The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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Analysis of Research Trends in Korean Medicine Treatments for Myofascial pain syndrome: A Scoping Review

근막통증증후군에 대한 한의 치료의 국내외 연구동향 분석 스코핑 리뷰

  • Yeong-Jae Shin (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Bong-Jin Shin (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Yeon-Woo Lee (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Sun-Young Park (School of Korean Medicine, Pusan National University) ;
  • In Heo (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Man-Suk Hwang (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Eui-Hyoung Hwang (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Byung-Cheul Shin (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital)
  • 신영재 (부산대학교한방병원 한방재활의학과) ;
  • 신봉진 (부산대학교한방병원 한방재활의학과) ;
  • 이연우 (부산대학교한방병원 한방재활의학과) ;
  • 박선영 (부산대학교 한의학전문대학원) ;
  • 허인 (부산대학교한방병원 한방재활의학과) ;
  • 황만석 (부산대학교한방병원 한방재활의학과) ;
  • 황의형 (부산대학교한방병원 한방재활의학과) ;
  • 신병철 (부산대학교한방병원 한방재활의학과)
  • Received : 2024.05.31
  • Accepted : 2024.06.18
  • Published : 2024.06.30
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Abstract

Objectives This study aims to explore the trends of Korean Medicine treatments for Myofascial pain syndrome (MPS) using a scoping review. Based on analyzing trends and results, we provide a comprehensive overview and suggest directions for future research in Korean Medicine treatments. Methods The study analyzed the trends in Korean medicine treatments for MPS over the past 20 years by using the scoping review method proposed by Arksey & O'Malley. Researchers searched databases including three international databases(PubMed, EMBASE, Cochrane Libaray) and three domestic databases(Science ON, KMBASE, Oriental Medicine Advanced Searching Integrated System) using keywords such as "Myofascial Pain Syndrome", "Myofascial pain" and various Korean medicine treatments. Results A total of 30 studies were included in this review. The number of studies has increased over the last decade. Most studies were conducted in Asia, particularly China. Acupuncture was the most frequently studied intervention, used in 43.4% of the studies. The main outcomes of the studies used VAS, NRS, MPQ, ROM and PPT. Although 18 studies showed significant benefits from Korean medicine treatments, there was inconsistency in evaluation methods and treatment protocols. Conclusions This study reviews the current trends in research on Korean medicine treatments for MPS. However, there is a need for more standardized research to establish the efficacy of various Korean medicine treatments. Future studies should focus on standardized evaluation criteria and expanding the range of treatments explored to build a stronger evidence base.

Keywords

Acknowledgement

본 연구는 2024년도 부산대학교병원 임상연구비 지원으로 이루어졌음.

