DOI QR코드

DOI QR Code

근골격계 질환의 두침치료에 대한 체계적 문헌 고찰과 질 평가: 무작위 배정 대조 임상연구를 중심으로

A Systematic Review and Quality Assessment of Scalp Acupuncture for Musculoskeletal Diseases: Focused on Randomized Controlled Trials

  • 공도훈 (부산대학교 한의학전문대학원) ;
  • 신병철 (부산대학교 한의학전문대학원)
  • Do-Hun Kong (School of Korean Medicine, Pusan National University) ;
  • Byung-Cheul Shin (School of Korean Medicine, Pusan National University)
  • 투고 : 2023.09.21
  • 심사 : 2023.10.13
  • 발행 : 2023.10.31

초록

Objectives This systematic review aimed to analyze the effectiveness, safety and the reporting quality of scalp acupuncture (SA) treatment for musculoskeletal disease (MSD). Methods Eleven databases were systematically searched up to July 12th 2023. Randomized controlled trials (RCTs) of SA treatment for MSD were selected manually by the inclusion criteria. The risk of bias of RCTs was assessed using the Cochrane's Risk of Bias (RoB) 1.0 and the reporting quality of studies was evaluated using Consolidated Standards of Reporting Trials (CONSORT) 2010 statement and Standards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) 2010 checklist. Results Ten clinical studies were met the inclusion criteria. Most of studies reported SA treatment significantly alleviated pain and functional disability of MSD patients and no serious adverse effects were reported. In RoB assessment, blinding of participants and personnel was found to have the highest RoB and allocation concealment was found to have the most unclear RoB. In CONSORT 2010 statement evaluation, all studies reported 15.3 items (41.4%) on average. In STRICTA 2010 checklist evaluation, all studies reported 11.2 items (65.9%) on average. Conclusions The systematic review found that SA treatment may alleviate pain and functional disability of MSD patients and have little severe adverse effect. The reporting quality of included studies was mainly low, therefore, further studies with strict adherence to the CONSORT and STRICTA checklist should be encouraged.

키워드

과제정보

This work was supported by clinical research grant from Pusan National University Hospital in 2023.

