DOI QR코드

DOI QR Code

Analysis of Clinical Research Trends for Thread Embedding Acupuncture of Cervical Radiculopathy

  • Eun Sil, Heo (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Hyun-Jong, Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Jung Hee, Lee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Sang Ha, Woo (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Yun Kyu, Lee (Department of Acupuncture & Moxibustion, College of Korean Medicine, Daegu Haany University) ;
  • Seong Hun, Choi (Department of Anatomy and Histology, College of Korean Medicine, Daegu Haany University) ;
  • Jae Soo, Kim (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
  • Received : 2022.10.21
  • Accepted : 2022.10.31
  • Published : 2022.11.30

Abstract

In this study, the evidence of thread embedding acupuncture (TEA) in treating cervical radiculopathy in randomized controlled trials was investigated. We searched 16 databases up to August 22, 2022. Of the 2,644 studies retrieved, 22 randomized controlled trials (2,483 participants) were selected. Quality assessments were performed using Cochrane's risk-of-bias tool and RevMan 5.4 software. Outcome measures in the included studies typically showed TEA had a significant therapeutic effect compared with simple acupuncture and other remedies, and TEA was better than sham TEA. Catgut and polydioxanone had no difference in effectiveness, however, catgut was considered to be less safe. TEA was shown to be more therapeutic when inserted deeper into the skin. Ultrasound guided TEA was more effective and safer than conventional TEA, and using a flat blade needle was better than conventional needles for TEA. No serious adverse events were reported from using TEA, and only a few mild side effects were observed. However, the limited number and heterogeneity of the included studies, together with the unclear methodological quality, indicate that higher-quality studies need to be conducted to determine the effectiveness and safety of TEA for cervical radiculopathy.

