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Bissoto JR, Silva Júnior JURD, Alvares GP, Santos FH, Len CA. Acupuncture for pediatric chronic pain: a systematic review. J Pediatr (Rio J) 2024; 100:586-595. [PMID: 38697213 DOI: 10.1016/j.jped.2024.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/04/2023] [Revised: 02/29/2024] [Accepted: 03/05/2024] [Indexed: 05/04/2024] Open
Abstract
OBJECTIVES To survey, analyze and discuss the scientific evidence supporting the use of acupuncture and related techniques in the management of chronic pain in the pediatric population. SOURCES A survey of databases (MEDLINE, Scopus and Scielo) was carried out with search strategies, following the PRISMA statement, without limits on publication dates and languages. Clinical studies (clinical trials, single-arm, and case series) were accepted for review if they included participants aged up to 22 years. Study quality was assessed by MMAT, and the randomized clinical trial was analyzed under the STRICTA criteria. SUMMARY OF THE FINDINGS 2369 articles were retrieved. After excluding repetitions, 1335 underwent the initial selection. Only 16 articles were selected for full reading, of which 5 were included in the review, being two case series, two single-arm studies, and one randomized clinical trial. The articles were considered of good quality by the adopted criteria. CONCLUSION The analyzed studies showed important clinical results such as the reduction of pain intensity, and improvement in school attendance and social life. However, there are many limitations in study design and sample size. Therefore, there is weak evidence to support the use of acupuncture in the context of pediatric chronic pain, but the positive results reinforce the need for further investigation of the topic with the conduct of larger and well-designed studies, to obtain more data and greater scientific conviction of the findings.
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Affiliation(s)
- João Roberto Bissoto
- Departamento de Pediatria, Grupo de Reumatologia Pediátrica, Universidade Federal de São Paulo, São Paulo, SP, Brazil; Departamento de Ortopedia e Traumatologia, Grupo de Acupuntura, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
| | | | - Gabrielle Pignoli Alvares
- Departamento de Psicologia, Campus Bauru, Universidade Estadual Paulista Julio de Mesquita Filho, Bauru, SP, Brazil
| | - Flávia H Santos
- School of Psychology, University College Dublin, Dublin, Ireland
| | - Claudio Arnaldo Len
- Departamento de Pediatria, Grupo de Reumatologia Pediátrica, Universidade Federal de São Paulo, São Paulo, SP, Brazil
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Cooke M, Richards J, Tjondronegoro D, Raj Chakraborty P, Jauncey-Cooke J, Andresen E, Theodoros J, Paterson R, Schults J, Raithatha B, Wilson S, Alcock M. myPainPal: Co-creation of a mHealth app for the management of chronic pain in young people. Inform Health Soc Care 2021; 46:291-305. [PMID: 33784952 DOI: 10.1080/17538157.2021.1892697] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Chronic pain is common in young people aged 10-14 years. Interdisciplinary, clinician-delivered treatments, while effective, are often criticized for failing to be readily accessible. Mobile health applications (mHealth apps) have been proposed as effective treatment adjuncts that address these challenges, while meeting the needs of tech-savvy young people. The objectives of this study were to co-create a mHealth app with consumers and health care professionals and evaluate the acceptability and feasibility of the resulting mHealth app (myPainPal). A phased, qualitative approach within a consumer engagement framework was employed. Interviews with young people (n = 14), parents (n = 12) and health care professionals (n = 8) identified key health needs that formed the underlying structure of the myPainPal app. Testing showed that the app is an acceptable and feasible platform to facilitate young people's self-management of chronic pain. The myPainPal app has the potential to positively influence young people's experiences of chronic pain. Further testing in controlled settings is required.
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Affiliation(s)
- Marie Cooke
- Griffith University, Menzies Health Institute Queensland, Brisbane, Australia.,School of Nursing and Midwifery, Griffith University, Brisbane, Australia
| | - Julianne Richards
- Queensland Interdisciplinary Paediatric Persistent Pain Service (QIPPPS), Children's Health Queensland Hospital and Health Service, Brisbane, Australia
| | | | | | | | - Elizabeth Andresen
- Queensland Interdisciplinary Paediatric Persistent Pain Service (QIPPPS), Children's Health Queensland Hospital and Health Service, Brisbane, Australia
| | - Joanne Theodoros
- Queensland Interdisciplinary Paediatric Persistent Pain Service (QIPPPS), Children's Health Queensland Hospital and Health Service, Brisbane, Australia
| | - Rebecca Paterson
- School of Nursing and Midwifery, Griffith University, Brisbane, Australia.,School of Psychology, The University of Queensland, Brisbane, Australia
| | - Jessica Schults
- Griffith University, Menzies Health Institute Queensland, Brisbane, Australia.,School of Nursing and Midwifery, Griffith University, Brisbane, Australia.,Department of Anaesthesia and Pain Management, Queensland Children's Hospital, Brisbane, Australia
| | - Bhavesh Raithatha
- Queensland Interdisciplinary Paediatric Persistent Pain Service (QIPPPS), Children's Health Queensland Hospital and Health Service, Brisbane, Australia
| | - Susan Wilson
- Queensland Interdisciplinary Paediatric Persistent Pain Service (QIPPPS), Children's Health Queensland Hospital and Health Service, Brisbane, Australia
| | - Mark Alcock
- Queensland Interdisciplinary Paediatric Persistent Pain Service (QIPPPS), Children's Health Queensland Hospital and Health Service, Brisbane, Australia
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Rosen DA, Unger K, Gustafson RA, Trieu C, Zeltzer LK, Lin YC. Electroacupuncture Addition to the Anesthesia Care of Pediatric Patients for Congenital Heart Surgery. J Cardiothorac Vasc Anesth 2017; 31:1497-1504. [PMID: 28526209 DOI: 10.1053/j.jvca.2017.02.037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Indexed: 11/11/2022]
Affiliation(s)
- David A Rosen
- Department of Anesthesia and Pediatrics, West Virginia University, Morgantown, WV.
