randomized double-blind controlled study, Yao et al evaluated the efficacy of acupuncture (weekly sessions for 6 weeks) versus placebo to treat carpal tunnel syndrome. No significant measures of improvement were noted. |
  
 +==== U.S. Navy Bureau of Medicine and Surgery (USA) 2013 ⊕====
  
 +Acupuncture. ​ U.S. Navy Bureau of Medicine and Surgery. 2013.17p. ​  ​{{:​medias securises:​acupuncture:​evaluation:​soins peri-operatoires:​us-navy-180539.pdf|[180539].}}
  
 +| Category B (limited evidence): Authorized but not recommended for routine use (consider as adjunct). Carpal tunnel syndrome |
  
 +==== American College of Occupational and Environmental Medicine (ACOEM, USA) 2011 Ø====
  
 +American College of Occupational and Environmental Medicine (ACOEM). Carpal tunnel syndrome. Elk Grove Village (IL): American College of Occupational and Environmental Medicine (ACOEM). 2011; : 73P.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​acoem-165999.pdf|[165999].}} ​
  
 +|No recommendation : Acupuncture for acute, subacute, or chronic CTS (I)|
  
  
 +==== Massachusetts Department of Industrial Accidents (DIA, USA) 2009 ⊕====
  
  
 +Carpal Tunnel Syndrome (CTS) Treatment Guideline Massachusetts Department of Industrial Accidents (DIA). 2009.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​dia-145149.pdf|[145149].}}
 + 
 +|Acupuncture is commonly used when pain medication is reduced or not tolerated. It may be used as an adjunct to physical rehabilitation and/or surgical intervention for pain relief when there is delayed recovery. Requirements:​ 1. Acupuncture may be authorized when it is ordered by a licensed MD, DC, DO, PA, NP or PT. The ordering practitioner cannot also be the provider of the service. 2. Acupuncture must be performed by an acupuncturist licensed by the Board of Registration in the state where the service will be provided. 3. Time to produce effect: six (6) visits in first eight (8) weeks. 4. After six (6) visits the ordering practitioner may request additional visits if functional clinical progress is documented. Maximum visits are not to exceed sixteen (16) visits in twelve (12) weeks. |
  
  
 +==== American Academy of Orthopaedic Surgeons (AAOS, USA) 2008 Ø ====
  
  
 +Clinical Practice Guideline on The Treatment of Carpal Tunnel Syndrome. The American Academy of Orthopaedic Surgeons. 2008:​85p. ​  ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​aaos-197676.pdf|[197676]}}. ​
 +|Recommendation 4e The following treatments carry no recommendation for or against their use: activity modifications,​ **acupuncture**,​ cognitive behavioral therapy, cold laser, diuretics, exercise, electric stimulation,​ fitness, graston instrument, iontophoresis,​ laser, stretching, massage therapy, magnet therapy, manipulation,​ medications (including anticonvulsants,​ antidepressants and NSAIDs), nutritional supplements,​ phonophoresis,​ smoking cessation, systemic steroid injection, therapeutic touch, vitamin B6 (pyridoxine),​ weight reduction, yoga. (Inconclusive,​ Level II and V).|
  
  
  
 +===== Essais contrôlés randomisés ​ =====
  
 +==== Sources ====
  
-===== Recommandations ​de bonne pratique ​=====+Tous les ECR listés sont répertoriés dans la base de données Acudoc2. Les citations des ECR dans les revues systématiques et recommandations de bonne pratique sont rapportées dans le tableau ci-dessous. La mention **Acudoc2** indique que l'ECR n'est pas cité, actuellement,​ par une revue systématique ou recommandation ​de bonne pratique.\\ 
  
