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Electroacupuncture for Rotator Cuff Disorder: A Systematic Review and Meta-Analysis

회전근개 질환의 전침 치료에 대한 체계적 문헌고찰 및 메타분석

  • Bok-Yeon Na (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Sang-Hoon Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Chang-Hoon Woo (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Young-Jun Kim (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University)
  • 나복연 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 이상훈 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 우창훈 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 김영준 (대구한의대학교 한의과대학 한방재활의학과교실)
  • Received : 2024.06.19
  • Accepted : 2024.07.06
  • Published : 2024.07.31

Abstract

Objectives This study aims to evaluate the efficacy and safety of electroacupuncture for rotator cuff disorder. Methods We searched nine online databases (PubMed, Embase, Cochrane Library, Chinese Academic Journals, Korean studies Information Service System, Rsearch Information Sharing Service, ScienceON, KMbase, Oriental Medicine Advanced Searching Integrated System) and two related journals up to April 2024 to identify randomized controlled trials that applied electroacupuncture to rotator cuff disorder. Selected studies were analyzed for risk of bias using the Cochrane risk of bias tool, and a meta-analysis was performed with RevMan version 5.4.1. Results Out of 175 studies, eleven randomized controlled trials were selected for final analysis. Most studies showed that electroacupuncture had effect on rotator cuff disorder. In the meta-analysis, electroacupuncture combined with rehabilitation treatment was significantly more effective than rehabilitation treatment alone in improving visual analog scale (p<0.00001). Almost studies did not report any side effects or adverse reactions to electroacupuncture treatment. Conclusions This systematic review suggests that electroacupuncture is an effective treatment for pain management in rotator cuff disorder. However, the lack of adverse effect reporting and a high risk of bias indicate the need for high-quality randomized controlled trials from various countries.

