DOI QR코드

DOI QR Code

A Systematic Review and Meta-Analysis of Fire Needling Treatment for Knee Osteoarthritis: Focused on Comparative Studies with Manual Acupuncture Treatment during Recent Five Years

퇴행성 슬관절염의 화침 치료에 대한 체계적 문헌 고찰 및 메타분석: 최근 5년간의 호침 치료 비교 연구를 중심으로

  • Ko, Hong-Je (Department of Acupuncture and Moxibustion, Dongshin University Mokpo Hospital of Korean Medicine) ;
  • Yoo, Jae-Hee (Department of Acupuncture and Moxibustion, Dongshin University Mokpo Hospital of Korean Medicine) ;
  • Shin, Jeong-Cheol (Department of Acupuncture and Moxibustion, Dongshin University Mokpo Hospital of Korean Medicine)
  • 고홍제 (동신대학교 목포한방병원 침구과) ;
  • 유재희 (동신대학교 목포한방병원 침구과) ;
  • 신정철 (동신대학교 목포한방병원 침구과)
  • Received : 2019.05.16
  • Accepted : 2019.06.10
  • Published : 2019.06.27

Abstract

Objectives : The purpose of this study is to review the effectiveness of fire needling treatment for knee osteoarthritis in comparison with manual acupuncture treatment. Methods : Through four foreign online databases (PubMed, Cochrane library, EMBASE, and CNKI) and five domestic online databases (NDSL, RISS, KISS, OASIS, and KTKP), we searched for clinical studies that performed fire needling treatment for knee osteoarthritis until May 10, 2019. Only randomized controlled trials were selected and we assessed the risk of bias according to the Cochrane RoB criteria. This review examined the selected studies into first author, publication year, sample size, outcome measurements, results, acupoints, treatment time & period and so on. Results : A total of 7 RCTs were selected in this review and all were conducted in China. Treatment period of more than 4 weeks and treatment visits of 10 to 20 times were the most common. EX-LE4 and ST35 (=EX-LE5) acupoints were most frequently selected in treatment. Among the evaluation indexes, a total efficacy rate was used the most. Most of fire needling groups showed more significant results compared with the manual acupuncture groups statistically. Conclusions : All studies showed that fire needling treatments for knee osteoarthritis were more effective than manual acupuncture treatments statistically. Therefore, the results of this study could be utilized as a preliminary data for another clinical research on fire needling treatment for knee osteoarthritis. However, further well-designed randomized controlled trials will be needed to develop sufficient evidence about the effectiveness and safety of fire needling treatment for knee osteoarthritis in the future.

