Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지
DOI QR코드

DOI QR Code

Randomized Controlled Trials of Miniscalpel Acupuncture for Lumbar Spinal Stenosis Cited in the China National Knowledge Infrastructure Database

  • Received : 2017.06.28
  • Accepted : 2017.07.26
  • Published : 2017.08.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study analyzed the current status of randomized controlled trials (RCTs) of miniscalpel acupuncture for lumbar spinal stenosis (LSS) in China. Methods : A literature search was performed using the China National Knowledge Infrastructure (CNKI) database. All studies up to June 7th, 2017 were searched. The quality of included RCTs was assessed with the Jadad scale. Results : Five RCTs were finally included in this review. The overall quality of the RCTs was assessed as low. All articles evaluated miniscalpel acupuncture as monotherapy or in combination with filiform needle therapy, drug injection therapy, Tuina treatment, thermal coagulation therapy, or spinal decompression. Miniscalpel acupuncture as monotherapy or adjunctive therapy showed greater therapeutic effect and fewer adverse effects. Conclusion : Miniscalpel acupuncture is a safe and effective nonpharmacological treatment for LSS. However, high-quality studies with consistent treatment protocols are needed to confirm these findings.

Keywords

References

  1. Katz JN, Harris MB. Clinical practice. Lumbar spinal stenosis. N Engl J Med. 2008;358(8):818-25. https://doi.org/10.1056/NEJMcp0708097
  2. Ishimoto Y, Yoshimura N, Muraki S et al. Prevalence of symptomatic lumbar spinal stenosis and its association with physical performance in a population-based cohort in Japan: the Wakayama Spine Study. Osteoarthritis Cartilage. 2012;20(10):1103-8. https://doi.org/10.1016/j.joca.2012.06.018
  3. Deyo RA, Gray DT, Kreuter W, Mirza S, Martin BI. United States trends in lumbar fusion surgery for degenerative conditions. Spine (Phila Pa 1976). 2005;30(12):1441-5; discussion 1446-7. https://doi.org/10.1097/01.brs.0000166503.37969.8a
  4. Arnoldi CC, Brodsky AE, Cauchoix J et al. Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification. Clin Orthop Relat Res. 1976;(115):4-5.
  5. Lurie J, Tomkins-Lane C. Management of lumbar spinal stenosis. BMJ. 2016;352:h6234.
  6. Inoue G, Miyagi M, Takaso M. Surgical and nonsurgical treatments for lumbar spinal stenosis. Eur J Orthop Surg Traumatol. 2016; 26(7):695-704. https://doi.org/10.1007/s00590-016-1818-3
  7. Son YH, Yoon SH, Yuk DI, Sung IS, Kim MJ, Hong KE. Research Literature for Periodical Consideration about Dochim. The Acupunct. 2013;30(4):175-80. https://doi.org/10.13045/acupunct.2013034
  8. Ma C, Wu S, Li G, Xiao X, Mai M, Yan T. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. Clin J Pain. 2010;26(3):251-7. https://doi.org/10.1097/AJP.0b013e3181b8cdc8
  9. Zhu HZ, Quan WC, Zhang XF et al. Evaluation on clinical therapeutic effect of needle-knife therapy on cervical spondylosis. Zhongguo Zhen Jiu. 2006;26(5):316-8.
  10. Li S, Shen T, Liang Y, Zhang Y, Bai B. Effects of Miniscalpel-Needle Release on Chronic Neck Pain: A Retrospective Analysis with 12-Month Follow-Up. PLoS One. 2015;10(8): e0137033. https://doi.org/10.1371/journal.pone.0137033
  11. Lim NR, Jang EH, Park MY, Kim SC. Case Study of Oriental Medicine Treatment with acupotomy Therapy of the Tarsal tunnel Syndrome. J Pharmacopuncture. 2009;12(1):109-17. https://doi.org/10.3831/KPI.2009.12.1.109
  12. Yuk DI. Clinical Study on 437 Patients with Lumbar Spine Stenosis Treated by Acupotomy combined with Oriental Medical Treatments [dissertation]. Daejeon: Daejeon University. 2013. Korean.
  13. Han YS, Jang WS, Jung KY et al. Study and three Cases Report for Lumbar Spinal Stenosis Treatment Using a Combination of Acupotomy and Existing Treatments. Korean J Orient Physiol Pathol. 2012;26(1):120-7.
  14. Jadad AR, Moore RA, Carroll D 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
  15. Liu HF, Liu XW. Clinical study of xiaozhendao for treatment of lumbar spinal stenosis. Chin Med Herald. 2010;7(6):58-9.
  16. Ma LZ, Sun HB, Chen PF, Feng WW. Clinical study of miniscalpel acupuncture on 30 cases of lumbar spinal stenosis. J New Chin Med. 2014;46(2):177-8.
  17. Zhang ZH. Clinical research on treating Yellow ligament hypertrophy Lumbar spinal stenosis by visual acupotomy mirror to release Jiaji points on waist [dissertation]. Shandong : Shandong University. 2014. Chinese.
  18. Xiong JW. Clinical study of miniscalpel acupuncture combined with Tuina on degenerative lumbar spinal stenosis [dissertation]. Beijing: Beijing University. 2015. Chinese.
  19. Zhong YX, Qiao JL, Ding Y et al. Therapeutic evaluation of percutaneous target radiofrequency thermocoagulation combined with needle knife techniques therapy in age-related lumbar spinal stenosis. Pract Geriatr. 2016;30(1):69-72.
  20. Overdevest GM, Jacobs W, Vleggeert-Lankamp C, Thome C, Gunzburg R, Peul W. Effectiveness of posterior decompression techniques compared with conventional laminectomy for lumbar stenosis. Cochrane Database Syst Rev. 2015;(3):CD010036.

Cited by

  1. 한약치료를 포함한 도침치료와 냉각요법이 허벅지둘레에 미치는 영향: 증례군보고 vol.17, pp.2, 2017, https://doi.org/10.15429/jkomor.2017.17.2.133
  2. 한국 내 도침술의 정의와 용어 표준화를 위한 제안 vol.39, pp.2, 2018, https://doi.org/10.13048/jkm.18012
  3. A Retrospective Statistical Analysis of Miniscalpel Needle Therapy for Herniated Intervertebral Disc or Spinal Stenosis vol.35, pp.4, 2017, https://doi.org/10.13045/jar.2018.00276
  4. Thread Embedding Acupuncture and Complex Korean Medicine Treatment for Lumbar Spinal Stenosis with Degenerative Scoliosis: A Clinical Case Report vol.38, pp.4, 2017, https://doi.org/10.13045/jar.2021.00108