373 research outputs found

    Effectiveness of dry needling in patients with knee pain: a systematic review and meta-analysis

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    Authors: Mr. Johnson C.Y. Pang, Professor Amy S.N. Fu, Dr. Ryan K.L. Lee, Dr. Allan C.L. Fu Corresponding author: Mr. Johnson C.Y. Pang and contact email: jpang@cihe,edu.hk Abstract Objectives To assess the effectiveness of various approaches of dry needling (DN) for patients with knee pain and dysfunction Search strategy Six electronic databases: CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO were searched in November 2020 (registration number: CRD42021221419). Screening Risk of bias assessment and qualitative analysis were conducted by two independent reviewers using the PEDro scale. Data management and reporting Eight of 14 articles that met the inclusion criteria were high-quality manuscripts based on the PEDro scale. DN demonstrated positive short-term effects (from immediately after DN to <3 months) in pain reduction for both knee osteoarthritis (KOA) and patellofemoral pain syndrome (PFPS) (overall standardized mean difference [SMD]=-1.549, P=0.002). Subgroup analysis, however, revealed only significant improvement in PFPS (SMD=-3.435, P<0.001). At three months post-intervention, DN induced significant pain reduction in both KOA and PFPS (overall SMD=-0.916, P=0.022). Moreover, DN resulted in significant short-term improvement in function (overall SMD=6.069, P<0.001) in both KOA and PFPS. However, only PFPS showed a significant functional improvement in the subgroup analysis (SMD=6.089, P<0.001). At three months post-intervention, DN-induced functional improvement was significant in both groups (overall SMD=5.840, P<0.001), although only PFPS showed a significant improvement in the sub-group analysis (SMD=5.694, P=0.002). The outcomes of ultrasound (US)-guided DN on patients with knee pain are still unknown. Conclusion DN provides short-term benefits with respect to reducing pain and dysfunction for patients presenting with knee pain due to PFPS, but not KOA. Future research on US-guided DN for the treatment of knee pain is highly recommended

    Effectiveness of dry needling in patients with knee pain: a systematic review and meta-analysis

    No full text
    Authors: Mr. Johnson C.Y. Pang, Professor Amy S.N. Fu, Dr. Ryan K.L. Lee, Dr. Allan C.L. Fu Corresponding author: Mr. Johnson C.Y. Pang and contact email: jpang@cihe,edu.hk Abstract Objectives To assess the effectiveness of various approaches of dry needling (DN) for patients with knee pain and dysfunction Search strategy Six electronic databases: CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO were searched in November 2020 (registration number: CRD42021221419). Screening Risk of bias assessment and qualitative analysis were conducted by two independent reviewers using the PEDro scale. Data management and reporting Eight of 14 articles that met the inclusion criteria were high-quality manuscripts based on the PEDro scale. DN demonstrated positive short-term effects (from immediately after DN to <3 months) in pain reduction for both knee osteoarthritis (KOA) and patellofemoral pain syndrome (PFPS) (overall standardized mean difference [SMD]=-1.549, P=0.002). Subgroup analysis, however, revealed only significant improvement in PFPS (SMD=-3.435, P<0.001). At three months post-intervention, DN induced significant pain reduction in both KOA and PFPS (overall SMD=-0.916, P=0.022). Moreover, DN resulted in significant short-term improvement in function (overall SMD=6.069, P<0.001) in both KOA and PFPS. However, only PFPS showed a significant functional improvement in the subgroup analysis (SMD=6.089, P<0.001). At three months post-intervention, DN-induced functional improvement was significant in both groups (overall SMD=5.840, P<0.001), although only PFPS showed a significant improvement in the sub-group analysis (SMD=5.694, P=0.002). The outcomes of ultrasound (US)-guided DN on patients with knee pain are still unknown. Conclusion DN provides short-term benefits with respect to reducing pain and dysfunction for patients presenting with knee pain due to PFPS, but not KOA. Future research on US-guided DN for the treatment of knee pain is highly recommended

