DOI QR코드

DOI QR Code

A Systematic Review and Meta-Analysis of Moxibustion Treatment for Knee Osteoarthritis

  • Park, Jang Mi (Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University) ;
  • Lee, Cham Kyul (Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University) ;
  • Kim, Kyung Ho (Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital) ;
  • Kim, Eun Jung (Department of Acupuncture and Moxibustion Medicine, Dongguk University Bundang Oriental Medicine Hospital) ;
  • Jung, Chan Yung (Institute of Oriental Medicine, College of Korean Medicine, Dongguk University) ;
  • Seo, Byung-Kwan (Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital) ;
  • Goo, Bon Hyuk (Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital) ;
  • Baek, Yong Hyeon (Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital) ;
  • Lee, Eun Yong (Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University)
  • Received : 2020.04.24
  • Accepted : 2020.06.29
  • Published : 2020.08.31

Abstract

The purpose of this study was to evaluate the evidence supporting the effectiveness of moxibustion treatment for osteoarthritis. There were 9 databases used to retrieve randomized controlled trials (RCTs) that used moxibustion as treatment for osteoarthritis. The quality of methodology for the RCTs was assessed using the Cochrane Risk of Bias tool [Review Manager (RevMan) Version 5.3 Windows, The Nordic Cochrane Centre, Copenhagen, Denmark]. The inclusion criteria for this review was met by 27 RCTs. All studies were conducted in China. A 4-week moxibustion treatment period was the most common. EX-LE4 and SP10 and GB34 acupoints were most frequently selected in the treatment of osteoarthritis. The most commonly used evaluation index was the visual analog scale (VAS). All studies, including a meta-analysis showed that moxibustion treatments were statistically significantly effective at treating knee osteoarthritis. However, well-designed randomized RCTs without a high risk of bias should be designed in the future.