-| ⊕ recommandation positive ​(quel que soit le niveau de preuve annoncé\\ Ø recommandation négative ​(ou absence de preuve) | +**Revues systématiques** 
-==== Emblemhealth ​(insurance providerUSA2017 ⊕==== + 
- +  - **Wu 2020**: Wu I et al. Acupuncture and related interventions for carpal tunnel syndrome: systematic review. Clinical Rheabilitation. 2020;34(1):​34-44.{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​wu-001.pdf|[001]}} 
 +  - **Wang 2019**: Wang Qingsong, Zhang Jun, Chen Huaxian, Ding Xudong. [Acupuncture in patients with carpal tunnel syndrome: a meta-analysis]. Journal of Modern Medicine & Health. 2019;​4:​514-517. ​  ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​wang-201733.pdf|[201733]}}. 
 +  - **Choi 2018**: Choi GH, Wieland LS, Lee H, Sim H, Lee MS, Shin BC. Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome. Cochrane Database Syst Rev. 2018; 12:​110P:​CD011215. doi: 10.1002/​14651858.CD011215.pub2. ​  ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​choi-193265.pdf|[193265]}}. 
 +  - **Sim 2011** : Sim H, Shin BC, Lee MS, et al. Acupuncture for carpal tunnel syndrome: a systematic review of randomized controlled trials. J Pain. 2011; 12(3): 307–314. {{:medias securises:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​sim-135962.pdf|[135962]}} ​ 
 +  - **Ashworth 2010** : Ashworth NL. Carpal tunnel syndrome. BMJ Clin Evid. 2010;​2010.pii:​1114. ​  ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​ashworth-159449.pdf|[159449]}. 
 +  - **Carlson 2010**: ​ Carlson H, Colbert A, Frydl J, Arnall E, Elliot M, Carlson N. Current options for nonsurgical management of carpal tunnel syndrome. Int J Clin Rheumtol. 2010;5(1):​129-142.{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​carlsson-155539.pdf|[155539].}} 
 +  - **Muller 2004**: Muller MTsui D, Schnurr R, Biddulph-Deisroth L, Hard J, MacDermid JC.. Effectiveness of hand therapy interventions in primary management of carpal tunnel syndrome: a systematic review. ​ J Hand Ther. 2004;17(2):​210-28. ​  ​[169141]. 
 +  - **OConnor 2003**: O'​Connor D, Marshall S, Massy-Westropp N. Non-surgical treatment (other than steroid injection) for carpal tunnel syndrome. Cochrane Database Syst Rev. 2003;​CD003219.{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​o_connor-185656.pdf|[185656]}} ​
  
-Acupuncture — Medicare Dual-Eligible Members Emblemhealth. 2017.   ​{{:​medias securises:​acupuncture:​evaluation:​soins peri-operatoires:​emblemhealth-111547.pdf|[111547].}}+**Recommandations de bonne pratique**
    
-|Members with the Medicare Dual-Eligible ​benefit are eligible for acupuncture ​when performed by an individual licensed by New York State to perform acupuncture and when performed for the following diagnoses1Adult postoperative nausea ​and vomiting 2Chemotherapy related nausea ​and vomiting 3Pregnancy related nausea ​and vomiting 4. **Carpal tunnel syndrome** 5Epicondylitis ​(tennis elbow6Headache 7Low back pain 8Menstrual pain 9Myofascial pain 10Osteoarthritis ​|+  - **Emblemhealth 2017:** Acupuncture — Medicare Dual-Eligible ​Members Emblemhealth. 2017.   ​{{:​medias securises:acupuncture:​evaluation:​soins peri-operatoires:​emblemhealth-111547.pdf|[111547].}}. 
 +  - **ACOEM 2016:** Hand, wrist and forearm disorder guidelineAmerican College of Occupational ​and Environmental Medicine2016; 650P.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​acoem-182053.pdf|[182053].}}  
 +  - **AAOS 2016:** Clinical Practice Guideline on The Treatment of Carpal Tunnel Syndrome. The American Academy of Orthopaedic Surgeons. 2016:​982P. ​ {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​aaos-197685.pdf| [197685]}}.  
 +  - **USNBMS 2013:** Acupuncture. ​ U.S. Navy Bureau of Medicine ​and Surgery2013.17p. ​  ​{{:​medias securises:​acupuncture:​evaluation:​soins peri-operatoires:​us-navy-180539.pdf|[180539].}} 
 +  - **ACOEM 2011:** American College of Occupational and Environmental Medicine (ACOEM). ​Carpal tunnel syndrome. ​Elk Grove Village ​(IL): American College of Occupational and Environmental Medicine (ACOEM). 2011; : 73P  {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​acoem-165999.pdf|[165999].}} 
 +  - **DIA 2009:** Carpal Tunnel Syndrome (CTS) Treatment Guideline Massachusetts Department of Industrial Accidents (DIA)2009.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​dia-145149.pdf|[145149].}} ​
  
  
-==== American College of Occupational and Environmental Medicine (ACOEM, USA) 2016 Ø==== 
  
