DOI QR코드

DOI QR Code

The Effect of Electro Acupuncture for Sciatica: A Systematic Review and Meta-analysis

좌골신경통에 대한 전침 치료: 체계적 문헌고찰 및 메타분석

  • Kim, Ye-Eun (Department of Korean Medicine Rehabilitation, Korean Medicine Hospital of Sangji) ;
  • Ahn, Jeong-Hoon (Department of Korean Medicine Rehabilitation, Korean Medicine Hospital of Sangji) ;
  • Cha, Yun-Yeop (Department of Korean Medicine Rehabilitation, Korean Medicine Hospital of Sangji) ;
  • Han, In-Sik (Department of Korean Internal Medicine, Korean Medicine Hospital of Sangji) ;
  • Heo, In (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Park, In-Hwa (Department of Korean Medicine Rehabilitation, Korean Medicine Hospital of Sangji)
  • 김예은 (상지대학교 부속한방병원 한방재활의학과) ;
  • 안정훈 (상지대학교 부속한방병원 한방재활의학과) ;
  • 차윤엽 (상지대학교 부속한방병원 한방재활의학과) ;
  • 한인식 (상지대학교 부속한방병원 한방내과) ;
  • 허인 (부산대학교 한방병원 한방재활의학과) ;
  • 박인화 (상지대학교 부속한방병원 한방재활의학과)
  • Received : 2022.03.18
  • Accepted : 2022.03.31
  • Published : 2022.04.30

Abstract

Objectives This study was conducted to evaluate the effect of electro-acupuncture for sciatica. Methods We searched 13 online databases (Kmbase, Research Information Sharing Service [RISS], National Digital Science Library [NDSL], Oriental Medicine Advanced Searching Integrated System [OASIS], Koreanstudies, Koreantk, DBpia, PubMed, Cochrane, EMBASE, Medline, China National Knowledge Infrastructure [CNKI], J-stage) to find randomized-controlled clinical trials (RCTs) that used electro-acupuncture for sciatica. Efficacy rate and visual analogue scale (VAS) were mainly analyzed as a main evaluation criteria. Results Among 583 articles that were searched, 24 RCTs were finally selected and 18 RCTs were statistically analyzed. Electro-acupuncture was more effective than acupuncture in terms of efficacy rate (p<0.00001) and VAS (p<0.00001). Also, Electro-acupuncture was more effective than western medication in terms of efficacy rate (p=0.0005). However, the effectiveness of electro-acupuncture was not identified compared to physical therapy (p=0.42). Electro-acupuncture significantly improved efficacy rate when combined with physical therapy than physical therapy alone (p<0.0001). In addition, electro-acupuncture plus Chuna manual therapy compared to Chuna manual therapy alone showed positive results for efficacy rate (p=0.05) and VAS (p<0.0001). Conclusions Based on results, the effectiveness of electro-acupuncture for sciatica was identified. However, this study has limitations because the RCTs included in this study were small in number and published in a particular region. Although this study could be a groundwork for well designed research for sciatica.

