Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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Effectiveness of Acupotomy for Migraine: A Systematic Review

편두통의 침도 치료에 대한 체계적 문헌고찰

  • Seok-Hee Jeon (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, DongShin University) ;
  • Soo-Min Jeong (Department of Acupuncture and Moxibustion Medicine, DongShin University Mokpo Hospital of Korean Medicine) ;
  • Jeong-Cheol Shin (Department of Acupuncture and Moxibustion Medicine, DongShin University Mokpo Hospital of Korean Medicine)
  • 전석희 (동신대학교 한의과대학 침구학교실) ;
  • 정수민 (동신대학교 목포한방병원 침구과) ;
  • 신정철 (동신대학교 목포한방병원 침구과)
  • Received : 2023.08.08
  • Accepted : 2023.09.08
  • Published : 2023.09.27
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Abstract

Objectives : This study aims to assess the impact of acupotomy on migraine through an examination of clinical studies conducted since 2015. Methods : We conducted a comprehensive search for randomized controlled trials (RCTs) and non-randomized controlled trials (nRCTs) related to acupotomy treatment for migraine, utilizing five Korean online databases (OASIS, Science ON, DBPIA, KISS, RISS), as well as four foreign online databases (CNKI, PubMed, EMBASE, Cochrane Library). We identified a total of 10 relevant studies for analysis. Participants characteristics, treatment points, combination treatments, treatment cycles or frequencies, evaluation indices, efficacy, and adverse events were analyzed. The risk of bias in the 10 RCTs was assessed using the Revised Cochrane risk-of-bias tool for randomized trials (RoB 2.0). Results : A total of 931 participants were included in 10 studies. In the intervention group, the average duration of migraine morbidity ranged from 15.5±4.5 months to 15.9±4.2 years. Six studies based their diagnoses on the International Classification of Headache Disorders (ICHD), while five studies relied on Chinese diagnostic criteria. All studies specified the treatment area as the region exhibiting tenderness or induration on the head and neck. Treatment cycles ranged from a minimum of 2 days to a maximum of 1 week, with the number of days per treatment course varied from 5 days to 4 weeks. The diameter of acupuncture needles used varied between 0.3 mm and 1 mm. Of the eight studies specifying needle length, the shortest was 20 mm, and the longest was 40 mm. A total of eight evaluation indices were employed, with total efficacy rate (TER) and visual analogue scale (VAS) being the most frequently used. Statistically, all intervention groups showed more significant results compared to the control groups. Adverse events were reported in only two studies within the intervention group. Overall, the risk of bias assessment for the selected RCTs ranged from 'some concerns' to 'high risk of bias.' Conclusions : This study showed that acupotomy treatments for migraine were effective.

Keywords

Acknowledgement

This research was supported by the DongShin University research grants.

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