[논문]Analysis on the Acupuncture Contents of the Domestic Neck Pain and HIVD-Cervical Spine Clinical Studies : a literature review

Mo, Min Ju; Hwang, Doo Ree; Lee, Ju Hyeon; Kim, Dong Hoo; Hwang, Seon Hye; Sohn, Soo Ah; Hwang, Ji Hoo

doi:10.13045/acupunct.2017087

Analysis on the Acupuncture Contents of the Domestic Neck Pain and HIVD-Cervical Spine Clinical Studies : a literature review 원문보기

The acupuncture = 대한침구의학회지, v.34 no.2, 2017년, pp.113 - 125

Mo, Min Ju (Dept. of Acupuncture and Moxibustion Medicine, Dongseo Oriental Hospital) , Hwang, Doo Ree (Dept. of Acupuncture and Moxibustion Medicine, Dongseo Oriental Hospital) , Lee, Ju Hyeon (Dept. of Acupuncture and Moxibustion Medicine, Dongseo Oriental Hospital) , Kim, Dong Hoo (Dept. of Korean Medicine Rehabilitation, Dongseo Oriental Hospital) , Hwang, Seon Hye (Dept. of Korean Neuropsychiatry, Dongseo Oriental Hospital) , Sohn, Soo Ah (Dept. of Acupuncture and Moxibustion Medicine, Dongsuwon Oriental Hospital) , Hwang, Ji Hoo (Dept. of Acupuncture and Moxibustion Medicine, Dongseo Oriental Hospital)

Abstract ▼ AI-Helper

Objectives : Cervical herniated intervertebral disc (HIVD) are common diseases. They can be managed with acupuncture, but the evidence for effectiveness is uncertain. This review analyzed the acupuncture studies of domestic neck pain and cervical HIVD; the purpose of this study was to provide basic data useful for future research. Methods : We investigated acupuncture treatments for neck pain and cervical HIVD by searching 5 Korean Internet databases. The keywords used were "neck pain", "HIVD-cervical spine", and "nuchal pain". A total of 53 research papers (17 case reports, 16 clinical data analyses, 11 randomized controlled trials, and 9 non-randomized controlled trials) were found and analyzed according to the publication year, type of study, treatment, use of filiform needles, and type of pharmacopuncture used acupoint. The effectiveness of acupuncture treatment was determined. Results : 1. Filiform needles have been primarily used in domestic research and were used in at least half of published pharmacopuncture studies. 2. In 51 papers using filiform needles, many studies used only local acupoints; few studies used only distant acupoints. 3. All studies using pharmacopuncture were performed using local acupoints. In particular, the studies based on A-shi point, trigger point, and radiologic lesion sites were useful for multiple purposes. Conclusion : In this study, we analyzed the acupuncture contents of the domestic neck pain and HIVD-cervical spine clinical studies. This study considers the assessment of the quality and efficacy of each study, which is likely to require research that reflects the future.

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문제 정의

The purpose of this review was to analyze clinical studies of acupuncture for domestic neck pain and cervical HIVD, and report basic data that may help future research.

제안 방법

However, as only Internet-based databases were searched, our results did not include domestic studies that could not be found in Internet databases. In addition, this analysis described the contents of the acupuncture treatment only, not the qualitative evaluation of each study analyzed, and it is the limit that the effect claimed in each study can not be evaluated through this study. Finally this analysis only included domestic acupuncture treatment of nuchal pain and cervical HIVD.
GB meridian muscle diagnosis was based on complaints of heavy shoulder crushing due to passing through the posterolateral aspect of the neck and upper trapeze. The treatment was performed on the Bangkwangjungkyuk in the BL meridian muscle, Sojangjungkyuk in the SI meridian muscle, and Damjeonggyeok in the GB meridian muscle. Other manipulations were not performed together.

대상 데이터

Flow chart of the trial selection process A total of 90 studies were found, with twelve beling excluded that restricted the original text. After scanning 78 papers, a total of 53 studies were selected and analyzed.
Studies of acupuncture treatments forneck pain and cervical HIVD were located by searching 5 Korean Internet databases (www.ndsl.kr, www.riss.kr, kiss.kstudy.com, oasis.kiom.re.kr, and www.koreantk.com). The search terms were “neck pain”, “HIVD-cervical spine”, and“nuchal pain”.

성능/효과

Jungsongouhyul pharmacopuncture was used for acute nuchal pain. All studies using pharmacopuncture were found to be valid; Jungsongouhyul, Hwangryunhaedoktang, ShinBaro, and Carthmi-Flos pharmacopunctures tended to be used for acute nuchal pain, and BV pharmacopuncture tended to be used for chronic pain or advanced cervical HIVD.
In this study, it was found that filiform needles and pharmacopuncture were widely used for treatment of nuchal pain and cervical HIVD in Korea, and the effect of acupuncture treatment and trends in treatment methods were identified. However, as only Internet-based databases were searched, our results did not include domestic studies that could not be found in Internet databases.

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