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Table 1 Summary of controlled clinical studies of Guasha for musculoskeletal pain conditions

From: Using Guasha to treat musculoskeletal pain: A systematic review of controlled clinical trials

First author (year)

Design/sample size

Conditions

Intervention group (regime)

Main outcomes

Results

Tang (2008) [5]

RCT/120

Fibromyalgia syndrome

(A) Guasha (n.r., once per 3 days, 5 times total, n = 60)

(B) AT (30 min, once daily, 15 times, n = 60)

1) VAS (100 mm)

2) Number of pain points

3) Response rate

1) MD, -9.5, 95% CIs (-14.5 to -4.5) P < 0.0002 in favor of A

2) MD, -5.0, 95% CIs (-6.5 to -3.5), P < 0.0001 in favor of A

3) (A) 29/16/10/8; (B) 10/8/12/20

Improved

1.3 [0.94, 1.13], P = 0.01

Recovery

2.9 [1.55, 5.41], P = 0.0008

Chen (1995) [6]

RCT/90

Neck stiffness

(A) Guasha (20 min, once per 3~7 days, n.r., n = 30)

(B) Massage (10 min, n = 30)

(C) Electric current therapy (10 min, n = 30)

Response rate

(A) 27/1/2/0; (B) 27/2/1/0;

(C) 28/1/1/0

NS

NS

Ma (2003) [7]

RCT/50

Cervical spondylosis

(A) Guasha (1 session = n.r., once per 2 days, total 10 times, n = 15)

(B) Herbal injection (once daily, total 20 times,

n = 35)

Response rate

(A) 0/7/6/2; (B) 0/25/7/1

Improved

0.92 [0.74, 1.14], NS

Recovery

N/A

Wu (1996) [8]

RCT/100

Cervical spondylosis

(A) Guasha (n.r., once per 2 days, total 10 times, n = 72)

(B) No treatment (n = 28)

Response rate

(A) 39/0/28/5; (B) 14/0/8/6

Improved

1.18 [0.97, 1.45], NS†

Recovery

1.08 [0.71, 1.66], NS

Li (1996) [9]

RCT/60

Scapulohumeral periarthritis

(A) Guasha (n.r., once per 4~5 days, total 5 times, n = 30)

(B) AT (20 min, once daily, total 10 times, n = 30)

Response rate

(A) 18/8/4/0; (B) 10/10/8/2

Improved

1.07 [0.96, 1.20], NS†

Recovery

1.8 [1.00, 3.25], P = 0.05

Guo (1995) [10]

CCT/76

Cervical spondylosis

(A) Guasha (1 session = 20 min, once per 3 days, total 10 times, 2 session, n = 38)

(B) AT (1 session = 30 min, once per 2 days, total 10 times, 2 session, n = 38)

Response rate

(A) 29/6/2/1;(B) 19/7/9/3

Improved

1.06 [0.95, 1.18], NS†

Recovery

1.53 [1.06, 2.20], P = 0.02

Wang (2004) [11]

CCT/240

Lumbar disc herniation

(A) Guasha (1 session = n.r., once per 7 days, total 3 times, 3 session, n = 160)

(B) AT plus moxa (n = 80)

Response rate

(A) 32/69/45/14;(B) 11/27/33/9

Improved

1.03 [0.94, 1.13], NS†

Recovery

1.45 [0.77, 2.73], NS

  1. n.r.: not reported; NS: no significance; AT: acupuncture; RCT: randomized controlled trial; CCT: controlled clinical trial; VAS: visual analog scale
  2. Response rate was divided to four categories: (1) recovery, (2) marked improvement, (3) improvement and (4) no change
  3. †We re-calculated the significance with RevMan for two categories: improved cases and recovery cases of each group.
  4. The original authors reported a statistical significance for these studies (P < 0.05).