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본태성 떨림의 침치료 효과에 대한 메타분석

A Meta-analysis of the Effectiveness of Acupuncture for the Treatment of Essential Tremors

  • 손유진 (우석대학교 한의과대학 한의학과) ;
  • 정서윤 (우석대학교 한의과대학 한의학과) ;
  • 강기완 (우석대학교 한의과대학 한방내과학교실) ;
  • 정민정 (우석대학교 한의과대학 한방소아과학교실) ;
  • 장인수 (우석대학교 한의과대학 한방내과학교실)
  • Sohn, Yu-jin (Dept. of Korean Medicine, College of Korean Medicine, Woo-Suk University) ;
  • Jung, Seo-yoon (Dept. of Korean Medicine, College of Korean Medicine, Woo-Suk University) ;
  • Kang, Ki-wan (Dept. of Internal Medicine, College of Korean Medicine, Woo-Suk University) ;
  • Jeong, Min-jeong (Dept. of Pediatrics, College of Korean Medicine, Woo-Suk University) ;
  • Jang, In-soo (Dept. of Internal Medicine, College of Korean Medicine, Woo-Suk University)
  • 투고 : 2017.09.02
  • 심사 : 2017.09.25
  • 발행 : 2017.09.30

초록

Objectives: This study provides an evaluation of the effectiveness of acupuncture for the treatment of essential tremors (ETs) using randomized controlled trials (RCTs). Methods: Nine databases (PubMed, CINAHL, EMBASE, OASIS, NDSL, CNKI, Wanfang, J-STAGE, and CiNii) and the keywords "Essential tremor", "Benign tremor", "Familial tremor", and "Acupuncture" were used to compile RCTs that used acupuncture to treat ETs. Studies that were not RCTs, such as case studies, reviews, and essays, were excluded. The methodological quality of each RCT was assessed using the Cochrane risk-of-bias tool, and where appropriate, meta-analyses were performed. Results: Initially, 819 studies were found, but 773 were excluded after title and abstract screening. After further screening of the resulting 46 papers, eight RCTs were selected that had been published between 2003 and 2016, and the total effective rate (TER) was used as the primary evaluation method for all eight studies. It was found that the TER was significantly higher in treatment groups (83.33-96.7%) than in control groups (56.5-80.0%), and seven studies included in the meta-analysis showed positive results for acupuncture for ETs (Risk Ratio: 1.43, 95% Confidence Interval: 1.21-1.69, P<0.0001) Confidence Interval. Conclusions: This meta-analysis of clinical trials suggests that acupuncture is effective for treating ET patients; however, further studies are needed or larger populations to prove its effectiveness.

