Enhancing Sperm Motility Parameters in Patients with Asthenospermia: A Combined Approach of Acupuncture at Fusiguan Point and Tamoxifen Citrate Tablets

Objective: To explore the effect of acupuncture at Fuguan point combined with tamoxifen citrate tablet on sperm motility parameters. Methods: A total of 115 individuals with asthenospermia were categorized based on different treatment regimens: 53 patients in the control group (receiving tamoxifen citrate tablets) and 62 patients in the observation group (undergoing acupoint acupuncture in conjunction with tamoxifen citrate tablets). Both groups underwent a 3-month treatment period. The computer-assisted sperm analysis system was employed to measure various motility parameters of human sperm, including sperm motility rate, average path velocity (VAP), lateral swing amplitude (ALH), percentage of class a sperm, and percentage of class a + b sperm. Results: Prior to treatment, no statistically significant differences were observed between the two groups in terms of sperm motility rate, VAP, ALH, percentage of class a sperm, and percentage of class a + b sperm (p > 0.05). Following treatment, both groups exhibited significant enhancements in sperm motility rate, VAP, ALH, percentage of class a sperm, and percentage of class a + b sperm compared to pretreatment levels (p < 0.05). Furthermore, all measured indicators in the observation group demonstrated significantly superior improvements than those of the control group, with the differences proving statistically significant (p < 0.05). Conclusions: The combination of acupuncture at Fusiguan point and tamoxifen citrate tablets exerts a notably positive effect on sperm motility in individuals diagnosed with asthenospermia. (AU)

Evidencia de la estimulación de puntos de acupuntura en el tratamiento de la hipogalactia: revisión sistemática con metaanálisis / Evidence of the acupuncture points stimulation for the treatment of hypogalactia: a systematic review and meta-analysis

Objetivo: Realizar una revisión de la literatura para analizar si la estimulación de puntos de acupuntura aumenta la cantidad de leche producida durante la lactancia. Método: Se recopilaron estudios de cinco bases de datos electrónicas siguiendo las recomendaciones internacionales para la elaboración de revisiones sistemáticas y metaanálisis. Los criterios de elegibilidad fueron artículos de texto completo en inglés o español con diseño de ensayos clínicos y estudios observacionales, sin restricción en el tiempo de publicación, en los cuales se hubiera evaluado el efecto de la estimulación de puntos de acupuntura en la mejora de la cantidad de lactancia mediante acupuntura convencional, electroacupuntura, láser, agujas de fuego, estimulación manual, Tui Na o catgut. Dos autores extrajeron de forma independiente los datos de las características y los resultados principales de los estudios seleccionados para su inclusión. Se realizaron las evaluaciones de riesgo de sesgo y de calidad (GRADE). Para la síntesis cuantitativa se calculó la diferencia de medias estandarizada para cada estudio individual seleccionado y luego se combinaron los datos mediante un metaanálisis de efectos aleatorios. Resultados: En la presente revisión se incluyeron un total de 14 estudios, la mayoría de ellos mostraron riesgo de sesgo y una calidad moderada. El metaanálisis mostró que la estimulación manual del punto de acupuntura aumenta la cantidad de leche materna (DME 95% IC=1,63 [1,13-2,13]; p<0,0001). Conclusión: La literatura sugiere que la estimulación manual de puntos de acupuntura mejora la cantidad de leche producida durante de lactancia.(AU)

Objective: To perform a literature review aimed to analyze if acupoint stimulation increases lactation quantity. Method: Studies were collected from five electronic databases following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews. Eligibility criteria were full-text articles in English or Spanish with clinical trial design and observational studies, with no restriction on time of publication, in which the effect of acupoint stimulation on improving the quantity of lactation by conventional acupuncture, electroacupuncture, laser, fire needling, manual stimulation, tuina or catgut had been evaluated. Two authors independently extracted data for the characteristics and main outcomes of the studies selected for inclusion. The risk of bias (RoB 2 and Robins-I) and the quality assessments (GRADE) were performed. For the quantitative synthesis, the standardized mean difference was calculated for each individual study selected and then the data were combined using a random-effects meta-analysis. Results: A total of 14 studies were included in the present review. Most of the included studies exhibited some concerns in the risk of bias assessment. The quality of the studies was moderate. The meta-analysis showed that manual acupoint stimulation improves the lactation quantity (SMD 95% CI=1.63 [1.13-2.13]; p<0.0001). Conclusion: The literature suggests that manual stimulation of acupuncture points improves the amount of milk produced during lactation.(AU)

