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논문 기본 정보

자료유형
학술저널
저자정보
Huh Jeong Ho (College of Korean Medicine Woosuk University Jeonju Republic of Korea) Jeong Hye In (Department of Preventive Medicine College of Korean Medicine Kyung Hee University Seoul Republic of) Kim Kyeong Han (Woosuk University)
저널정보
대한약침학회 Journal of Pharmacopuncture Journal of Pharmacopuncture 제24권 제4호
발행연도
2021.12
수록면
153 - 164 (12page)
DOI
10.3831/KPI.2021.24.4.153

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Objectives: Despite the low cost and high accessibility of manual acupuncture (MA) treatments for the carpal tunnel syndrome (CTS), this intervention has not been uniformly evaluated in systematic reviews (SR), and no SR has evaluated MA monotherapy for CTS. This review was conducted to summarize the findings and undertake a quality assessment of randomized controlled trials (RCTs) of acupuncture treatment methods for mild-tomoderate CTS to identify clinical evidence for the use of MA in CTS. Methods: We searched five databases for articles on relevant RCTs that were published until June 2021 without imposing specific restrictions, such as age or sex, on CTS patients. RCTs that evaluated MA were included without any restriction on comparator interventions. Measurement tools for evaluating pain reduction and functional improvement or for evaluating efficacy using electrophysiological indicators were included as outcome measures. Results: We included seven RCTs, of which three studies reported both post-treatment improvement effects and statistical significance using p-values for all outcomes. Five studies reported statistically significant intergroup differences (p-values for all outcomes) in posttreatment improvement. None of the studies reported severe adverse effects of MA. In all of the RCTs, the reporting rates of the 2c, 2a, and 6a items of STRICTA 2010 were 14%, 29%, and 29%, respectively. PC7 (Daereung) was used to treat CTS in all of the included studies. Conclusion: MA can be used for CTS treatment without serious adverse effects. PC7 was the most commonly used acupoint. In order to ensure objective and reliable reporting, accurate standardization of acupuncture treatment methods acupoint terms should be undertaken in future RCTs.
#systematic review #carpal tunnel syndrome #manual acupuncture #pain #stricta

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참고문헌 (36)

참고문헌 신청
Urits I / 2019 / Recent advances in the understanding and management of carpal tunnel syndrome : a comprehensive review / Curr Pain Headache Rep 23(10):70 google schola Atroshi I / 1999 / Prevalence of carpal tunnel syndrome in a general population / JAMA 282(2):153~158 google schola Padua L / 2016 / Carpal tunnel syndrome : clinical features, diagnosis, and management / Lancet Neurol 15(12):1273~1284 google schola Dabbagh A / 2020 / Diagnosing carpal tunnel syndrome : diagnostic test accuracy of scales, questionnaires, and hand symptom diagrams-a systematic review / J Orthop Sports Phys Ther 50(11):622~631 google schola Klauser AS / 2009 / Carpal tunnel syndrome assessment with US : value of additional cross-sectional area measurements of the median nerve in patients versus healthy volunteers / Radiology 250(1):171~177 google schola

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