Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-12-03T19:06:03.500Z Has data issue: false hasContentIssue false

A scoping review of the evidence for efficacy of acupuncture in companion animals

Published online by Cambridge University Press:  11 December 2017

Wesley J. Rose*
Affiliation:
Department of Biomedical Sciences, University of Guelph, Guelph, ON, N1G 2W1, Canada
Jan M. Sargeant
Affiliation:
Department of Population Medicine, University of Guelph, Guelph, ON, N1G 2W1, Canada Center for Public Health and Zoonoses, University of Guelph, Guelph, ON, N1G 2W1, Canada
W. J. Brad Hanna
Affiliation:
Department of Biomedical Sciences, University of Guelph, Guelph, ON, N1G 2W1, Canada
David Kelton
Affiliation:
Department of Population Medicine, University of Guelph, Guelph, ON, N1G 2W1, Canada Center for Public Health and Zoonoses, University of Guelph, Guelph, ON, N1G 2W1, Canada
Dianna M. Wolfe
Affiliation:
Department of Epidemiology, Ottawa Methods Centre, Ottawa Hospital Research Institute, Ottawa, ON, K1H 8L6, Canada
Lee V. Wisener
Affiliation:
Department of Population Medicine, University of Guelph, Guelph, ON, N1G 2W1, Canada
*
*Corresponding author. E-mail: wrose@uoguelph.ca

Abstract

Acupuncture has become increasingly popular in veterinary medicine. Within the scientific literature there is debate regarding its efficacy. Due to the complex nature of acupuncture, a scoping review was undertaken to identify and categorize the evidence related to acupuncture in companion animals (dogs, cats, and horses). Our search identified 843 relevant citations. Narrative reviews represented the largest proportion of studies (43%). We identified 179 experimental studies and 175 case reports/case series that examined the efficacy of acupuncture. Dogs were the most common subjects in the experimental trials. The most common indication for use was musculoskeletal conditions, and the most commonly evaluated outcome categories among experimental trials were pain and cardiovascular parameters. The limited number of controlled trials and the breadth of indications for use, outcome categories, and types of acupuncture evaluated present challenges for future systematic reviews or meta-analyses. There is a need for high-quality randomized controlled trials addressing the most common clinical uses of acupuncture, and using consistent and clinically relevant outcomes, to inform conclusions regarding the efficacy of acupuncture in companion animals.