  
-Hand, wrist and forearm disorder guideline. American College of Occupational and Environmental Medicine. 2016; 650P.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​acoem-182053.pdf|[182053].}} ​ 
-|Recommendation. Acupuncture for Acute, Subacute, or Chronic CTS(carpal tunnel syndrome) ; Acupuncture is not recommended for treatment of acute, subacute, or chronic CTS. Strength of Evidence - Not Re-commended,​ Evidence (C); Level of Confidence – Low;| 
  
 +==== Liste ====
 +\\
  
-==== American Academy of Orthopaedic Surgeons (AAOS, USA) 2016 Ø ==== 
  
 +^           ^ Essais contrôlés randomisés ​                                                                                                                                                                                                                                                                                                                           ^ **Source** ​                                         ^
 +^ 2019      | Juan CW, Chang MH, Lin TH, Hwang KL, Fu TC, Shih PH, Chang CM, Yang CP. Laser Acupuncture for Carpal Tunnel Syndrome: A Single-Blinded Controlled Study. J Altern Complement Med. 2019;​25(10):​1035-1043. doi: 10.1089/​acm.2019.0169. ​                                                                                                                  | acudoc2 ​                                            |
 +^ 2017      | Maeda Y, Kim H, Kettner N, et al. Rewiring the primary somatosensory cortex in carpal tunnel syndrome with acupuncture. Brain. 2017; 140(4): 914–927. [192228]. ​                                                                                                                                                                                       | Wu 2020                                             |
 +|           | Chen L, Xue L, Li S, Kang T, Chen H, Hou C. [Clinical research on mild and moderate carpal tunnel syndrome treated with contralateral needling technique at distal acupoints and acupuncture at local acupoints]. Chinese Acupuncture and Moxibustion. 2017;​12;​37(5):​479-482. ​ doi: 10.13703/​j.0255-2930.2017.05.007.[42677] ​                          | acudoc2 ​                                            |
 +^ 2016      | Chung VC, Ho RS, Liu S, Chong MK, Leung AW, Yip BH, Hon SM, Zee BC, Wu JC, Sit RW, Lau AY, Wong SY. Electroacupuncture and splinting versus splinting alone to treat carpal tunnel syndrome: a randomized controlled trial. CMJ. CMAJ. 2016; [186302]{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​chung-186302.pdf|[186302]}} ​ | Choi 2018                                           |
 +|           | Cai Y, Zheng J. [Grain-sized moxibustion combined with acupuncture for mild and moderate carpal tunnel syndrome]. Zhongguo Zhen Jiu. 2016 ;​36(4):​387-8. {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​cai-186710.pdf|[186710]}} ​                                                                                                | Wu 2020                                             |
 +^ 2015      | Hadianfard M, Bazrafshan E, Momeninejad H, et al. Efficacies of acupuncture and anti-inflammatory treatment for carpal tunnel syndrome. J Acupunct Meridian Stud. 2015; 8(5): 229–235. [184385] ​                                                                                                                                                       | Wu 2020, Choi 2018                                  |
 +^ 2014      | Koca I, Boyaci A, Tutoglu A, et al. Assessment of the effectiveness of interferential current therapy and TENS in the management of carpal tunnel syndrome: a randomized controlled study. Rheumatol Int. 2014; 34(12): 1639–1645. [001]                                                                                                               | Wu 2020                                             |
 +^ 2013      | Ding Q, Shen F. Effects of acupuncture and moxibustion of Yangchi point on carpal tunnel syndrome. Int J Trad Chin Med. 2013; 35(2): 117–119 (in Chinese). ​                                                                                                                                                                                            | Wu 2020                                             |
 +^ 2012      | Yao E, Gerritz Pk, Henricson E, Abresch T, Kim J, Han J, Wang K, Zhao H. Randomized controlled trial comparing acupuncture with placebo acupuncture for the treatment of carpal tunnel syndrome. PM R. 2012;​4(5)::​367-73. [169302] ​                                                                                                                    | Wu 2020, Wang 2019, Choi 2018                       |
 +|           | Ramin M. Comparison of acupuncture and corticosteroid in improvement of carpal tunnel syndrome and its mechanism. Nanjing University of Chinese Medicine, Doctoral Degree 2012.                                                                                                                                                                        | Choi 2018                                           |
 +| :::       | Khosrawi S, Moghtaderi A and Haghighat S. Acupuncture in treatment of carpal tunnel syndrome: a randomized controlled trial study. J Res Med Sci. 2012; 17(1): 1–7. [165870] ​                                                                                                                                                                          | Wang 2019                                           |
 +^ **2011** ​ | Feng YP, Shi L. Fifty cases with acupuncture treatment for carpal tunnel syndrome [ 50 ]. Chinese Journal of Basic Medicine in Traditional Chinese Medicine 2011;​17(6):​670–1. ​                                                                                                                                                                         | Choi 2018                                           |
