본문 바로가기
KERD
논문KCI 등재

침, 경피전기자극의 이명 치료에 대한 문헌 고찰 - 자율신경을 중심으로 -

A Literature Review on Acupuncture and Transcutaneous Electrical Nerve Stimulation for Tinnitus - Focusing on Autonomic Nervous System -

이은경|김민희|고혜연
대한한방안이비인후피부과학회 (The Korean Medicine Opthalmology&Otolaryngology&Dermatology Society)|2023.08|한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology&Otorhinolaryngology&Dermatology)|제36권 제3호|pp. 12-26

1

조회

0

다운로드

1

인용

0

참고문헌

키워드

HRVTinnitusAcupunctureANSTranscutaneous electrical nerve stimulation
주제분류한의학

초록

Objectives : The purpose of this study is to analyze the acupuncture and transcutaneous electrical nerve stimulation(TENS) for tinnitus to identify the trend, effectiveness and mechanism. Methods : Research studies related to objectives were gathered through Pubmed, RISS, KISS, KCI, OASIS with keywords such as ‘Tinnitus’, ‘Autonomic’, ‘ANS’, ‘HRV’, ‘acupuncture’, ‘transcutaneous’ and analyzed. Results : 4 studies were included. Acupuncture was used in 1 study and TENS was used in 3 studies. Tinnitus handicap inventory(THI), fMRI and ‘heart rate and blood pressure’ were used in 1 study each and heart rate variability(HRV) was used in 3 studies as evaluation tools. Each treatment showed a significant effect. Conclusions : Our findings indicate that acupuncture and TENS could be a potential therapy for tinnitus, however additional well designed RCT are required to establish high level of evidence.

Abstract

Objectives : The purpose of this study is to analyze the acupuncture and transcutaneous electrical nerve stimulation(TENS) for tinnitus to identify the trend, effectiveness and mechanism. Methods : Research studies related to objectives were gathered through Pubmed, RISS, KISS, KCI, OASIS with keywords such as ‘Tinnitus’, ‘Autonomic’, ‘ANS’, ‘HRV’, ‘acupuncture’, ‘transcutaneous’ and analyzed. Results : 4 studies were included. Acupuncture was used in 1 study and TENS was used in 3 studies. Tinnitus handicap inventory(THI), fMRI and ‘heart rate and blood pressure’ were used in 1 study each and heart rate variability(HRV) was used in 3 studies as evaluation tools. Each treatment showed a significant effect. Conclusions : Our findings indicate that acupuncture and TENS could be a potential therapy for tinnitus, however additional well designed RCT are required to establish high level of evidence.

참고문헌 (45)

