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Research Trends on the Acupotomy Treatment for Knee Osteoarthritis : A Systematic Review

무릎 골관절염의 도침 치료에 대한 연구 동향 : 체계적 문헌 고찰

  • Hong, Su Min (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Yoon, Kwang Sik (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • 홍수민 (대전대학교 한의과대학 한방재활의학교실) ;
  • 윤광식 (대전대학교 한의과대학 침구의학과교실)
  • Received : 2020.08.11
  • Accepted : 2020.12.08
  • Published : 2020.12.25

Abstract

This study aimed to review clinical studies about Acupotomy used for Knee Osteoarthritis. We searched the following 12 online databases (KISS, NDSL, RISS, OASIS, Earticle, Kmbase, MEDLINE/Pubmed, Cochrane library, Ebscohost, Ovid, CNKI, Wanfang), to find randomized controlled trials that used Acupotomy for knee osteoarthritis. The methodological quality of randomized controlled trials were assessed by using the Cochrane risk of bias tool and meta-analyses were performed. 16 randomized controlled trials were included. Total number of patients was 1169. The average duration of treatment was 3.14 weeks and most of the patients were treated once a week. The major treatment sites were ligaments, muscles, and tender nodules and the most used evaluation tool was the efficiency. We selected 4 studies and meta-analyzed them. All of the studies performed Acupotomy+sodium hyaluronate injection as a treatment group, and sodium hyaluronate injection as a control group. Meta-analysis showed positive results for Acupotomy+sodium hyaluronate injection in terms of efficiency rate compared to sodium hyaluronate injection. Also Meta-analysis showed positive results for Acupotomy+sodium hyaluronate injection in terms of WOMAC (pain, stiffness, function) compared to sodium hyaluronate injection. In this study, we reviewed studies about Acupotomy used for knee osteoarthritis. The studies showed that Acupotomy can significantly effective on knee osteoarthritis. But according to Cochrane Risk of Bias (RoB) evaluation method, most of the study's risk of bias was unclear. Threrefore, more high-quality studies will be needed.

Keywords

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