References

  1. Borg-Stein J, Iaccarino MA. Myofascial pain syndrome treatments. Phys Med Rehabil Clin N Am. 2014;25(2):357-74. https://doi.org/10.1016/j.pmr.2014.01.012
  2. Cao QW, Peng BG, Wang L, Huang YQ, Jia DL, Jiang H, Lv Y, Liu XG, Liu RG, Li Y, Song T, Shen W, Yu LZ, Zheng YJ, Liu YQ, Huang D. Expert consensus on the diagnosis and treatment of myofascial pain syndrome. World J Clin Cases. 2021;9(9):2077-89. https://doi.org/10.12998/wjcc.v9.i9.2077
  3. Vedolin GM, Lobato VV, Conti PC, Lauris JR. The impact of stress and anxiety on the pressure pain threshold of myofascial pain patients. J Oral Rehabil. 2009;36(5):313-21. https://doi.org/10.1111/j.1365-2842.2008.01932.x
  4. Lisinski P, Huber J. Evolution of Muscles Dysfunction From Myofascial Pain Syndrome Through Cervical Disc-Root Conflict to Degenerative Spine Disease. Spine (Phila Pa 1976). 2017;42(3):151-9. https://doi.org/10.1097/BRS.0000000000001691
  5. Health Insurance Review & Assessment Service Bigdata Open portal. 2010_2022 4-level Disease classificationd disease status by gender, age. [Cited 2024 May 10]. Available from: URL:https://opendata.hira.or.kr/op/opc/olap4thDsInfoTab1.do#none
  6. Fernandez-de-Las-Penas C, Dommerholt J. International Consensus on Diagnostic Criteria and Clinical Considerations of Myofascial Trigger Points: A Delphi Study. Pain Med. 2018;19(1):142-50. https://doi.org/10.1093/pm/pnx207
  7. Simons DG TJ, Simons LS. Myofascial Pain and Dysfunction: The Trigger Point Manual (Vol. 1). Lippincott Williams & Wilkins. 1999:31-5.
  8. Tough EA, White AR, Richards S, Campbell J. Variability of criteria used to diagnose myofascial trigger point pain syndrome--evidence from a review of the literature. Clin J Pain. 2007;23(3):278-86. DOI: https://doi.org/10.1097/AJP.0b013e31802fda7c
  9. Sharan D. Myofascial pain syndrome: Diagnosis and management. Indian Journal of Rheumatology. 2014;9:22-5. https://doi.org/10.1016/j.injr.2014.09.013
  10. Gerwin RD. Diagnosis of myofascial pain syndrome. Phys Med Rehabil Clin N Am. 2014;25(2):341-55. https://doi.org/10.1016/j.pmr.2014.01.011
  11. Jeon BH, Woo HJ, Ha WB, Kim CS, Lee JH, Development Protocol of Korean Medicine Clinical Practice Guideline for Myofascial Pain Syndrome. J Korean Med Rehabi, 2023;33(4):203-13. https://doi.org/10.18325/jkmr.2024.34.2.149
  12. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005;8(1):19-32. https://doi.org/10.1080/1364557032000119616
  13. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Annals of Internal Medicine. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850
  14. National Evidence-based Healthcare Collaborating Agency. NECA NECA's guidance for undertaking systematic reviews and meta-analyses for intervention. Seoul:National Evidence-based Healthcare Collaborating Agency. 2011:24-5.
  15. Aranha MF, Alves MC, Berzin F, Gaviao MB. Efficacy of electroacupuncture for myofascial pain in the upper trapezius muscle: a case series. Rev Bras Fisioter. 2011;15(5):371-9. https://doi.org/10.1590/s1413-35552011005000022
  16. Fagundes AdA, Reis MCR, Salles M, Licurci MGB. Immediate Effects of Acupuncture for Managing Myofascial Trigger-Point Pain: A Pilot Study. Medical Acupuncture. 2013;25(1):55-60. https://doi.org/10.1089/acu.2012.0902
  17. Afonso J, Carvalho T, Cruz L, Cardoso H. Ultrasound-Guided Electroacupuncture for Thoracic Myofascial Pain Syndrome: A Case Report. Cureus. 2023;15(3):e36973. https://doi.org/10.7759/cureus.36973
  18. Ceccherelli F, Tortora P, Nassimbeni C, Casale R, Gagliardi G, Giron G. The therapeutic efficacy of somatic acupuncture is not increased by auriculotherapy: a randomised, blind control study in cervical myofascial pain. Complement Ther Med. 2006;14(1):47-52. https://doi.org/10.1016/j.ctim.2005.05.005
  19. Shen YF, Goddard G. The short-term effects of acupuncture on myofascial pain patients after clenching. Pain Pract. 2007;7(3):256-64. https://doi.org/10.1111/j.1533-2500.2007.00140.x
