Objectives : This study was performed to review articles concerning acupuncture and moxibustion treatment for De Quervain's Stenosing Tenosynovitis. Methods : On-line databases including Cochrane Library, Pubmed, CNKI, NDSL and OASIS were searched to identify articles concerning acupuncture and moxi...
Objectives : This study was performed to review articles concerning acupuncture and moxibustion treatment for De Quervain's Stenosing Tenosynovitis. Methods : On-line databases including Cochrane Library, Pubmed, CNKI, NDSL and OASIS were searched to identify articles concerning acupuncture and moxibustion treatment for De Quervain's Stenosing Tenosynovitis (DQST). Several duplicated articles and those not relevant to this topic were excluded, as were review articles and commentaries. Results : Fifty-one studies were identified, which included 28 clinical case studies with 1,227 patients and 23 randomized controlled trials with 2,040 patients. In these studies, acupuncture, acupotomy, moxibustion, pharmacopuncture, and laser acupuncture were used as DQST interventions. Although DQST is a common disease seen in clinical practice, only four of the 51 studies we identified in our search were published in Korean academic journals, all of which used pharmacopuncture. Conclusion : Although the results of the studies to date provide evidence that acupuncture and moxibustion are effective treatments for De Quervain's Stenosing Tenosynovitis, the absence of a standard, objective evaluation tool, and a lack of reporting on the negative side-effects associated with treatment remain important factors that should be addressed in future studies.
Objectives : This study was performed to review articles concerning acupuncture and moxibustion treatment for De Quervain's Stenosing Tenosynovitis. Methods : On-line databases including Cochrane Library, Pubmed, CNKI, NDSL and OASIS were searched to identify articles concerning acupuncture and moxibustion treatment for De Quervain's Stenosing Tenosynovitis (DQST). Several duplicated articles and those not relevant to this topic were excluded, as were review articles and commentaries. Results : Fifty-one studies were identified, which included 28 clinical case studies with 1,227 patients and 23 randomized controlled trials with 2,040 patients. In these studies, acupuncture, acupotomy, moxibustion, pharmacopuncture, and laser acupuncture were used as DQST interventions. Although DQST is a common disease seen in clinical practice, only four of the 51 studies we identified in our search were published in Korean academic journals, all of which used pharmacopuncture. Conclusion : Although the results of the studies to date provide evidence that acupuncture and moxibustion are effective treatments for De Quervain's Stenosing Tenosynovitis, the absence of a standard, objective evaluation tool, and a lack of reporting on the negative side-effects associated with treatment remain important factors that should be addressed in future studies.
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문제 정의
Therefore, we performed this review of domestic and foreign databases to investigate the performance of acupuncture and moxibustion for treatment of DQST from a global perspective.
제안 방법
In addition, one clinical case used Wuhu points 1 and 2 (五虎1,2穴) of Tung’s acupoints and one RCT used wrist-ankle acupuncture (Tables 1 and 2).
The Mayo wrist score was used in one study and the Quinnel score was used in two studies. Only two studies evaluated the range of motion (ROM) of the wrist joint, and one of them used the Quick-Disabilities of the Arm, Shoulder, and Hand (Q-DASH) questionnaire. In two Korean studies, patient satisfaction before and after treatment was evaluated using Baumgaetner’s ninepoint scale.
In the first study, acupuncture at LU09 and LI06 after bleeding to LU11 and LI01 was compared with Ashi points. The second study compared acupuncture at LU09 and LI06 with SP03 and ST40 with the selection of points by meridian syndrome differentiation and acupuncture points with meridians of the same name. These studies concluded that distal acupoint selection was used to improve the cure and recurrence rates.
The second study compared acupuncture at LU09 and LI06 with SP03 and ST40 with the selection of points by meridian syndrome differentiation and acupuncture points with meridians of the same name. These studies concluded that distal acupoint selection was used to improve the cure and recurrence rates. However, there is still confusion about which treatment is superior and more precisely designed RCTs will be needed to resolve this issue.
