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Table 2 Efficacy of moxibustion, acupuncture or other acupoint stimulations for the correction of breech presentation

From: Moxibustion and other acupuncture point stimulation methods to treat breech presentation: a systematic review of clinical trials

 

Treatment

(n/N, %)

Control

(n/N, %)

Relative benefit

(95% CI)

P value

Randomized controlled trial

Moxibustion on Zhiyin vs no treatment

Cardini 1998 [6]

98/129 (76.0)

62/106 (58.5)

1.30 [1.08, 1.57]

0.006

Huang 1990 [20]

150/193 (77.7)

106/200 (53.0)

1.47 [1.26, 1.71]

< 0.00001

Cardini 2005 [14]

22/65 (33.8)

21/58 (36.2)

0.93 [0.58, 1.51]

0.78

Meta-analysis

270/387 (69.8)

189/364 (51.9)

1.35 [1.20, 1.51]

< 0.00001

Acupuncture on Zhiyin vs no treatment

Habek 2003 [17]

31/34 (91.2)

26/33 (78.8)

1.16 [0.94, 1.42]

0.16

Acupuncture plus moxibustion on Zhiyin vs no treatment

Neri 2004 [15]

61/120 (50.8)

43/120 (35.8)

1.42 [1.05, 1.91]

0.02

Moxibustion on Zhiyin vs knee-chest position

Huang 1990 [20]

150/193 (77.7)

115/194 (59.3)

1.31 [1.14, 1.51]

0.0001

Lin 2002 [18]

58/63 (92.1)

31/59 (52.5)

1.75 [1.36, 2.26]

< 0.0001

Peng 2006 [12]

16/40 (40.0)

20/40 (50.0)

0.80 [0.49, 1.31]

0.73

Meta-analysis*

224/296 (75.7)

166/293 (56.7)

1.30 [0.95, 1.79]

0.1

Moxibustion on Zhiyin plus raising buttocks method vs raising buttocks method

Chen 2004 [16]

67/73 (91.8)

36/69 (52.2)

1.76 [1.39, 2.23]

0.02

Moxibustion on Zhiyin plus knee-chest position vs knee-chest position

Yang 2006 [13]

90/103 (87.4)

77/103 (74.8)

1.17 [1.02, 1.34]

< 0.00001

Meta-analysis

157/176 (89.2)

113/172 (65.7)

1.36 [1.21, 1.54]

< 0.00001

Laser stimulation on Zhiyin vs knee-chest position plus pelvis rotating

Ye 1998 [19]

108/133 (81.2)

73/130 (56.2)

1.45 [1.22, 1.72]

< 0.0001

Controlled clinical trial

    

Moxibustion on Zhiyin vs no treatment

Kanakura 2001 [22]

123/133 (92.5)

165/224 (73.7)

1.26 [1.15, 1.38]

< 0.00001

Cardini 1993 [24]

16/23 (69.6)

7/18 (38.9)

1.79 [0.94, 3.39]

0.07

Meta-analysis

139/156 (89.1)

172/242 (71.1)

1.29 [1.17, 1.42]

< 0.00001

Acupuncture on Zhiyin vs no treatment

Kanakura 2001 [22]

171/191 (89.5)

160/217 (73.7)

1.21 [1.11, 1.33]

< 0.001

Moxibustion on Zhiyin vs knee-chest position

Liang 2004 [21]

144/160 (90.0)

126/160 (78.8)

1.14 [1.04, 1.26]

0.007

Xiong 1991 [26]

29/30 (96.7)

16/30 (53.3)

1.81 [1.29, 2.55]

0.003

Meta-analysis*

173/190 (91.1)

142/190 (74.7)

6.31 [0.63, 63.17]

0.12

Laser stimulation on Zhiyin vs knee-chest position

Jiang YH 1993 [25]

218/278 (78.4)

66/104 (63.5)

1.24 [1.05, 1.45]

0.003

Wu 1995 [23]

314/432 (72.7)

25/51 (49.0)

1.48 [1.11, 1.97]

0.0007

Meta-analysis

532/710 (74.9)

91/155 (58.7)

1.30 [1.10, 1.54]

< 0.00001

Ear acupuncture vs knee-chest position

Qin 1989 [27]

84/99 (84.8)

26/39 (66.7)

1.27 [1.00, 1.61]

0.02

Moxibustion on Zhiyin plus raising buttocks method vs raising buttocks method

Wu 1995 [23]

103/192 (53.6)

76/145 (52.4)

1.02 [0.84, 1.25]

0.82

Laser stimulation on Zhiyin vs raising buttocks method

Wu 1995 [23]

314/432 (72.7)

76/145 (52.4)

1.39 [1.18, 1.64]

0.00001

  1. *Random effect model