Review Article

Effects of Acupuncture, Moxibustion, Cupping, and Massage on Sports Injuries: A Narrative Review

Table 1

The application of acupuncture for various diseases.

ConditionInterventionAcupointsComparisonPrimary outcomes measureEffective rate/result/conclusionReference

Ankle sprainAcupuncture plus tendon-regulation manipulationXiaojieTendon-regulation manipulationSymptom score such as swelling, motor dysfunction, and total score100%[8]
Acute closed Achilles tendon ruptureContralateral acupuncture plus rehabilitation trainingST36, GB34, BL57, and KI3Rehabilitation trainingPFPT, PT/BW, and TW94.6%[9]
Nonfracture ankle injuryAcupuncture and massage plus routine therapyST41, GB40, GB39, SP5, and KI3Routine therapy: anti-infection and pain reliefMotor dysfunction score96.08%[10]
Nonfracture ankle injuryAcupuncture and massage plus routine therapyPC7, GB40, Ashi points, GB34, and GB39Routine therapy: eat painkillers or undergo surgerySymptom score: swelling and pain96.7%[11]
Chronic Achilles tendinopathyAcupunctureAshi pointsEccentric exercisesVISA-A and VASAcupuncture improved pain and activity compared with eccentric exercises[12]
Shoulder impingement syndromeAcupunctureLI15, LI16, SJ14, and SI9Acupuncture at sham pointsVAS and UCLA questionnaireAcupuncture is a safe, reliable technique to achieve significant results[13]
Chronic shoulder painAcupuncture (verum)Ashi points; local and distal points according to the channel and the painSham acupuncture (sham); conventional conservative orthopaedic treatment (COT)The 50% responder rate for pain was measured on a VASResults were significant for verum over sham and verum over COT[14]
Chronic shoulder painTrigger point acupuncture (TrP)Myofascial trigger point in neck and superior limbSham (SH) acupuncturePain intensity (VAS) and shoulder function (constant-Murley score: CMS)Compared with SH, TrP appears more effective[15]
Chronic shoulder painContralateral manual acupuncture (MA)SJ3, SI3, LI11, and ST38Conventional orthopaedic therapyVASContralateral acupuncture is beneficial[16]
Chronic plantar fasciitisEA plus conventional treatmentsAshi pointsConventional treatments: stretching exercise, shoe modification, and rescue analgesicsVAS and foot function index (FFI)Patients in the EA group obtained higher success rates than those in the control group (80%,13.3%, resp.)[17]
Chronic temporomandibular disorder (TMD)Laser acupuncture plus reversible occlusal splint therapy (EG)ST6, SI19, GB20, GB43, LI4, and LR3Placebo laser associated with occlusal splint therapy (CG)VASLaser acupuncture is effective, secure, and noninvasive[18]
Low back pain in athletesEAST36, BL25, GB30, BL40, and GB34Sham EA; pharmacological treatment (diclofenac sodium)Pain score (VAS) and a serum level of catecholamines quantified by enzyme-linked immunosorbent assayEA relieves pain, ameliorates inflammation, and protects muscle tissue[19]
Tennis elbowNeedle knife (A)Ashi pointsTrigger point injection (B); A plus B (C)MPQ and VASGroup A has the same curative effect as group C, both better than group B[20]
Supraspinatus tendinitisEA plus extracorporeal shock waveGB21, SI12, LI14, SI10, LI15, SJ14, SI9, and Ashi pointsExtracorporeal shock waveVAS94.74%[21]

Note. BW: body weight; EA: electroacupuncture; PFPT: affected-side plantar flexion peak torque; MPQ: McGill Pain Questionnaire; PT: peak torque; TW: total work; VAS: visual analogue scale; VISA-A: the validated Victorian Institute of Sports Assessment-Achilles; ST: yangming stomach channel of foot; GB: shaoyang gallbladder channel of foot; BL: taiyang bladder channel of foot; KI: shaoyin kidney channel of foot; SP: taiyin spleen channel of foot; PC: jueyin pericardium channel of hand; LI: yangming large intestine channel of hand; SJ: shaoyang sanjiao channel of hand; SI: taiyang small intestine channel of hand; LR: jueyin liver channel of foot.