Keywords

References

  1. Korean Acupuncture & Moxibustion Society. The Acupuncutre and Moxibustion Medicine. Seoul (Korea): Jibmoondang; 2012. p. 559-564, 573-577.
  2. Ettinger WH, Afable RF. Physical disability from knee osteoarthritis: The role of exercise as on intervention. Med Sci Sports Exerc 1994;26:1435-1440.
  3. The Korean Orthopedic Association. Orthopedics, 7th ed. Seoul (Korea): The newest medical Publishers CO; 2013. p. 317-327.
  4. Rehabilitation medicine of Korean Medicine. Oriental Rehabilitation Medicine, 3rd ed. Seoul (Korea): Koonja publishing; 2011. 97 p.
  5. The Korean Orthopedic Association. Orthopedics, 7th ed. Seoul (Korea): The newest medical Publishers CO; 2013. p. 994-1071.
  6. Ko HJ, Yoo JH, Shin JC. 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. J Acupunct Res 2019;36:104-114. [in Korean].
  7. Gu JH, Kim ES, Park YC, Jung I, Lee EJ. A Systematic Review of Bee Venom Acupuncture for Knee Osteoarthritis. J Korean Med Rehabil 2017;27:47-60. [in Korean]. https://doi.org/10.18325/JKMR.2017.27.3.47
  8. Korean Acupuncture and Moxibustion Society. The Acupuncutre and Moxibustion Medicine. Seoul (Korea): Jibmoondang; 2012. p. 327-328.
  9. Wang W [Dissertation]. Clinical study of the ginger moxibustion in treating yang deficiency type knee osteoarthritis. Yunnan (China): Yunnan University of Traditional Chinese Medicine; 2015. [in Chinese].
  10. Cheng HL, Han W, Hu PJ, Yang J. A clinical study on the treatment of primary osteoarthritis of the knee with moxibustion. Clin J Tradit Chin Med 2008;20:114-116. [in Chinese].
  11. Zhang J, Hen Y, Huang G. Clinical observation of moxibustion combined with knee joint rehabilitation for the treatment of knee osteoarthritis. J Clin Acupunct Moxibustion 2015;31:7-9. [in Chinese].
  12. Ren XM, Cao JJ, Shen XY, Wang LZ, Zhao L, Wu F et al. Knee osteoarthritis treated with moxibustion: a randomized controlled trial. Zhongguo Zhen Jiu 2011;31:1057-1061. [in Chinese].
  13. Zhao HY, Kong JJ, Lu W, Zhang Y, Zhang J, Xu J et al. Clinical effect of acupuncture and moxibustion in treating knee osteoarthritis. J Shanghai Univ Tradit Chin Med 2013;27:45-47. [in Chinese].
  14. Zhang QJ, Cao LH, Li ZD, Wang SC, Ma YH, Su JC et al. The clinical effects and safety of moxibustion and cerecoxib for osteoarthritis of knee. Chinese J Tradit Chin Orthop 2011;19:113-115. [in Chinese].
  15. Zhou YL, Li J, Hou WG, Bao CL, Zhang Q, Wang SS et al. Clinical observation of moxibustion in treatment of knee osteoarthritis. Shanghai J Acupunct 2014;33:1086-1088. [in Chinese].
  16. Wu F, Zhang HM, Wang LZ, Zhao L, Deng HP, Cheng K et al. Effects of CO2 laser moxibustion on quality of life in patients with knee osteoarthritis: A double-blind randomized controlled trial. J Clin Rehabil Tissue Eng Res 2011;15:4885-4890. [in Chinese].
  17. Sun K, Yang J, Shen DK. Clinical observation on treatment of primary knee osteoarthritis of liver and kidney deficiency type with Aconite cakeseparated moxibustion. Zhongguo Zhen Jiu 2008;28:87-90. [in Chinese].
  18. Deng JM, Chen Y, Wang SX. Comparative study of the efficacies of warm needling versus salt moxibustion in treating knee osteoarthritis. Shanghai J Acupunct Moxibustion 2015;34:243-245. [in Chinese].
  19. Yuan QD, Guo X, Han YC, Zhang JQ, Feng XD. Observations on the therapeutic effect of heat-sensitive point Thunder-fire moxibustion on knee osteoarthritis. Shanghai J Acupunct Moxibustion 2015;34:665-668. [in Chinese].
  20. Deng JM, Chen Y, Wang SX. Salt insulation moxibustion in the treatment of knee osteoarthritis: Analysis of 35 cases. J Clin Acupunct Moxibustion 2015;31:14-17. [in Chinese].
  21. Yang YH, Sun K, Su GH, Zhou ZL. Clinical Study of Gesan Qibing Moxibustion for Treatment of Primary Osteoarthritis of Knee of Qi Stagnation and Blood Stasis Type. Clin J Tradit Chin Med 2008;20:53-55. [in Chinese].
  22. Song YC, Liu DC, Zhu JC. Clinical Research of Treating Knee Osteoarthritis by Gesan Qibing Moxibustion. J Clin Acupunct 2013;29:40-42. [in Chinese].
  23. Zhou ZL, Sun K, Cheng HL, Liu DC, Yang J. Observations on the Therapeutic Effect of Herbal Cake-separated Moxibustion on Knee Osteoarthritis of Blood Stasis Type. Shanghai J Acupunct 2010;29:45-47. [in Chinese].
  24. Ren X, Yao C, Wu F, Li Z, Xing J, Zhang H. Effectiveness of moxibustion treatment in quality of life in patients with knee osteoarthritis: a randomized, double-blinded, placebo-controlled trial. Evid Based Complement Alternat Med 2015;2015;569523.
  25. Wu F, Xiong P. Moxibustion on heat-sensitive acupoints in the treatment of KOA (swelling type). J Clin Acupunct 2011;27:1-4. [in Chinese].
  26. Chi ZH, Xiong J, Jiao L, Zhang L, Zhang B, Xie DY et al. Moxibustion location heat-sensitive rule of heat-sensitive moxibustion in the treatment of knee osteoarthritis: A exploratory RCT research. Chin Med Modern Distance Edu China 2016;14:104-106. [in Chinese].
  27. Zhao L, Cheng K, Wang L, Wu F, Deng H, Tan M et al. Effectiveness of moxibustion treatment as adjunctive therapy in osteoarthritis of the knee: A randomized, double-blinded, placebo-controlled clinical trial. Arthritis Res Ther 2014;16:R133. [in Chinese]. https://doi.org/10.1186/ar4590
  28. Bu AX, Wang LG, Wiong J, He D, Hu XC, Guo RC. Observation of curative effect of Heat-sensitive acupoint moxibustion on knee joint osteoarthritis of Han Shi Yu Bi Type. Shizhen Tradit Chin Med 2018;29:1114-1116. [in Chinese].
  29. Zhou JY [Dissertation]. Moxibustion for treating knee osteoarthritis: A double-blinded, double-dummy, randomized controlled trial. Chengdu (China); Chengdu University:2017. [in Chinese].
  30. Zhang S [Dissertation]. The Clinical observation the therapy of knee Joint osteoarthritis using Moderate Moxibustion. Guangzhou (China); Guangzhou University: 2009. [in Chinese].
  31. Zheng J, Zhang H, Liu J. Different acupuncture and moxibustion methods at Heding (EX-LE 2) for knee osteoarthritis with yang-deficiency and coldstagnation syndrome. Zhongguo Zhen Jiu 2017;37:594-598. [in Chinese].
  32. Zhang QR, Fu WB. Osteoarthritis of knee joint treated with acupuncture and moxibustion. Zhongguo Zhen Jiu 2010;30:375-378. [in Chinese].
  33. He Y, Xu YP, Huo XT. Clinical research of moxibustion in treating knee joint osteoarthritis. Chin J Tradit Chin Orthop 2009;17:38-39. [in Chinese].
  34. Tian DD, Wan L, Huang CB, Wang SP, Xi X, Liu J. Effect of moxibustion on clinical efficacy and quality of life in patients with knee osteoarthritis. Henan Tradit Chin Med 2017;37:2208-2210. [in Chinese].
  35. Xiao YD. Effect of moxibustion assisted intravitreal injection of sodium hyaluronate on joint function in patients with knee osteoarthritis. Med Equipment 2017;30:117-118. [in Chinese].