Keywords

References

  1. The Korean Orthopaedic Association. Orthopaedics. 8th ed. Seoul:Choisin Publishing Co. 2020:812.
  2. The Society of Korean Medicine Rehabilitation. Korean rehabilitation medicine. 5th ed. Paju:Globooks. 2020:137.
  3. Clark J, Sidles JA, Matsen FA. The relationship of the glenohumeral joint capsule to the rotator cuff. Clinical Orthopaedics and Related Research. 1990;(254):29-34.
  4. Ostor AJ, Richards CA, Prevost AT, Speed CA, Hazleman BL. Diagnosis and relation to general health of shoulder disorders presenting to primary care. Rheumatology. 2005;44(6):800-5.
  5. Meislin RJ, Sperling JW, Stitik TP. Persistent shoulder pain: epidemiology, pathophysiology, and diagnosis. American Journal of Orthopedics. 2005;34(12 Suppl):5-9.
  6. Korean Acupuncture and Moxibustion Medicine Association Textbook Compilation Committee. The acupuncture and moxibustion medicine. 1st ed. Seoul:JipMunDang. 2012:157-62.
  7. Price DD, Rafii A, Watkins LR, Buckingham B. A psychophysical analysis of acupuncture analgesia. Pain. 1984;19(1):27-42.
  8. Rubio A, Mansfield M, Lewis J. Effectiveness of acupuncture in the treatment of shoulder pain: a systematic review of published randomised clinical trials. Physiotherapy. 2017;103:e38-9.
  9. Choi S, Lee J, Lee S, Yang GY, Kim KH. Acupuncture for symptomatic rotator cuff disease: a systematic review and meta-analysis. Journal of Acupuncture Research. 2021;38(1):20-31.
  10. Choi HM, Han SY, Hwang DR, Kang JH. Acupuncture treatment for rotator cuff disorder: a systematic review. J Korean Med Rehabil. 2018;28(4):11-20.
  11. Heo JW, Jo JH, Lee JJ, Kang H, Choi TY, Lee MS, Kim JI. Electroacupuncture for the treatment of frozen shoulder: a systematic review and meta-analysis. Frontiers in Medicine. 2022;9:928823.
  12. 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. Seoul:National Evidence-based Healthcare Collaborating Agency. 2011:9-11, 31-2, 57-63.
  13. Lee HS, Cha SJ, Park HJ, Seo JC, Park JB, Lee HJ. Revised STandards for reporting interventions in clinical trials of acupuncture(STRICTA): extending the CONSORT statement. Korean Journal of Acupuncture. 2010;27(3):1-23.
  14. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 (updated March 2011) [Internet]. The Cochrane Collaboration; 2011 [cited 2024 Jun 1]. Available from: URL: https://training.cochrane.org/handbook/archive/v5.1/.
  15. Gao R, Zhong P. A clinical study on promoting motor function rehabilitation of patients after rotator cuff repair surgery by electroacupuncture. Clinical Jouranal of Chinese Medicine. 2024;16(3):69-71.
  16. Li ZB, Han B, Wang YL. 42 cases of rotator cuff injury with qi stagnation and blood stasis treated with Qiangdu Shujin decoction combined with electroacupuncture. Global Traditional Chinese Medicine. 2023;16(12):2566-9.
  17. Ke MG, Wan WR, Zheng JJ, Chen JY, Huang SL, Fan HL. Thermoelectric acupuncture and radiative shock wave therapy in the treatment of rotator cuff injury. Guangming Journal of Chinese Medicine. 2023;38(22):4414-7.
  18. Wang QY, Liu CL, Jiang H. Clinical observation of electroacupuncture in the treatment of patients with rotator cuff repair combined with fat infiltration based on "simultaneous treatment of arthralgia and flaccidity". Asia-Pacific Traditional Medicine. 2022;18(11):81-5.
  19. Zhuang WS, Li TS, Li WY, Chen WH, Zhang Y, Wang XL, Li HC, Cai XG. Treatment of rotator cuff injury by electro-acupuncture and platelet-rich plasma injection: a clinical observation. Chinese Journal of Integrated Traditional and Western Medicine. 2021;41(12):1514-6.
  20. Li ZH, Xue Y, You YY, Lu TJ, Chen X. Effects of electroacupuncture combined with neuromuscular controll training on rotator cuff tears in elderly patients. Chinese Manipulation and Rehabilitation Medicine. 2021;12(8):30-3.
  21. Duan YC, Xu L, Li L. Effect of conventional rehabilitation training combined with electroacupuncture on pain and joint function of patients after arthroscopic rotator cuff injury. China Modern Medicine. 2021;28(24):105-8.
  22. Chen MT, Yan M, Li ZR. Clinical observation of electroacupuncture on rotator cuff injury of volleyball players. Fujian Sports Science and Technology. 2019;38(3):55-8.
  23. Shi YM, Yu L, Mao JJ, Tang LM. Effect of electroacupuncture combined with joint mobilization on pain and joint function of patients with rotator cuff injury. World Journal of Integrated Traditional and Western Medicine. 2019;14(11):1575-8.
  24. Ning Y, Sun FF, Tong PJ. Application of electroacupuncture and rehabilitation exercises to postoperative rehabilitation of rotator cuff injuries. The Journal of Traditional Chinese Orthopedics and Traumatology. 2018;30(1):29-31.
  25. Wang YW, Wang CM. 35 cases of electroacupuncture combined with rehabilitation therapy in the treatment of impaired shoulder function after rotator cuff surgery. Zhejiang Journal of Traditional Chinese Medicine. 2015;50(6):441.
  26. Health Insurance Review & Assessment Service. Medical statistics [Internet]. Health Insurance Review & Assessment Service; 2024 [cited 2024 Jun 1]. Available from: URL: https://opendata.hira.or.kr/op/opc/olap4thDsInfoTab3.do.
  27. Hong SM, Do KW, Yoon KS. Effects of chuna manual therapy (CMT) on rotator cuff disorder: a systematic review. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2021;16(1):1-11.
  28. Lee SJ, Ko YM, Park JS, Park TY, Lee JH, Cho JH, Hwang EH, Kim KJ, Choi MY, Song YK. Effects of acupuncture after rotator cuff surgery: a systematic review. J Korean Med Rehabil. 2021;31(4):25-34.
  29. Gumina S, Song HS, Kim H, Candela V. Arthroscopic evaluation of the rotator cuff vasculature: inferences into the pathogenesis of cuff tear and re-tear. Clinics in Shoulder and Elbow. 2024;27(2):203-11.
  30. Yamamoto A, Takagishi K, Osawa T, Yanagawa T, Nakajima D, Shitara H, Kobayashi T. Prevalence and risk factors of a rotator cuff tear in the general population. Journal of Shoulder and Elbow Surgery. 2010;19(1):116-20.