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A Review on the Effect of Traditional Medicine Treatments in Korea and China for Recurrent Lumbar Disc Herniation: Systematic Review and Meta-Analysis

재발성 요추간판탈출증의 한의학적 치료에 대한 국내·외 연구 동향 체계적 문헌고찰 및 메타분석

  • Ah-Ra Koh (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Young-Jin Lee (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Ji-Eun Choi (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • So-Jung Kim (Department of Rehabilitation Medicine of Korean Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Hyun-Woo Kim (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Hye-Jeong Jo (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Hospital of Korean Medicine) ;
  • Go-Eun Chae (Department of Acupuncture and Moxibustion Medicine, Ulsan Jaseng Hospital of Korean Medicine)
  • 고아라 (울산자생한방병원 한방재활의학과) ;
  • 이영진 (울산자생한방병원 한방재활의학과) ;
  • 최지은 (울산자생한방병원 한방재활의학과) ;
  • 김소정 (울산자생한방병원 한방재활의학과) ;
  • 김현우 (울산자생한방병원 침구과) ;
  • 조혜정 (울산자생한방병원 침구과) ;
  • 채고은 (울산자생한방병원 침구과)
  • Received : 2024.06.18
  • Accepted : 2024.07.01
  • Published : 2024.07.31

Abstract

Objectives This study aimed to examine the efficacy of Korean traditional medicine treatments for recurrent lumbar disc herniation by analyzing randomized controlled trials (RCTs). Methods The following 6 databases were used Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, ScienceON, PubMed, and China National Knowledge Infrastructure. Only RCTs were selected. The risk of bias was assessed by Cochrane's risk of bias tool. Results A total of 10 RCTs were analyzed, which utilized 8 types of interventions, including acupuncture, moxibustion, warm needling, electroacupuncture, herbal medicine, cupping, and chuna manual therapy. Acupuncture and moxibustion were the most frequently used treatments. There were 7 outcome measures, including the effective rate, visual analog scale, Japanese Orthopedic Association. The effective rate was assessed in all studies. Meta-analysis results indicated that warm needling therapy and traditional Chinese medicine interventions were more effective compared with the control. Conclusions In this study, warm needling therapy and herbal medicine interventions demonstrated beneficial effects. As the meta-analysis was conducted with only a subset of RCT studies, further large-scale, systematic RCT studies are needed.

Keywords

References

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