Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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A Systematic Review of Acupuncture-Moxibustion Treatments for Nonspecific Chronic Neck Pain

비특이적 목 통증에 사용된 침구치료에 대한 체계적 문헌고찰

  • Yang, Chang-Sop (Clinical Research Division, Korea Institute of Oriental Medicine) ;
  • Kim, Ick-Tae (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Young-Eun (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Bo-Young (Clinical Research Division, Korea Institute of Oriental Medicine) ;
  • Seo, Bok-Nam (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Park, Ji-Eun (Mibyeong Research Center, Korea Institute of Oriental Medicine)
  • 양창섭 (한국한의학연구원 임상연구부) ;
  • 김익태 (한국한의학연구원 미병연구단) ;
  • 김영은 (한국한의학연구원 미병연구단) ;
  • 김보영 (한국한의학연구원 임상연구부) ;
  • 서복남 (한국한의학연구원 미병연구단) ;
  • 박지은 (한국한의학연구원 미병연구단)
  • Received : 2017.11.28
  • Accepted : 2017.12.11
  • Published : 2017.12.27
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Abstract

Objectives : The aim of this study was to describe the details and to assess the clinical evidence of acupuncture and moxibustion for non-specific chronic neck pain. Methods : We searched seven databases including Korean, English, and Chinese databases through July 2016. Studies using acupuncture, moxibustion, pharmacopuncture, electroacupuncture, auricular-acupuncture, acupressure for non-specific chronic neck pain were included. Only controlled clinical trials or randomized clinical trials were assessed. Study design, number of subject, inclusion criteria, intervention, and results were extracted. In addition, details of intervention including needle type, retention time, acupoints were analyzed. Results : Total 64 studies(39 acupuncture, 9 laser, 6 pharmaco-acupuncture, 3 electro-acupuncture, 3 auricular-acupuncture, 3 moxibustion, 1 acupressure) were included. Among 39 acupuncture studies, 35 used acupuncture as sole intervention. Sham treatment was the most common intervention for control group, followed by no intervention. Various outcome including pain, disability, quality of life, range of motion was used as outcome measurement. The effect of acupuncture and moxibustion was different depending on the type of control and outcome measurement. The most commonly used method in acupuncture for neck pain was GB21, SI3, GB20, LI4, BL11 acupoints, 10~30 mm insertion depth, 20~30 retention time, and 1~2 times per week. Conclusions : Analyzing the details of acupuncture and moxibustion treatment could be helpful for researches and clinics. Further studies should consider the characteristics of study design, intervention, and outcome to assess the effect of TKM.

Keywords

References

  1. Childs JD, Cleland JA, Elliott JM, Teyhen DS, Wainner RS, Whitman JM, et al. Neck pain: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2008 ; 38(9) : A1-A34.
  2. Bovim G, Schrader H, Sand T. Neck pain in the general population. Spine. 1994 ; 19(12) : 1307-9. https://doi.org/10.1097/00007632-199406000-00001
  3. Cote P, Cassidy JD, Carroll L. The factors associated with neck pain and its related disability in the Saskatchewan population. Spine. 2000 ; 25(9) : 1109-17. https://doi.org/10.1097/00007632-200005010-00012
  4. Health Insurance Review & Assessment Service. Healthcare Bigdata Hub. 2017.
  5. Bot SD, van der Waal JM, Terwee CB, van der Windt DA, Scholten RJ, Bouter LM, et al. Predictors of outcome in neck and shoulder symptoms: a cohort study in general practice. Spine. 2005 ; 30(16) : E459-70. https://doi.org/10.1097/01.brs.0000174279.44855.02
  6. Wang WT, Olson SL, Campbell AH, Hanten WP, Gleeson PB. Effectiveness of physical therapy for patients with neck pain: an individualized approach using a clinical decision-making algorithm. Am J Phys Med Rehabil. 2003 ; 82(3) : 203-18. https://doi.org/10.1097/01.PHM.0000052700.48757.CF
  7. Jo J, Kim N, Do S, Lee Y, Yoon K, Park J, et al. Surveillance of using Oriental medicine and herbal medicine. Korean Ministry of Health and Welfare․ Korea Institute for Health and Social Affairs. 2011.
