[논문]Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database

Yoon, Sang Hoon; Kim, Yoon Sik; Kwon, Min Goo; Kwon, Chan Young

doi:10.13045/acupunct.2017093

Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database 원문보기

The acupuncture = 대한침구의학회지, v.34 no.3, 2017년, pp.59 - 69

Yoon, Sang Hoon (Gwangju Chung-Yeon Korean Medicine Center) , Kim, Yoon Sik (Chung-Yeon Medical Institute) , Kwon, Min Goo (Gwangju Chung-Yeon Korean Medicine Center) , Kwon, Chan Young (Yanggu Public Health Center)

Abstract ▼ AI-Helper

Objectives : This study analyzed the current status of randomized controlled trials (RCTs) of miniscalpel acupuncture for lumbar spinal stenosis (LSS) in China. Methods : A literature search was performed using the China National Knowledge Infrastructure (CNKI) database. All studies up to June 7th, 2017 were searched. The quality of included RCTs was assessed with the Jadad scale. Results : Five RCTs were finally included in this review. The overall quality of the RCTs was assessed as low. All articles evaluated miniscalpel acupuncture as monotherapy or in combination with filiform needle therapy, drug injection therapy, Tuina treatment, thermal coagulation therapy, or spinal decompression. Miniscalpel acupuncture as monotherapy or adjunctive therapy showed greater therapeutic effect and fewer adverse effects. Conclusion : Miniscalpel acupuncture is a safe and effective nonpharmacological treatment for LSS. However, high-quality studies with consistent treatment protocols are needed to confirm these findings.

주제어

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문제 정의

However, no additional study has been conducted in China to evaluate the efficacy of miniscalpel acupuncture for LSS. The purpose of this study was to analyze the current status of randomized controlled trials (RCTs) of miniscalpel acupuncture for LSS.

가설 설정

1) Is the study randomized?
2) Is the study double-blind?
4) Was the method of randomization reported and adequate?
5) Was the double-blind method reported and adequate?

제안 방법

After analyzing the efficacy and safety, we evaluated the techniques of miniscalpel acupuncture used in each study (Table 3). Liu et al.
(2010)¹⁵⁾ approached the interlaminar space 1 cun (寸) lateral to the spinousprocess and decompressed the canal by incising the ligamentum flavum. The authors used a blind technique, based on anatomical landmarks and response to contact with the nerve roots. They gradually approached the ligamentum flavum until numbness and paresthesias were perceived in the lower extremities, indicating contact.
conducted a 2-week study on 60 patients with LSS; 30 patients were treated once a week with miniscalpel acupuncture and 30 in the control group were treated 7 times a week with filiform needle therapy. Treatment efficacy was evaluated with the Visual Analogue Scale (VAS) and the Japanese Orthopaedic Association score (JOA), and effectiveness was evaluated according to the degree of symptom improvement. Both groups showed improved VAS and JOA scores, with the miniscalpel acupuncture group showing greater improvement than the filiform needle therapy group.

이론/모형

The quality of an RCT was assessed with the Jadad scale¹⁴⁾. The following 5 points were considered.
(2014)¹⁶⁾ conducted a 2-week study on 60 patients with LSS; 30 patients were treated 3 times a week with miniscalpel acupuncture and 30 in the control group were treated 7 times a week with filiform needle therapy. Treatment efficacy was evaluated with the Oswestry Disability Index (ODI). Bothgroupshad significant improvement in ODI scores, with the miniscalpel acupuncture group showing greater improvement thanthe control group.

성능/효과

Treatment efficacy was evaluated with the Visual Analogue Scale (VAS) and the Japanese Orthopaedic Association score (JOA), and effectiveness was evaluated according to the degree of symptom improvement. Both groups showed improved VAS and JOA scores, with the miniscalpel acupuncture group showing greater improvement than the filiform needle therapy group. The overall efficacy rate was significantly higher in the miniscalpel acupuncture group.
Treatment efficacy was evaluated with the Oswestry Disability Index (ODI). Bothgroupshad significant improvement in ODI scores, with the miniscalpel acupuncture group showing greater improvement thanthe control group. The prevalence of adverse effects was not reported.
(2016)¹⁹⁾ conducted a study on 48 patients with LSS, with 12 patients in each of 4 groups: a percutaneous high-frequency thermal coagulationtherapygroup, a miniscalpel acupuncture treatment group, a thermal coagulation therapy with miniscalpel acupuncture treatment group, and a spinal decompression treatment group. Procedure times, amount of blood loss, mean hospital length of stay, and VAS and JOA scores were assessed for 12 months and the efficacy rate was assessed according to JOA score improvement. The procedure time, amount of blood loss, and mean hospital length of stay were significantly reduced in all miniscalpel acupuncture, thermal coagulation therapy, and combined therapy groups.
The results of a study comparing miniscalpel acupuncture, thermal coagulation therapy, and spinal decompression treatment suggested that miniscalpel acupuncture was not only more effective, but also safer than spinal decompression treatment. The study¹⁹⁾showed significant reduction in procedure time, amount of blood loss, and mean hospital length of stay with miniscalpel acupuncture or thermal coagulation therapy alone or in combination, compared to spinal decompression treatment alone.
Treatment efficacy was based on the degree of symptom improvement and pain reduction in the back and lower extremities. The results showed a significantly higher rate of complete pain relief in the miniscalpel acupuncture group, while the drug injection treatment group had a higher rate of those who showed only some improvement or no effect. The overall efficacy rate was significantly higher in the group treated with mini scalpel acupuncture.

