A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Neck Pain

경항통에 침치료를 시행한 무작위대조군연구(RCT)들에 대한 계통적 연구

  • Kim, Hyun-Wook (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Sung-Soo (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Kang, Jung-Ah (San-Bon Oriental Medicine Hospital, Wonkwang University) ;
  • Nam, Dong-Woo (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Eun-Jung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University) ;
  • Hong, Kwon-Eui (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Daejeon University) ;
  • Kim, Sung-Chul (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Lee, Jae-Dong (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Kyung Hee University) ;
  • Kim, Kap-Sung (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University) ;
  • Lee, Geon-Mok (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University)
  • 김현욱 (원광대학교 한의과대학 침구학교실) ;
  • 김성수 (원광대학교 한의과대학 침구학교실) ;
  • 강정아 (원광대학교 산본한방병원) ;
  • 남동우 (경희대학교 한의과대학 침구학교실) ;
  • 김은정 (동국대학교 한의과대학 침구학교실) ;
  • 홍권의 (대전대학교 한의과대학 침구학교실) ;
  • 김성철 (원광대학교 한의과대학 침구학교실) ;
  • 이재동 (경희대학교 한의과대학 침구학교실) ;
  • 김갑성 (동국대학교 한의과대학 침구학교실) ;
  • 이건목 (원광대학교 한의과대학 침구학교실)
  • Published : 2009.04.20

Abstract

Objectives : The aim of this study is to review RCTs of acupuncture treatment for neck pain and to establish standards of acupuncture treatment for neck pain. Methods : We searched articles in Pubmed using ICD 10. Study quality was assessed using the FEAS and Jadad score. Results and Conclusions : Three review studies and nineteen clinical trials were searched and reviewed. Among the nineteen clinical trials reviewed, positive outcome was reported in thirteen studies. Most frequently used meridians were GB, BL, SI, GV and LI, The most frequently used acupuncture points were $GB_{20}$, $GB_{21}$, $LI_4$, $BL_{10}$, $GV_{14}$ and $SI_3$. More than two needles were inserted in the studies and needle retention time was more than 10 minutes. The most frequently used needle length was 40mm, and diameter was 0.25mm and 0.30mm. The mean number of treatment sessions were more than 10 times. Frequency of treatment was more than once a week, And treatment duration was more! than 5 weeks. The total FEAS scores ranged from 3 to 15.5, and the mean value was 9.39. Jadad score ranged from 2 to 5, and the mean value was 3.42. The number of studies scoring over three points on the Jadad scale was sixteen.

