Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Extracorporeal Shock Wave Therapy with Meridian and Acupoint Theory for Knee Osteoarthritis: Systematic Review

경혈경락이론에 근거한 체외충격파 치료가 무릎 관절염에 미치는 영향: 체계적 문헌 고찰

  • Kim, Byung-Jun (School of Korean Medicine, Pusan National University) ;
  • Lee, Sang-Hyun (School of Korean Medicine, Pusan National University) ;
  • Kim, Hyun-Tae (School of Korean Medicine, Pusan National University) ;
  • Park, Hye-Jin (School of Korean Medicine, Pusan National University) ;
  • Park, Sun-Young (School of Korean Medicine, Pusan National University) ;
  • Heo, In (School of Korean Medicine, Pusan National University) ;
  • Hwang, Man-Suk (School of Korean Medicine, Pusan National University) ;
  • Shin, Byung-Cheul (School of Korean Medicine, Pusan National University) ;
  • Hwang, Eui-Hyoung (School of Korean Medicine, Pusan National University)
  • 김병준 (부산대학교 한의학전문대학원) ;
  • 이상현 (부산대학교 한의학전문대학원) ;
  • 김현태 (부산대학교 한의학전문대학원) ;
  • 박혜진 (부산대학교 한의학전문대학원) ;
  • 박선영 (부산대학교 한의학전문대학원) ;
  • 허인 (부산대학교 한의학전문대학원) ;
  • 황만석 (부산대학교 한의학전문대학원) ;
  • 신병철 (부산대학교 한의학전문대학원) ;
  • 황의형 (부산대학교 한의학전문대학원)
  • Received : 2021.03.17
  • Accepted : 2021.04.02
  • Published : 2021.04.30
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Abstract

Objectives To determine the evidence of effectiveness and safety of extracorporeal shock wave therapy (ESWT) with meridian and acupoint theory for knee osteoarthritis. Methods By March 3, 2021, five foreign electronic databases and six Korean medical electronic databases were reviewed with the key words 'extracorporeal shock wave' and '(acupoint OR acupuncture point)'. This key words was set up to increase the sensitivity of the search. After the search, knee osteoarthritis study was selected based on the title and abstract and then included after full-texts were read. Results Five randomized controlled trials were eligible in our inclusion criteria. The meta-analysis of three studies showed positive results for the using ESWT with meridian and acupoint theory for knee osteoarthritis compared with the control group on efficancy rate, visual analog scale and lysholm knee score. but there remains a conundrum regarding the safety of ESWT in the treatment of knee osteoarthritis. Conclusions Most of studies showed ESWT with meridian and acupoint theory were statistically effective to knee osteoarthritis. However there are limitations that the number of selected studies was small, risk of bias was unclear. So use of ESWT with meridian and acupoint theory for knee arthritis has limited evidence compared to usual care.

Keywords

Acknowledgement

본 연구는 2021년도 부산대학교병원 임상연구비 지원으로 이루어졌음.

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