  1. Baguley D, "Tinnitus", Lancet, 382, pp.1600~1607 (2013)
  2. Bhatt JM, "Prevalence, Severity, Exposures, and Treatment Patterns of Tinnitus in the United States", JAMA Otolaryngol Head Neck Surg, 142(10), pp.959~965 (2016)
  3. Jastreboff PJ, "Phantom auditory perception(tinnitus) : mechanisms of generation and perception", Neurosci Res, 8(4), pp.221~254 (1990)
  4. Datzov E, "Tinnitus, heart rate variability, and some biochemical indicators", Int Tinnitus J, 5, pp.20~23 (1999)
  5. Van-Der-Loo E, "Insular lateralization in tinnitus distress", Autonomic Neuroscience, 165(2), pp.191~194 (2011)
  6. Choi EJ, "Autonomic conditions in tinnitus and implications for Korean medicine", Evid Based Complement Alternat Med, 2013, pp.402585~ (2013)
  7. Matsushima JI, "Increased parasympathetic nerve tone in tinnitus patients following electrical promontory stimulation", Int Tinnitus J, 2, pp.67~71 (1996)
  8. Alsalman OA, "Salivary stress-related responses in tinnitus : A preliminary study in young male subjects with tinnitus", Front Neurosci, 10, pp.338~ (2016)
  9. Yoon JC, "The treatment of insomnia through stability of the autonomic nervous system", Journal of Hawhwa Medicine, 18(2), pp.141~145 (2009)
  10. Li YW, "The autonomic nervous system : A potential link to the efficacy of acupuncture", Front Neurosci, 16, pp.1038945~ (2022)
  11. Guiraud D, "Vagus nerve stimulation : state of the art of stimulation and recording strategies to address autonomic function neuromodulation", J Neural Eng, 13(4), pp.41002~ (2016)
  12. Kraus T, "BOLD fMRI deactivation of limbic and temporal brain structures and mood enhancing effect by transcutaneous vagus nerve stimulation", J Neural Transm(Vienna), 114, pp.1485~1493 (2007)
  13. Liu F, "Acupuncture in the treatment of tinnitus : a systematic review and meta-analysis", European Archives of Oto-Rhino-Laryngology, 273, pp.285~294 (2016)
  14. Stegeman I, "Tinnitus treatment by vagus nerve stimulation : A systematic review", PLoS ONE, 16(3), pp.e0247221~ (2021)
  15. Ylikoski J, "Non-invasive vagus nerve stimulation reduces sympathetic preponderance in patients with tinnitus", Acta otolaryngologica, 137(4), pp.426~431 (2017)
  16. Peng L, "Transauricular vagus nerve stimulation at auricular acupoints Kindey(CO10), Yidan(CO11), Liver(CO12)and Shenmen(TF4)can induce auditory and limbic cortices activation measured by fMRI", Hearing research, 359, pp.1~12 (2018)
  17. Tu JF, "Influence of acupuncture on autonomic balance in adult tinnitus patients : an exploratory study", Current Medical Science, 39, pp.947~953 (2019)
  18. Ylikoski J, "Stress and tinnitus; transcutaneous auricular vagal nerve stimulation attenuates tinnitustriggered stress reaction", Frontiers in Psychology, 11, pp.570196~ (2020)
  19. Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology Textbook compilation committee, "Korean Oriental Medical Ophthalmology & Otolaryngology", pp.109~ (2015), Gunja
  20. 정승엽, "이명 재활을 위한 소리치료 방법과 적용", Audiology and Speech Research, 15(1), pp.1~10 (2019), 한국청각언어재활학회
  21. 박병림, "자율신경계의 구조와 기능", Research in Vestibular Science, 16(4), pp.101~107 (2017), 대한평형의학회
  22. 채윤병, "침과 자율신경계 고찰: 인체의 심박변이도 중심으로", Korean Journal of Acupuncture, 24(4), pp.25~36 (2007), 경락경혈학회
  23. 전선우, "침자극의 기전 및 효과에 대한 고찰 - 자율신경계와의 관계를 중심으로", 동의생리병리학회지, 24(5), pp.748~752 (2010), 한의병리학회
  24. Moffet HH, "How might acupuncture work? A systematic review of physiologic rationales from clinical trials", BMC Complement Altern Med, 6, pp.25~ (2006)
  25. Haker E, "Effect of sensory stimulation(acupuncture)on sympathetic and parasympathetic activities in healthy subjects", J Auton Nerv Syst, 79(1), pp.52~59 (2000)
  26. Wang JD, "An alternative method to enhance vagal activities and suppress sympathetic activities in humans", Auton Neurosci, 100(1, 2), pp.90~95 (2002)
  27. Huang ST, "Increase in the vagal modulation by acupuncture at neiguan point in the healthy subjects", Am J Chin Med, 33(1), pp.57~64 (2005)
  28. Middlekauff HR, "Acupuncture effects on reflex responses to mental stress in humans", Am J Physiol Regul Integr Comp Physiol, 280(5), pp.1462~1468 (2001)
  29. Li P, "Inhibitory effect of electroacupuncture(EA)on the pressor response induced by exercise stress", Clin Auton Res, 14(3), pp.182~188 (2004)
  30. 장보형, "이침 요법이 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향", Journal of Acupuncture Research, 22(6), pp.173~180 (2005), 대한침구의학회
  31. He W, "Auricular acupuncture may suppress epileptic seizures via activating the parasympathetic nervous system : a hypothesis based on innovative methods", Evidence-Based Complementary and Alternative Medicine, 2012, pp.615476~ (2012)
  32. 안선주, "미주신경 감각분지 분포영역의 자침이 자율신경 변화에 미치는 영향", 한방재활의학과학회지, 31(2), pp.81~97 (2021), 한방재활의학과학회
  33. 이원택, "자율신경계의 해부학", Annals of Clinical Neurophysiology, 4(2), pp.195~203 (2002), 대한임상신경생리학회
  34. Li S, "Low level non-invasivevagus nerve stimulation : a novel feasible therapeutic approach for atrial fibrillation", Int J Cardiol, 182(1), pp.189~ (2015)
  35. Frangos E, "Non-invasive access to the vagus nerve central projections via electrical stimulation of the external ear : fMRI evidence in humans", Brain Stimul, 8(3), pp.624~636 (2015)
  36. Yakunina N, "Direct and transcutaneous vagus nerve stimulation for treatment of tinnitus : a scoping review", Frontiers in Neuroscience, 15, pp.680590~ (2021)
  37. Huang K, "Acupuncture for tinnitus : A systematic review and meta-analysis of randomized controlled trials", Acupuncture in Medicine, 39(4), pp.264~271 (2021)
  38. Akselrod S, "Power spectrum analysis of heart rate fluctuation : a quantitative probe of beat-to-beat cardiovascular control", Science, 213, pp.220~222 (1981)
  39. Thayer JF, "A meta-analysis of heart rate variability and neuroimaging studies : Implications for heart rate variability as a marker of stress and health", Neurosci Biobehav Rev, 36, pp.747~756 (2012)
  40. 정희정, "신경질환에서 심박변이의 임상적용", 대한신경과학회지, 35(1), pp.1~7 (2017), 대한신경과학회[DOI]
  41. Björ B, "Acute effects on heart rate variability when exposed to hand transmitted vibration and noise", International Archives of Occupational and Environmental Health, 81(2), pp.193~199 (2007)
  42. Ogbonnaya S, "Vagal nerve stimulator : Evolving trends", J Nat Sci Biol Med, 4, pp.8~13 (2013)
  43. 김유진, "침형 경피신경 전기자극과 은첨 전기자극치료가 압통 역치에 미치는 효과", 한국전문물리치료학회지, 2(2), pp.66~72 (1995), 한국전문물리치료학회
  44. Lin T, "Mechanism of peripheral nerve stimulation in chronic pain", Pain Medicine, 21(S1), pp.S6~12 (2020)
  45. 이규영, "이명의 침 치료에 관한 최근 임상 연구 동향", 한방안이비인후피부과학회지, 28(3), pp.48~65 (2015), 대한한방안이비인후피부과학회[DOI]

