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http://dx.doi.org/10.13045/acupunct.2015019

Traditional Korean Medicine Therapy for Treating Carpal Tunnel Syndrome in Patients with Wrist Pain: A Systematic Review  

Kim, Jung Hyun (Department of Acupuncture & Moxibustion Medicine, College of Orinetal Medicine, Gachon University)
Song, Ho Sueb (Department of Acupuncture & Moxibustion Medicine, College of Orinetal Medicine, Gachon University)
Publication Information
Journal of Acupuncture Research / v.32, no.2, 2015 , pp. 59-64 More about this Journal
Abstract
Objectives : This study aims to evaluate current clinical evidence of traditional Korean medicine treatment on wrist pain with carpal tunnel syndrome. Methods : Ten Korean databases were searched for prospective clinical trials of traditional Korean medicine therapy on wrist pain with carpal tunnel syndrome from the time of their inception to February, 2015. Studies conducted in Korean, Chinese and English were searched. Risk of bias in included non-randomized controlled trials was assessed by the Cochrane handbook procedure. Results : Four non-randomized controlled trials were included. A high risk of bias was observed in all trials. All of the included studies reported favorable effects being experienced by an intervention group compared to a baseline or control group. Included studies never described any occurrence of adverse events. Conclusions : There is no evidence that traditional Korean medicine treatments are effective for treating wrist pain associated with carpal tunnel syndrome. All of the included studies lacked appropriate methodological qualities and internal validity. Future well-designed clinical trials that evaluate the effects and safety of traditional Korean medicine treatment for patients with carpal tunnel syndrome are needed.
Keywords
Carpal tunnel syndrome; Wrist pain; Traditional Korean medicine treatment; Pharmacopuncture; A systematic review;
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Times Cited By KSCI : 4  (Citation Analysis)
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1 Omer GE. Median nerve compression at the wrist. Hand Clin. 1992 ; 8(2) : 317-24.
2 Shurr DG, Blair WF, Bassett G. Electromyographic changes after carpal tunnel release. J Hand Surg [Am]. 1986 ; 11(6) : 876-80.   DOI
3 S Brent Brotzman, Robert C Manske. Clinical orthopaedic rehabilitation: an evidence-based approach. 3rd ed. Elseier. 2005.
4 Evermann JW. Entrapment and compression neuropathies. In: Green DP ed. Operative hand surgery. 2nd ed. New York : Churchill Livingstone. 1988.
5 Steven JC. The electrodiagnosis of carpal tunnel syndrome. American Association of Electrodiagnostic Medicine, Muscle nerve. 1997 : 20 : 1477-86.   DOI
6 Phalen GS. Reflections on 21 years experience with carpal tunnel syndrome. The Journal of The American Medical Association. 1970 : 212(8) : 1365-7.   DOI
7 Kim JH. Prediction of electromyographinc findings based on clinical findings in the patients with carpal tunnel syndrome. Medical School of Dankook University. 2003.
8 Chang MH, Wei SJ, Chiang HL, Wang HM, Hsieh PF, Huang SY. Comparison of motor conduction techniques in the diagnosis of carpal tunnel syndrome. Neurology. 2002 ; 58(11) : 1603-7.   DOI
9 Jablecki CK, Andary MT, Floeter MK et al. Practice parameter: Electrodiagnostic studies in carpal tunnel syndrome. Report of the American Association of Electrodiagnostic Medicine, American Academy of Neurology, and the American Academy of Physical Medicine and Rehabilitation. Neurology. 2002 ; 58(11) : 1589-92.   DOI
10 Gerritsen AA, de Vet HC, Scholten RJ, Bertelsmann FW, de Krom MC, Bouter LM. Splinting vs surgery in the treatment of carpal tunnel syndrome: a randomized controlled trial. JAMA. 2002 ; 288(10) : 1245-51.   DOI
11 Palmer DH, Hanrahan LP. Socail and economic costs of carpal tunnel surgery. Instr Course Lect. 1995 ; 44 : 167-72.
12 Hahn SB, Kang ES, Hang HJ, Park YS. Endoscopic carpal tunnel release in carpal tunnel syndrome using the agee technique. Journal of the Korean Society for Surgery of the Hand. 2000 ; 5(1) : 54-6.
13 Son KM. Study of acupuncture. People's Medical Publishing House. 2004 : 983-5.
14 Park SU, Jung WS, Kim YK et al. Clinical assessment of usefulness, effectiveness and safety of Kyejibokryung-hwan on various neurophaties. Korean Journal of Oriental Medicine. 2006 ; 27(4) : 135-41.
15 Higgins JPT, Altman DG. Assessing risk of bias in included studies. In: Julian PTH, Green S(eds). Cochrane handbook for systematic reviews of interventions. West Sussex, England : Wiley-Blackwell. 2008 : 187-241.
16 Bae HS, Jung WS, Hong JW et al. Comparison of therapeutic effect on carpal tunnel syndrome between oriental and western medicine. Journal of Korean Oriental Medicine. 2007 ; 28(1) : 87-93.
17 Day SJ, Altman DG. Statistics notes: Blinding in clinical trials and other studies. BMJ. 2000 ; 321(7259) : 504.   DOI
18 Ku JY, Lee KH, Cho SW et al. Comparison of the effects between sweet bee venom pharmacopuncture and scolopendrid pharmacopuncture on carpal tunnel syndrome(randomized, controlled clinical trial). Journal of Pharmacopuncture. 2010 ; 13(4) : 75-89.   DOI
19 Choi SW, Shin MS, Park MH et al. Clinical study on treatment of the carpal tunnel syndrome with CF herbal acupuncture. Journal of Pharmacopuncure. 2005 ; 8(2) : 39-45.
20 Lim JA, Kim SC, Kim SA, Lee SY, Moon HC. Clinical study on treatment of carpal tunnel syndrome using Scolopendrid herbal acupuncture. Journal of Pharmacopuncture. 2005 ; 8(1) : 13-20.   DOI
21 Schulz KF, Chalmes I, Hayes Rj, Altman DG. Empirical evidence of bias. Dimensions of methodological quality associated with estimates of treatment effects in controlled trials. JAMA. 1995 ; 273(5) : 408-12.   DOI
22 Vickers A, Goyal N, Harland R, Rees R. Do certain countries produce only positive results? A systematic review of controlled trials. Control Clin Trals. 1998 ; 19 : 159-66.   DOI
23 Ernst E, Lee MS. A trial design that generates only “positive” results. J Postgrad Med. 2008 ;54(3) : 214-6.   DOI
24 Ernst E. Pitler MH. Alternative therapy bias. Nature. 1997 ; 385(6616) : 480.
25 Sarah Rhodes. Publication Bias in Meta-analysis by HR Rothstein, AJ Sutton and M Borenstein (eds). Journal of the Royal Statistical Society: Series A(Statistics in Society). 1998 ; 169(4) : 1012.