  8. White AR, Ernst E. A systematic review of randomized controlled trials of acupuncture for neck pain. Rheumatology (Oxford). 1999 ; 38(2) : 143-7. https://doi.org/10.1093/rheumatology/38.2.143
  9. Fu LM, Li JT, Wu WS. Randomized controlled trials of acupuncture for neck pain: systematic review and meta-analysis. Journal of alternative and complementary medicine(New York, NY). 2009 ; 15(2) : 133-45. https://doi.org/10.1089/acm.2008.0135
  10. Liang Z, Zhu X, Yang X, Fu W, Lu A. Assessment of a traditional acupuncture therapy for chronic neck pain: a pilot randomised controlled study. Complement Ther Med. 2011 ; 19 Suppl 1 : S26-32. https://doi.org/10.1016/j.ctim.2010.11.005
  11. Itoh K, Katsumi Y, Hirota S, Kitakoji H. Randomised trial of trigger point acupuncture compared with other acupuncture for treatment of chronic neck pain. Complement Ther Med. 2007 ; 15(3) : 172-9. https://doi.org/10.1016/j.ctim.2006.05.003
  12. Vas J, Perea-Milla E, Mendez C, Sanchez Navarro C, Leon Rubio JM, Brioso M et al. Efficacy and safety of acupuncture for chronic uncomplicated neck pain: a randomised controlled study. Pain. 2006(1-2) ; 126 : 245-55. https://doi.org/10.1016/j.pain.2006.07.002
  13. He D, Veiersted KB, Hostmark AT, Medbo JI. Effect of acupuncture treatment on chronic neck and shoulder pain in sedentary female workers: A 6-month and 3-year follow-up study. Pain. 2004 ; 109(3) : 299-307. https://doi.org/10.1016/j.pain.2004.01.018
  14. White P, Lewith G, Prescott P, Conway J. Acupuncture versus placebo for the treatment of chronic mechanical neck pain: a randomized, controlled trial. Ann Intern Med. 2004 ; 141(12) : 911-9. https://doi.org/10.7326/0003-4819-141-12-200412210-00007
  15. Segura-Orti E, Prades-Vergara S, Manzaneda-Pina L, Valero- Martinez R, Polo-Traverso JA. Trigger point dry needling versus strain-counterstrain technique for upper trapezius myofascial trigger points: a randomised controlled trial. Acupunct Med. 2016 ; 34(3) : 171-7. https://doi.org/10.1136/acupmed-2015-010868
  16. Wilke J, Vogt L, Niederer D, Hubscher M, Rothmayr J, Ivkovic D, et al. Short-term effects of acupuncture and stretching on myofascial trigger point pain of the neck: a blinded, placebo-controlled RCT. Complement Ther Med. 2014 ; 22(5) : 835-41. https://doi.org/10.1016/j.ctim.2014.09.001
  17. Sun MY, Hsieh CL, Cheng YY, Hung HC, Li TC, Yen SM, et al. The therapeutic effects of acupuncture on patients with chronic neck myofascial pain syndrome: a single-blind randomized controlled trial. Am J Chin Med. 2010 ; 38(5) : 849-59. https://doi.org/10.1142/S0192415X10008299
  18. Nabeta T, Kawakita K. Relief of chronic neck and shoulder pain by manual acupuncture to tender points - A sham-controlled randomized trial. Complement Ther Med. 2002 ; 10(4) : 217-22. https://doi.org/10.1016/S0965-2299(02)00082-1
  19. Zhu XM, Polus B. A controlled trial on acupuncture for chronic neck pain. Am J Chin Med. 2002 ; 30(1) : 13-28. https://doi.org/10.1142/S0192415X02000028
  20. Irnich D, Behrens N, Molzen H, König A, Gleditsch J, Krauss M, et al. Randomised trial of acupuncture compared with conventional massage and "sham" laser acupuncture for treatment of chronic neck pain. BMJ. 2001 ; 322(7302) : 1574-7. https://doi.org/10.1136/bmj.322.7302.1574
  21. He D, Hostmark AT, Veiersted KB, Medbo JI. 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 : journal of the British Medical Acupuncture Society. 2005 ; 23(2) : 52-61. https://doi.org/10.1136/aim.23.2.52
  22. Mejuto-Vazquez MJ, Salom-Moreno J, Ortega-Santiago R, Truyols-Dominguez S, Fernandez-De-Las-penas C. Short- Term changes in neck pain, widespread pressure pain sensitivity, and cervical range of motion after the application of trigger point dry needling in patients with acute mechanical neck pain: A randomized clinical trial. J Orthop Sports Phys Ther. 2014 ; 44(4) : 252-60. https://doi.org/10.2519/jospt.2014.5108
  23. Franca DL, Senna-Fernandes V, Cortez CM, Jackson MN, Bernardo- Filho M, Guimaraes MA. Tension neck syndrome treated by acupuncture combined with physiotherapy: a comparative clinical trial(pilot study). Complement Ther Med. 2008 ; 16(5) : 268-77. https://doi.org/10.1016/j.ctim.2008.02.006
  24. Witt CM, Jena S, Brinkhaus B, Liecker B, Wegscheider K, Willich SN. Acupuncture for patients with chronic neck pain. Pain. 2006 ; 125(1-2) : 98-106. https://doi.org/10.1016/j.pain.2006.05.013
  25. Lee S. Increased cervical lordosis after deep acupuncture in patients with neck pain: nonrandomized clinical control trial. The Acupuncture. 2004 ; 21(6) : 195-208.
