[논문]후관절 증후군의 침 치료에 대한 문헌 연구 보고

구지향

doi:10.18325/jkmr.2023.33.1.13

[국내논문] 후관절 증후군의 침 치료에 대한 문헌 연구 보고
Acupuncture for Facet Joint Syndrome: A Review of Clinical Study 원문보기

Journal of Korean Medicine Rehabilitation : JKMR = 한방재활의학과학회지, v.33 no.1, 2023년, pp.13 - 29

구지향 (대전대학교 한의과대학 한방재활의학과)

Abstract ▼ AI-Helper

Objectives To evaluate the evidence supporting the effectiveness of acupuncture for facet joint syndrome. Methods We conducted search across 9 electronic databases (PubMed, EMBASE, Cochrane CENTRAL (CENTRAL), KoreaMed, Kmbase, Koreanstudies Information Service System (KISS), ScienceOn, China National Knowledge Infrastructure (CNKI), and Wanfang) to find clinical trials that used acupuncture as treatment for facet joint syndrome. The methodological quality of randomized controlled clinical trials (RCTs) were assessed using the Cochrane Risk of Bias (RoB) tool, while non-randomized controlled clinical trials (nRCTs) were assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool. Results Nine RCTs and one nRCT met our inclusion criteria. Fire needle was more effective than medial branch block in terms of visual analogue scale (VAS) after 1 month (p=0.02). Also, Fire needle was more effective than Ibuprofen in terms of VAS and oswestry disability index (ODI) (p<0.05). However, in the rest of the study results, the intervention group did not show a statistically significant difference than the control group. Conclusions Although our review found encouraging but limited evidence of acupuncture for facet joint syndrome, most of the studies included in the analysis were evaluated as methodologically high risk of bias. From now on further well-designed RCTs should be encouraged.

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표/그림 (15)

표 Table I. Search Strategy Used in PubMed
그림 Fig. 1. Flow chart of the study. KISS: Korean studies Information Service System, CNKI: China National Knowledge Infrastructure.
표 Table II. A Summary of Studies of AC for Facet Joint Syndrome
표 Table II. Continued
표 Table II. Continued
표 Table III. Technique of AC Used in the Intervention Groups
그림 Fig. 2. Meta analysis outcome of Oswestry Disability Index between acupotomy and chuna manual therapy. SD: standard deviation, Std.: standardized, IV: inversevariance, CI: confidence interval, df: degree of freedom.
그림 Fig. 3. Meta analysis outcome of efficacy rate between acupotomy and chuna manual therapy. M-H: Mantel-Haenszel, CI: confidence interval, df: degree of freedom.
그림 Fig. 4. Meta analysis outcome of Oswestry Disability Index between acupotomy+chuna manual therapy and chuna manual therapy. SD: standard deviation, Std.: standardized, IV: inversevariance, CI: confidence interval, df: degree of freedom.
그림 Fig. 5. Meta analysis outcome of efficacy rate between acupotomy+chuna manual therapy and chuna manual therapy. M-H: Mantel-Haenszel, CI: confidence interval, df: degree of freedom.
그림 Fig. 6. Meta analysis outcome of visual analogue scale between fire needle and medial branch block after 1 month. SD: standard deviation, Std.: standardized, IV: inversevariance, CI: confidence interval, df: degree of freedom.
그림 Fig. 7. Meta analysis outcome of visual analogue scale between fire needle and medial branch block after 6 months. SD: standard deviation, Std.: standardized, IV: inversevariance, CI: confidence interval, df: degree of freedom.
그림 Fig. 9. Risk of bias graph.
그림 Fig. 8. Risk of bias summary.
표 Table IV. Quality Assessment of Included Non-Randomized Controlled Trial

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