Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Ultrasound-Guided Acupotomy Treatment for Lumbar Disc Herniation: A Systematic Review and Meta-Analysis

요추 추간판 탈출증에 대한 초음파 유도하 도침치료의 효과: 체계적 문헌고찰 및 메타분석

  • Minjun-Baik (School of Korean Medicine, Pusan National University) ;
  • Jisu-Mun (School of Korean Medicine, Pusan National University) ;
  • In-Heo (School of Korean Medicine, Pusan National University)
  • 백민준 (부산대학교 한의학전문대학원) ;
  • 문지수 (부산대학교 한의학전문대학원) ;
  • 허인 (부산대학교 한의학전문대학원)
  • Received : 2024.09.17
  • Accepted : 2024.10.05
  • Published : 2024.10.31
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Abstract

Objectives This study aimed to provide evidence for the effectiveness and safety of ultrasound-guided acupotomy treatment for lumbar disc herniation. Methods We conducted online researches using 10 databases including PubMed, Cochrane Library, Embase, China Academic Journals, VIP Chinese science journals, Research Information Sharing Service, DBpia, Oriental Medicine Advanced Searching Integrated System, KMbase, Korean studies Information Service System until the end of August 2024. We included randomized controlled clinical trials (RCTs) which appraised the effectivenss of ultrasound-guided acupotomy for the treatment of lumbar disc herniation. The risk of bias of RCTs was evaluated using the Cochrane's risk of bias tool 2.0. Results Four appropriate RCTs were included. The analysis showed that ultrasound-guided acupotomy treatment group was significantly more efficient than the conventional acupotomy treatment group in improving lumbar function on the Japanese Orthopaedic Association score (standardized mean difference, SMD; 1.25 [95% confidence interval, CI; 0.10 to 3.29], p<0.05) and increasing effective rate (risk ratio, 1.45 [95% CI, 1.11 to 1.89], p<0.05), but showed ambiguous result in decreasing the visual analogue scale score (SMD -0.41 [95% CI, -1.01 to 0.19], p=0.18). Adverse reactions were not observed in both groups. Conclusions Ultrasound-guide acupotomy treatment could be effective in lumbar disc herniation. However, evidence had some limitations due to specific characteristics of acupotomy treatment, small number of studies, lack of well-designed RCTs. Further well-designed studies are necessary to strengthen clinical evidence.

Keywords

Acknowledgement

This work was supported by a 2-Year Research Grant of Pusan National University.

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