Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지
DOI QR코드

DOI QR Code

Electro-Acupuncture for Cervical Vertigo: A Systematic Review and Meta-analysis

경추성 현훈에 대한 전침 치료: 체계적 문헌고찰 및 메타분석

  • Kim, Ye-eun (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji) ;
  • Chung, In-che (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji) ;
  • Cha, Yun-yeop (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji) ;
  • Han, In-sik (Department of Korean Internal Medicine, Korean Medicine Hospital of Sangji) ;
  • Park, In-hwa (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji)
  • 김예은 (상지대학교 부속한방병원 한방재활의학과) ;
  • 정인채 (상지대학교 부속한방병원 한방재활의학과) ;
  • 차윤엽 (상지대학교 부속한방병원 한방재활의학과) ;
  • 한인식 (상지대학교 부속한방병원 한방내과) ;
  • 박인화 (상지대학교 부속한방병원 한방재활의학과)
  • Received : 2020.12.14
  • Accepted : 2020.12.31
  • Published : 2021.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives The objective of this study was to appraise the effect of electro-acupuncture (EA) for the treatment of cervical vertigo. Methods We performed a literature search using nine electronic databases up to the end of November 2020. We included randomized controlled trials (RCTs) which appraised the effect of EA in the treatment of cervical vertigo. The risk of bias was evaluated from the Cochrane risk of bias tool. Results Thirteen appropriate RCTs were included and analyzed. The efficacy rate of the EA group was statistically higher compared with the control group treated with western medicine (p<0.00001). EA treatment significantly improved efficacy rate when combined with western medicine than western medicine alone (p<0.0001). Also EA used with combined therapy (traction, traditional chinese medicine, injection) significantly improved efficacy rate compared with combined therapy alone (p=0.02). Meta-analysis of thirteen studies demonstrated positive results for using EA for the treatment of cervical vertigo. Conclusions Based on results, EA treatment could be effective in cervical vertigo. However, it should be noted that the studies included in this research are regionally biased and small in number. Further well-designed research should be required.