대상 데이터
A total of 51 studies, consisting of 28 case reports and 23 RCTs, were selected and analyzed according to the research methods defined in this paper. The results of the analysis are as follows.
For studies deemed to be relevant, we procured the original article and proceeded to the second round of selection/exclusion based on the aforementioned criteria. Based on this search strategy, a total of 51 studies, including 28 clinical case studies and 23 randomized controlled trials (RCTs), were selected and analyzed.
Fifteen clinical case studies and 16 RCTs were included for a total of 31 studies. Most of these studies used acupoints LI05, LI04, LI11, LI10, LU07, TE05, LI06, as well as Ashi points.
In 28 clinical case studies and 23 RCTs, 1,227 and 2,040 patients participated in these studies, respectively. Not including studies that failed to report gender, among the 3,138 total patients, 999 were men and 2,139 were women.
In this study, a total of 51 DQST studies, made up of 28 clinical case studies and 23 RCTs, were obtained and analyzed by searching domestic and foreign databases. Eight RCTs compared a western-medicine treatment group with acupotomy, acupuncture, and pharmacopuncture treatment groups.
Fifteen clinical case studies and 16 RCTs were included for a total of 31 studies. Most of these studies used acupoints LI05, LI04, LI11, LI10, LU07, TE05, LI06, as well as Ashi points. In addition, one clinical case used Wuhu points 1 and 2 (五虎1,2穴) of Tung’s acupoints and one RCT used wrist-ankle acupuncture (Tables 1 and 2).
이론/모형
In two Korean studies, patient satisfaction before and after treatment was evaluated using Baumgaetner’s ninepoint scale.
Scales for evaluating pain intensity, such as the Visual Analogue Scale (VAS) and the Visual Numeric Rating Scale (VNRS), were used in a total of 18 studies. The Mayo wrist score was used in one study and the Quinnel score was used in two studies.
성능/효과
2. The most common treatments used in the 51 studies were Acupuncture (60.78%) followed by Acupotomy (13.73%), Pharmacopuncture (9.8%), Moxibustion (7.84%) and Laser acupuncture (7.84%). The most commonly used acupoints for acupuncture treatment of DQST were Ashi points and acupoints, such as LI05, LI11, LI04, LI10 and LI06 in the Large Intestine Meridian.
One RCT compared a group treated with a combination of electro-acupuncture and extracorporeal shock wave therapy (ESWT) with each single treatment group31). Two of the eight RCTs concluded that the acupotomy or acupuncture treatment was more effective than blocking therapy44,47), and one concluded that the acupotomy treatment was more effective than surgical therapy10). On the other hand, two of the RCTs concluded that surgical methods were more effective than acupotomy and acupuncture treatments in terms of the recurrence rate at two different timepoints (immediately and one year post-treatment)28-29).
후속연구
3. In order to provide objective evidence for the efficacy of acupuncture and moxibustion for treatment of DQST, a wider range of studies and case reports with increased numbers of patients will be required. In addition, the use of objective and standard outcome scoring scales and the accurate reporting of side ef- fects and adverse events should be included in future studies.
In order to provide objective evidence for the efficacy of acupuncture and moxibustion for treatment of DQST, a wider range of studies and case reports with increased numbers of patients will be required. In addition, the use of objective and standard outcome scoring scales and the accurate reporting of side ef- fects and adverse events should be included in future studies.
traditional, moxibustion, and pharmacopuncture) has been well studied, Korean researchers have carried out only four case studies using pharmacopuncture as a treatment for DQST, even though this disease is relatively common in Korea. In order to establish an objective evaluation of the efficacy of Korean acupuncture therapy for DQST treatment, further case-control studies or largescale RCTs that employ various Korean medical practices are needed.
One limitation of this study is that it is a nonsystematic literature review (as opposed to a systematic literature review) because it includes all domestic and foreign studies regarding the use of acupuncture and moxibustion for treatment of DQST regardless of their quality. Therefore, additional studies, including systematic literature review and meta-analyses, should be conducted to provide more rigorous support for the use of acupuncture for treatment of DQST.
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