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  • Review ArticleAugust 31, 2023

    0 2114 82

    Fire Acupuncture for Varicose Veins in the Lower Extremities: A Review of Randomized Controlled Trials

    Onyou Jo , Jiyoon Lee , Sangmin Park , Jaewook Shin , Saerom Choi , Seongyong Choi

    Journal of Acupuncture Research 2023; 40(3): 177-187
    Abstract

    Abstract : Varicose veins have a substantial burden on individuals’ aesthetics and overall quality of life. The current body of research on Korean medical interventions for varicose veins is limited in Korea, and exploration into clinical trends is lacking. This review specifically analyzed fire acupuncture, which is an understudied intervention in Korea that demonstrated efficacy in alleviating pain and paralysis while promoting tissue regeneration. A comprehensive investigation of the China National Knowledge Infrastructure database was conducted, utilizing terms such as “varicose vein,” “fire needle,” “fire acupuncture,” “burning acupuncture,” “burning needle,” “huǒzhēn,” “xiàzhī jìngmài,” and “jìngmài qūzhāng.” This review included 14 studies investigating the role of fire acupuncture in treating varicose veins. We extracted variables, including age, sex, disease duration, intervention method, treatment frequency, treatment period, acupoints, and outcomes. Fire acupuncture appeared as the primary intervention method, followed by general acupuncture. The protruding part of varicose veins is the main treatment area for fire acupuncture, while the acupoints BL57 and ST36 were most frequently utilized for general acupuncture. Treatment results revealed significant improvement in all studies. However, there are limitations, such as scarce studies, limited side effects studies, and potential bias. Consequently, extensive and well-structured future studies are necessary to demonstrate the role of fire acupuncture in varicose veins.

  • Review ArticleAugust 31, 2023

    0 884 88

    Effectiveness of Acupuncture for Laryngopharyngeal Reflux Disease: A Systematic Review and Meta-Analysis

    Jihun Oh , Jaewoo Yang , Jungmin Yang , Minsoo Kang , Sukyoung Kim , Minjun Lee , Jinwoong Lim

    Journal of Acupuncture Research 2023; 40(3): 188-200
    Abstract

    Abstract : Laryngopharyngeal reflux (LPR) disease is a condition in which the stomach contents return to the larynx and pharynx via the esophagus, causing mucosal injury. While conventional treatments, such as proton pump inhibitors, have limitations, acupuncture has been shown to reduce LPR symptoms. However, its effectiveness has not been systematically assessed. This study aimed to systematically evaluate the effectiveness of acupuncture in treating LPR. We review 10 electronic databases with a consistent search strategy, and 2 independent reviewers screened the articles based on the inclusion and exclusion criteria. This study selected and analyzed 7 randomized controlled trials after the screening to assess primary outcomes, including reflux symptom index and reflux finding score, and secondary outcomes, including upper and lower esophageal sphincter pressure. The results revealed the statistically significant effectiveness of acupuncture in combination with conventional treatment in reducing LPR symptoms compared with conventional treatment alone. The most commonly used acupuncture points were CV22, ST36, and LR3. However, the meta-analysis demonstrated low reliability, as assessed using the GRADE Tool. Further research is needed to improve the evidence and draw clear conclusions regarding the clinical use of acupuncture for treating LPR.

  • Review ArticleAugust 31, 2023

    0 374 72

    Research Trend in Korean Medicine Treatment for Hemifacial Spasm

    Hyang Gi Lim , Eun Sil Heo , Sang Ha Woo , Jung Hee Lee , Jae Soo Kim , Seong Hun Choi , Hyun-Jong Lee

    Journal of Acupuncture Research 2023; 40(3): 201-213
    Abstract

    Abstract : This study reviewed clinical papers reported on hemifacial spasm (HFS). Six online databases were searched for clinical papers published between January 2000 and December 2022. This study reviewed 14 studies, including 13 case reports and 1 combination of case reports and randomized controlled trials (RCTs). The most frequently used acupoints were ST7 and TE17, and the stomach meridian was the most frequently selected. Herbal medicine, pharmacopuncture, thread embedding acupuncture, cupping, moxibustion, and physical therapy were combined with acupuncture. The most frequently used evaluation method is Scott’s scale. Out of 95 cases, 82 reported improved HFS symptoms after treatment. Our findings indicated the effectiveness of Korean Medicine treatment in treating HFS. However, evidence of efficacy and safety remains insufficient. Large-scale and well-designed investigations will be required in the future to corroborate these results. We believe that this paper will serve as the foundation for future RCTs.

