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Extracorporeal Shock Wave Therapy with Meridian and Acupoint Theory for Adhesive Capsulitis: A Systematic Review and Meta-analysis of Randomized Controlled Trials

경혈경락 이론에 근거한 체외충격파 치료가 유착성 관절낭염에 미치는 영향: 무작위 대조 임상연구에 대한 체계적 문헌고찰과 메타분석

  • Han, Donghun (School of Korean Medicine, Pusan National University) ;
  • Park, In-hwa (Department of Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Heo, In (School of Korean Medicine, Pusan National University)
  • 한동훈 (부산대학교 한의학전문대학원) ;
  • 박인화 (상지대학교 한의과대학 한의학과) ;
  • 허인 (부산대학교 한의학전문대학원)
  • Received : 2022.03.21
  • Accepted : 2022.04.01
  • Published : 2022.04.30

Abstract

Objectives This review was conducted to evaluate effectiveness and safety of extracorporeal shock wave therapy (ESWT) with meridian and acupoint theory for adhesive capsulitis. Methods By December 2021, 11 electronic databases were reviewed with the key words 'extracorporeal shock wave' and '(acupuncture OR acupoint OR meridian)'. This key words was set up to increase the sensitivity of the search. After the search, adhesive capsulitis study was selected based on the title and abstract and then included after full-texts were read. Results Five randomized controlled trials were eligible in our inclusion criteria. The meta-analysis of 3 studies showed positive results for the using ESWT with meridian and acupoint theory for adhesive capsulitis compared with the control group on efficancy rate and range of shoulder flexion. Conclusions Some studies showed ESWT with meridian and acupoint theory were statistically effective to adhesive capsulitis. But the evidence is limited due to the defective design of the included randomized controlled trials (RCTs). So use of ESWT with meridian and acupoint theory for adhesive capsulitis has limited evidence. More well-designed RCTs are required to provide clearer evidence for this claim.

Keywords

Acknowledgement

This work was supported by clinical research grant from Pusan National University Hospital in 2021.

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