[논문]어깨통증의 한의학적 치료에 대한 국내 임상 연구 고찰

김찬영; 양지혜; 채인철; 최인우; 유주영; 정은선; 김윤식; 설인찬; 유호룡

doi:10.13048/jkm.20037

어깨통증의 한의학적 치료에 대한 국내 임상 연구 고찰
A Review of Clinical Research on Korean Medicine for Shoulder Pain Conducted in Korea 원문보기

Journal of Korean Medicine = 대한한의학회지, v.41 no.3, 2020년, pp.221 - 246

Abstract ▼ AI-Helper

Objectives: Shoulder pain is the third most common musculoskeletal complaint that necessitates physician consultation and significantly diminishes patients' quality of life. In this review, we analyzed clinical studies that investigated the use of Korean Medicine for the treatment of shoulder pain. Methods: We searched the online Korean databases, such as KMBase, DBpia, NDSL, RISS, KISS, and OASIS for clinical studies that report the use of Korean Medicine for shoulder pain. We analyzed the included studies with regard to study design, interventions, evaluations, and results. Results: We analyzed data from the following 29 studies: 14 clinical trials (which included 9 randomized controlled trials) and 15 observational studies (which included 11 case reports). In this review, we observed that post-stroke shoulder pain was the most common cause of shoulder pain, which was reported in 13 out of 29 studies (44.8%), although in actual clinical practice, patients are more likely to present with primary shoulder pain. Most included studies (72.4%) reported manual acupuncture as the most common intervention for shoulder pain. More than 50% of the studies used range of motion (58.6%) and the numeric rating scale (51.7%) to evaluate shoulder function and pain, respectively. Although the result was not statistically significant in all included studies, most studies concluded that Korean Medicine could be considered an effective treatment option in patients with shoulder pain. Conclusions: Based on analysis of studies included in this review, Korean Medicine can be considered useful clinical treatment for shoulder pain.

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질의응답

핵심어	질문	논문에서 추출한 답변
	어깨 통증을 제대로 된 치료가 필요한 이유는?	어깨 통증은 허리와 무릎 통증 다음으로 흔한 근골격계 증상으로 중노년층에서 다발하며, 유병률이 16-26%에 달한다1,2). 제대로 치료되지 않은 어깨통증은 일상생활에 지속적인 불편을 초래하고 우울증을 동반할 수 있으며 삶의 질을 떨어뜨리므로 적극적인 치료가 필요하다3).
	어깨 움직임은 어떻게 이루어 지는가?	4,5). 어깨 움직임은 관절와상완관절, 견쇄관절, 흉쇄관절, 견흉관절을 축으로 이를 둘러싼 근육, 인대가 관여하며 이루어진다. 각각 기시한 근육이 합쳐져 한 곳에 닿고, 여러 인대와 힘줄이 함께 관절낭을 이루는 등 비교적 복잡한 관절구조를 갖추고 있다.
	어깨통증의 한의치료로 권고되는 방법은?	치료는 발생 원인, 연령, 직업 및 통증, 손상, 기능 저하 정도에 따라 달라지며, 휴식, 주사치료, 운동치료, 물리치료 등의 보존적 치료와 관절경하 견봉하 감압술, 관절낭 유리술, 회전근개 봉합술 등의 수술적 치료가 있다. 한의 치료는 임상진료지침을 통해 침치료, 전침치료, 약침치료, 추나치료 등이 권고되고 있으며10), 아직 근거수준이 낮은 편이나 통증과 기능 호전에 유의하고, 부작용은 적은 것으로 알려져 있다11).

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