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Effect of Manual Acupuncture for Mild-to-Moderate Carpal Tunnel Syndrome: A Systematic Review

Kim Kyeong Han|Jeong Hye In|Huh Jeong Ho
대한약침학회 (Korean Pharmacopuncture Institute)|2021.12|Journal of Pharmacopuncture|제24권 제4호|pp. 153-164|DOI 10.3831/KPI.2021.24.4.153

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참고문헌

키워드

painsystematic reviewcarpal tunnel syndromemanual acupuncturestricta
주제분류한의학

초록

Objectives: Despite the low cost and high accessibility of manual acupuncture (MA) treatments for the carpal tunnel syndrome (CTS), this intervention has not been uniformly evaluated in systematic reviews (SR), and no SR has evaluated MA monotherapy for CTS. This review was conducted to summarize the findings and undertake a quality assessment of randomized controlled trials (RCTs) of acupuncture treatment methods for mild-tomoderate CTS to identify clinical evidence for the use of MA in CTS. Methods: We searched five databases for articles on relevant RCTs that were published until June 2021 without imposing specific restrictions, such as age or sex, on CTS patients. RCTs that evaluated MA were included without any restriction on comparator interventions. Measurement tools for evaluating pain reduction and functional improvement or for evaluating efficacy using electrophysiological indicators were included as outcome measures. Results: We included seven RCTs, of which three studies reported both post-treatment improvement effects and statistical significance using p-values for all outcomes. Five studies reported statistically significant intergroup differences (p-values for all outcomes) in posttreatment improvement. None of the studies reported severe adverse effects of MA. In all of the RCTs, the reporting rates of the 2c, 2a, and 6a items of STRICTA 2010 were 14%, 29%, and 29%, respectively. PC7 (Daereung) was used to treat CTS in all of the included studies. Conclusion: MA can be used for CTS treatment without serious adverse effects. PC7 was the most commonly used acupoint. In order to ensure objective and reliable reporting, accurate standardization of acupuncture treatment methods acupoint terms should be undertaken in future RCTs.

Abstract

Objectives: Despite the low cost and high accessibility of manual acupuncture (MA) treatments for the carpal tunnel syndrome (CTS), this intervention has not been uniformly evaluated in systematic reviews (SR), and no SR has evaluated MA monotherapy for CTS. This review was conducted to summarize the findings and undertake a quality assessment of randomized controlled trials (RCTs) of acupuncture treatment methods for mild-tomoderate CTS to identify clinical evidence for the use of MA in CTS. Methods: We searched five databases for articles on relevant RCTs that were published until June 2021 without imposing specific restrictions, such as age or sex, on CTS patients. RCTs that evaluated MA were included without any restriction on comparator interventions. Measurement tools for evaluating pain reduction and functional improvement or for evaluating efficacy using electrophysiological indicators were included as outcome measures. Results: We included seven RCTs, of which three studies reported both post-treatment improvement effects and statistical significance using p-values for all outcomes. Five studies reported statistically significant intergroup differences (p-values for all outcomes) in posttreatment improvement. None of the studies reported severe adverse effects of MA. In all of the RCTs, the reporting rates of the 2c, 2a, and 6a items of STRICTA 2010 were 14%, 29%, and 29%, respectively. PC7 (Daereung) was used to treat CTS in all of the included studies. Conclusion: MA can be used for CTS treatment without serious adverse effects. PC7 was the most commonly used acupoint. In order to ensure objective and reliable reporting, accurate standardization of acupuncture treatment methods acupoint terms should be undertaken in future RCTs.

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관련 논문AI추천

Carthami Semen Pharmacopuncture Combined with Electroacupuncture on Carpal Tunnel Syndrome: A Retrospective Case Series Study김평화, Changsop Yang, Jinbok Lee, Kyungsun Han, Minseop Shin, Seon Choe, Sungha Kim대한약침학회 · Journal of Pharmacopuncture2021 · 제24권 제2호수근관 증후군의 한의학적 치료에 대한 논문 고찰 -국내 학술지를 중심으로-이종호한의병리학회 · 동의생리병리학회지2015 · 제29권 제1호Round Acupuncture for the Treatment of Recurrent Carpal Tunnel Syndrome이윤규, 이현종, Jae Soo Kim, Ju-ran Kim대한약침학회 · Journal of Pharmacopuncture2020 · 제23권 제1호Clinical Study on Five Cases of Carpal tunnel syndrome김일환대한약침학회 · Journal of Pharmacopuncture2001 · 제4권 제3호수근관증후군에 대한 Sweet봉약침과 오공약침의 효과 비교구지영, 김철홍, 송춘호, 안창범, 윤현민, 이경희, 이상찬, 장경전, 조성우대한약침학회 · Journal of Pharmacopuncture2010 · 제13권 제4호봉약침과 홍화약침으로 치료한 레이노 현상을 동반한 수근관증후군 환자 1례박평범, 오성종, 최석우대한약침학회 · Journal of Pharmacopuncture2009 · 제12권 제1호

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