  26. Cho JH, Nam DH, Kim KT, Lee JH. Acupuncture with non-steroidal anti-inflammatory drugs(NSAIDs) versus acupuncture or NSAIDs alone for the treatment of chronic neck pain: an assessor- blinded randomised controlled pilot study. Acupunct Med. 2014 ; 32(1) : 17-23. https://doi.org/10.1136/acupmed-2013-010410
  27. MacPherson H, Tilbrook H, Richmond S, Woodman J, Ballard K, Atkin K, et al. Alexander Technique Lessons or Acupuncture Sessions for Persons With Chronic Neck Pain: A Randomized Trial. Annals of internal medicine. 2015 ; 163(9) : 653-62. https://doi.org/10.7326/M15-0667
  28. Llamas-Ramos R, Pecos-Martin D, Gallego-Izquierdo T, Llamas- Ramos I, Plaza-Manzano G, Ortega-Santiago R et al. Comparison of the short-term outcomes between trigger point dry needling and trigger point manual therapy for the management of chronic mechanical neck pain: a randomized clinical trial. J Orthop Sports Phys Ther. 2014 ; 44(11) : 852-61. https://doi.org/10.2519/jospt.2014.5229
  29. Salter GC, Roman M, Bland MJ, MacPherson H. Acupuncture for chronic neck pain: a pilot for a randomised controlled trial. BMC Musculoskelet Disord. 2006 ; 7 : 99. https://doi.org/10.1186/1471-2474-7-99
  30. David J, Modi S, Aluko AA, Robertshaw C, Farebrother J. Chronic neck pain: a comparison of acupuncture treatment and physiotherapy. British journal of rheumatology. 1998 ; 37(10) : 1118-22. https://doi.org/10.1093/rheumatology/37.10.1118
  31. Petrie JP, Hazleman BL. A controlled study of acupuncture in neck pain. British journal of rheumatology. 1986 ; 25(3) : 271-5. https://doi.org/10.1093/rheumatology/25.3.271
  32. Coan RM, Wong G, Coan PL. The acupuncture treatment of neck pain: a randomized controlled study. The American journal of Chinese medicine. 1981 ; 9(4) : 326-32. https://doi.org/10.1142/S0192415X81000433
  33. Xie H. Clinical observation of acupuncture and moxibustion for chronic neck pain. Nei Mongol Journal of Traditional Chinese Medicine. 2014 ; 10 : 77-8.
  34. Wu F, Kang MF, Xiong P, Xiong J. [Clinical randomized controlled trials of treatment of neck-back myofascial pain syndrome by acupuncture of Ashi-points combined with moxibustion of heat-sensitive points]. Zhen Ci Yan Jiu. 2011 ; 36(2) : 116-20.
  35. Fu JL. Observation of 53 cased using moxibustion for neck pain. Chinese Archives of Traditional Chinese Medicine. 2003 ; 5 : 814-5.