Keywords

References

  1. Allan HR, Ross DZ. Sciatica. N Engl J Med. 2015;26(13): 1240-8.
  2. Weinstein JN, Lurie JD, Olson PR, Bronner KK, Fisher ES. United States' trends and regional variations in lumbar spine surgery: 1992-2003. Spine. 2006;31:2707-14. https://doi.org/10.1097/01.brs.0000248132.15231.fe
  3. Park SE. Gender differences in relating socio-demographic factors of low back pain and sciatica in Korean elderly: 2017 national survey on Korean older persons [dissertation]. Seoul:Yonsei University; 2021.
  4. Koes BW, Van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ. 2007;334:1313-7. https://doi.org/10.1136/bmj.39223.428495.be
  5. Stafford MA, Peng P, Hill DA. Sciatica: a review of history, epidemiology, pathogenesis, and the role of epidural steroid injection in management. Br J Anaesth. 2007;99(4):461-73. https://doi.org/10.1093/bja/aem238
  6. Luijsterburg PA, Verhagen AP, Ostelo RW. Effectiveness of conservative treatments for the lumbosacral radicular syndrome: a systematic review. Eur Spine J. 2007;16: 881-99. https://doi.org/10.1007/s00586-007-0367-1
  7. Peul WC, Van Houvelingen HC, van den Hout WB. Surgery versus prolonged conservative treatment for sciatica. N Engl J Med. 2007;356:2245-56. https://doi.org/10.1056/NEJMoa064039
  8. Kim KS, Kim MD, Kim YB, Kim JH, Kim JH, Lee YC, Jung CG. Practical eastwest medical science clinical introduction (5). Seoul:Jungdam. 2001:464.
  9. Korean Acupuncture and Moxibustion Medicine Society. The Acupuncture and Moxibustion Medicine. 1st ed. Seoul:Jipmundang. 2016:142-9.
  10. Kim DH. HwangjenaegyeongYoungchu. Seoul:Euiseongdang Publishing Co. 2002:25, 26, 30, 262-4, 339-41, 1299-31.
  11. Kim YS. Effects of electro acupuncture and low level laser theraphy at GB39 and GB34 on neuropathic pain in rats induced by tibial and sural nerves ligation. Journal of Korean Acupuncture & Moxibustion Medicine Society. 2013;30(3):125-34.
  12. Tian JB. Clinical effects of electroacupuncture on sciatica caused by lumbar disc herniation. Medical Journal of Chinese People's Health. 2017;29:69-90.
  13. Zhao XJ. The curative effect of electric acupuncture treatment of lumbar disc to sciatica. Journal of Clinical Medical. 2016;3(41):8185-6.
  14. Zhang ML. The analgesic effect and clinical efficacy of electrocution for root sciatic nerve pain were observed [dissertation]. Nanjing:Nanjing University of Traditional Chinese Medicine; 2013.
  15. Meng FY. The effect of electro-needle treatment lumbar disc protruding sciatic nerve pain was observed. China Medicine Guide. 2011;8(6):78.
  16. Wang M, Wang MH, Hua QH, Li ZY, Jiang Y, Sun T, XU L. Observation of the analgesic effect of the needle sandwich ridge on lumbar disc protrusion. Clinical Journal of Traditional Chinese Medicine. 2005;17(6): 594-5. https://doi.org/10.3969/j.issn.1672-7134.2005.06.048
  17. Lan XL. Clinical observation of electro-needle treatment of pear-shaped muscle syndrome. Primary Medicine Forum. 2013;17(5):631-2.
  18. Cao YD, Wang MH, Wang M, Hua QH, Zhao Z. Clinical observations on treatment of root sciatica by Jiaji point lectroacupuncture. Shanghai J Acu-mox. 2003;22(10):19-20. https://doi.org/10.3969/j.issn.1005-0957.2003.10.009
  19. Xu XD. Effect of electric acupuncture combined with traction on ischioneuralgia and influence on pain-producing substances. Modern Journal of Integrated Traditional Chinese and Western Medicine. 2018;27(4):367-70.
  20. Zhang X. Electric needles a randomized controlled study to relieve secondary sciatic nerve pain in the lumbar disc [dissertation]. Beijing:Chinese Academy of Traditional Chinese Medicine Beijing; 2017.
  21. Wang ZX. Clinical observation on electroacupuncture at acupoints for treatment of senile radical sciatica. Chinese Acupuncture& Moxibustion. 2009;1(2):126-8.
  22. Yang J. Observation on the curative effect of computer intermediate frequency therapy instrument combined with electroacupuncture on sciatica. China Medical Device Information. 2021;27(2):149-60.
