Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Systematic Review and Meta-analysis on Acupotomy for Piriformis Muscle Syndrome

이상근증후군의 도침치료에 대한 체계적 문헌고찰 및 메타 분석

  • Park, Song-Mi (Department of Korean Medicine Rehabilitation, Dong-eui University Korean Medicine Hospital) ;
  • Jung, Sue-un (Department of Korean Medicine Rehabilitation, Dong-eui University Korean Medicine Hospital) ;
  • Park, Jung-Hyeon (Department of Acupuncture & Moxibustion, Dong-eui University Korean Medicine Hospital) ;
  • Do, Hyun-jeong (Department of Acupuncture & Moxibustion, Dong-eui University Korean Medicine Hospital) ;
  • Cho, Sung-Woo (Department of Korean Medicine Rehabilitation, Dong-eui University Korean Medicine Hospital)
  • 박송미 (동의대학교한방병원 한방재활의학과) ;
  • 정수은 (동의대학교한방병원 한방재활의학과) ;
  • 박정현 (동의대학교한방병원 침구의학과) ;
  • 도현정 (동의대학교한방병원 침구의학과) ;
  • 조성우 (동의대학교한방병원 한방재활의학과)
  • Received : 2021.03.16
  • Accepted : 2021.04.01
  • Published : 2021.04.30
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Abstract

Objectives This study was conducted to analyze the effect of using acupotomy for piriformis muscle syndrome. Methods The databases used for the search were PubMed, Embase, Cochrane library, China National Knowledge Infrastructure (CNKI), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), KMbase, and National Digital Science Library (NDSL). The literature was searched using a total of 9 domestic and foreign databases. randomized controlled trial using only acupotomy as an intervention was selected. The selected studies are analyzed the risk of bias through Cochrane risk of bias, and meta-analysis was performed using Revman. Results As a result of meta-analysis of 11 selected studies, acupotomy was more effective than nerve block and acupuncture. In terms of visual analog scale and immediate analgesic effect, acupotomy did not have statistically significant results compared to other treatment methods. meta-analysis of electro-acupuncture and acupotomy showed no significant results. Conclusions When acupotomy is applied as a treatment for piriformis muscle syndrome, it is more effective than nerve block and acupuncture. but most of the studies have been judged as 'unclear' in the risk of bias assessment. Due to characteristics of treatment group and control group's intervention, It is judged that the blinding of the participant was not properly implemented. Therefore, it is considered that high-quality studies are necessary to supplement the problems in the future.

Keywords

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