Keywords

References

  1. Barbero M, Evans D, Symonds N, Peolsson A, Coppieters MW, Jull G et al. Determining the level of cervical radiculopathy: Agreement between visual inspection of pain drawings and magnetic resonance imaging. Pain Practice 2022 [Epub ahead of print]. Epub 2022 Jun 28. 
  2. Corey DL, Comeau D. Cervical radiculopathy. Med Clin 2014;98:791-799. 
  3. Iyer S, Kim HJ. Cervical radiculopathy. Curr Rev Musculoskelet Med 2016;9:272-280.  https://doi.org/10.1007/s12178-016-9349-4
  4. Mansfield M, Smith T, Spahr N, Thacker M. Cervical spine radiculopathy epidemiology: A systematic review. Musculoskeletal Care 2020;18:555-567.  https://doi.org/10.1002/msc.1498
  5. Seo Y, Park C. Status and Characteristics of Applying Medical Use Analysis of intervertebral Disc Disorder Patients - Focusing on cervical spinal disease. J Health Care Life Sci 2021;9:103-115. [in Korean].  https://doi.org/10.22961/JHCLS.2021.9.1.103
  6. Kjaer P, Kongsted A, Hartvigsen J, Isenberg-Jorgensen A, Schiottz-Christensen B, Soborg B et al. National clinical guidelines for non-surgical treatment of patients with recent onset neck pain or cervical radiculopathy. Eur Spine J 2017;26:2242-2257.  https://doi.org/10.1007/s00586-017-5121-8
  7. Woods BI, Hilibrand AS. Cervical radiculopathy: epidemiology, etiology, diagnosis, and treatment. J Spinal Disord Tech 2015;28:E251-E259.  https://doi.org/10.1097/BSD.0000000000000284
  8. Carragee EJ, Hurwitz EL, Cheng I, Carroll LJ, Nordin M, Guzman J et al. Treatment of Neck Pain: Injections and Surgical Interventions: Results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. J Manipulative Physiol Ther 2009;32:S176-S193.  https://doi.org/10.1016/j.jmpt.2008.11.018
  9. Textbook Compilation Committee of Korean Acupuncture and Moxibustion Medicine Society. Acupuncture Medicine. Seoul (Korea): Hanmi Medical Publishing Co.; 2020. p. 181-184. 
  10. Back Y. Medicine wire Injection therapy. Seoul (Korea): Haeng Lim Seo Won; 2003. p. 27-30. 
  11. Liang L, Yang KX, Zhou SQ, Wei X, Feng MS, Yin X et al. Systematic Review of Acupoint Embedding Treating for Cervical Radiculopathy. Guid J Tradit Chin Med Pharm 2020;26:133-138. [in Chinese]. 
  12. MacPherson H, Altman DG, Hammerschlag R, Youping L, Taixiang W, White A et al. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLoS Med 2010;7(6):e1000261.  https://doi.org/10.1371/journal.pmed.1000261
  13. Kim S, Park J, Seo H, Lee Y, Jang B, Son H et al. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul (Korea): National Evidence-based Healthcare Collaborating Agency; 2011. 25 p. 
  14. Chu YX, Cui WQ, Xu F, Pan YY, Ma Y-H, Chen T et al. Acupoint Embedding of Polyglactin 910 Sutures in Patients with Chronic Pain due to Cervical Spondylotic Radiculopathy: A Multicenter, Randomized, Controlled Clinical Trial. Evid Based Complement Alternat Med 2018;2018:3465897. 
  15. Sun WS, Wang YM, Lu WZ. PGLA Embedding for the Treatment of Cervical Spondylosis of Nerve Root Type. J Clin Acupunct Moxibustion 2013;29:43-45. [in Chinese]. 
  16. Sun NN. Effects of traditional Chinese herbal medicine combined with acupoint catgut embedding on pain and recovery of cervical spine function in patients with cervical radiculopathy. Pract Clin Med 2019;20:20-21. [in Chinese]. 
  17. Xue QL. 70 Cases of Cervical Spondylosis of Nerve Root Type Treated by Combination of Small Needle Knife and Embedding. Chinas Naturop; 2010;18:27-28. [in Chinese]. 
  18. Feng Y, Wang C. Observation on the clinical effect of small needle knife combined with catgut embedding in the treatment of cervical spondylosis of nerve root type. J Inn Mong Med Univ 2021;43:512-514. [in Chinese]. 
  19. Yang CD, Wang YM, Xue YP, Song JC, Yu LZ, Gao ZZ. Efficacy observation on treating CSR by flat blade needle embedding method. Clin J Chin Med 2012;4:42-44. [in Chinese]. 
  20. Wang M, Miao GH. Analysis of the effect of minimally invasive catgut embedding therapy in the treatment of cervical spondylotic radiculopathy. China Health Care Nutr 2016;26:431-432. [in Chinese]. 
  21. Feng H, Ding M, Jiang YQ, Lin TY. Efficacy and safety of minimally invasive catgut embedding therapy in the treatment of cervical spondylotic radiculopathy. Jiangsu J Tradit Chin Med 2012;44:59-60. [in Chinese]. 
  22. Ding M, Jiang YQ, Feng H, Lin TY, Min D. Therapeutic Observation on Micro-invasive Thread-embedding Therapy for Cervical Spondylosis of Nerve Root Type. Shanghai J Acupunct Moxibustion 2012;31:900-901. [in Chinese].  https://doi.org/10.3969/j.issn.1005-0957.2012.12.900
