DOI QR코드

DOI QR Code

Acupuncture as an Additional Method of Rehabilitation Post-COVID-19: a randomized controlled trial

  • Indira Omarova (Faculty of Medicine, Asfendiyarov Kazakh National Medical University) ;
  • Assiya Akanova (Department of Clinical Subjects at High School of Medicine at Faculty of Medicine and Public Health, Al-Farabi Kazakh National University) ;
  • Almagul Kurmanova (Department of Clinical Subjects at High School of Medicine at Faculty of Medicine and Public Health, Al-Farabi Kazakh National University) ;
  • Gaukhar Kurmanova (Department of Clinical Subjects at High School of Medicine at Faculty of Medicine and Public Health, Al-Farabi Kazakh National University) ;
  • Natalya Glushkova (Department of Epidemiology, Biostatistics and Evidence Based Medicine, Al-Farabi Kazakh National University) ;
  • Amina Seidanova (Department of Rehabilitation of the City Clinical Hospital No1) ;
  • Kuatzhan Turysbekov (Rehabilitation Center "Kamenskoe Plato")
  • Received : 2022.11.10
  • Accepted : 2023.05.30
  • Published : 2023.09.30

Abstract

Objectives: The purpose of this study was to evaluate the effectiveness of complex rehabilitation with and without acupuncture in a hospital setting. Methods: A randomized clinical trial was performed at Rehabilitation center "Kamenskoe Plato" in Almaty, Kazakhstan. 160 patients with Post COVID-19 condition were randomly equally divided into an acupuncture with complex rehabilitation methods and a only complex rehabilitation methods group in the period from March 1, 2022 to July 1, 2022. Either groups was performed for an 10-14 days period. The outcome measures were the Bartel index, the Borg scale, Modified Dyspnea Scale and the 6-minute walking test. Adverse events also were monitored and documented. Results: We found statistically significant improvement after the rehabilitation course with acupuncture in the all scales. And in the group without acupuncture, only on two scales: MDS and Borg scale. Conclusion: Rehabilitation with acupuncture is possible and effective in patients recovering from post-COVID-19. Our findings may be useful to guide clinicians taking care of patients with post-COVID-19.