Observation on the curative effect of neck acupuncture and scalp acupuncture in improving cognitive impairment and quality of life after stroke

Objective: To explore the intervention value of needle acupuncture and scalp acupuncture in improving cognitive impairment and life in stroke patients; Methods: A total of 62 stroke patients who were healed in our hospital from August 2019 to October 2021 were retrospectively selected as the research objects, and were divided into a combined healing cluster (Combined healing cluster, CTG, n=31, The patients received conventional healing combined with acupuncture and acupuncture) and the general healing cluster (GTG, n=31). The healing effects of the two clusters were contrast, and the National Institutes of Health Stroke Scale (NIHSS), neurological deficit score before and after healing Table (NDS) and Barthel Index (BI) score changes, the follow-up outcomes of the two clusters of patients were calculated and contrast between the two clusters; Results: (1) The total effective rate of patients in CTG cluster was 96.77%, and the total effective rate of patients in GTG cluster was 80.65%, and the variation in effective rate between the two clusters was notable (P<0.05). The NIHSS and NDS marks of the CTG cluster were notably bottom than those of the GTG cluster, and the variation between the clusters was notable (P<0.05). (3) On the 7th, 15th and 30th days of healing, the BI marks of the CTG cluster were notably upper than those in the GTG cluster, and the variation between the clusters was notable (P<0.05). (4) There were a total of 3 recurrences in the CTG cluster after 6 months of follow-up, with a recurrence rate of 10.00%, and a total of 9 recurrences in the GTG cluster. The recurrence rate of patients in the CTG cluster was notably bottom than that in the GTG cluster (P<0.05) (AU)

The Efficacy and Safety of Acupuncture in Treating Stress Urinary Incontinence in Women from a Meta-Analysis of Four Randomized Controlled Trials

Abstract Purpose: To verify the efficacy and safety of acupuncture in treating stress urinary incontinence (SUI) in women in a single treatment cycle lasting at least 6 weeks. Methods: A preferred reporting items for systematic reviews and meta-analyses (PRISMA) summary was followed correctly. Through the use of EMBASE, Cochrane Library databases, and PubMed (until July 2021), we looked for randomized controlled trials. In addition, the included articles’ original references were looked up as well. Results: Totally, we analyzed four studies including 690 patients. Compared with the sham acupuncture group, this analysis verified that acupuncture was critically better result in decreasing mean urine leakage (p = 0.04), 1-hour pad test (p = 0.04), 72-hour incontinence episodes (p < 0.00001), International Consultation on Incontinence Questionnaire-Short Form scores (p = 0.0005) and improving patient self-evaluation (All p < 0.05). However, two groups had no statistical significance in improving pelvic floor muscle strength. In the matter of safety, mainly adverse events, especially with respect to pain, both groups showed no statistical difference. Conclusions: Acupuncture is more beneficial to patients with stress urinary incontinence in women with no critical difference in the incidence of advent events than sham acupuncture (AU)

Therapeutic effects of acupuncture in rheumatoid arthritis are associated with centromere protein F expression

