[논문]극상근 건병증의 한의학적 치료에 대한 연구 동향: 체계적 문헌 고찰과 메타 분석

강동협; 이도훈; 유상준; 양석규; 손자연; 정설; 김혜주; 권민진; 권오빈; 장선우; 조현우

doi:10.18325/jkmr.2023.33.4.45

극상근 건병증의 한의학적 치료에 대한 연구 동향: 체계적 문헌 고찰과 메타 분석
The Effect of Oriental Medicine Treatments for Supraspinatus Tendinopathy: Systematic Review and Meta-Analysis 원문보기

Journal of Korean Medicine Rehabilitation : JKMR = 한방재활의학과학회지, v.33 no.4, 2023년, pp.45 - 59

강동협 (해운대자생한방병원 한방재활의학과) , 이도훈 (해운대자생한방병원 한방재활의학과) , 유상준 (해운대자생한방병원 한방재활의학과) , 양석규 (해운대자생한방병원 한방재활의학과) , 손자연 (해운대자생한방병원 한방재활의학과) , 정설 (해운대자생한방병원 한방재활의학과) , 김혜주 (해운대자생한방병원 한방재활의학과) , 권민진 (해운대자생한방병원 한방내과) , 권오빈 (해운대자생한방병원 침구과) , 장선우 (해운대자생한방병원 한방신경정신과) , 조현우 (해운대자생한방병원 한방재활의학과)

Abstract ▼ AI-Helper

Objectives The aim of this study was to analyze the trends of researches on oriental medicine treatments for supraspinatus tendinopathy. Methods We used five databases for searching researches; Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, PubMed, and China National Knowledge Infrastructure. Only randomized controlled trials suitable for the subject were selected. The methodological quality of included randomized controlled trials (RCTs) was assessed by the Cochrane risk of bias tool. Results Twenty randomized controlled trials were analyzed. There were 9 types of treatment interventions; acupuncture, acupotomy, pharmacopuncture, electroacupuncture, fire needling, warming needle, catgut-embedding therapy, herbal medicine, cupping. The most frequently used treatment intervention was acupuncture and acupotomy. There were 9 outcome measurements including visual analog scale (VAS), Constant-Murley Score (CMS), and range of motion. The most used measurement was VAS. As a result of meta-analysis, acupuncture was more effective than control group in VAS. Additionally, acupotomy was clinically significant compared to control groups in VAS and CMS. Conclusions In this review, we analyzed researches on effectiveness of oriental medicine for supraspinatus tendinopathy. A provisional conclusion can be produced that acupuncture and acupotomy showed beneficial effect to supraspinatus tendinopathy. Although there were some RCT studies, many of them had a high risk of bias, so it is hard to conclude that our study can include overall clinical status. Further well-designed trials are needed.

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표/그림 (12)

그림 Fig. 1. Preferred reporting items for systematic reviews and meta-analyses (PRISMA) flow diagram. OASIS: Oriental Medicine Advanced Searching Integrated System, KISS: Korean studies Information Service System, RISS: Research Information Sharing Service, CNKI: China National Knowledge Infrastructure, RCT: randomized
표 Table Ⅰ. Summary of RCT of Supraspinatus Tendinopathy
표 Table Ⅰ. Continued
표 Table Ⅰ. Continued
표 Table Ⅱ. Interventions Used in Researches
표 Table Ⅲ. Acupoints Treated in Researches
표 Table Ⅳ. Outcome Measurements Used in Researches
그림 Fig. 2. Risk of bias summary. +: low risk of bias, -: high risk of bias, ?: unclear risk of bias.
그림 Fig. 3. Risk of bias graph.
그림 Fig. 4. Meta analysis outcome of visual analog scale between acupuncture and control group. Std.: standardized, SD: standard deviation, CI: confidence interval, df: degree of freedom.
그림 Fig. 5. Meta analysis outcome of visual analog scale between acupotomy and control group. Std.: standardized, SD: standard deviation, CI: confidence interval, df: degree of freedom.
그림 Fig. 6. Meta analysis outcome of Constant-Murley Score between acupotomy and control group. Std.: standardized, SD: standard deviation, CI: confidence interval, df: degree of freedom.

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