Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Effect of Acupotomy Treatment for Lateral Epicondylitis: A Systematic Review and Meta-Analysis

외측상과염의 도침 치료에 대한 체계적 문헌고찰 및 메타분석

  • Jong Chan Choi (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Min Jun Ji (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Kyung Jun Ser (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Do Young Kwon (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Jae Eun Yang (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Ji Hyang Gu (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Eun Jung Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Min Seok Oh (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University)
  • 최종찬 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 지민준 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 서경준 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 권도영 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 양재은 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 구지향 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 이은정 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 오민석 (대전대학교 한의과대학 한방재활의학과교실)
  • Received : 2024.03.18
  • Accepted : 2024.04.09
  • Published : 2024.04.30
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Abstract

Objectives The purpose of this study is to observe the effectiveness of acupotomy treatment for lateral epicondylitis by comparing it with various control groups. Methods We searched 11 domestic and international databases for systematic reviews and meta-analysis. The subjects were studies published from January 1, 2017 to September 1, 2023, and only randomised controlled trials were included. Results 208 studies were searched, of which 21 studies were finally selected. Among the studies published after 2017, the largest number of studies was published in 2019. The average number of participants per study was 72.28±20.26 and the average age was in the 40s. The most frequent intervention in the study was acupotomy alone, and the treatment most often mentioned as a control group was local nerve block. The most used evaluation tool is efficiency. Acupotomy+manipulation had statistically better effect than that of local nerve block in terms of pain (standard mean difference -1.87, 95% confidence interval, -2.18 to -1.57, p<0.00001) and elbow joint function (standard mean difference 2.25, 95% confidence interval, 1.65 to 2.86, p<0.00001). Conclusions As a result of the meta-analysis, the effect of acupotomy added manual therapy treatment was statistically significant compared to the local nerve block frequently used for lateral epicondylitis. Based on these results, it appears that more research on combination treatments other than acupotomy treatment will be needed. Also, it appears that more large-scale randomized controlled studies that strictly adhere to the standards for reporting interventions in controlled trials of acupuncture, risk of bias 2 criteria will be needed.

Keywords

References

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