Rheumatoid arthritis is a globally common autoimmune inflammatory disease found especially in China. Acupuncture (AP), a traditional Chinese medicine (TCM) treatment method, is com-monly used for treating rheumatoid arthritis. Many studies have demonstrated that acupuncture alone or in combination with other treatments is beneficial to treat clinical situation of rheumatoid arthritis, thus improving function and quality of life. In this study, we found that centromere protein F (CENPF) is a key gene in rheumatoid arthritis with acupuncture treatment by using differentially expressed genes (DEGs) and random forest model analysis of GSE57983 and GSE77298. Acupuncture helps to up-regulate the expression of CENPF in tissues in rheumatoid arthritis. Functionally, overexpression of CENPF inhibits monocyte chemo-attractant protein (MCP)-1, tumor necrosis factor (TNF)-alpha, and Interleukin (IL)-6 expressions whereas deficiency of CENPF facilitates MCP-1, TNF-alpha, and IL-6 expressions in a collagen-induced arthritis (CIA) rat model. Furthermore, knocked down CENPF with acupuncture treatment antagonizes the inhibition of MCP-1, TNF-alpha, and IL-6 expressions in a CIA rat model. CENPF could be a crucial biomarker in regulating function of acupuncture in treating rheumatoid arthritis. Objective: The objective of this study is to study the critical role of CENPF in regulation of rheumatoid arthritis with acupuncture treatment. Methods:PCA was used to analyze the different expression genes between AP treatment group and control group. Volcano plot and random forest model were used to analyze the decreased and increased expression genes. RT-PCR and IF were used to measure the expres-sion of CENPF in CIA model rat with or without AP treatment. The expression of MCP-1, TNF-alpha and IL-6 was measured by western blotting… (AU)

Tratamiento del suelo pélvico en varones con lesión medular incompleta: revisión sistemática / Treatment of the pelvic floor in males with incomplete spinal cord injury: a systematic review

Los problemas del suelo pélvico son una de las complicaciones más frecuentes en pacientes de sexo masculino con lesión medular. El objetivo de esta revisión es analizar la evidencia disponible sobre la eficacia de los distintos tratamientos que se pueden emplear en las disfunciones del suelo pélvico en varones con lesión medular incompleta. Se consultaron las bases de datos Scopus, Medline, PEDro, Web of Science, Dialnet, Pubmed y Cochrane, en castellano e inglés en los últimos veinte años. Se incluyeron quince artículos con un total de 706 pacientes varones con lesión medular incompleta. La neuromodulación y la combinación de tratamientos (electroterapia o acupuntura / electroacupuntura con cateterismo o entrenamiento de vejiga) reportan los mejores resultados en vejigas neurógenas y disfunciones eréctiles

Pelvic floor disorders are one of the most common complications in male patients with spinal cord injury. The aim of this review was to analyse the available evidence on the efficacy of different treatments used for pelvic floor dysfunctions in men with incomplete spinal cord injuries. The Scopus, Medline, PEDro, Web of Science, Dialnet, Pubmed and Cochrane databases were consulted for papers in Spanish and English published in the last twenty years. Fifteen articles were included, comprising a total of 706 male patients with incomplete spinal cord injury. In male patients with neurogenic bladder and erectile dysfunction, the best results were obtained with neuromodulation and combined treatments (electrotherapy or acupuncture / electroacupuncture with catheterization or bladder training)

Tratamiento de síndrome de impingement subacromial mediante punción seca profunda: estudio de caso / Treatment of subacromial syndrome with deep dry needling: Case report

INTRODUCCIÓN: El dolor de hombro, específicamente el síndrome de impingement subacromial, es un problema que afecta a gran parte de la población, siendo el segundo más frecuente después del dolor lumbar. Se han obtenido resultados beneficiosos sobre la musculatura afecta con la utilización de la punción seca profunda en el tratamiento. OBJETIVO: Evaluar los cambios en intensidad de dolor (EVA), umbral de dolor a la presión (algometría), rango osteomuscular (goniometría) y funcionalidad (DASH) obtenidos con el tratamiento de punción seca profunda, combinado con liberación por presión y estiramiento local con espray frío, en un paciente con síndrome de impingement subacromial. Descripción del caso: Varón de 35 años con dolor, de 3 meses de evolución, en la cara anterior y lateral del hombro derecho que se irradia al miembro superior derecho, llegando hasta la mano y dedos. Intervención: Se realizan 4 sesiones de fisioterapia, con una duración de 60min cada una y una distancia temporal de 8 días entre ellas. Se evalúan las variables de intensidad del dolor, umbral del dolor a la presión, rango osteomuscular, puntos gatillo miofasciales y funcionalidad del hombro. Se exploran 9 músculos de la región del hombro para diagnosticar los puntos gatillo miofasciales existentes y tratarlos mediante técnicas de punción seca profunda, liberación por presión y estiramiento local con espray frío. RESULTADOS Y DISCUSIÓN: Los resultados muestran una disminución de la intensidad del dolor, aumento del rango osteomuscular, del umbral del dolor a la presión y de la funcionalidad. Por ello, el tratamiento se considera efectivo. Sin embargo, al tratarse de un estudio de caso no se pueden extrapolar los resultados al resto de población, siendo necesarias futuras investigaciones sobre esta patología y tipo de tratamiento para conseguir mejores resultados, así como incorporar otras técnicas como el ejercicio terapéutico o la electroestimulación