  23. Jia HL, Wu LM. Efficacy Observation on Digital Acupoint Pressure Combined with Abdominal Catgut-embedding Therapy on Cervical Spondylotic Radiculopathy. Chin Manip Rehabil Med 2015;6:21-22. [in Chinese]. 
  24. Yang Z, Gao J. Observation on the effect of nerve block combined with catgut embedding in the treatment of cervical spondylosis of nerve root type. Shaanxi J Tradit Chin Med 2021;42:112-114. [in Chinese]. 
  25. Yang L. Clinical observation of 72 cases of cervical spondylosis of nerve root type treated by acupoint catgut embedding. Jin Ri Jian Kang 2016;15:89. [in Chinese]. 
  26. Li RQ, Wang BJ, Sun LX, Xin HY, Zhang YL, Liu. Observation of curative effect of acupoint catgut embedding in the treatment of cervical spondylosis of nerve root type. Mod J Integr Tradit Chin West Med 2015;24:3685-3687. [in Chinese]. 
  27. Zhao WX. Clinical efficacy of acupoint catgut embedding in the treatment of cervical spondylosis of radiculopathy. Inn Mong J Tradit Chin Med 2019;38:112-113. [in Chinese]. 
  28. Wang HY. Clinical study on acupoint catgut embedding combined with traditional Chinese medicine prescription in the treatment of cervical spondylosis of nerve root type. Asia Pac Tradit Med 2015;11:113-114. [in Chinese]. 
  29. Zhang Z, Lin XS, Wang HB, Han LJ, Wu KL, Zhu JZ et al. Effects of Acupoint Catgut Embedding Combined with Selective Nerve Root Angiography and Block in the Treatment of Cervical Spondylotic Radiculopathy. J Med Theory Pract 2021;34:2009-2011. [in Chinese].  
  30. Huang Z, Song SL, Zhang D. Clinical Observation on Thread Embedding at the Holographic Point of the Second Metacarpal Bone Combined with Traditional Acupuncture and Moxibustion Treating Cervical Spondylotic Radiculopathy. J Zhejiang Chin Med Univ 2018;42:961-964. [in Chinese]. 
  31. Cheng SZ. Clinical Observation on Cervical Spondylosis of Nerve Root Type Treated by Catgut embedding at the Wuxing Bagua (Acquired) Points in the Umbilical Region. J Pract Tradit Chin Med 2018;34:1114-1115. [in Chinese]. 
  32. Chen CY. Clinical Effect Observation of Gegen Decoction Combined with Embedding Medicine in Acupoints for Cervical Spondylotic Radiculopathy. Chin Arch Tradit Chin Med 2016;34:934-936. [in Chinese]. 
  33. Sun WS, Chun NN, Ma YL, Wang YM, Wang H, Jiang G. Effective anatomic structures of ultrasound-guide acupoint embedding therapy for cervical spondylosis. Chin Acupunct Moxibustion 2015;35:1001-1004. [in Chinese]. 
  34. Sun WS, Wang SJ, Cai YK, Chun NN, Wang YM, Jiang GF. Clinical Observation on Ultrasound-guided PGLA Embedding at Cervical J iaji Acupoints in the Treatment of Cervical Spondylotic Radiculopathy. Chin Med Mod Distance Educ China 2018;16:117-119. [in Chinese]. 
  35. Qiu C, Zhao CX, Wang TT, Wang WL, Qie ZW. Clinical efficacy of catgut embedding at positive points in the treatment of cervical spondylotic radiculopathy. J Hebei TCM Pharmacol 2015;30:55-57. [in Chinese]. 
  36. Huang JJ, Liang JQ, Xu XK, Xu YX, Chen GZ. Safety of Thread Embedding Acupuncture Therapy: A Systematic Review. Chin J Integr Med 2021;27:947-955.  https://doi.org/10.1007/s11655-021-3443-1
  37. Lee JS, Oh Y, Kim Y, Lee BR, Yang GY, Kim E. Adverse Events of Thread Embedding Acupuncture for the Musculoskeletal Conditions and Diseases: A Narrative Review of Clinical Studies. J Acupunct Res 2022;39:10-16.  https://doi.org/10.13045/jar.2021.00304
  38. Jun P, Liu Y, Park JE, Jung SY, Han CH. Research Trends on the Thread Embedding Therapy of Low back pain in Traditional Chinese M edicine - Focusing on published articles in China. J Physiol Pathol Korean Med 2017;31:25-35. [in Korean].  https://doi.org/10.15188/kjopp.2017.02.31.1.25
  39. Doig GS, Simpson F. Randomization and allocation concealment: A practical guide for researchers. J Crit Care 2005;20:187-191.  https://doi.org/10.1016/j.jcrc.2005.04.005
  40. Altman DG, Schulz KF, Moher D, Egger M, Davidoff F, Elbourne D et al. The revised CONSORT statement for reporting randomized trials: Explanation and elaboration. Ann Intern Med 2001;134:663-694.  https://doi.org/10.7326/0003-4819-134-8-200104170-00012
  41. Eriksen MB, Frandsen TF. The impact of patient, intervention, comparison, outcome (PICO) as a search strategy tool on literature search quality: A systematic review. J Med Libr Assoc 2018;106:420-431. https://doi.org/10.5195/jmla.2018.345