 +|           | Yang CP, Wang NH, Li TC, et al. A randomized clinical trial of acupuncture versus oral steroids for carpal tunnel syndrome: a long-term follow-up. J Pain 2011; 12(2): 272–279. ​                                                                                                                                                                       | Wu 2020, Wang 2019                                  |
 +| :::       | Zhang LY. Laser acupuncture in patients with carpal tunnel syndrome [ ]. Guangzhou University of Chinese Medicine 2011.                                                                                                                                                                                                                                | Choi 2018                                           |
 +| :::       | Jin Ling-Qing, Lang Bo-Xu. [Effect of electroacupuncture plus acupoint injection in treating carpal tunnel syndrome of early stage]. Shanghai Journal Of Acupuncture And Moxibustion. 2011;​30(7):​464. ​  ​[176783]. ​                                                                                                                                     | Choi 2018                                           |
 +| :::       | Li M. Study on the electrophysiological assessment of the efficacy of electric acupuncture in treatment of mild and moderate carpal tunnel syndromes. Guangzhou University of Traditional Chinese Medicine, Master’s degree 2011.                                                                                                                      | Choi 2018                                           |
 +^  2010     | Kumnerddee W, Kaewtong A. Efficacy of acupuncture versus night splinting for carpal tunnel syndrome: a randomized clinical trial. J Med Assoc Thai. 2010; 93(12): 1463–1469. [156110] ​                                                                                                                                                                 | Wu 2020, Wang 2019                                  |
 +^ **2009** ​ | Zhang CY, Wang YX. [Observation on therapeutic effects of acupuncture combined with TDP irradiation and Chinese herbal steaming and washing therapy for treatment of carpal tunnel syndrome in early stage]. Zhongguo Zhen Jiu. 2009; 29(9): 708–710. [154863] ​                                                                                        | Wu 2020                                             |
 +|           | Yang CP, Hsieh CL, Wang NH, et al. Acupuncture in patients with carpal tunnel syndrome: a randomized controlled trial. Clin. J. Pain 2009;​25:​327–333. [136484] ​                                                                                                                                                                                        | Choi 2018, Wang 2019, Sim 2011, Carlson 2010        |
 +^ 2007      | Cai DF: Acupuncture treatment and releasing manipulation of carpal tunnel syndrome. Traditional Chinese Medicine Information 24:56, 2007.                                                                                                                                                                                                              | Sim 2011, exclu de Choi 2018 [Types of interventions:​ this study did not use the same cointerventions in each intervention group] ​                                           |
 +^ 2006      | Shi YS, Fang W, Zhao XY: Control study on effect of pricking collateral blood therapy combined with massage on mild carpal tunnel syndrome. Chin J Integrated Traditional Western Med 26:497-499, 2006.                                                                                                                                                | Sim 2011                                            |
 +^ 2003      | Weinstein A, Pan J, Richardson P. A controlled pilot trial of acupuncture for carpal tunnel syndrome. Clin Acupunct Orient Med. 2003;​4:​48. ​                                                                                                                                                                                                            | Choi 2018, Sim 2011                                 |
 +^ 2002      | Naeser MA, Hahn KA, Lieberman BE, Branco KF. Carpal tunnel syndrome pain treated with lowlevel laser and microamperes transcutaneous electric nerve stimulation:​ a controlled study. Arch. Phys. Med. Rehabil 2002;​83:​978–988. ​                                                                                                                        | Carlson 2010                                        |
 +^ 2000      | Hu NW, Liu JY, Wang FM. Clinical observation of acupuncture treatment for carpal tunnel syndrome. Acta Chin Med Pharmacol :57, 2000.                                                                                                                                                                                                                   | Sim 2011, exclu de la revue de Choi 2018 [Types of interventions:​ this study did not use the same cointerventions in each intervention group (acupuncture with steaming, watering and washing with herbs versus steroid nerve blocks)] |                                         
 +^ 1999      | Aigner N, Zoch G, Petje G. Results of laser-acupuncture in carpal tunnel syndrome: a prospective,​ randomised and blinded study [Laserakupunktur bei der praoperativen schmerzbekampfung beim karpaltunnelsyndrom:​ eine prospektiv randomisierte studie]. Deutsche Zeitschrift für Akupunktur 1999;​42:​70–5. [59631] ​                                    | Choi 2018, Sim 2011, O'​Connor 2003, Gerritsen 2002  |
 +|           | Branco K, Naeser MA. Carpal tunnel syndrome: clinical outcome after low-level laser acupuncture,​ microamps transcutaneous electrical nerve stimulation,​ and other alternative therapies – an open protocol study. J. Altern. Complement. Med 1999;​5:​5–26. [PubMed: 10100028] ​                                                                          | Carlson 2010                                        |
  
