[논문]재난 후 근골격계 통증에 침치료의 유효성: 체계적 문헌고찰

김가현; 최성원; 홍혜원; 윤주영; 김용준; 김정현

doi:10.18325/jkmr.2023.33.3.135

재난 후 근골격계 통증에 침치료의 유효성: 체계적 문헌고찰
Effectiveness of Acupuncture in the Treatment of Post-Disaster Musculoskeletal Pain: A Systematic Review 원문보기

Journal of Korean Medicine Rehabilitation : JKMR = 한방재활의학과학회지, v.33 no.3, 2023년, pp.135 - 148

김가현 (대전자생한방병원 한방재활의학과) , 최성원 (대전자생한방병원 한방재활의학과) , 홍혜원 (대전자생한방병원 침구과) , 윤주영 (대전자생한방병원 한방재활의학과) , 김용준 (대전자생한방병원 한방재활의학과) , 김정현 (대전자생한방병원 한방재활의학과)

Abstract ▼ AI-Helper

Objectives To investigate the effectiveness of acupuncture in the treatment of post-disaster musculoskeletal pain by reviewing relevant clinical studies. Methods A systematic search was conducted across 10 electronic databases to identify relevant clinical studies on acupuncture treatment for post-disaster musculoskeletal pain until May 2023. The methodological quality was evaluated using the Cochrane Risk of Bias 2 and Risk of Bias Assessment tool for non-randomized studies tools. Results Six articles were analyzed, including two randomized controlled trials (RCTs), two before-after studies, one qualitative research, and one case series. Overall, acupuncture therapy showed some improvement in pain scale among musculoskeletal pain survivors. However, no significant improvement was observed in the Short-Form McGill Pain Questionnaire (SF-MPQ-2). Subgroup analysis of participants who completed at least four acupuncture sessions revealed a significant effect on the SFMPQ-2. Additionally, a significant improvement in 36-Item Short Form Survey (SF36P) was observed after 6 months of treatment, but the 2-month treatment period did not show statistically significant effects on SF-36P improvement. The evaluation of the methodological quality of the RCTs identified some concerns of bias. Conclusions The results suggest that acupuncture is effective in alleviating post-disaster musculoskeletal pain. However, considering the limited number of selected studies and the inclusion of subjective evaluation measures, caution should be exercised in interpreting the results. Further large-scale follow-up studies are needed to determine the optimal frequency and duration of acupuncture treatment. Well-designed controlled trials should be conducted to provide more robust evidence regarding the effectiveness of acupuncture for post-disaster musculoskeletal pain.

주제어

표/그림 (6)

그림 Fig. 1. PRISMA flow chart of the study selection process. CENTRAL: Cochrane CENTRAL, OASIS: Oriental Medicine Advanced Searching Integrated System, KISS: Koreanstudies Information Service System, RISS: Research Information Sharing Service, KCI: Korea Citation Index, CNKI: China National Knowledge Infrastructure.
그림 Fig. 2. Risk of bias summary.
그림 Fig. 3. Risk of bias graph.
표 Table II. Summary of the Included Studies on Details of EA
표 Table II. Standards for Reporting Interventions in Clinical Trials of Acupuncture Studies
표 Table II. Continued

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