Keywords

References

  1. Korean Oriental Medical Ophthalmology & Otolaryngology Compilation Committee. Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology textbook. 1st ed. Seoul:Globooks. 2019:33-4.
  2. Association of Korean Professors for Cardiovascular and Neurological Medicine. The Universities of Department of Cardiovascular and Neurological Medicine in Korean Medicine. 1st ed. Seoul:Woori Medical Publishing Co. 2016:219-25.
  3. Ryan GM, Cope S. Cervical vertigo. Lancet. 1955;269:1355-8. https://doi.org/10.1016/S0140-6736(55)93159-7
  4. Wrisley DM, Sparto PJ, Whitney SL, Furman JM. Cervicogenic dizziness: a review of diagnosis and treatment. J Orthop Sports Phys Ther. 2000;30(12):755-66. https://doi.org/10.2519/jospt.2000.30.12.755
  5. Li YC, Peng BG. Pathogenesis, diagnosis, and treatment of cervical vertigo. Pain Physician. 2015;18:583-95.
  6. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J General Pract. 1998;48:1131-5.
  7. Stevens KN, Lang IA, Guralnik JM, Melzer D. Epidemiology of balance and dizziness in a national population: findings from the English longitudinal study of ageing. Age and Ageing. 2008;37:300-5. https://doi.org/10.1093/ageing/afn019
  8. Xie RF, You JY, Liu LT, Huang CH, Liang Y. Acupotomy therapy for cervical vertigo: a protocol for a systematic review and meta-analysis. Baltimore Medicine. 2020; 99(29):1-4.
  9. Seo DM, Kang SK. Systemic review: the study on electroacupuncture in PubMed. The Journal of Korean Acupuncture & Moxibustion Society. 2002;9(3):168-79.
  10. Korean Acupuncture and Moxibustion Medicine Society. The acupuncture and moxibustion medicine. 1st ed. Seoul:Jipmundang. 2016:142-9.
  11. Jacqueline F, Adrian W. Medical acupuncture: a western scientific approach. Korean Society of Chuna Manual Medicine for Spine & Nerves. 2016:161-84.
  12. Hwang DG, Kim EJ, Choi KH, Heo SJ, Youn DW. A case report on a patient with cervical vertigo who improved with a combination of Korean medicine treatments. The Journal of Korean Oriental Internal Medicine. 2017;38(3):392-400. https://doi.org/10.22246/jikm.2017.38.3.392
  13. Ahn JL, Lee IS. Treatment of cervicogenic vertigo by general coordinative manipulation: cases report. Journal of Oriental Rehabilitation Medicine. 2011;11(1):281-7.
  14. Shin SH, Min KI, Kim EB, Ha WB, Ko YS. Chuna manual therapy alone for cervicogenic dizziness: a systematic review. Journal of Oriental Rehabilitation Medicine. 2019;29(1):1-6.
  15. Park NR, Choi MS, Yang DH, Wu CH, Ahn HD. Chuna manual therapy for cervicogenic dizziness :a systematic review. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2018;13(2):11-21.
  16. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions 5.1.0 [updated September 2011]. John Wiley & Sons, Ltd. 2006.
  17. Shang W. The clinical investigation of electric-acupuncturing combined with herbal fumigation steaming equipment for treatment of cervical vertigo [dissertation]. Guangzhou:Jinan University; 2015:1-48.
  18. Cai G, Xue YZ, Li G, Wu M, Li PF. Therapeutic observation on heat-sensitive moxibustion for cervical vertigo. Shanghai Acupuncture Journal. 2012;7:475-6.
  19. Li G. Clinical observation of electroacupuncture for cervical vertigo. Journal of New Chinese Medicine. 2018; 50(3):160-3.
  20. Wang D, Zhou L, Mao W, Liu XJ, Liu BH, Zhang HX, Zhou L. Electroacupuncture at neck and spine points for treating cervical vertigo patients. Acupuncture Clinical Journal. 2016;11:1-4.
  21. Luo RH, Luo RH, Xu K. Therapeutic observation on electroacupuncture for cervical vertigo. Shanghai Acupuncture Journal. 2012;5:311-3.
  22. Tan SB. A randomized controlled study of the efficacy of electric needles in the treatment of neck-induced vertigo. Journal of Chinese Medicine and Foreign Medicine. 2013;6:30-1.
  23. Li JP, Cai J, Gan XM. Observation of therapeutic effects on cervical vertigo treated with different methods. Chinese Acupuncture. 2011;5:405-8.
  24. Fu DD. Observation of influence on the vertebrobasilar artery hemodynamics by electroacupuncturing YiNao formula on the cervical vertigo patients [dissertation]. Shandong:Shandong University of Traditional Chinese Medicine; 2010:1-27.
  25. Zhao QH, Chang C, Zhou QH. Effect of electroacupuncture plus western medication on blood physiochemical parameters in cervical vertigo patients. Shanghai Acupuncture Journal. 2019;03:312-6.
  26. Wang G, Li XD. Effect of electroacupuncture on the cervical curvature change in patients with cervical vertigo. Shanghai Acupuncture Journal. 2014;33(1):50-1.
  27. Liu GB. Clinical study of treatment of cervical vertigo by electroacupuncture at cervival Jiaji [dissertation]. Heilongjiang:Heilong Jiang University of Chinese Medicine; 2011:1-46.
  28. Mou WZ, Wang W, An JM. The electric needle neck clip ridge treated 67 cases of cervical vertigo. Journal of Shaanxi Chinese Medical College. 2010;05:77-8.
  29. Wu ZY. Observation on integrated intervention and electro acupuncture for cervical vertigo. Journal of Liaoning University of Traditional Chinese Medicine. 2009;11(10):106.
  30. Han JS. Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies. Trends Neurosci. 2003;26:17-22. https://doi.org/10.1016/S0166-2236(02)00006-1
  31. Andersson SA, Holmgren E. On acupuncture analgesia and the mechanism of pain. Am J Chin Med. 1975;3(4):311-34. https://doi.org/10.1142/S0192415X75000396
  32. Park JH. Lee JH, Lee SH, Shin JY, Kim TH. Adverse events related to electroacupuncture: a systematic review of single case studies and case series. Acupuncture in Medicine. 2020;38(6):407-16. https://doi.org/10.1177/0964528420920287
  33. Galm R, Rittmeister M, Schmitt E. Vertigo in patients with cervical spine dysfunction. Eur Spine J. 1998;7:55-8. https://doi.org/10.1007/s005860050028
  34. Furman JM, Whitney SL. Central causes of dizziness. Phys Ther. 2000;80:179-87. https://doi.org/10.1093/ptj/80.2.179