Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Acupotomy for Osteoarthritis of the Knee; A Systematic Review and Meta-Analysis

  • Lee, Seung Min (Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University) ;
  • Lee, Cham Kyul (Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University) ;
  • Kim, Kyung Ho (Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital) ;
  • Kim, Eun Jung (Department of Acupuncture and Moxibustion Medicine, Dongguk University Bundang Oriental Medicine Hospital) ;
  • Jung, Chan Yung (Institute of Oriental Medicine, College of Korean Medicine, Dongguk University) ;
  • Seo, Byung-Kwan (Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital) ;
  • Goo, Bon Hyuk (Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital) ;
  • Baek, Yong Hyeon (Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital) ;
  • Lee, Eun Yong (Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University)
  • Received : 2020.10.05
  • Accepted : 2021.01.08
  • Published : 2021.05.31
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Abstract

The purpose of this study was to evaluate the effectiveness and safety of acupotomy for the treatment of patients with knee osteoarthritis. There were 9 databases searched to retrieve randomized controlled trials until August 3, 2019 regarding acupotomy versus conventional Western medicine, conventional Western medicine treatment with and without acupotomy, and Korean medicine treatment with and without acupotomy, and meta-analysis was performed. Of 303 potentially relevant studies retrieved, 43 were systematically reviewed. All studies were conducted in China. Effective rate, visual analogue scale, and Western Ontario and McMaster Universities Osteoarthritis index were used as the evaluation scales. The Ashi point was selected most frequently. In all studies, the intervention group was more effective than the control group. Meta-analysis revealed that acupotomy showed statistically significant beneficial results. Although acupotomy had a beneficial effect on knee osteoarthritis, the risk of bias of the included studies was not low. The majority of the results from the evaluation scales used were highly heterogeneous (> 50%) which reduced confidence in the estimation of effect, or had a small sample size. Further clinical research and development is required in the future.

Keywords

Acknowledgement

This study was supported by the traditional Korean medicine R&D program funded by the Ministry of Health and Welfare through the Korea Health Industry Development Institute (grant no.: HB17C0003). The funding body did not play a role in the study other than to provide funding.

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