  20. Bablis P, Pollard H, Bonello R. Neuro Emotional Technique for the treatment of trigger point sensitivity in chronic neck pain sufferers: a controlled clinical trial. Chiropr Osteopat. 2008;16:4. https://doi.org/10.1186/1746-1340-16-4
  21. Shen YF, Younger J, Goddard G, Mackey S. Randomized clinical trial of acupuncture for myofascial pain of the jaw muscles. J Orofac Pain. 2009;23(4):353-9. https://doi.org/10.11607/ofph.23.4.12.
  22. Ma C, Wu S, Li G, Xiao X, Mai M, Yan T. Comparison of miniscalpel-needle release, acupuncture needling, and stretching exercise to trigger point in myofascial pain syndrome. Clin J Pain. 2010;26(3):251-7. https://doi.org/10.1097/AJP.0b013e3181b8cdc8
  23. Sun MY, Hsieh CL, Cheng YY, Hung HC, Li TC, Yen SM, Huang IS. The therapeutic effects of acupuncture on patients with chronic neck myofascial pain syndrome: A single-blind randomized controlled trial. Am J Chin Med. 2010;38(5):849-59. https://doi.org/10.1142/S0192415X10008299
  24. Guan L, Shi X, Xou Y, Deng XF, Cai PS. Effect on body surface thermograph in patients with myofascial pain syndrome treated with moxibustion on Yanglingquan(GB 34) Chinese Acupuncture Moxibustion. 2010;30(6): & 485-9. https://doi.org/10.13703/j.0255-2930.2010.06.022
  25. Ceccherelli F, Gioioso L, Casale R, Gagliardi G, Ori C. Neck pain treatment with acupuncture: does the number of needles matter? Clin J Pain. 2010;26(9):807-12. https://doi.org/10.1097/AJP.0b013e3181e375c9
  26. Sahin N, Albayrak I, Ugurlu H. Effect of Different Transcutaneous Electrical Stimulation Modalities on Cervical Myofascial Pain Syndrome. Journal of Musculoskeletal Pain. 2010;19(1):18-23. https://doi.org/10.3109/10582452.2010.538825
  27. Guan L, Zou Y, Ynag YL. Observation on therapeutic effect of myofascial pain syndrome of the back in the military soldiers treated with moxibustion. Chinese Acupuncture Moxibustion. 2012;32(07):597-601. & https://doi.org/10.13703/j.0255-2930.2012.07.008
  28. Wilke J, Vogt L, Niederer D, Hubscher M, Rothmayr J, Ivkovic D, Rickert M, Banzer W. Short-term effects of acupuncture and stretching on myofascial trigger point pain of the neck: a blinded, placebo-controlled RCT. Complement Ther Med. 2014;22(5):835-41. https://doi.org/10.1016/j.ctim.2014.09.001
  29. Ceccherelli F, Marino E, Caliendo A, Dezzoni R, Roveri A, Gagliardi G. 3,5,11 needles: looking for the perfect number of needles--a randomized and controlled study. Acupunct Electrother Res. 2014;39(3-4):241-58. https://doi.org/10.3727/036012914X14109544776097
  30. Ma Y, Bu H, Jia JR, Liu Z. Myofascial pain syndrome treated with sparrow-pecking moxibustion at trigger points: A randomized controlled trial. Chinese Acupuncture & Moxibustion. 2014;34(11):1073-5. https://doi.org/10.13703/j.0255-2930.2014.11.010
  31. Lee SH, Lu WA, Lee CS, Wang JC, Lin TC, Yang JL, Chan RC, Ko SC, Kuo CD. The therapeutic effect of collateral meridian therapy is comparable to acupoint pressure therapy in treating myofascial pain syndrome. Complement Ther Clin Pract. 2014;20(4):243-50. https://doi.org/10.1016/j.ctcp.2014.10.003
  32. Muller CE, Aranha MF, Gaviao MB. Two-dimensional ultrasound and ultrasound elastography imaging of trigger points in women with myofascial pain syndrome treated by acupuncture and electroacupuncture: a double-blinded randomized controlled pilot study. Ultrason Imaging. 2015;37(2):152-67. https://doi.org/10.1177/0161734614546571
  33. Aranha MF, Muller CE, Gaviao MB. Pain intensity and cervical range of motion in women with myofascial pain treated with acupuncture and electroacupuncture: a double-blinded, randomized clinical trial. Braz J Phys Ther. 2015;19(1):34-43. https://doi.org/10.1590/bjpt-rbf.2014.006
  34. Wei WZ, CAI ZJ, Yang XH. Therapeutic Observation of Fire-needle Acupuncture for Myofascial Pain Syndrome. Shanghai Journal of Acupuncture and Moxibustion. 2015;34(7):657-9. https://doi.org/10.13460/j.issn.1005-0957.2015.07.0657
  35. Wang L, Ma S, Zhao Y, Cao R, Wang Y, Ma T. A Randomized Controlled Clinical Trial for Treatment of Shoulder-back Myofascial Pain Syndrome with Mild Moxibustion at Trigger Points. Acupuncture Research. 2016;41(4):334-7. https://doi.org/10.13702/j.1000-0607.2016.04.009