INTRODUCTION: Shoulder pain, specifically subacromial impingement syndrome, is a problem that affects many people, being the second most common after low back pain. Beneficial results have been obtained on the musculature effects by using deep dry needling in the treatment. OBJECTIVE: To evaluate changes in pain intensity using a visual analogue scale (VAS), pressure pain threshold (algometry), range of motion (goniometry), and functionality (DASH), obtained with the treatment of deep dry needling, combined with local pressure release and stretching with cold spray on the myofascial trigger points of the musculature involved in the shoulder area. Case description: 35-year-old male patient, with pain in the anterior and lateral side of the right shoulder that radiated to the upper right limb reaching the hand and fingers, of 3 months of onset. Intervention: Four physiotherapy sessions were performed, each one lasting 60min, and spaced 8 days apart. Pain variables, pressure pain threshold, range of motion, myofascial trigger points, and shoulder functionality were evaluated. Nine muscles of the shoulder region were explored to diagnose existing trigger points and to treat them using deep dry needling techniques, local pressure release, and local stretching with cold spray. RESULTS AND DISCUSSION: The results showed a decrease in pain intensity and an increase in range of motion, algometry values, and functionality. Therefore, deep dry needling treatment of myofascial trigger point is considered effective. However, the results cannot be generalised due to the small sample size of the study. Further studies are needed on this disorder, as well as the type of treatment to obtain better results, and to incorporate other techniques besides deep dry needling, such us therapeutic exercise or electrostimulation

Cardiac tamponade and right ventricle perforation after an acupuncture procedure / Taponamiento cardíaco y perforación del ventrículo derecho después de un procedimiento de acupuntura

No disponible

Hallazgos radiográficos de cuerpos extraños metálicos secundarios a acupuntura permanente / Radiographic findings of metallic foreign bodies due to permanently retained acupuncture needles

No disponible

Eficacia de la acupuntura en las enfermedades reumáticas que afectan el raquis: revisión sistemática / Efficacy of acupuncture in rheumatic diseases with spine involvement: Systematic review

Las enfermedades reumáticas de afectación axial que cursan con dolor cervical y lumbar son muy prevalentes y conllevan un importante consumo de recursos sanitarios. La acupuntura es un procedimiento médico avalado por la Organización Mundial de la Salud con un amplio abanico de indicaciones. Nuestro objetivo fue revisar la evidencia sobre la eficacia de la acupuntura en estas enfermedades. Se realizó búsqueda sistemática: MEDLINE, CENTRAL y EMBASE (mayo de 2017): 535 citas, incluimos 4 revisiones globales (45 revisiones sistemáticas) y 3 revisiones sistemáticas (70 ensayos clínicos).La acupuntura mejora el dolor cervical y la funcionalidad de forma inmediata y a corto plazo. También es eficaz en lumbalgia aguda y crónica como primera línea terapéutica, comparada con placebo, y como coadyuvante de otros tratamientos convencionales. Es una intervención segura. Los resultados no son concluyentes en radiculopatías (cervicales y lumbares), estenosis canal lumbar y espondilitis anquilosante. Faltan estudios bien diseñados con evaluación a medio y largo plazo

