[논문]외측상과염의 도침 치료에 대한 체계적 문헌고찰 및 메타분석

최종찬; 지민준; 서경준; 권도영; 양재은; 구지향; 이은정; 오민석

doi:10.18325/jkmr.2024.34.2.101

[국내논문] 외측상과염의 도침 치료에 대한 체계적 문헌고찰 및 메타분석
Effect of Acupotomy Treatment for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

Journal of Korean Medicine Rehabilitation : JKMR = 한방재활의학과학회지, v.34 no.2, 2024년, pp.101 - 134

최종찬 (대전대학교 한의과대학 한방재활의학과교실) , 지민준 (대전대학교 한의과대학 한방재활의학과교실) , 서경준 (대전대학교 한의과대학 한방재활의학과교실) , 권도영 (대전대학교 한의과대학 한방재활의학과교실) , 양재은 (대전대학교 한의과대학 한방재활의학과교실) , 구지향 (대전대학교 한의과대학 한방재활의학과교실) , 이은정 (대전대학교 한의과대학 한방재활의학과교실) , 오민석 (대전대학교 한의과대학 한방재활의학과교실)

Abstract ▼ AI-Helper

Objectives The purpose of this study is to observe the effectiveness of acupotomy treatment for lateral epicondylitis by comparing it with various control groups. Methods We searched 11 domestic and international databases for systematic reviews and meta-analysis. The subjects were studies published from January 1, 2017 to September 1, 2023, and only randomised controlled trials were included. Results 208 studies were searched, of which 21 studies were finally selected. Among the studies published after 2017, the largest number of studies was published in 2019. The average number of participants per study was 72.28±20.26 and the average age was in the 40s. The most frequent intervention in the study was acupotomy alone, and the treatment most often mentioned as a control group was local nerve block. The most used evaluation tool is efficiency. Acupotomy+manipulation had statistically better effect than that of local nerve block in terms of pain (standard mean difference -1.87, 95% confidence interval, -2.18 to -1.57, p<0.00001) and elbow joint function (standard mean difference 2.25, 95% confidence interval, 1.65 to 2.86, p<0.00001). Conclusions As a result of the meta-analysis, the effect of acupotomy added manual therapy treatment was statistically significant compared to the local nerve block frequently used for lateral epicondylitis. Based on these results, it appears that more research on combination treatments other than acupotomy treatment will be needed. Also, it appears that more large-scale randomized controlled studies that strictly adhere to the standards for reporting interventions in controlled trials of acupuncture, risk of bias 2 criteria will be needed.

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표/그림 (29)

표 Table Ⅰ. Data Extraction Variables
그림 Fig. 1. PRISMA flow chart selection progress for systematic review and meta-analysis. CNKI: China National Knowledge Infrastructure, KISS: Korean studies Information Service System, RISS: Research Information Sharing Service, OASIS: Oriental Medicine Advanced Searching Intergrated System, RCT: randomized controlled trial.
그림 Fig. 2. Articles of acupotomy therapy for lateral epicondyle of humerus by year.
표 Table Ⅱ. Diagnostic Criteria Mentioned in the Studies
표 Table Ⅲ. Techniques of Treatments Used in the Control Group of Studies
표 Table Ⅲ. Continued
표 Table Ⅳ. Techniques of Treatments Used in the Studies
표 Table Ⅳ. Continued
표 Table Ⅳ. Continued
표 Table Ⅳ. Continued
표 Table Ⅳ. Continued
표 Table Ⅳ. Continued
표 Table Ⅳ. Continued
표 Table Ⅴ. Summary of Studies of Acupotomy Therapy for Lateral Epicondyle of Humerus
표 Table Ⅴ. Continued
표 Table Ⅴ. Continued
표 Table Ⅴ. Continued
표 Table Ⅴ. Continued
그림 Fig. 3. Risk of bias summary. +: low risk of bias, x: high risk of bias, -: some concerns.
그림 Fig. 4. Risk of bias graph.
그림 Fig. 5. Meta analysis outcome of elbow pain between acupotomy+chiropractic vs local nerve block. Std.: standard, SD: standard deviation, CI: confidence interval.
그림 Fig. 6. Meta analysis outcome of elbow joint function score between acupotomy+chiropractic vs local nerve block. Std.: standard, SD: standard deviation, CI: confidence interval.
표 Appendix Ⅰ. Search Databases Used in This Study
표 Appendix Ⅱ. Method of Searching for Medline/PubMed
표 Appendix Ⅲ. Method of Searching for Cochrane Library
표 Appendix Ⅳ. Method of Searching for Embase
표 Appendix V. Method of Searching for CNKI
표 Appendix Ⅵ. Method of Searching for Wanfang
표 Appendix Ⅶ. Method of Searching for KISS, RISS, KMbase, KoreaMed, ScienceON, OASIS

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