후속연구

Research was limited to studies conducted in China, there was heterogeneity between the treatments used, and the methodological quality was low. However, the study is significant for summarizing the current status of RCTs of miniscalpel acupuncture for LSS in China, as well as providing guidelines for future research by analyzing methodology, clinical efficacy, safety, and results according to clinical implications.

참고문헌 (20)

Katz JN, Harris MB. Clinical practice. Lumbar spinal stenosis. N Engl J Med. 2008;358(8):818-25.

상세보기
Ishimoto Y, Yoshimura N, Muraki S et al. Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study. Osteoarthritis Cartilage. 2012;20(10):1103-8.

상세보기
Deyo RA, Gray DT, Kreuter W, Mirza S, Martin BI. United States trends in lumbar fusion surgery for degenerative conditions. Spine (Phila Pa 1976). 2005;30(12):1441-5; discussion 1446-7.

상세보기
Arnoldi CC, Brodsky AE, Cauchoix J et al. Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification. Clin Orthop Relat Res. 1976;(115):4-5.
Lurie J, Tomkins-Lane C. Management of lumbar spinal stenosis. BMJ. 2016;352:h6234.
Inoue G, Miyagi M, Takaso M. Surgical and nonsurgical treatments for lumbar spinal stenosis. Eur J Orthop Surg Traumatol. 2016; 26(7):695-704.

상세보기
Son YH, Yoon SH, Yuk DI, Sung IS, Kim MJ, Hong KE. Research Literature for Periodical Consideration about Dochim. The Acupunct. 2013;30(4):175-80.
Ma C, Wu S, Li G, Xiao X, Mai M, Yan T. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. Clin J Pain. 2010;26(3):251-7.

상세보기
Zhu HZ, Quan WC, Zhang XF et al. Evaluation on clinical therapeutic effect of needle-knife therapy on cervical spondylosis. Zhongguo Zhen Jiu. 2006;26(5):316-8.

상세보기
Li S, Shen T, Liang Y, Zhang Y, Bai B. Effects of Miniscalpel-Needle Release on Chronic Neck Pain: A Retrospective Analysis with 12-Month Follow-Up. PLoS One. 2015;10(8): e0137033.

상세보기
Lim NR, Jang EH, Park MY, Kim SC. Case Study of Oriental Medicine Treatment with acupotomy Therapy of the Tarsal tunnel Syndrome. J Pharmacopuncture. 2009;12(1):109-17.

원문보기 상세보기
Yuk DI. Clinical Study on 437 Patients with Lumbar Spine Stenosis Treated by Acupotomy combined with Oriental Medical Treatments [dissertation]. Daejeon: Daejeon University. 2013. Korean.
Han YS, Jang WS, Jung KY et al. Study and three Cases Report for Lumbar Spinal Stenosis Treatment Using a Combination of Acupotomy and Existing Treatments. Korean J Orient Physiol Pathol. 2012;26(1):120-7.
Jadad AR, Moore RA, Carroll D et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials. 1996;17(1):1-12.

상세보기
Liu HF, Liu XW. Clinical study of xiaozhendao for treatment of lumbar spinal stenosis. Chin Med Herald. 2010;7(6):58-9.
Ma LZ, Sun HB, Chen PF, Feng WW. Clinical study of miniscalpel acupuncture on 30 cases of lumbar spinal stenosis. J New Chin Med. 2014;46(2):177-8.
Zhang ZH. Clinical research on treating Yellow ligament hypertrophy Lumbar spinal stenosis by visual acupotomy mirror to release Jiaji points on waist [dissertation]. Shandong : Shandong University. 2014. Chinese.
Xiong JW. Clinical study of miniscalpel acupuncture combined with Tuina on degenerative lumbar spinal stenosis [dissertation]. Beijing: Beijing University. 2015. Chinese.
Zhong YX, Qiao JL, Ding Y et al. Therapeutic evaluation of percutaneous target radiofrequency thermocoagulation combined with needle knife techniques therapy in age-related lumbar spinal stenosis. Pract Geriatr. 2016;30(1):69-72.
Overdevest GM, Jacobs W, Vleggeert-Lankamp C, Thome C, Gunzburg R, Peul W. Effectiveness of posterior decompression techniques compared with conventional laminectomy for lumbar stenosis. Cochrane Database Syst Rev. 2015;(3):CD010036.

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Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database 원문보기

Abstract ▼ AI-Helper

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Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database 원문보기

Abstract ▼ AI-Helper

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문제 정의

가설 설정

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참고문헌 (20)

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