Keywords

References

  1. World Health Organization (WHO). Coronavirus disease (COVID-19) pandemic [Internet]. Geneva: WHO; c2020 [cited 2022 Aug 1]. Available from: https://www.who.int/emergencies/dis-eases/novel-coronavirus-2019.
  2. Ceban F, Leber A, Jawad MY, Yu M, Lui LMW, Subramaniapillai M, et al. Registered clinical trials investigating treatment of long COVID: a scoping review and recommendations for research. Infect Dis (Lond). 2022;54(7):467-77. https://doi.org/10.1080/23744235.2022.2043560
  3. Castanares-Zapatero D, Chalon P, Kohn L, Dauvrin M, Detollenaere J, Maertens de Noordhout C, et al. Pathophysiology and mechanism of long COVID: a comprehensive review. Ann Med. 2022;54(1):1473-87. https://doi.org/10.1080/07853890.2022.2076901
  4. Chen C, Zhan J, Wen H, Wei X, Ding L, Tao C, et al. Current state of research about acupuncture for the treatment of COVID-19: a scoping review. Integr Med Res. 2021;10(Suppl):100801.
  5. Vique-Sanchez JL, Galindez-Fuentes AI. Acupuncture as a complementary medicine for depression caused by the confinement by COVID-19. Rev Int Acupunt. 2021;15(3):100148.
  6. Birch S, Alraek T, Grobe S. Reflections on the potential role of acupuncture and Chinese herbal medicine in the treatment of Covid-19 and subsequent health problems. Integr Med Res. 2021;10(Suppl):100780.
  7. Kim TH, Kang JW, Jeon SR, Ang L, Lee HW, Lee MS. Use of traditional, complementary and integrative medicine during the COVID-19 pandemic: a systematic review and meta-analysis. Front Med (Lausanne). 2022;9:884573.
  8. Wang H, Xu B, Zhang Y, Duan Y, Gao R, He H, et al. Efficacy and safety of traditional Chinese medicine in coronavirus disease 2019 (COVID-19): a systematic review and meta-analysis. Front Pharmacol. 2021;12:609213.
  9. Jeon SR, Kang JW, Ang L, Lee HW, Lee MS, Kim TH. Complementary and alternative medicine (CAM) interventions for COVID-19: an overview of systematic reviews. Integr Med Res. 2022;11(3):100842.
  10. Zhu Y, Jiang Z, Zhang Y, Zhang Q, Li W, Ren C, et al. Assessment of Chinese medicine for coronavirus-related pneumonia: a protocol for systematic review and meta-analysis. Medicine (Baltimore). 2020;99(24):e20613.
  11. Li LJ, Chen X, Yang WN, Xu XM, Lu LY, Wang J, et al. Traditional Chinese medicine for the treatment of pulmonary fibrosis: a protocol for systematic review and meta-analysis of overview. Medicine (Baltimore). 2020;99(31):e21310.
  12. Chen Y, Zhu C, Xu Z, Song Y, Zhang H. Acupuncture for corona virus disease 2019: a protocol for systematic review and meta analysis. Medicine (Baltimore). 2020;99(40):e22231.
  13. Huang B, Liu Y, Pi C, Yan S, Li F. Effectiveness and safety of different traditional Chinese medicines for Coronavirus disease 2019: a protocol for systematic review and network meta-analysis. Medicine (Baltimore). 2021;100(31):e26676.
  14. Luo W, Zhai Y, Sun M, Guo D, Xie F, Yu Z, et al. Clinical study on acupuncture treatment of COVID-19: a protocol for a systematic review and meta-analysis. Medicine (Baltimore). 2022;101(2):e28296.
  15. Williams JE, Moramarco J. The role of acupuncture for long COVID: mechanisms and models. Med Acupunct. 2022;34(3):159-66. https://doi.org/10.1089/acu.2021.0090
  16. Zhu Y, Wang Z, Zhou Y, Onoda K, Maruyama H, Hu C, et al. Summary of respiratory rehabilitation and physical therapy guidelines for patients with COVID-19 based on recommendations of World Confederation for Physical Therapy and National Association of Physical Therapy. J Phys Ther Sci. 2020;32(8):545-9. https://doi.org/10.1589/jpts.32.545
  17. Ma F, Zhang H, Li B, Cheng P, Ma Y, Yu M, et al. The effect of traditional Chinese medicine treatment for post-viral olfactory dysfunction: a protocol for systematic review and meta-analysis. Medicine (Baltimore). 2021;100(16):e25536.
  18. World Health Organization (WHO). Living guidance for clinical management of COVID-19. Geneva: WHO; 2021. 116 p.
  19. World Health Organization (WHO) Regional Office for the Western Pacific (WPRO). WHO standard acupuncture point locations in the Western Pacific Region. Geneva: WHO; 2009. 249 p.
  20. Medical Research Council's Committee on the Aetiology of Chronic Bronchitis. Standardized questionaries on respiratory symptoms. Br Med J. 1960;2(5213):1665.
  21. Bestall JC, Paul EA, Garrod R, Garnham R, Jones PW, Wedzicha JA. Usefulness of the Medical Research Council (MRC) dyspnoea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax. 1999;54(7):581-6. https://doi.org/10.1136/thx.54.7.581
  22. Shah S, Vanclay F, Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation. J Clin Epidemiol. 1989;42(8):703-9. https://doi.org/10.1016/0895-4356(89)90065-6
  23. Brooks D, Solway S, Gibbons WJ. ATS statement on six-minute walk test. Am J Respir Crit Care Med. 2003;167(9):1287.
  24. Whaley MH, Brubaker PH, Kaminsky LA, Miller CR. Validity of rating of perceived exertion during graded exercise testing in apparently healthy adults and cardiac patients. J Cardiopulm Rehabil. 1997;17(4):261-7. https://doi.org/10.1097/00008483-199707000-00007
  25. Shi XM, Tong XL, Sun GJ, et al. Guidance for acupuncture and moxibustion intervention for COVID-19 (second edition). Chin Acupunct Moxibust. 2020;40(5):462-3.
  26. Ren M, Liu Y, Ni X, Kuang Z, Luo X, Zhang Y, et al. The role of acupuncture and moxibustion in the treatment, prevention, and rehabilitation of patients with COVID-19: a scoping review. Integr Med Res. 2022;11(4):100886.
  27. Cordani C, Young VM, Arienti C, Lazzarini SG, Del Furia MJ, Negrini S, et al. Cognitive impairment, anxiety and depression: a map of Cochrane evidence relevant to rehabilitation for people with post COVID-19 condition. Eur J Phys Rehabil Med. 2022;58(6):880-7.
  28. Bhat AK, Krishna Kumar V, Johnson JD. An integrative approach with Ayurveda and traditional Chinese acupuncture in post covid parosmia - a case study. J Ayurveda Integr Med. 2023;14(1):100560.
  29. Trager RJ, Brewka EC, Kaiser CM, Patterson AJ, Dusek JA. Acupuncture in multidisciplinary treatment for post-COVID-19 syndrome. Med Acupunct. 2022;34(3):177-83. https://doi.org/10.1089/acu.2021.0086
  30. Audette J. SARS-CoV-2 infection, post COVID-19 symptoms and acupuncture. Med Acupunct. 2022;34(3):151-3. https://doi.org/10.1089/acu.2022.29208.editorial