  36. Kim H, Kang Y, cho M, Kim T, Kim E, Na C. The clinical effects of Carthami-Flos herbal acupuncture in neck pain due to soft tissue damage. The Acupuncture. 2002 ; 19(4) : 112-23.
  37. Park J, Yun K, Choi Y, Kim M, Yu S, Lee C. The Clinical Effects of Carthami-Flos Pharmacopuncture on Posterior Neck pain of Menopausal Women. J Pharmacopuncture. 2011 ; 14(4) : 71-80. https://doi.org/10.3831/KPI.2011.14.4.071
  38. Yoon IJ. Effect of Jungsongouhyul Herbal Acupuncture Therapy for Neck Pain Patients. Institute of Oriental Medicine in Daejeon University. 2007 ; 16(2) : 1-5.
  39. Kim K, Song H. A Randomized Controlled Double Blinding Study of Bee Venom Acupuncture Therapy on Sprain of C-spine. The Acupuncture. 2005 ; 22(4) : 189-95.
  40. Kwon S, Song H. The effects of Bee-venom acupuncture on neck pain. The Acupuncture. 2004 ; 21(4) : 75-84.
  41. Kang Y, Kim H, Cho M, Kim T, Yoon K, Kim E. The clinical effects of Korean Bee-Venom therapy in neck pain due to soft tissure damage. The Acupuncture. 2002 ; 19(6) : 67-79.
  42. Yoshimizu M, Teo AR, Ando M, Kiyohara K, Kawamura T. Relief of chronic shoulder and neck pain by electro-acupuncture and transcutaneous electrical nervous stimulation: A randomized crossover trial. Medical Acupuncture. 2012 ; 24(2) : 97-103. https://doi.org/10.1089/acu.2011.0824
  43. Zhang SP, Chiu TT, Chiu SN. Long-term efficacy of electroacupuncture for chronic neck pain: a randomised controlled trial. Hong Kong Med J. 2013 ; 19 Suppl 9 : 36-9.
  44. Sahin N, Ozcan E, Sezen K, Karatas O, Issever H. Efficacy of acupunture in patients with chronic neck pain-a randomised, sham controlled trial. Acupunct Electrother Res. 2010 ; 35(1-2) : 17-27. https://doi.org/10.3727/036012910803860959
  45. Dundar U, Evcik D, Samli F, Pusak H, Kavuncu V. The effect of gallium arsenide aluminum laser therapy in the management of cervical myofascial pain syndrome: a double blind, placebo- controlled study. Clin Rheumatol. 2007 ; 26(6) : 930-4. https://doi.org/10.1007/s10067-006-0438-4
  46. Ilbuldu E, Cakmak A, Disci R, Aydin R. Comparison of laser, dry needling, and placebo laser treatments in myofascial pain syndrome. Photomed Laser Surg. 2004 ; 22(4) : 306-11. https://doi.org/10.1089/pho.2004.22.306
  47. Altan L, Bingol U, Aykac M, Yurtkuran M. Investigation of the effect of GaAs laser therapy on cervical myofascial pain syndrome. Rheumatol Int. 2005 ; 25(1) : 23-7. https://doi.org/10.1007/s00296-003-0396-y
  48. Chow RT, Heller GZ, Barnsley L. The effect of 300 mW, 830 nm laser on chronic neck pain: a double-blind, randomized, placebo- controlled study. Pain. 2006 ; 124(1-2) : 201-10. https://doi.org/10.1016/j.pain.2006.05.018
  49. Gur A, Sarac AJ, Cevik R, Altindag O, Sarac S. Efficacy of 904 nm gallium arsenide low level laser therapy in the management of chronic myofascial pain in the neck: a double-blind and randomize- controlled trial. Lasers in surgery and medicine. 2004 ; 35(3) : 229-35. https://doi.org/10.1002/lsm.20082
  50. Hakguder A, Birtane M, Gurcan S, Kokino S, Turan FN. Efficacy of low level laser therapy in myofascial pain syndrome: an algometric and thermographic evaluation. Lasers in surgery and medicine. 2003 ; 33(5) : 339-43. https://doi.org/10.1002/lsm.10241
  51. Snyder-Mackler L, Barry AJ, Perkins AI, Soucek MD. Effects of helium-neon laser irradiation on skin resistance and pain in patients with trigger points in the neck or back. Physical therapy. 1989 ; 69(5) : 336-41. https://doi.org/10.1093/ptj/69.5.336
  52. Ceccherelli F, Altafini L, Lo Castro G, Avila A, Ambrosio F, Giron GP. Diode laser in cervical myofascial pain: a double-blind study versus placebo. Clin J Pain. 1989 ; 5(4) : 301-4. https://doi.org/10.1097/00002508-198912000-00005
  53. Xu S, Fu W. Quality of life assessment of acupuncture and moxibustion treatment for chronic neck pain in terms of heart-kidney therapy. China Journal of Traditional Chinese Medicine and Pharmacy. 2013(5) : 1332-8.
