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The Effect of Oriental Medicine Treatments for Supraspinatus Tendinopathy: Systematic Review and Meta-Analysis

극상근 건병증의 한의학적 치료에 대한 연구 동향: 체계적 문헌 고찰과 메타 분석

  • Dong-Hyeob Kang (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Do-Hoon Lee (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Sang-Joon Yoo (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Seok-Gyu Yang (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Ja-Yean Son (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Seol Jung (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Hea-Ju Kim (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Minjin Kwon (Department of Korean Internal Medicine, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Oh-Bin Kwon (Department of Korean Acupuncture & Moxibustion Medicine, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Seon-Woo Jang (Department of Korean Medicine Neuropsychiatry, Haeundae Jaseng Hospital of Korean Medicine) ;
  • Hyun-Woo Cho (Department of Korean Medicine Rehabilitation, Haeundae Jaseng Hospital of Korean Medicine)
  • 강동협 (해운대자생한방병원 한방재활의학과) ;
  • 이도훈 (해운대자생한방병원 한방재활의학과) ;
  • 유상준 (해운대자생한방병원 한방재활의학과) ;
  • 양석규 (해운대자생한방병원 한방재활의학과) ;
  • 손자연 (해운대자생한방병원 한방재활의학과) ;
  • 정설 (해운대자생한방병원 한방재활의학과) ;
  • 김혜주 (해운대자생한방병원 한방재활의학과) ;
  • 권민진 (해운대자생한방병원 한방내과) ;
  • 권오빈 (해운대자생한방병원 침구과) ;
  • 장선우 (해운대자생한방병원 한방신경정신과) ;
  • 조현우 (해운대자생한방병원 한방재활의학과)
  • Received : 2023.09.21
  • Accepted : 2023.10.20
  • Published : 2023.10.31

Abstract

Objectives The aim of this study was to analyze the trends of researches on oriental medicine treatments for supraspinatus tendinopathy. Methods We used five databases for searching researches; Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, PubMed, and China National Knowledge Infrastructure. Only randomized controlled trials suitable for the subject were selected. The methodological quality of included randomized controlled trials (RCTs) was assessed by the Cochrane risk of bias tool. Results Twenty randomized controlled trials were analyzed. There were 9 types of treatment interventions; acupuncture, acupotomy, pharmacopuncture, electroacupuncture, fire needling, warming needle, catgut-embedding therapy, herbal medicine, cupping. The most frequently used treatment intervention was acupuncture and acupotomy. There were 9 outcome measurements including visual analog scale (VAS), Constant-Murley Score (CMS), and range of motion. The most used measurement was VAS. As a result of meta-analysis, acupuncture was more effective than control group in VAS. Additionally, acupotomy was clinically significant compared to control groups in VAS and CMS. Conclusions In this review, we analyzed researches on effectiveness of oriental medicine for supraspinatus tendinopathy. A provisional conclusion can be produced that acupuncture and acupotomy showed beneficial effect to supraspinatus tendinopathy. Although there were some RCT studies, many of them had a high risk of bias, so it is hard to conclude that our study can include overall clinical status. Further well-designed trials are needed.

Keywords

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