  36. Liu W, Xue L, Tian M-M, Zhang F, editors. Clinical research on a myofascial pain trigger point combining Baihui acupoint therapy of myofascial pain syndrome and living quality analysis. Int J Clin Exp Med. 2016;9(2):866-76.
  37. Xu X, Li D, Zhou J. Clinical Observation of Suboccipital Myofascial Pain Syndrome by Needle-knife. Journal of Emergency in Traditional Chinese Medicine. 2016;25(7):1389-91. https://doi.org/10.3969/j.issn.1004-745X.2016.07.040
  38. Wang X, Cheng WP, Yu ZS. Therapeutic Observation of Electroacupuncture plus Electro-spoon Needle-cupping for Lumbar-dorsal Myofascial Pain Syndrome. Shanghai Journal of Acupuncture and Moxibustion. 2016;35(1):63-5. https://doi.org/10.13460/j.issn.1005-0957.2016.01.0063
  39. Eftekharsadat B, Porjafar E, Eslamian F, Shakouri SK, Fadavi HR, Raeissadat SA, Babaei-Ghazani A. Combination of Exercise and Acupuncture Versus Acupuncture Alone for Treatment of Myofascial Pain Syndrome: A Randomized Clinical Trial. J Acupunct Meridian Stud. 2018;11(5):315-22. https://doi.org/10.1016/j.jams.2018.04.006
  40. Wang CC, Huang TH, Chiou KC, Chang ZY. Therapeutic Effect of Superficial Acupuncture in Treating Myofascial Pain of the Upper Trapezius Muscle: A Randomized Controlled Trial. Evid Based Complement Alternat Med. 2018;2018:9125746. https://doi.org/10.1155/2018/9125746
  41. Nasb M, Qun X, Ruckmal Withanage C, Lingfeng X, Hong C. Dry Cupping, Ischemic Compression, or Their Combination for the Treatment of Trigger Points: A Pilot Randomized Trial. J Altern Complement Med. 2020;26(1):44-50. https://doi.org/10.1089/acm.2019.0231
  42. Saeidi M, Yavari H, Fateh HR. The Comparative Effects of Cupping Massage and Exercise Training in Patients with Trapezius Myofascial Syndrome on Pain, Disability, and Fatigue. A Randomized Controlled Trial. Muscle Ligaments and Tendons Journal. 2021;11(4):712-8. https://doi.org/10.32098/mltj.04.2021.14
  43. Sajedi SM, Abbasi F, Asnaashari M, Jafarian AA. Comparative Efficacy of Low-Level Laser Acupuncture and Cupping for Treatment of Patients with Myofascial Pain Dysfunction Syndrome: A Double-blinded, Randomized Clinical Trial: Comparison of the Effects of LLL Acupuncture and Cupping. Galen Med J. 2022;11:1-13. https://doi.org/10.31661/gmj.v11i0.2305
  44. Du J, Shi P, Liu J, Yu H, Fang F. Analgesic Electrical Stimulation Combined with Wrist-Ankle Acupuncture Reduces the Cortical Response to Pain in Patients with Myofasciitis: A Randomized Clinical Trial. Pain Med. 2023;24(3):351-61. https://doi.org/10.1093/pm/pnac141
  45. Duarte FCK, West DWD, Linde LD, Hassan S, Kumbhare DA. Re-Examining Myofascial Pain Syndrome: Toward Biomarker Development and Mechanism-Based Diagnostic Criteria. Curr Rheumatol Rep. 2021;23(8):69. https://doi.org/10.1007/s11926-021-01024-8
  46. Bodine N. An overview of myofascial pain syndrome with a focus on trigger point injection. Nurse Pract. 2023;48(11):18-25. https://doi.org/10.1097/01.NPR.0000000000000110
  47. Korean Academy of Rehabilitation Medicine. Rehabilitation Medicine. 5st ed. Paju:Globooks Publishing Inc. 2020;128.
  48. Lee JK, Lim HH, Song YK. Literature review on the Myofascial Meridian treatment. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2006;1(2):31-39.
  49. Childers MK, Feldman JB, Guo HM. Chapter 96 - Myofascial Pain Syndrome. In: Frontera WR, Silver JK, Rizzo TD, editors. Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia: W.B. Saunders; 2008:529-37.
  50. Erthal V, da Silva MD, Cidral-Filho FJ, Santos AR, Nohama P. ST36 laser acupuncture reduces pain-related behavior in rats: Involvement of the opioidergic and serotonergic systems. Lasers Med Sci. 2013;28(5):1345-51. https://doi.org/10.1007/s10103-012-1260-7
  51. Farag AM, Malacarne A, Pagni SE, Maloney GE. The effectiveness of acupuncture in the management of persistent regional myofascial head and neck pain: A systematic review and meta-analysis. Complement Ther Med. 2020;49:102297. https://doi.org/10.1016/j.ctim.2019.102297