  54. Par JY, Yun KJ, Choi YJ, Kim MS, Jeon JC, Lee TH, et al. Comparative Study of Treatment Effect between Near Acupuncture Point Needling and Near Acupuncture with Remote Acupuncture Point Needling on Treatment of Posterior Neck Pain. The Acupuncture. 2011 ; 28(1) : 85-92.
  55. Hansson Y, Carlsson C, Olsson E. Intramuscular and periosteal acupuncture for anxiety and sleep quality in patients with chronic musculoskeletal pain - An evaluator blind, controlled study. Acupunct Med. 2007 ; 25(4) : 148-57. https://doi.org/10.1136/aim.25.4.148
  56. Silva AC, Biasotto-Gonzalez DA, Dos Santos DM, Melo NC, Gomes CA, Amorim CF et al. Evaluation of the Immediate Effect of Auricular Acupuncture on Pain and Electromyographic Activity of the Upper Trapezius Muscle in Patients with Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study. eCAM. 2015 : 523851.
  57. Ceccherelli F, Tortora P, Nassimbeni C, Casale R, Gagliardi G, Giron G. The therapeutic efficacy of somatic acupuncture is not increased by auriculotherapy: A randomised, blind control study in cervical myofascial pain. Complementary therapies in medicine. 2006 ; 14(1) : 47-52. https://doi.org/10.1016/j.ctim.2005.05.005
  58. Sator-Katzenschlager SM, Szeles JC, Scharbert G, Michalek- Sauberer A, Kober A, Heinze G et al. Electrical stimulation of auricular acupuncture points is more effective than conventional manual auricular acupuncture in chronic cervical pain: a pilot study. Anesthesia and analgesia. 2003 ; 97(5) : 1469-73.
  59. Matsubara T, Arai YC, Shiro Y, Shimo K, Nishihara M, Sato J, et al. Comparative effects of acupressure at local and distal acupuncture points on pain conditions and autonomic function in females with chronic neck pain. eCAM. 2011 ; pii : 543291.
  60. Kim K. Shang Han Lun. Seoul; Bada press. 2015 ; 48 : 86.
  61. Traditional Korean Medicine. Korean rehabilitation medicine. 2005 ; Seoul: Koonja.
  62. Jun P, Kim S, Liu Y, Park J, Jung S, Han C. Research Trends on the Thread Embedding Therapy of Neck pain in Traditional Chinese Medicine. Korean J Oriental Physiology & Pathology. 2017 ; 31(5) : 284-93. https://doi.org/10.15188/kjopp.2017.10.31.5.284
  63. Yuan QL, Guo TM, Liu L, Sun F, Zhang YG. Traditional Chinese medicine for neck pain and low back pain: a systematic review and meta-analysis. PLoS One. 2015 ; 10 : e0117146. https://doi.org/10.1371/journal.pone.0117146
  64. Seo SY, Lee KB, Shin JS, Lee J, Kim MR, Ha IH, et al. Effectiveness of Acupuncture and Electroacupuncture for Chronic Neck Pain: A Systematic Review and Meta-Analysis. Am J Chin Med. 2017 : 1-23.
  65. Vickers AJ, Vertosick EA, MacPherson H, Foster NE, Sherman KJ, Irnich D, et al. Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. J Pain. 2017 ; pii : S1526-5900(17)30780-0
  66. Korean Acupuncture & Moxibustion Medicine Society. Guideline of Acupuncture and moxibustion treatment for Neck pain. 2013.
  67. Kim H, Kim S, Kang J, Nam D, Kim E, Hong K, et al. A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Neck Pain The Acupuncture. 2009 ; 26(2) : 103-23.