-Clinical Practice Guideline on The Treatment of Carpal Tunnel Syndrome. The American Academy of Orthopaedic Surgeons. 2016:​982P. ​ {{:medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​aaos-197685.pdf| [197685]}}. ​ 
-|Further research in acupuncture is warranted. In a prospective randomized double-blind controlled study, Yao et al evaluated the efficacy of acupuncture (weekly sessions for 6 weeks) versus placebo to treat carpal tunnel syndrome. No significant measures of improvement were noted. | 
  
-==== U.S. Navy Bureau of Medicine and Surgery (USA) 2013 ⊕==== 
  
-Acupuncture. ​ U.S. Navy Bureau of Medicine and Surgery. 2013.17p. ​  ​{{:​medias securises:​acupuncture:​evaluation:​soins peri-operatoires:​us-navy-180539.pdf|[180539].}} 
  
-| Category B (limited evidence): Authorized but not recommended for routine use (consider as adjunct). Carpal tunnel syndrome | 
  
-==== American College of Occupational and Environmental Medicine (ACOEM, USA) 2011 Ø==== 
  
-American College of Occupational and Environmental Medicine (ACOEM). Carpal tunnel syndrome. Elk Grove Village (IL): American College of Occupational and Environmental Medicine (ACOEM). 2011; : 73P.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​acoem-165999.pdf|[165999].}} ​ 
  
-|No recommendation : Acupuncture for acute, subacute, or chronic CTS (I)| 
  
  
-==== Massachusetts Department of Industrial Accidents (DIA, USA) 2009 ⊕==== 
  
  
-Carpal Tunnel Syndrome (CTS) Treatment Guideline Massachusetts Department of Industrial Accidents (DIA). 2009.   ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​dia-145149.pdf|[145149].}} 
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-|Acupuncture is commonly used when pain medication is reduced or not tolerated. It may be used as an adjunct to physical rehabilitation and/or surgical intervention for pain relief when there is delayed recovery. Requirements:​ 1. Acupuncture may be authorized when it is ordered by a licensed MD, DC, DO, PA, NP or PT. The ordering practitioner cannot also be the provider of the service. 2. Acupuncture must be performed by an acupuncturist licensed by the Board of Registration in the state where the service will be provided. 3. Time to produce effect: six (6) visits in first eight (8) weeks. 4. After six (6) visits the ordering practitioner may request additional visits if functional clinical progress is documented. Maximum visits are not to exceed sixteen (16) visits in twelve (12) weeks. | 
  
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-==== American Academy of Orthopaedic Surgeons (AAOS, USA) 2008 Ø ==== 
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-Clinical Practice Guideline on The Treatment of Carpal Tunnel Syndrome. The American Academy of Orthopaedic Surgeons. 2008:​85p. ​  ​{{:​medias securises:​acupuncture:​evaluation:​rhumatologie - orthopedie:​aaos-197676.pdf|[197676]}}. ​ 
-|Recommendation 4e The following treatments carry no recommendation for or against their use: activity modifications,​ **acupuncture**,​ cognitive behavioral therapy, cold laser, diuretics, exercise, electric stimulation,​ fitness, graston instrument, iontophoresis,​ laser, stretching, massage therapy, magnet therapy, manipulation,​ medications (including anticonvulsants,​ antidepressants and NSAIDs), nutritional supplements,​ phonophoresis,​ smoking cessation, systemic steroid injection, therapeutic touch, vitamin B6 (pyridoxine),​ weight reduction, yoga. (Inconclusive,​ Level II and V).|