Rheumatic diseases involving the spine, mainly cervical and lumbar spine, are highly prevalent, and consume considerable health resources. Acupuncture is a medical procedure endorsed by the WHO, with a wide spectrum of medical applications. The aim of this study was to review the evidence on acupuncture efficacy in these diseases. A literature search was performed in MEDLINE, CENTRAL and EMBASE (May 2017): 535 citations. We included four global reviews(45 systematic reviews) and three Systematic Reviews(70 clinical trials). Acupuncture improved cervical pain and functionality both immediately and in the short term. It also proved effective in the treatment of acute and chronic low back pain as the first therapeutic line, compared with placebo, and as an adjunct to other conventional treatments. Acupuncture is a safe intervention. However, acupuncture efficacy in radiculopathies (cervical, lumbar), lumbar spinal stenosis and ankylosing spondylitis is still inconclusive. Well-designed studies with medium and long-term evaluation are required

Efectividad de la acupuntura en la hipogalactia y en la inflamación mamaria. Revisión bibliográfica / Effectiveness of acupuncture in hypogalactia and breast inflammation. Bibliographic review

Objetivo: Determinar la efectividad de la acupuntura en el tratamiento de la hipogalactia y de la inflamación mamaria; mapear los puntos de aplicación y las técnicas utilizadas. Metodología: Revisión bibliográfica efectuada en las bases de datos PubMed, Cinahl, Cuiden, Scielo, Lilacs, Dialnet, Latindex, Cuidatge, WorldCat y Google Académico. Resultados: Se incluyeron 10 estudios; 7 observaron una mayor producción láctea o una prolongación en el tiempo de la lactancia; 2 evaluaron la efectividad de la acupuntura en la inflamación mamaria, y constataron un rápido alivio sintomático y un menor uso de antibióticos. No se ha encontrado unanimidad en la selección de la técnica y de los puntos para los diferentes tratamientos con acupuntura. Conclusión: La acupuntura parece ser efectiva para aumentar la producción láctea y mejorar los síntomas mamarios. Dada la falta de consenso en la selección de puntos y en las técnicas empleadas para los diferentes tratamientos con acupuntura, se requieren más estudios para poder generalizar estos tratamientos en la práctica clínica

Objective: To determine the effectiveness of acupuncture in the treatment of hypogalactia and breast inflammation; to map the application points and the techniques used. Methodology: A literature review was conducted by searching on PubMed, Cinahl, Cuiden, Scielo, Lilacs, Dialnet, Latindex, Cuidatge, WorldCat and Google Scholar. Results: A total of ten studies were included. A higher milk production or an extension in the time of lactation was observed in seven studies. The efficacy of acupuncture in the breast inflammation was evaluated in two studies and a quick relief of the symptoms and a lower use of antibiotics were observed. No agreement was found neither for the technique used nor for the acupuncture points used between the treatments. Conclusion: Acupuncture seems to be effective in increasing milk production and improving breast symptoms. The lack of consensus in the selection of points and in the techniques used for the different treatments with acupuncture means that more studies are required in order to generalize these treatments in clinical practice

Acupuntura y moxibustión para embarazadas con presentación no cefálica. Estrategias de intervención y revisión de la literatura / Acupuncture and moxibustion for pregnant women with non-cephalic presentation. Intervention strategies and literature review

Objetivo: Realizar una evaluación de la evidencia científica publicada y explorar las estrategias e intervenciones más adecuadas en la presentación no cefálica con acupuntura o moxibustión. Método: Búsqueda bibliográfica realizada entre los años 2003 y 2018 con las palabras clave «acupuntura», «moxibustión», «presentación de nalgas» y «presentación no cefálica» en las bases de datos PubMed, Cinahl, WoS, Medline y CENTRAL. Resultados: Finalmente se seleccionaron 15 artículos que cumplían con los criterios de inclusión. La moxibustión es eficaz para conseguir la versión a cefálica en las embarazadas con feto en presentación no cefálica en el tercer trimestre de gestación. Los países asiáticos son los que obtienen resultados con mayor éxito (96,7%), respecto a los países occidentales (53,6-75,4%). Discusión: La revisión de la bibliografía nos ofrece una buena evidencia científica en relación con la efectividad de la moxibustión en el punto de acupuntura V67, en la versión del feto a una presentación cefálica. En la gran mayoría de los estudios se ha observado una mejora en la versión del feto en los grupos que aplicaron la técnica de moxibustión en V67 respecto al grupo control, en que no se había aplicado la técnica. Conclusión: En la actualidad, el uso de la moxibustión para la versión cefálica de una presentación no cefálica es un procedimiento de interés tanto para los profesionales sanitarios como para las gestantes, ya que es una técnica efectiva, segura y de fácil aplicación

