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

견비통에 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) ;
  • Park, Se-Woon (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Eon-Kuk (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Lee, Geon-Hui (Dept. of Mechanical Engineering, College of Engineering, Wonkwang University) ;
  • Lee, Geon-Mok (Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University)
  • 김현욱 (원광대학교 한의과대학 침구학교실) ;
  • 김성수 (원광대학교 한의과대학 침구학교실) ;
  • 박세운 (원광대학교 한의과대학 침구학교실) ;
  • 김언국 (원광대학교 한의과대학 침구학교실) ;
  • 이건휘 (원광대학교 공과대학 기계공학부) ;
  • 이건목 (원광대학교 한의과대학 침구학교실)
  • Received : 2010.06.30
  • Accepted : 2010.08.04
  • Published : 2010.08.20

Abstract

Objectives : To review RCTs on acupuncture treatment for shoulder pain in order to establish a standard acupuncture treatment model in treating shoulder pain. Methods : RCT articles on traditional acupuncture treatment for shoulder pain were searched through online database. Quality of studies were assessed using the FEAS and the modified Jadad score. Results : Eighteen trials of acupuncture for shoulder pain were analyzed. Based on the results of these reviews the following factors might contribute to optimal results from acupuncture treatment. 1) Usage of LI, SI, TE meridians, usage of $LI_{15}$, $TE_{14}$, $GB_{21}$, $LI_{11}$, $LI_4$, $SI_{14}$, $LI_{14}$, $TE_{15}$ acupuncture points. 2) More than four acupuncture points should be used. 3) More than 15 minutes of needle retention time. 4) Needle length-40mm and diameter-0.30mm. 5) More than 9 times treatment 6) More than 5 weeks treatment duration. Conclusions : There was no relation between quality of article and effectiveness of acupuncture. To improve the remedial value, it is necessary to mention De-qi, stimulation of acupuncture and correct variation in diagnosis with the above-mentioned. It is better that clinical trials of acupuncture treatment is designed that type of RCT and double blind. Also when it is set that sham nonpenetrating acupuncture, no treatment group as a control group, and participants don't distinguish wheather acupuncture treatment or not, it will be more meaningful.

Keywords

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