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Electroacupuncture for Lumbar Spinal Stenosis: A Systematic Review and Meta-Analysis

요추 척추관 협착증에 대한 전침 치료의 효과: 체계적 문헌고찰 및 메타분석

  • Bok-Yeon Na (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Woo-Seok Shon (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Young-Jun Kim (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University) ;
  • Chang-Hoon Woo (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daegu Haany University)
  • 나복연 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 손우석 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 김영준 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 우창훈 (대구한의대학교 한의과대학 한방재활의학과교실)
  • Received : 2023.06.20
  • Accepted : 2023.07.10
  • Published : 2023.07.31

Abstract

Objectives To evaluate the evidence supporting the efficacy and safety of electroacupuncture for lumbar spinal stenosis. Methods We searched eight electronic databases (PubMed, EMBASE, Cochrane Library, Chinese Academic Journals, Research Information Sharing Service, ScienceOn, KMBASE, DBpia) and related two journals up to March 2023. We included randomized controlled trials of testing electroacupuncture for lumbar spinal stenosis patients. The methodological quality of relevant randomized controlled trials assessed by the Cochrane risk of bias tool. Results Among 90 articles that were searched, seven randomized controlled trials involving 474 participants were finally selected in this systematic review. Electroacupuncture was more effective on lumbar spinal stenosis compared with other treatments including analgesics, acupuncture, bed rest and exercise therapy, but showed ambiguous effect compared with physical therapy. Most of the side effects and adverse reactions were reported as minor and temporary. Conclusions Electroacupuncture for lumbar spinal stenosis was more effective than analgesics, acupuncture, bed rest and exercise therapy. In terms of safety, it was limited because there are many papers that do not mention side effects and adverse reactions related to electroacupuncture. Additional studies are needed to determine the effect of electroacupuncture on lumbar spinal stenosis.

Keywords

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