Objective: To carry out an evaluation of the published scientific evidence and to explore the most appropriate strategies and interventions in the non-cephalic presentation with acupuncture or moxibustion. Method: Bibliographic search was carried out between 2003 and 2018 with the keywords «acupuncture», «moxibustion», «breech presentation», «non-cephalic presentation», in the databases PubMed, Cinahl, WoS, Medline and CENTRAL. Results: Finally, 15 articles were selected that met the inclusion criteria. Moxibustion is effective to achieve the cephalic version in pregnant women with a fetus in non-cephalic presentation in the third trimester of pregnancy. The Asian countries have the most successful results (96.7%) in relation to those in the West (between 53.6 and 75.4%). Discussion: The review of the literature offers us good scientific evidence regarding the effectiveness of moxibustion in V67, in the fetus version of a cephalic presentation. In the vast majority of studies, an improvement in the version of the fetus was observed in the groups that applied the moxibustion technique in V67 in relation to the control group, which had not applied the technique. Conclusion: At present, the use of moxibustion for the cephalic version of a non-cephalic presentation is a procedure of interest for health workers and pregnant women, since it is an effective, safe and easy to apply technique whenever it is indicated

Randomized, double-blind study comparing percutaneous electrolysis and dry needling for the management of temporomandibular myofascial pain

BACKGROUND: To assess whether the techniques of percutaneous needle electrolysis (PNE) and deep dry needling (DDN) used on trigger points (TrP) of lateral pterygoid muscle (LPM) can significantly reduce pain and improve function in patients with myofascial pain syndrome (MPS) compared to a control group treated with a sham needling procedure (SNP). MATERIAL AND METHODS: Sixty patients diagnosed with MPS in the LPM were selected and randomly assigned to one of three groups. The PNE group received electrolysis to the LPM via transcutaneous puncture. The DDN group received a deep puncture to the TrP without the introduction of any substance. In the SNP group, pressure was applied to the skin without penetration. Procedures were performed once per week for 3 consecutive weeks. Clinical evaluation was performed before treatment, and on days 28, 42 and 70 after treatment. RESULTS: Statistically significant differences (p < 0.01) were measured for the PNE and DDN groups with respect to pain reduction at rest, during chewing, and for maximum interincisal opening (MIO). Values for the PNE group showed significantly earlier improvement. Differences for PNE and DDN groups with respect to SNP group were significant (p < 0.05) up to day 70. Evaluation of efficacy as reported by the patient and observer was better for PNE and DDN groups. No adverse events were observed for either of the techniques. CONCLUSIONS: PNE and DDN of the LPM showed greater pain reduction efficacy and improved MIO compared to SNP. Improvement was noted earlier in the PNE group than in the DDN group

Guía de estilos de vida y glaucoma (i). Deporte y actividades / Lifestyles guide and glaucoma (i). Sports and activities

Objetivos: El aumento de la calidad y de la esperanza de vida y el hecho de que el glaucoma se diagnostique cada vez más precozmente hace preguntarse a muchos pacientes si afectan a su enfermedad determinados deportes, actividades o aficiones. El objetivo de este trabajo es establecer unas guías para aconsejar a los pacientes con base en la evidencia científica de los trabajos publicados. Métodos: Revisión de todos los trabajos publicados sobre glaucoma y deportes u otras actividades. Los trabajos fueron clasificados según el nivel de evidencia científica basada en la clasificación del Oxford Centre for Evidence-Based Medicine. Resultados: Las actividades aeróbicas son beneficiosas para el paciente. Se han de evitar deportes o técnicas de relajación tipo yoga con maniobras de Valsalva o colocación de la cabeza en posición inferior. También se deben evitar los cambios bruscos en altura. El calor intenso no parece influir en el glaucoma, pero el frío intenso puede afectar a pacientes con disregulación vascular. Las actividades de visión próxima disminuyen levemente la presión intraocular. El uso de instrumentos de viento puede elevar la presión intraocular dependiendo de la técnica utilizada. Conclusiones: Ciertos deportes y actividades pueden tener una influencia en la aparición o la progresión del glaucoma. Los especialistas en glaucoma deben tener información adecuada sobre la evidencia científica de las publicaciones para poder aconsejar apropiadamente a los pacientes (AU)