참고문헌

  1. Centers for Disease Control and Prevention (CDC). Work-related musculoskeletal disorders & ergonomics. CDC work health promotion [Internet]. CDC; 2020 [cited 2023 Aug 31]. Available from: https://www.cdc.gov/workplacehealthpromotion/health-strategies/musculoskeletal-disorders/index.html. 
  2. Choi B, Son C, Lim B. The relationship between the use of Korean and western medicine in treating musculoskeletal disease. The Journal of Korean Medicine. 2014;35(3):22-31.  https://doi.org/10.13048/jkm.14027
  3. Health Insurance Review & Assessment Service (HIRA). Statistics on frequent disease. Hira bigdata open portal [Internet]. HIRA; 2023 [cited 2023 Aug 30]. Available from: https://opendata.hira.or.kr/op/opc/olapHifrqSickInfoTab1.do. 
  4. Wang FC, Li T, Yu XM, Deng Y. Scalp acupuncture therapy. 1st ed. People's Medical Publishing House. 2007. 
  5. Lee SJ, Shin BC, Lee MS, Han CH, Kim JI. Scalp acupuncture for stroke recovery: a systematic review and meta-analysis of randomized controlled trials. European Journal of Integrative Medicine. 2013;5(2):87-99.  https://doi.org/10.1016/j.eujim.2012.10.006
  6. Lee HS, Park HL, Lee SJ, Shin BC, Choi JY, Lee MS. Scalp acupuncture for Parkinson's disease: a systematic review of randomized controlled trials. Chinese Journal of Integrative Medicine. 2013;19(4):297-306.  https://doi.org/10.1007/s11655-013-1431-9
  7. Liu FG, Tan AH, Peng CQ, Tan YX, Yao MC. Efficacy and safety of scalp acupuncture for insomnia: a systematic review and meta-analysis. Evidence Based Complementary and Alternative Medicine. 2021:2021;6621993. 
  8. Zhu BF, Di AQ, Xie B, Liu ZX, Huang F, Fan ZY, Wu Shan. Meta-analysis and sequential analysis of scalp acupuncture treatment for lumbar disc herniation. Journal of Guangzhou University of Traditional Chinese Medicine. 2020;37(8):1522-8. 
  9. Higgins JP, Altman DG, Gotzsche PC, Juni P, Moher D, Oxman AD, Savovic J, Schulz KF, Weeks L, Sterne JA, Cochrane Bias Methods Group, Cochrane Statistical Methods Group. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials. BMJ. 2011;343:d5928. 
  10. Kim SY, Park JE, Seo HJ, Lee YJ, Jang BH, Son HJ, Suh HS, Shin CM. NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. 1st ed. National Evidence-based Healthcare Collaborating Agency. 2011. 
  11. Moher D, Hopewell S, Schulz KF, Montori V, Gotzsche PC, Devereaux PJ, Elbourne D, Egger M, Altman DG. CONSORT 2010 explanation and elaboration: updated guidelines for reporting parallel group randomised trials. International Journal of Surgery. 2012;10(1):28-55.  https://doi.org/10.1016/j.ijsu.2011.10.001
  12. MacPherson H, Altman DG, Hammerschlag R, Youping L, Taixiang W, White A, Moher D, STRICTA Revision Group. Revised STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA): extending the CONSORT statement. PLOS Medicine. 2010;7(6):e1000261. 
  13. Collazo E, Ramirez Urbano I, Gonzalez-Ripoll C. Clinical trial on the efficacy of various therapeutic procedures for the relief of pain in patients with fibromyalgia. Revista Internacional de Acupuntura. 2015;9(3):87-94.  https://doi.org/10.1016/j.acu.2015.07.002
  14. Collazo E, Munoz Reina MD, Aragones MA, Gomez F. Randomized prospective study to assess the effectivenes of several therapeutic procedures of traditional Chinese medicine in alleviation of pain and improvement in the standard of living in patients with fibromyalgia. Revista Internacional de Acupuntura. 2014;8(4):121-8.  https://doi.org/10.1016/S1887-8369(14)70127-9
  15. Collazo Chao E, Munoz Reina MD. Scalp acupuncture and acupunture for treatment of patients with fibromyalgia. Prospective randomized study. Revista Internacional de Acupuntura. 2013;7(1):6-11.  https://doi.org/10.1016/S1887-8369(13)70077-2
  16. Teng L. Scalp acupuncture combined with DanHong injection in treating 30 cases of vertebral artery type of cervical spondylosis. Western Journal of Traditional Chinese Medicine. 2016;29(6):112-3. 
  17. Chen L, Jiang W, Guan XF, Liu J, Min XL, Zhou DJ. Clinical efficacy of Fangshi scalp acupuncture for treating celvical spondylotic radiculopathy. World Chinese Medicine. 2015;10(11):1768-70. 
  18. Oliveira PK, Aliane dSB, Albuquerque MR, Machado dRCMB, Oliveira dAE, Seabra BGA. Short-term effect of scalp acupuncture on pain, sleep disorders, and quality of life in patients with temporomandibular disorders: a randomized clinical trial. Pain Medicine. 2021;22(4):905-14.  https://doi.org/10.1093/pm/pnab048
  19. Guo NN, Shen HQ. Clinical effect of "head-nine-needle" therapy on tension headache. Acupuncture Research. 2020;45(2):148-51. 
  20. Hasegawa TM, Baptista AS, de Souza MC, Yoshizumi AM, Natour J. Acupuncture for acute non-specific low back pain: a randomised, controlled, double-blind, placebo trial. Acupuncture in Medicine. 2014;32(2):109-15.  https://doi.org/10.1136/acupmed-2013-010333
  21. You L. Clinical observation of the effect of scalp acupuncture on symptoms and functions of patients with cervical vertigo. International Journal of Clinical Acupuncture. 2014;23(4):171-3. 
  22. Cui J, Xiang KW, Liang YY. Scalp acupuncture and massage for treatment of prolapse of lumbar intervertebral disc and effects on immune functions. Zhongguo Zhenjiu. 2004;24(7):445-8. 
  23. Wei Z, Peyman B. Significance of "Deqi" response in acupuncture treatment: myth or reality. Journal of Acupuncture and Meridian Studies. 2014;7(4):186-9. https://doi.org/10.1016/j.jams.2014.02.008