| | - Kendra Unger
- Department of Family Medicine, West Virginia University, Morgantown, WV
| | - Robert A Gustafson
- Department of Surgery and Pediatrics, West Virginia University, Morgantown, WV
| | - Christine Trieu
- Department of Anesthesiology and Perioperative Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA
| | - Lonnie K Zeltzer
- Departments of Pediatrics, Anesthesiology, Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA
| | - Yuan-Chi Lin
- Medical Acupuncture Service, Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA
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Milley RJ, Davis R, Kong JT, Schnyer RN. Acupuncture for Pediatric Conditions: A Narrative Review. Med Acupunct 2015. [DOI: 10.1089/acu.2015.1154] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Affiliation(s)
- Ryan J. Milley
- Research Department, Oregon College of Oriental Medicine, Portland, OR
| | - Robert Davis
- University of Vermont Medical Center, South Burlington, VT
| | - Jiang-Ti Kong
- Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University School of Medicine, Palo Alto, CA
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Highfield ES, Broderick M, Goldstein L, Dickman L, Neri CM. Acupuncture as Part of a Pediatric Pain Clinic in a Safety-Net Hospital: Acupuncture Wednesday. Med Acupunct 2015. [DOI: 10.1089/acu.2015.1141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Ellen Silver Highfield
- Program for Integrative Medicine and Health Disparities, Boston Medical Center, Boston, MA
- Department of Family Medicine, Boston Medical Center, Boston, MA
| | - Maria Broderick
- Program for Integrative Medicine and Health Disparities, Boston Medical Center, Boston, MA
- Department of Family Medicine, Boston Medical Center, Boston, MA
| | - Laura Goldstein
- Department of Child and Adolescent Psychology, Boston Medical Center, Boston, MA
- Pediatric Hematology/Oncology and Pediatric Pain Clinic, Boston University School of Medicine, Boston MA
| | - Laura Dickman
- Department of Child and Adolescent Psychology, Boston Medical Center, Boston, MA
- Pediatric Hematology/Oncology and Pediatric Pain Clinic, Boston University School of Medicine, Boston MA
| | - Caitlin M. Neri
- Pediatric Hematology/Oncology and Pediatric Pain Clinic, Boston University School of Medicine, Boston MA
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Abstract
SUMMARY Chronic pain in children is a poorly recognized entity that is challenging to treat and leaves many families frustrated. Often, lack of an identifiable etiology along with the complex biopsychosocial nature of this condition leads to a lengthy diagnostic odyssey and delayed treatment that exacerbates the existing problem. Effective treatment of chronic pain requires a team approach in order to deal with the various aspects of this condition. Combinations of medication along with nonpharmacologic treatments, such as physical therapy, psychological interventions and complementary therapies, are often the most effective ways of treating chronic pain rather than medication alone. Further research is needed to understand the complex biobehavioral processes involved in the development and maintenance of chronic pain. Development of targeted novel therapies as well as comparative studies of existing treatments will help to improve treatment for chronic pain in children.
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Affiliation(s)
- Shahram Yazdani
- Pediatric Pain Program & Division of General Pediatrics, David Geffen School of Medicine at University of California, Los Angeles (UCLA), 10833 Le Conte Ave, Los Angeles, CA 90095-1752, USA
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Evans S, Moieni M, Sternlieb B, Tsao JCI, Zeltzer LK. Yoga for youth in pain: the UCLA pediatric pain program model. Holist Nurs Pract 2012; 26:262-71. [PMID: 22864296 DOI: 10.1097/hnp.0b013e318263f2ed] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Children, adolescents, and young adults do not typically feature in clinics, studies, and mainstream notions of chronic pain. Yet many young people experience debilitating pain for extended periods of time. Chronic pain in these formative years may be especially important to treat in order for young patients to maintain life tasks and to prevent protracted disability. The Pediatric Pain Program at the University of California, Los Angeles, is a multidisciplinary treatment program designed for young people with chronic pain and their families. We offer both conventional and complementary medicine to treat the whole individual. This article describes the work undertaken in the clinic and our newly developed Yoga for Youth Research Program. The clinical and research programs fill a critical need to provide service to youth with chronic pain and to scientifically study one of the more popular complementary treatments we offer, Iyengar yoga.
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Affiliation(s)
- Subhadra Evans
- Pediatric Pain Program, Department of Pediatrics at the David Geffen School of Medicine, University of California, Los Angeles, CA 90095, USA.
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Zhang WJ, Su DM, Hui KK. [The development and current status of integrative medicine at UCLA]. ZHONG XI YI JIE HE XUE BAO = JOURNAL OF CHINESE INTEGRATIVE MEDICINE 2012; 10:953-960. [PMID: 22979924 DOI: 10.3736/jcim20120901] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Wei-Jun Zhang
- Center for East-West Medicine, University of California, Los Angeles, CA 90095, USA.
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