  68. Lee H, Lee E, Oh M. Systematic Review of Selection of Acupoints in Domestic Clinical Studies Related to Nuchal Pain. Korean J Oriental Physiology & Pathology. 2013 ; 27(6) : 698-704.
  69. Mu R, Bai Y. Electroacpuncture and Cupping Therapy in Treating 30 Cases of Chronic Non-specificity Cervical Syndrome. Journal of Fujian College of Traditional Chinese Medicine. 2014 ; 3 : 1-3. https://doi.org/10.12677/TCM.2014.31001
  70. Ceng T. 30 cases of acupuncture treatment for neck and should pain. Shaanxi Journal of Traditional Chinese Medicine. 2011 ; 32(2) : 212-4.
  71. Seo J, Seo B, Kim S, Lee K, Yun J, Lee S, et al. The Effects of Rainbow Power Therapy on Neck Pain Patients. Korean Journal of Acupuncture. 2004 ; 21(2) : 147-59.
  72. Irnich D, Behrens N, Gleditsch JM, Stor W, Schreiber MA, Schops P, et al. Immediate effects of dry needling and acupuncture at distant points in chronic neck pain: results of a randomized, double-blind, sham-controlled crossover trial. Pain. 2002 ; 99(1-2) : 83-9. https://doi.org/10.1016/S0304-3959(02)00062-3
  73. Lu DP, Lu GP, Kleinman L. Acupuncture and clinical hypnosis for facial and head and neck pain: a single crossover comparison. Am J Clin Hypn. 2001 ; 44(2) : 141-8. https://doi.org/10.1080/00029157.2001.10403469
  74. Birch S, Jamison RN. Controlled trial of Japanese acupuncture for chronic myofascial neck pain: assessment of specific and nonspecific effects of treatment. Clin J Pain. 1998 ; 14(3) : 248-55. https://doi.org/10.1097/00002508-199809000-00012
  75. Pecos-Martin D, Montanez-Aguilera FJ, Gallego-Izquierdo T, Urraca-Gesto A, Gomez-Conesa A, Romero-Franco N, et al. Effectiveness of Dry Needling on the Lower Trapezius in Patients With Mechanical Neck Pain: A Randomized Controlled Trial. Archives of physical medicine and rehabilitation. 2015 ; 96(5) : 775-81. https://doi.org/10.1016/j.apmr.2014.12.016
  76. Wen X, Chen Q, Jiang Q, Ma R, Zhong P, Fu W. Effect of acupuncture and moxibustion for menopausal women with chronic neck pain. Chinese Journal of Gerontology. 2013 ; 13 : 3022-3.
  77. Kim SJ, Jang JY, Kim NS, Kim YS A Randomized Clinical Trial of Local Acupoints Compared with Distal Acupoints in Chronic Neck Pain Patients. The Acupuncture. 2011 ; 28(5) : 57-64.
  78. Ceccherelli F, Gioioso L, Casale R, Gagliardi G, Ori C. Neck pain treatment with acupuncture: does the number of needles matter? Clin J Pain. 2010 ; 26(9) : 807-12. https://doi.org/10.1097/AJP.0b013e3181e375c9
  79. Lee HY, Song BY, Yook TH, Kang JS, Hong KE. Clinical Study on Immediate Response after Acupuncture on Local Acupoints and Distal Acupoints for Neck Pain Patients. The Acupuncture. 2008 ; 25(6) : 183-92.
  80. Kim Y, Lee K, Kim S, Lee S, Seo J, Jung T, Lim S, Han S. The Effect of 8 Constitution Acupuncture on Neck Pain by Pain Disability Index and Visual Analogue Scale The Acupuncture. 2003 ; 20(1) : 202-8.
  81. Hansen JA. A comparative study of two methods of acupuncture treatment for neck and shoulder pain. Acupuncture in Medicine. 1997 ; 15(2) : 71-3. https://doi.org/10.1136/aim.15.2.71
  82. Laakso EL, Richardson C, Cramond T. Pain scores and side effects of low level laser therapy(LLLT) in the treatment of myofascial trigger points. Laser Therapy. 1997 ; 9(2) : 67-72. https://doi.org/10.5978/islsm.9.67

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