Keywords

References

  1. 국민건강보험공단. 통계연보. http://www.nhic.or.kr
  2. Kvarnstrom S. Occurrence of musculoskeletal disorders in a manufacturing industry with special attention to accupational shoulder disorders. Scand J Rehabil Med. 1983 ; suppl. 8 : 1-114.
  3. AR White and E Ernst. A systematic review of randomized controlled trials of acupuncture for neck pain. British Society for Rheumatology. 1999 ; 38 : 143-7. https://doi.org/10.1093/rheumatology/38.2.143
  4. ICD 10 (International Statistical Classification of Diseases and Related Health Problems. http:// www.who.int/classifications/apps/icd/icd10online/
  5. 김우영, 이승덕, 임병묵, 김갑성. STRICTA 권장 안에 기초한 침 연구방법론의 적절성 평가-새로운 평가지수를 이용한 5편 Systematic Review와 그 대상인 58편 무작위대조시험의 고찰-. 대한침구학회지. 2007 ; 24(5) : 151-70.
  6. Vickers AJ. Can acupuncture have specific effects on health? A systematic review of acupuncture antiemesis trials. J R Soc Med. 1996 ; 89 : 303-11.
  7. 이향숙, 박종배, 서정철, 박히준, 이혜정. 침의 대조군연구에서 실험처치 보고에 대한 표준-STRICTA 권장안 및 침 임상실험에서 최적의 치료, 거짓대조군 및 블라인딩에 관한 동의안. 대한침구학회지. 2002 ; 19(6) : 134-54.
  8. Jadad AR et al. Assessing the Quality of Reports of Randomized Clinical Trials : Is Blinding Necessary. Control Clin Trials. 1996 ; 17(1) : 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  9. P White, G Lewith, B Berman and S Birch. Review of acupuncture for chronic neck pain : pitfalls in conductiong systematic reviews. British Society for Rheumatology. 2002 : 41 : 1224-31. https://doi.org/10.1093/rheumatology/41.11.1224
  10. AR White and E Ernst. A systematic review of randomized controlled trials of acupuncture for neck pain. British Society for Rheumatology. 1999 ; 38 : 143-7. https://doi.org/10.1093/rheumatology/38.2.143
  11. Trinh K, Graham N, Gross A, Goldsmith Ch, Wang E, Cameron ID, Kay TM, Cervical Overview Group. Acupuncture for neck disorders (Review). The Cochrane Collaboration. 2008 ; 4 : 1-48.
  12. Dominik Irnich, Nicolas Behresn, Jochen M Gleditsch, Wolfram Stor, Martin A Schreiber, Peter Schops, Andrew J Vickers, Antje Beyer. Immediate effects of dry needling and acupuncture at distant points in chronic neck pain : results of a randomized, double-blind, shamcontrolled crossover trial. Association for the study of pain. 99 ; (2002) ; 83-9.
  13. Lynton GG Giles, Reinhold Muller. A randomized clinical trial comparing medication, acupuncture, and spinal manipulation. Spine. 2003 ; 28(14) : 1490-503. https://doi.org/10.1097/00007632-200307150-00003
  14. Reinhold Muller and Lynton GF Giles. Long-term follow-up of a randomized clinical trial assessing the efficacy of medication, acupuncture, and spinal manipulation for chronic mechanical spinal pain syndromes. Journal of manipulative and physiological therapeutics. 2004 ; 28(1) : 3-11. https://doi.org/10.1016/j.jmpt.2004.12.004
  15. Kazunori Itoh, Yasukazy Katsumi, Satoko Hirota, Hiroshi Kitakoji. Randomized trial of trigger point acupuncture compared with other acupuncture for treatment of chronic neck pain. Complementary therapies in medicine. 2007 ; 15 : 172-9. https://doi.org/10.1016/j.ctim.2006.05.003
  16. Francesco Ceccherelli, Paola Tortora, Cecilia Nassimbeni, Roberto Casale, Giuseppe Gagliardi, Giampiero Giron. The therapeutic efficacy of somatic acupuncture is not increased by auriculotherapy : a randomized, blind control sunday in cervical myofascial pain. Complementary therapies in medicine. 2006 ; 14 : 47-52. https://doi.org/10.1016/j.ctim.2005.05.005
  17. Dong He, Kaj Bo Veiersted, Arne T Hostmark, Jon Ingulf Medbo. Effect of acupuncture treatment on chronic neck and shoulder pain in sedentary female workers : a 6-month and 3-year follow-up study. Association for the study of pain. 109 ; (2004) : 299-307.
  18. Dong He, Arne T Hostmark, Kaj Bo Veiersted, Jon Ingulf Medbo. Effect of intensive acupuncture on pain-related social and psychological variables for women with chronic neck and shoulder pain - an RCT with six month and three year follow up. Acupuncture in medicine. 2005 ; 23(2) : 52-61. https://doi.org/10.1136/aim.23.2.52
