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A Systematic Review and Meta-analysis of Acupotomy for Scoliosis

  • Park, Jung Hyeon (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Kim, Gyu Hui (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Kim, Tae Kyung (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Lee, Eun Ju (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Yoon, Hyun Min (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Seo, Jong Cheol (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine) ;
  • Song, Choon Ho (Department of Meridian and Acupoint, Dong-eui University College of Korean Medicine) ;
  • Cho, Sung Woo (Department of Korean Medicine Rehabilitation, Dong-eui University College of Korean Medicine) ;
  • Kim, Cheol Hong (Department of Acupuncture and Moxibustion, Dong-eui University College of Korean Medicine)
  • Received : 2021.07.30
  • Accepted : 2021.10.08
  • Published : 2021.11.30

Abstract

This review investigated the effectiveness and safety of acupotomy treatment for scoliosis. There were 7 online databases used in the search from inception to March 17, 2021, for randomized controlled trials of the use of acupotomy in patients with scoliosis. The Cochrane risk-of-bias tool was used to assess the methodological quality of the studies included (n = 12). A quantitative synthesis of the randomized controlled trials was performed using RevMan Version 5.3. The effect sizes of studies were presented as mean differences for continuous outcomes and risk ratios for dichotomous outcomes, with a 95% confidence interval. As part of combined therapy, acupotomy was reported to significantly improve Cobb's angle compared with other treatments. Likewise, the Visual Analog Scale score, the Oswestry Disability Index score, and pulmonary function were also reported to be improved following acupotomy combination therapy. Although 5 studies mentioned the criteria for reporting adverse events, only 1 study reported adverse events. In conclusion, acupotomy may be an effective treatment for scoliosis. However, the small number, and heterogeneity of the included studies, as well as the poor methodological quality, indicate that higher-quality studies should be conducted to verify the effectiveness and safety of acupotomy treatment for scoliosis.

Keywords

References

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