Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

Acupuncture for Lumbar Spinal Stenosis in Korean Literature: a Systematic Review

요추 척추관 협착증에 대한 침구치료의 국내 임상근거: 체계적 문헌고찰

  • Kim, Kun-Hyung (Dept. of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Noh, Seung-Hee (Dept. of Acupuncture & Moxibustion, Pusan National University Korean Medicine Hospital) ;
  • Lee, Byung-Ryul (Div. of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Kim, Jae-Kyu (Div. of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Yang, Gi-Young (Div. of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 김건형 (부산대학교 부속한방병원 침구과) ;
  • 노승희 (부산대학교 부속한방병원 침구과) ;
  • 이병렬 (부산대학교 한의학전문대학원 임상의학부) ;
  • 김재규 (부산대학교 한의학전문대학원 임상의학부) ;
  • 양기영 (부산대학교 한의학전문대학원 임상의학부)
  • Received : 2011.11.10
  • Accepted : 2011.11.17
  • Published : 2011.12.20
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Abstract

Objectives : This study aims to evaluate currently available clinical evidence for the use of acupuncture in patients with lumbar spinal stenosis in the context of Republic of Korea. Methods : Five Korean databases were searched for all clinical studies employing acupuncture for patients with lumbar spinal stenosis. The exceptions were case reports and series involving less than 10 patients from their inception to September 2011. Only studies reported in Korean databases were searched. Results : Five retrospective audits among 22 initially identified studies were eligible for analysis in this review. There was no randomized controlled trial for this topic. The number of patients varied between 15 and 119 in each audit, and all the patients analyzed were inpatients. In all the included studies, acupuncture was conducted in combination with other concomitant treatments, including moxibustion, cupping, herbal remedies, acupoint injection, Chuna, and various physical therapies. All the included audits reported symptomatic and/or functional improvements compared to baseline. None of the included audits indicated whether any adverse events were reported. Conclusions : Current evidence for the use of acupuncture in patients with lumbar spinal stenosis in the context of South Korea is based solely on five retrospective audits that are very likely prone to a high risk of bias. Thus, further prospective and methodologically sound clinical trials to overcome this huge gap between clinical practice and the available evidence for the use of acupuncture in patients with lumbar spinal stenosis are needed.

Keywords

References

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