  23. Zhang JJ. Computer medium frequency therapy instrument with electro-needle to treat sciatic nerve pain clinical experience. Chinese Medicine and Clinical. 2018;18(10): 1776-7.
  24. Zhou GH, Liang GS, Zhong QS. Effect estimate in lu mbar hernia of intervertebral discs and sciatica with therapy of electric acupuncture. Bright Chinese Medicine. 2009;24(2):297-9.
  25. Jin J, Qin HX. Clinical observation of different frequency electro-needles for the treatment of sciatic nerve pain. Cardiovascular Disease Journal of Integrated Traditional Chinese and Western Medicine. 2016;4(18):186-7.
  26. Huang JY, Yue LF, Dong XB. Effect of electro-acupuncture with four-acupoint-oriented modified in the treatment of sciatica. Chinese Contemporary Medicine. 2015;22(19): 53-6.
  27. Li YW, Meng FY. Clinical efficacy of electro-needle treatment of primary sciatic nerve pain was observed. Clinical Journal of Acupuncture. 2011;27(9):28-9.
  28. Wang BX, La JL. Observation of the efficacy of electro-needle and bichlorine annihilation in the treatment of lumbar disc protrusion. Clinical Rehabilitation in China. 2004;8(17):3413-5.
  29. Ye XC, Zhao P, Wang L, Ba DJ, Mi YQ. Clinical observation on the treatment of r oot sciatica by electro acupuncture at Jiaji point. Information on Traditional Chinese Medicine. 2015;32(1):109-11.
  30. Wang PY, Wang J. Comprehensive therapy to treat 50 cases of sciatic nerve pain. Yunnan Journal of Traditional Chinese Medicine. 2016;37(9):60-1. https://doi.org/10.12677/TCM.2016.51006
  31. Chen XQ, Luo Y, Chen ZQ, Wang L, Peng XL. Observation on the clinical effect of electroacupuncture combined with massage treatment for sciatica caused by lubar intervertebral disc protrusion. World Chinese Medicine. 2016;11(3):515-8.
  32. Ma KS. The clinical efficacy of electro-needles with push-and-grab therapy for sciatic nerve pain (root) was observed [dissertation]. Nanjing:Nanjing University of Traditional Chinese Medicine; 2009.
  33. Huang LF, Liang EG. The efficacy of the three therapies for sciatic nerve pain was compared. Chinese Manipulation and Qi Gong Therapy. 2004;20(2):16-7. https://doi.org/10.3969/j.issn.1008-1879.2004.02.008
  34. Tian JB. Clinical observation of electroacupuncture in the treatment of sciatica caused by protrusion. Chinese Journal of Ethnomedicine and Ethnopharmacy. 2018;27(4): 105-6.
  35. Hui Y. The combination of needles to treat sciatic nerve pain was observed clinically [dissertation]. Guangzhou: Guangzhou University of Traditional Chinese Medicine;2009.
  36. Melzack R. The short-form McGill pain questionnaire. Pain. 1987;30:191-7. https://doi.org/10.1016/0304-3959(87)91074-8
  37. Japanese Orthopaedic Association. Scoring system for cervical myelopathy. J Jpn Orthop Assoc. 1994;68:490-503.
  38. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions 5.1.0 [updated September 2011]. Hoboken, NJ::John Wiley & Sons, Ltd. 2006.
  39. Hebei University of Traditional Chinese Medicine. Young chu geong gyo yeok. Beijing:People's medical publishing house Co. 1982:158, 227-8, 238, 250.
  40. Valat JP, Genevay S, Marty M, Rozenberg S, Koes B. Sciatica. Best Practice & Research Clinical Rheumatology. 2010;24(8):241-52. https://doi.org/10.1016/j.berh.2009.11.005
  41. Vroomen PCAJ, Krom MCTFM, Knottnerus JA. Diagnostic value of history and physical examination in patients suspected of sciatica due to disc herniation: a systematic review. J Neurol. 1999;246:899-906. https://doi.org/10.1007/s004150050480
  42. Yoon YJ, Kim SJ, Cho JH, Kim KW, Song MY. Effect of acupuncture on sciatica in rat models: systematic review and meta-analysis. J Korean Med Rehabil. 2020; 30(1):79-93.
  43. Hong SM, Oh SJ, Lee EJ. Systematic review and meta-analysis of chuna therapy for sciatica. J Physiol & Pathol Korean Med. 2020;34(6):299-308. https://doi.org/10.15188/kjopp.2020.12.34.6.299