    Effectiveness of dry needling in patients with knee pain: a systematic review and meta-analysis

    No full text
    Authors: Mr. Johnson C.Y. Pang, Professor Amy S.N. Fu, Dr. Ryan K.L. Lee, Dr. Allan C.L. Fu Corresponding author: Mr. Johnson C.Y. Pang and contact email: jpang@cihe,edu.hk Abstract Objectives To assess the effectiveness of various approaches of dry needling (DN) for patients with knee pain and dysfunction Search strategy Six electronic databases: CINAHL Complete, Cochrane Library, EMBASE, Medline, PubMed, and PsycINFO were searched in November 2020 (registration number: CRD42021221419). Screening Risk of bias assessment and qualitative analysis were conducted by two independent reviewers using the PEDro scale. Data management and reporting Eight of 14 articles that met the inclusion criteria were high-quality manuscripts based on the PEDro scale. DN demonstrated positive short-term effects (from immediately after DN to <3 months) in pain reduction for both knee osteoarthritis (KOA) and patellofemoral pain syndrome (PFPS) (overall standardized mean difference [SMD]=-1.549, P=0.002). Subgroup analysis, however, revealed only significant improvement in PFPS (SMD=-3.435, P<0.001). At three months post-intervention, DN induced significant pain reduction in both KOA and PFPS (overall SMD=-0.916, P=0.022). Moreover, DN resulted in significant short-term improvement in function (overall SMD=6.069, P<0.001) in both KOA and PFPS. However, only PFPS showed a significant functional improvement in the subgroup analysis (SMD=6.089, P<0.001). At three months post-intervention, DN-induced functional improvement was significant in both groups (overall SMD=5.840, P<0.001), although only PFPS showed a significant improvement in the sub-group analysis (SMD=5.694, P=0.002). The outcomes of ultrasound (US)-guided DN on patients with knee pain are still unknown. Conclusion DN provides short-term benefits with respect to reducing pain and dysfunction for patients presenting with knee pain due to PFPS, but not KOA. Future research on US-guided DN for the treatment of knee pain is highly recommended

    A Study on Ueda-akinari's Adapting Technique and Discriminatory Attitude Against Confucianism-Buddhism in Siramine

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    日本志怪小說的傑作《雨月物語》,為江戶文?巨擎上田秋成以「翻案」(仿作)中日古典文學的手法寫成。本論文是以《雨月物語》的首篇作品〈白峰〉為探討對象。 〈白峰〉的內容是描述被迫遜位的悲劇天子崇德上黃化為厲鬼出現於原本武士後來出家的西行法師面前,為了將自己生前發動的叛亂事件正當化,針對儒家的禪讓‧篡位思想,和西行法師在黑夜的深山裏進行辯論的故事。根據兩人辯論的內容,學者之間傾向於將本篇視為日本「國學者」上田秋成的排儒黜佛論。 本論文首先比較〈白峰〉及其典據,繼之闡述作品主題,探討了一般所謂的秋成的排儒黜佛論,並提示不同的觀點。This dissertation is to discuss the first chapter of Ugetsu-monogatari, one of Ueda-akinari’s outstanding collections of eweird and mysterious stories in japan. Ugetsu-monogatari consists of nine stories, and the first story is Siramine. It tells the tragic story of Sutokku- joko, an emperor forced to abdicate, whose malicious spirit argues with Saigyo-hosi about “usurping the thoughts of Confucianism, in order to legitimate the rebellion he arose when alive. According to the content of their debate, most scholars tend to regard this story as Ueda-akinari’s discriminatory attitude against Confucianism-Buddhism; the author will discuss this unfriendly criticism in this chapter. In this dissertation , the author first compares Siramine with its originals, discusses its main points, the so-called discriminatory attitude against Confucianism-Buddhism, and gives hints of opposite viewpoints
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