관련 논문AI추천

이명의 침 치료에 관한 최근 임상 연구 동향이규영, 홍철희대한한방안이비인후피부과학회 · 한방안이비인후피부과학회지2015 · 제28권 제3호주관적 이명 치료를 위한 신경조절 가능성: 경피적 미주신경 자극과 경두개 무작위 잡음 자극 비교배은빛, 심현준대한이비인후과학회 · 대한이비인후과학회지 두경부외과학2025 · 제68권 제5호침 자극이 인체의 자율신경계에 미치는 영향 고찰박영배, 박영재, 이주호대한한의진단학회 · 대한한의진단학회지2011 · 제15권 제2호침자극의 기전 및 효과에 대한 고찰 - 자율신경계와의 관계를 중심으로김윤범, 김진명, 남혜정, 이우건, 전선우한의병리학회 · 동의생리병리학회지2010 · 제24권 제5호Erratum : 침, 경피전기자극의 이명 치료에 대한 문헌 고찰 - 자율신경을 중심으로 -고혜연, 김민희, 이은경대한한방안이비인후피부과학회 · 한방안이비인후피부과학회지2023 · 제36권 제4호Effects of Transcutaneous Trigeminal Electrical Stimulation and Sound Therapy in Patients with Tinnitus김가영, 문일준, 박성원, 조민이, 조영상, 홍성화연세대학교의과대학 · Yonsei Medical Journal2023 · 제64권 제10호

이 간행물의 다른 논문 (8건)

2018-2022년 경희대학교 한방병원 한방 피부과 외래환자에 대한 통계적 분석김규석, 남혜정, 김윤범, 홍예은, 김병현, 서광일pp. 1-11대상포진후신경통의 한방 치료 국내 연구 현황 : 증례 연구 분석김지희, 윤화정pp. 27-41화상 및 후유증의 보완 대체 의학 치료 : 무작위 대조 시험에 대한 주제범위 문헌고찰강병수, 최정화, 김종한, 박수연, 정민영, 윤석영pp. 42-73건선 환자에서 아시트레틴 치료에 추가한 한방 약욕 효과 : 체계적 문헌 고찰과 메타 분석이지은, 박수진, 김규석, 전서연pp. 74-98면역학적 이해를 통한 건선의 한약 치료 고찰박혜리, 조준범, 남혜진, 임유라, 박신영pp. 99-118
원문 보기