  19. T Nabeta, K Kawakita. Relief of chronic neck and shoulder pain by manual acupuncture to tender points - a sham-controlled randomized trial. Complementary therapies in medicine. 2002 ; 10 : 217-22. https://doi.org/10.1016/S0965-2299(02)00082-1
  20. Sabine M, Sator-Katzenschlager, Jozef C. Szeles, Gisela Scharber, Andrea Michalek Sauberger, Alexander Kober, Georg Heinze and Sibylle A Kozek-Langenecker. Electrical Stimulation of Auricular Acupuncture Points is more effective than convetional manual auricular acupuncture in chronic cervical pain : A pilot study. Anesth Analg. 2003 ; 97 : 1469-73.
  21. Xue Man Zhy and Barbara Polus. A controlled Trial on Acupuncture for Chronic Neck Pain. American Journal of Chinese Medicine. 2002 ; 30(1) : 13-28. https://doi.org/10.1142/S0192415X02000028
  22. Claudia M Witt, Susanne Jena, Benno Brinkhaus, Bodo Liecker, Karl Wegscheider, Stefan N Willich. Acupuncture for patients with chronic neck pain. International Association for the study of pain. 125 ; (2006) : 98-106.
  23. Gemma C Salter, Mark Roman, Martin J GBland and Hugh MacPherson. Acupuncture for chronic neck pain : a pilot for a randomized controlled trial. BC(bio med central) musculoskeletal disorders. 2006 ; 7(99) : 1-9. https://doi.org/10.1186/1471-2474-7-1
  24. Hyuk Ga, Ji-Ho Choi, Chang-Rae Park, Hyun-Jung Yoon. Acupuncture needling versus lidocaine injection of trigger points in myofascial pain syndrome in elderly patients - a randomized trial. Acupuncture in medline. 2007 ; 25(4) : 130-6. https://doi.org/10.1136/aim.25.4.130
  25. Nicolas Aigenr, Christian Fialka, Christian Radda and Vilmos Vecsei. Adjuvant laser acupuncture in the treatment of whiplash injuries : a prospective, randomized placebo-controlled trial. The middle European Journal of medicine. 2006 : 118/3-4 : 95-9.
  26. YB Yip, Sonny Hing-Min Tse. An experimental study on the effectiveness of acupressure with aromata lavender essential oil for sub-acute, non-specific neck pain in Hong Kong. Complementary therapies in clinical practice. 2006 ; 12 : 18-26. https://doi.org/10.1016/j.ctcp.2005.09.005
  27. J David, S Modi, AA Aluko, C Robertshaw and J Farebrother. Chronic neck pain : a comparison of acupuncture treatment physiother- apy. British Journal of Rheumatology. 1998 ; 37 : 1118-22. https://doi.org/10.1093/rheumatology/37.10.1118
  28. Birch Stephen, Jameson Robert N. Controlled trial of Japanese acupuncture for chronic neck pain - assessment of specific and nonspecific effects of treatment. The clinical journal of pain. 1998 ; 14(3) : 248-55. https://doi.org/10.1097/00002508-199809000-00012
  29. Jorge Vas, Emilio Perea-Milla, Camila Mendez, Cayetanna Sanches Navarro, Jose Maria Leon Rubio, Mauricio Brioso, Inmasculada Garcia Obrero. Efficacy and safety of acupuncture for chronic uncomplicated neck pain : A randomized controlled study. Association for the study of pain. 2006 ; 126 : 245-55.
  30. Dominik Irnich, Nicolas Behrens, Holger Molzen, Achim Konig, Jochen Gleditsch, Martin Krauss, Edward Senn, Antje Beyer, Peter Schops. Randomized trial of acupuncture compared with contentional massage and "sham" laser acupuncture for treatment of chronic neck pain. BMJ. 2001 ; 322 : 1-6. https://doi.org/10.1136/bmj.322.7277.1
  31. Sackett DL, Rosenberg WM, Gray JA, Haynes RB, Richardson WS. Evidence Based Medicine : what it is and what it isn't. BMJ 1996 ; 312 : 71-2. https://doi.org/10.1136/bmj.312.7023.71
  32. Bhandari M, Guyatt GH, Montori V, Devereaux PJ, Swiontkowski MF. User's guide to the orthopedic literature: How to use a systematic literature review. J Bone Joint Surg Am. 2002 ; 84 : 1672-9.
  33. Vickers A, Goyal N, Harland R, Rees R. Do certain countries produce only positive results? A systematic review of controlled trials. Control Clin Trials 1998 ; 19 : 159-66. https://doi.org/10.1016/S0197-2456(97)00150-5
  34. 양기상 외. 한의진단명과 진단요건의 표준화연구 (II). 한의학연구소. 1995
  35. 황종순, 김경호. 頸項痛의 辨證에 관한 文獻考察. 대한침구학회지. 2007 ; 24(2) : 169-85.