[논문]Traditional Korean Medicine Therapy for Treating Carpal Tunnel Syndrome in Patients with Wrist Pain: A Systematic Review

Kim, Jung Hyun; Song, Ho Sueb

doi:10.13045/acupunct.2015019

Traditional Korean Medicine Therapy for Treating Carpal Tunnel Syndrome in Patients with Wrist Pain: A Systematic Review 원문보기

The acupuncture = 대한침구의학회지, v.32 no.2, 2015년, pp.59 - 64

Kim, Jung Hyun (Department of Acupuncture & Moxibustion Medicine, College of Orinetal Medicine, Gachon University) , Song, Ho Sueb (Department of Acupuncture & Moxibustion Medicine, College of Orinetal Medicine, Gachon University)

Abstract ▼ AI-Helper

Objectives : This study aims to evaluate current clinical evidence of traditional Korean medicine treatment on wrist pain with carpal tunnel syndrome. Methods : Ten Korean databases were searched for prospective clinical trials of traditional Korean medicine therapy on wrist pain with carpal tunnel syndrome from the time of their inception to February, 2015. Studies conducted in Korean, Chinese and English were searched. Risk of bias in included non-randomized controlled trials was assessed by the Cochrane handbook procedure. Results : Four non-randomized controlled trials were included. A high risk of bias was observed in all trials. All of the included studies reported favorable effects being experienced by an intervention group compared to a baseline or control group. Included studies never described any occurrence of adverse events. Conclusions : There is no evidence that traditional Korean medicine treatments are effective for treating wrist pain associated with carpal tunnel syndrome. All of the included studies lacked appropriate methodological qualities and internal validity. Future well-designed clinical trials that evaluate the effects and safety of traditional Korean medicine treatment for patients with carpal tunnel syndrome are needed.

주제어

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문제 정의

According to former studies, there were reports that Jakyakgamcho decoction and Gyejibokryung pill¹⁴⁾ showed significant effect on carpal tunnel syndrome, However, the efficacy has not yet been confirmed. Hence, the aim of this study is to summarize and critically evaluate the evidence for or against the effectiveness of Traditional Korean Medicine therapy as a symptomatic treatment for wrist pain in patients with carpal tunnel syndrome.

제안 방법

Bae conducted a case control trial(CCT) assessing the effectiveness of Traditional Korean Medicine therapy on symptoms of carpal tunnel syndrome. 40 patients were divided non-randomly into two parallel groups: A group with 3-week treatments including over once a week-acupuncture and three times a day-herbal medicine treatments(Gyejibokryung pill) and a group with three times a day-Acetaminophen 650 mg medication for three weeks(occasionally with local steroid injection). At the end of the treatment period, both the experimental group and the control group showed improvement in VAS score¹⁶⁾.

대상 데이터

in patients with carpal tunnel syndrome. 16 patients were divided into two parallel groups and consequently 22 hands were participated in this study(one dropped out because of pruritis). Both group showed statistically signifincant changes in VAS and PRS¹⁷⁾.
All articles were read by two independent reviewers, who extracted data from the articles according to predefined criteria(Table 1). Risk of bias was assessed using the Cochrane classification in four criteria : randomization, blinding, withdrawals and allocation concealment¹⁵⁾.

후속연구

Although the current effectiveness was thought highly of, further studies should adopt adequate methods to permit RCTs and the use of proper pilot trials to help prepare appropriate RCTs. Cohort studies are also needed to determine the longevity of treatment effects.

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원문보기 상세보기
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Traditional Korean Medicine Therapy for Treating Carpal Tunnel Syndrome in Patients with Wrist Pain: A Systematic Review 원문보기

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Traditional Korean Medicine Therapy for Treating Carpal Tunnel Syndrome in Patients with Wrist Pain: A Systematic Review 원문보기

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