Type
Review Article
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Arksey, H and O'Malley, L (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology 8: 1932.Google Scholar
Aronson, JK and Hauben, M (2006). Anecdotes that provide definitive evidence. British Medical Journal 333: 12671269.CrossRefGoogle ScholarPubMed
Berschneider, HM (2002). Complementary and alternative veterinary medicine and gastrointestinal disease. Clinical Techniques Small Animal Practice 17: 1924.Google Scholar
Cockcroft, P and Holmes, M (2003). Handbook of Evidence-Based Veterinary Medicine. Oxford UK: Blackwell publishing.Google Scholar
Feng-Wu, C (2001). The clinical practice of injection acupuncture. Journal of Pharmacopuncture 4: 5558.Google Scholar
Gang, L, Wu, C and Chuan, Y (1997). Research and application of contemporary veterinary acupuncture and moxibustion therapy. Chinese Journal of Veterinary Medicine 23: 45.Google Scholar
Garg, AX, Hackam, D and Tonelli, M (2008). Systematic review and meta-analysis: when one study is just not enough. Clinical Journal of the American Society of Nephrology 3: 253260.Google Scholar
Guyatt, GH, Oxman, AD, Vist, GE, Kunz, R, Falck-Ytter, Y, Alonso-Coello, P, and Schünemann, HJ (2008). GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. British Medical Journal 336: 924926.CrossRefGoogle ScholarPubMed
Guyatt, GH, Oxman, AD, Kunz, R, Woodcock, J, Brozek, J, Helfand, M, Alonso-Coello, P, Falck-Ytter, Y, Jaeschke, R, Vist, G, Akl, EA, Post, PN, Norris, S, Meerpohl, J, Shukla, VK, Nasser, M and Schunemann, HJ (2011). GRADE guidelines: 8. Rating the quality of evidence--indirectness. Journal of Clinical Epidemiology 64: 13031310.Google Scholar
Habacher, G, Pittler, MH, and Ernst, E (2006). Effectiveness of acupuncture in veterinary medicine: systematic review. Journal of Veterinary Internal Medicine 20: 480488.CrossRefGoogle ScholarPubMed
Higgins, JPT and Green, S (2011). Cochrane handbook for systematic reviews of interventions. Version 5.1.0. The Cochrane Collaboration. http://handbook.cochrane.org/Google Scholar
Inada, T, Gomes, APM, do Brito, SN, de Lima, LB, dos Santas, RS and Ruiz, PMB (1990). Acupuncture and moxibustion as alternative therapy in dogs. Arquivos da Universidade Federal Rural do Rio de Janeiro 13: 5561.Google Scholar
Jaeger, GT, Larsen, S, Søli, N, and Moe, L (2006). Double-blind, placebo-controlled trial of the pain-relieving effects of the implantation of gold beads into dogs with hip dysplasia. Veterinary Record 158: 722726.CrossRefGoogle ScholarPubMed
Koski, MA (2011). Acupuncture for zoological companion animals. Veterinary Clinics of North America: Exotic Animal Practice 14: 141154.Google Scholar
Madsen, MV, Gøtzsche, PC and Hróbjartsson, A (2009). Acupuncture treatment for pain: systematic review of randomised clinical trials with acupuncture, placebo acupuncture, and no acupuncture groups. British Medical Journal 338: a3115.Google Scholar
Moore, D and McCabe, GP (1998). Introduction to the Practice of Statistics. 3rd edn. New York: W. H. Freeman.Google Scholar
Mulrow, CD (1987). The medical review article: state of the science. Annals of Internal Medicine 106: 485488.Google Scholar
O'Connor, AM, Anderson, KM, Goodell, CK, Sargeant, JM (2014). Conducting systematic reviews of intervention questions I: writing the review protocol, formulating the question and searching the literature. Zoonoses and Public Health 61(S1): 2838.Google Scholar
Pandis, N (2011). The evidence pyramid and introduction to randomized controlled trials. American Journal of Orthodontics and Dentofacial Orthopedics 140: 446447.Google Scholar
Robinson, NG (2007). Veterinary acupuncture: an ancient tradition for modern times. Alternative and Complementary Therapies 13: 259265.Google Scholar
Sargeant, JM, Torrence, ME, Rajić, A, O'Connor, AM, and Williams, J (2006). Methodological quality assessment of review articles evaluating interventions to improve microbial food safety. Foodborne Pathogens and Disease 3: 447456.Google Scholar
Sargeant, JM, Kelton, DF, and O'Connor, AM (2014). Study designs and systematic reviews of interventions: building evidence across study designs. Zoonoses Public Health 61: 1017.Google Scholar
Snedeker, KG, Totton, SC and Sargeant, JM (2010). Analysis of trends in the full publication of papers from conference abstracts involving pre-harvest or abattoir-level interventions against foodborne pathogens. Preventative Veterinary Medicine 95: 19.Google Scholar
Still, J, Davies, N, Matzner, L, et al. (1998). A comparison of anaesthetic and postanaesthetic effects of placebo, buprenorphine and auricular electroacupuncture in bitches ovariohysterectomised under halothane anaesthesia. International Journal of Alternative and Complementary Medicine 4: 2633.Google Scholar
Szathmary, L (1996). Use of laser radiation in the veterinary practice Basic knowledge and report of cases. Magyar Allatorvosok Lapja (Hungary) 51: 343347.Google Scholar
Werntoft, E, and Dykes, AK (2001). Effect of acupressure on nausea and vomiting during pregnancy. A randomized, placebo-controlled, pilot study. The Journal of Reproductive Medicine 46: 835839.Google Scholar
Wiwanitkit, V (2011). The usefulness of case reports in managing emerging infectious disease. Journal of Medical Case Reports 5: 194.Google Scholar
Xie, H and Preast, V (2007). Xie's Veterinary Acupuncture. 1st edn. Iowa, USA: Blackwell Publishing.CrossRefGoogle Scholar
Zhang, K, Lu, G, and Wang, Q (1990). Effect of laser acupuncture on animal pain threshold and study of its mechanisms. Society for Neuroscience Abstracts 16: 100.Google Scholar
Zhang, Y, Lao, L, Chen, H, and Ceballos, R (2012). Acupuncture use among American adults: what acupuncture practitioners can learn from the national health interview survey 2007? Evidence-Based Complementary and Alternative Medicine 2012 (Issue: 710750).Google Scholar