Acknowledgement

Supported by : Dongshin University

References

  1. Korean Acupuncture & Moxibustion Medicine Society. The acupuncture and moxibustion medicine. 4th ed. Seoul : Hanmi Medical Publishing Company. 2016 : 130-2, 537-52.
  2. Korean Orthopedic Association. Orthopedics. 7th ed. Seoul : Newest Medicine Company. 2013 : 994-1071.
  3. Park IS, Jung CY, Jang MK, Kang MS, Lee SW, Kim EJ, et al. A randomized clinical trial of local acupoints compared with distal acupoints in degenerative osteoarthritis on knee. Journal of Acupuncture Research. 2008 ; 25(2) : 227-42.
  4. Shin SY, Seo DK, Kim SY, Seo JC, Seo YJ, Lee YJ, et al. The effect of chinemys reevesii gray pharmacopuncture for women with knee osteoarthritis. Journal of Acupuncture Research. 2015 ; 32(3) : 163-73. https://doi.org/10.13045/acupunct.2015048 https://doi.org/10.13045/acupunct.2015048
  5. Lee JH, Yang TJ, Lee DG, Lee OJ, Wei TS. The effect of needle-embedding therapy on osteoarthritis of the knee combined with korean medical treatment : report of five cases. Journal of Acupuncture Research. 2014 ; 31(4) : 195-204. https://doi.org/10.13045/acupunct.2014066 https://doi.org/10.13045/acupunct.2014066
  6. Park MS, Oh SJ, Lee JH, Jun SA, Gong HM, Choi SH, et al. Miniscalpel acupuncture treatment on a knee degenerative osteoarthritis patient, who does not responded to acupuncture treatment. Journal of Acupuncture Research. 2016 ; 33(3) : 161-8. https://doi.org/10.13045/acupunct.2016043 https://doi.org/10.13045/acupunct.2016043
  7. Min WK, Yeo SJ, Kim EW, Song HS, Koo ST, Lee JD, et al. Comparison of warm-needling and acupuncture for knee osteoarthritis: A randomized controlled trial. Korean Journal of Acupuncture. 2013 ; 30(1) : 64-72. https://doi.org/10.14406/acu.2013.30.1.064 https://doi.org/10.14406/acu.2013.30.1.064
  8. Kim HB, Lee RM, Lee MH, Choi YS, Kim JI, Lee YH, et al. Comparative study of effects of 'Intramuscular bee venom herbal acupuncture' and 'Intracutaneous bee venom herbal acupuncture' in knee osteoarthritis patients. Journal of Acupuncture Research. 2008 ; 25(2) : 151-64.
  9. Han SH, Lee JS. A case report on burning acupuncture treatments for stable compression fracture. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2002 ; 3(1) : 167-74.
  10. Kim BG, Shin JY, Seo KM. The effect of prolotherapy for the chronic pain of musculoskeletal system. Annals of Rehabilitation Medicine. 2001 ; 25(1) : 128-33.
  11. Wu HW, Shi PP, Wang JM. Effects of fire needle therapy on knee osteoarthritis : meta analysis. Chinese Journal of Information on Traditional Chinese Medicine. 2014 ; 21(5) : 10-4. https://doi.org/10.3969/j.issn.1005-5304.2014.05.004
  12. Higgins JPT AD, Sterne JAC. Chapter 8: Assessing risk of bias in included studies. In: Higgins JPT, Green S, eds. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0(updated March 2011). The Cochrane Collaboration; 2011 https://handbook-5-1.cochrane.org
  13. Cheng G, Wu H. Clinical observation on 38 cases of knee osteoarthritis treated with fire needle "5 acupoints of knee". Shenzhen Journal of Integrated Traditional Chinese and Western Medicine. 2018 ; 28(15) : 68-9.
  14. Hu QS. Efficacy observation of fire filiform-needle therapy in treating elderly knee osteoarthritis. Shanghai Journal of Acupuncture and Moxibustion. 2017 ; 36(9) : 1106-10. https://doi.org/10.13460/j.issn.1005-0957.2017.09.1106
  15. Gan YH. Clinical observation on the wind-cold-dampness type of knee osteoarthritis with the treatment of fire-needle and cupping. Master's thesis in Changchun University of Traditional Chinese Medicine. 2017.
  16. Chen Q, Shao BB. Clinical observation on the treatment of knee osteoarthritis with fire needle combined with cupping. Health for Everyone. 2016 ; 10 : 115.
  17. Zheng M, Hong KD, Chen SJ, Gong DG, Lin ZG. Observations on the effect of filiform fire needling in treating knee osteoarthritis. Chinese Medicine Modern Distance Education of China. 2016 ; 14(5) : 103-6. https://doi.org/10.3969/j.issn.1672-2779.2016.05.052
  18. He TF, Song YH, Ding JL, Zhu XY, Duan XD, Zhou LY, et al. Effect of fire needling plus filiform needles on the quality of life in knee osteoarthritis patients. Shanghai Journal of Acupuncture and Moxibustion. 2014 ; 33(12) : 1156-9. https://doi.org/10.13460/j.issn.1005-0957.2014.12.1156
  19. Tang ZG. Clinical efficacy of fire acupuncture in the treatment of knee arthritis. Guide of China Medicine. 2014 ; 12(34) : 294-5.
  20. American Academy of Orthopaedic Surgeons. Essentials of musculoskeletal care. 4th ed. Seoul : Hanwoori. 2009 : 324.
  21. David T.F. Osteoarthritis of the knee. N Engl J Med. 2006 ; 354(8) : 841-8. https://doi.org/10.1056/NEJMcp051726 https://doi.org/10.1056/NEJMcp051726
  22. Bellamy N. Outcome measurement in osteoarthritis clinical trials. J Rheumatol Suppl. 1995 ; 43 : 49-51.
  23. Park SJ, Ahn SG. A literature review and a clinical examination of burning acupuncture therapy of using D.I.T.I.. Journal of Acupuncture Research. 1998 ; 15(2) : 407-25.