키워드

참고문헌

  1. Hallet M. Classification and treatment of Tremor. JAMA 1991:1115-7.
  2. Kim JS, Choi KG, Lee MS. New neurology. Seoul: Science Book Center; 2000, p. 354-6.
  3. Louis ED, Ferreira JJ. How common is the most common adult movement disorder? Update on the worldwide prevalence of essential tremor. Mov Disord 2010;25(5):534-41. https://doi.org/10.1002/mds.22838
  4. Chung SJ. Diagnosis and treatment of hand tremor. J Korean Med Assoc 2012;55(10):987-95. https://doi.org/10.5124/jkma.2012.55.10.987
  5. Marsden CD, Fahn S. Movement Disorders III. 1st ed. England: Butterworth-Heinemann Medical; 1994, p. 434-58.
  6. Mark HB. Merck Manual 17th edition. Seoul: Hanuri; 2003, p. 1564-5.
  7. Symptoms and treatment of essential tremor. Available from: URL :https://www.gilhospital.com/information/column/column_board_list.html
  8. Zesiewicz TA, Elble R, Louis ED, Hauser RA, Sullivan KL, Dewey RB Jr, et al. Practice parameter: Therapies for essential tremor: Report of the quality standards subcommittee of the american academy of neurology. Neurology 2005;64(12):2008-20. https://doi.org/10.1212/01.WNL.0000163769.28552.CD
  9. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions Ver 5.1.0 [updated Mar 2011]. The Cochrane Collaboration, 2011. Available from http://handbook.cochrane.org.
  10. Sui KM, Li X. Clinical observation on acupuncture with medication for treatment of essential tremor. Journal of Chinese Acupuncture & Moxibustion 2010;30(2):107-9.
  11. Yao D, Zou W. Therapeutic observation of 'Pinggan xifeng' tremor-ceasing needling for essential Tremor. Shanghai Journal of Acupuncture and Moxibustion 2016;35(2):169-71.
  12. Chen LH, Chen Q, Chen M. Clinical observation on combination of acupuncture with medication for treatment of spontaneous tremor. Journal of Chinese Acupuncture & Moxibustion 2006;26(10):701-3.
  13. Wang SG, Li JG. Clinical observation on 40 cases of patients with essential tremor with depression syndrome treated by combination of acupuncture and medicine. Chinese Journal of Traditional Medical Science and Technology 2011;18(2):148-9.
  14. Wang F, Jin HT, Zhang W, Wang L. Electroacupuncture combined with drug treatment of 18 cases of essential tremor. JETCM 2010;19(12):2134-8.
  15. Jiang BL, Sun YZ. Clinical observation on acupuncture treatment of essential tremor. Journal of Chinese Acupuncture & Moxibustion 2008;24(4):22-3.
  16. Qin LN. Clinical observation on electronic acupuncture treatment of essential tremor. Jilin Journal of Traditional Chinese Medicine 2010;30(6):511-2.
  17. Yan W, Yin JQ. Clinical observation on effect of body and scalp acupuncture treatment of Senile Tremor. JCAM 2003;19(7):34.
  18. Louis ED, Ford B, Kristin JW, Lee H, Andrews H. A comparison of different bedside tests for essential tremor. Mov Disord 1999;14(3):462-7. https://doi.org/10.1002/1531-8257(199905)14:3<462::AID-MDS1012>3.0.CO;2-V
  19. Dong LJ. Research status of essential tremor. Stroke and Nervous Diseases 2003;10(1):59-61.
  20. Jankovic J, Tolosa E. Parkinson's disease and movement disorders[M], 2nd ed. Baltimore: Williams & Wilkins; 1993, p. 271-80.
  21. Louis ED, Barnes L, Wendt KJ, Ford B, Sangiorgio M, Tabbal S, et al. A teaching videotape for the assessment of essential tremor. Mov Disord 2001;16:89-93. https://doi.org/10.1002/1531-8257(200101)16:1<89::AID-MDS1001>3.0.CO;2-L
  22. Hamilton M. Rating depressive patients. Journal of Clinical Psychiatry 1980;41:21-4.
  23. The education committee of Korean medicine college for cardiology and neurology. The cardiology and neurology in Korean medicine Vol. 1. Seoul: Woori medical books; 2016, p. 293-302.
  24. Jin JP. The Annotation and Explanation of Yixue Gangmu (Uihakgangmok); Compendium of Medicine. Seoul: Bupinmunhwasa; 2010, p. 109.
  25. Koller WC, Biary N, Cone S. Disability in essential tremor: Effect of treatment. Neurology 1986;36(7):1001-4. https://doi.org/10.1212/WNL.36.7.1001
  26. The use of Healthcare Big data Hub for classification of disease statistics. Available from:URL:http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do
  27. Deuschl G, Raethjen J, Hellriegel H, Elble R. Treatment of patients with essential tremor. Lancet Neurol 2011;10:148-61. https://doi.org/10.1016/S1474-4422(10)70322-7
  28. Zesiewicz TA, Elble RJ, Louis ED, Gronseth GS, Ondo WG, Dewey RB Jr, et al. Evidencebased guideline update: Treatment of essential tremor: Report of the quality standards subcommittee of the american academy of neurology. Neurology 2011;77:1752-5. https://doi.org/10.1212/WNL.0b013e318236f0fd
  29. Primidone. Korea Food & Drug Administration Online medicine library. Available from:URL: http://drug.mfds.go.kr/html/index.jsp
  30. Jiang CJ. Comprehension of social support scale. China: CMHJ; 1999, p. 131-2.
  31. Kringelbach ML, Jenkinson N, Owen SLF, Aziz TZ. Translational principles of deep brain stimulation. Nature Reviews Neuroscience 2007;8:623-35. https://doi.org/10.1038/nrn2196
  32. Min KJ, Kim SH, Jung IC, Lee SR. The clinical study on 1 case of essential tremor patient. J Institute of Korean Medicine of Daejeon Univ 2007;16(2):281-8.
  33. Oh HS, Lee SJ, Han IS, Lee DS, Son IB. Case report of essential tremor treated with Gwibitang and Gagambang, Acupuncture and Moxibustion. Korean Journal of Oriental Physiology & Pathology 2012;26(5):760-4.
  34. Kang A. The Effect of Korean medical treatment on essential tremor [Master's dissertation]. Graduate School of Korean Medicine Kyung Hee University 2016.
  35. Hong HJ. A review of studies for treatment of essential tremor: based on traditional chinese medicine journals [Master's thesis]. Graduate School of Dong Eui Univ 2017.
  36. Yoon CR, Lee NG, Kim SH. Yellow Emperor's Inner Canon Suwen by Wang bing(II). Daejeon: Jumin Publishing; 2004, p. 530.
  37. MacPherson H, Thomas K, Walters S, Fitter M. The York acupuncture safety study: Prospective survey of 34000 treatments by traditional acupuncturists. BMJ 2001;323(7311):486-7. https://doi.org/10.1136/bmj.323.7311.486
  38. White A, Hayhoe S, Hart A, Ernst E. Adverse events following acupuncture: prospective survey of 32,000 consultations with doctors and physiotherapists. BMJ 2001;323(7311):485-6. https://doi.org/10.1136/bmj.323.7311.485
  39. Melchart D, Weidenhammer W, Streng A, Reitmayr S, Hoppe A, Ernst E, et al. Prospective investigation of adverse effects of acupuncture in 97733 patients. Arch Intern Med 2004;164(1):104-5. https://doi.org/10.1001/archinte.164.1.104
  40. Witt CM, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S, et al. Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed 2009;16(2):91-7.

피인용 문헌

  1. 기능적 뇌척주요법을 병행한 한방치료로 호전된 진전 치험례 1례 vol.13, pp.2, 2017, https://doi.org/10.30581/jkcmm.2018.13.2.75
  2. How Do You Treat Essential Tremor in Your Practice? vol.33, pp.5, 2017, https://doi.org/10.1089/acu.2021.29188.cpl