Purposes: The increase in quality and life expectancy, often leads to many patients asking the glaucoma specialist whether some sports, activities or hobbies would affect their illness. The aim of this article is to establish guidelines for patients, based on the scientific evidence of published papers. Methods: Review of all published articles on glaucoma and sports or other activities. The papers were classified according to the level of scientific evidence based on the Oxford Centre for Evidence-Based Medicine classification. Results: Aerobic sports are beneficial for the patient. Yoga indoor sports or relaxation techniques should be avoided if Valsalva manoeuvres are performed or the head is placed very low. Also, the patients must avoid sudden changes in height. Intense heat does not seem to lead to progression of glaucoma, but intense cold can affect patients with vascular dysregulation. Activities using the near vision slightly reduce the intraocular pressure. The use of wind instruments may raise intraocular pressure, depending on the technique used. Conclusions: Certain sports and activities may have an influence on the onset or progression of glaucoma. Glaucoma specialists should have adequate information about the scientific evidence in the publications, in order to properly advise the patients (AU)

¿Es útil la acupuntura para tratar el dolor de la artrosis de rodilla? Los árboles que no dejan ver el bosque / Is acupuncture useful to treat the pain of knee osteoarthritis? Can't see the forestfor the trees

No disponible

¿Sirve la acupuntura para el insomnio? ¿Dónde basamos nuestras decisiones clínicas? / Does it work acupuncture for insomnia? Where we base our clinical decisions?

No disponible

En fisioterapia ¿Todo lo que penetra es invasivo? / In physiotherapy... are all penetrations invasive?

No disponible

Indicaciones médicas de la acupuntura: revisión sistemática / Medical indications for acupuncture: Systematic review

La acupuntura es un procedimiento médico con un abanico de indicaciones muy amplio según la OMS. Sin embargo, toda indicación requiere hoy en día una sólida evidencia científica. Para ello, llevamos a cabo una revisión sistemática desde 2010, fecha de aparición de los criterios STRICTA que normalizaron los ensayos clínicos en el campo de la acupuntura, hasta 2015. Se seleccionaron las revisiones y los metaanálisis de buena o muy buena calidad metodológica según los criterios SIGN y que tuvieran como objetivo principal evaluar la eficacia de la acupuntura en el manejo de cualquier patología. La mayor parte de las 31 revisiones finales trataban sobre enfermedades que cursaban con dolor, principalmente de carácter crónico en las áreas de neurología, traumatología y reumatología. La evidencia actual sustenta su indicación en el tratamiento de las cefaleas, migrañas, lumbalgias, cervicalgias y artrosis. El resto de patologías aún requieren mayores estudios para poder establecer firmes conclusiones (AU)

Acupuncture is a medical procedure with a very wide range of indications according to the WHO. However the indications require robust scientific evidence to support them. We have conducted a systematic review (2010-2015) in order to define in which pathologies acupuncture can be an effective strategy, STRICTA criteria that aim to set up acupuncture clinical trials standard criteria were defined in 2010. Only systematic reviews and meta-analyses of good or very good methodological quality according to SIGN criteria were selected. Its main objective was to evaluate the effectiveness of acupuncture in the management of any disease. Most of the final 31 selected reviews focus on chronic pain-related diseases, mainly in the disciplines of Neurology, Orthopaedics and Rheumatology. Current evidence supports the use of acupuncture in the treatment of headaches, migraines, back pain, cervical pain and osteoarthritis. The remaining pathologies still require further good quality studies (AU)