  • Review ArticleAugust 31, 2023

    0 389 94

    Acupuncture and Electroacupuncture Treatment for Temporomandibular Joint Disorder Focused on Recent Randomized-Controlled Studies: A Systematic Review and Meta-Analysis

    Jin-Sol Yoon , Joonyong Noh , Seonju Ahn , Yun-Gwon Seon , Hong-Wook Choi , Sun-Joong Kim , Jae-Uk Sul , Jae-Hong Kim

    Journal of Acupuncture Research 2023; 40(3): 214-237
    Abstract

    Abstract : This study aimed to evaluate the clinical efficacy and safety of acupuncture and electroacupuncture for temporomandibular joint disorder (TMD). We searched 11 databases to find randomized-controlled trials (RCTs) published between January 2018 and January 2023 that used acupuncture and electroacupuncture to treat patients with TMD. We performed a meta-analysis of 18 RCTs involving 1,109 patients. Nine studies reported that the treatment and control groups showed improvement in the evaluation index post-treatment. The results of the meta-analysis showed that the treatment groups receiving acupuncture combined with manual therapy had significantly improved visual analog scale score and dysfunction index than the control groups receiving manual therapy. Moreover, the treatment groups receiving acupuncture combined with Western medicine had statistically improved maximum mouth opening than the control groups using Western medicine. In conclusion, acupuncture and electroacupuncture have clinical effects on TMD patients. Given that 11 studies were obtained from the Chinese database, a regional bias would be considered. Furthermore, the included studies had high a risk of bias in terms of randomization, concealment, and blinding. Further studies are required to correct these limitations.

  • Original ArticleAugust 31, 2023

    0 275 72

    The Effectiveness and Safety of Acupuncture on Occipital Neuralgia: A Study Protocol for Systematic Review and/or Meta-Analysis

    Jeong-Hyun Moon , Gyoungeun Park , Jung Eun Jang , Hyo-Rim Jo , Seo-Hyun Park , Won-Suk Sung , Yongjoo Kim , Yoon-Jae Lee , Seung Deok Lee , Eun-Jung Kim

    Journal of Acupuncture Research 2023; 40(3): 238-244
    Abstract

    Abstract : Background: Occipital neuralgia (ON) is an established risk factor for headaches in the posterior cervical region. Several conservative treatments by nerve decompression and pain relief are available for ON, but these treatments have limitations. Acupuncture treatment, which is known to demonstrate analgesic effects, involves various stimulation methods, and several studies have reported their clinical benefit. No recent systematic review (SR) has compared each acupuncture type for ON treatment. Thus, this SR aims to investigate the clinical effectiveness of each acupuncture type for treating ON.
    Methods: We will identify relevant studies using electronic databases, including EMBASE, MEDLINE, Cochrane Library, China National Knowledge Infrastructure (CNKI), Korean Studies Information Service System (KISS), Korean Medical Database, KoreaMed, and National Digital Science Library (NDSL) from the inception until August 2023. The primary outcome will include the numerical change of pain symptoms (visual analog scale and numerical rating scale) and effective rate. Safety and secondary outcomes will include adverse events and quality of life. We will compare the conservative treatment with the acupuncture treatment using network meta-analysis. The Cochrane Collaboration “risk of bias” tools will be used to assess the quality of included trials. The Grades of Recommendation, Assessment, Development, and Evaluation will be used to examine the evidence level.
    Conclusion: This study will provide clinical evidence of several acupuncture types for ON and help clinicians decide on the best.

  • Original ArticleAugust 31, 2023

    0 218 64

    A Pilot Survey Examining Satisfaction for Integrated Medicine Based on Critical Pathways for Acute Facial Palsy

    Min-Jung Ko , Sang-Yeup Chae , Seungeun Lee , Dongmin Lee , Jaeho Song , Jinkyung Park , Jung-Hyun Kim , Bonhyuk Goo , Yeon-Cheol Park , Byung-Kwan Seo , Yong-Hyeon Baek , Sang-Soo Nam

    Journal of Acupuncture Research 2023; 40(3): 245-251
    Abstract

    Abstract : Background: The incidence of facial palsy has been increasing. Many patients consult both Korean and Western physicians; however, no critical pathway (CP) for facial palsy has been established based on integrated medicine including Korean medicine, Western medicine, and complementary and alternative medicine. Thus, we developed and implemented an integrated CP for patients with acute facial palsy and investigated the satisfaction with CP.
    Methods: Overall, 20 patients who received treatment following the CP and 20 medical staff members involved in their care responded to a questionnaire survey. The questionnaire was developed based on a review of previous studies and focused on the satisfaction with the CP.
    Results: Patients’ satisfaction score with the integrated CP was ≥ 4.4 for all items using a 5-point Likert-type scale. Smooth and cooperative treatment procedures, time-saving practices, and a clear explanation of the integrated treatment plan were satisfactory factors. Additionally, they preferred incorporating specialized facial massage and receiving education on self-exercise or massage techniques as complementary therapies. The medical staff members expressed a high level of satisfaction with the CP; however, the work division and treatment guidelines must be improved.
    Conclusion: An integrated CP program for acute facial palsy was implemented, and the satisfaction levels of patients and medical staff members were assessed. The results revealed high levels of satisfaction, and several improvements identified will be incorporated into clinical practice going forward.

  • Original ArticleAugust 31, 2023

    0 192 51

    Comparative Study on the Clinical Trial of Acupotomy Treatment for Lumbar Disk Herniation

    Beom Seok Kim , Ju Hyun Jeon , Tae Yong Park , Hong Kyoung Kim , Young Il Kim

    Journal of Acupuncture Research 2023; 40(3): 252-264
    Abstract

    Abstract : Background: The primary aim of this study is to statistically analyze and compare the difference in treatment outcomes based on the frequency and duration of acupotomy treatment for lumbar disk herniation.
    Methods: The evaluation of efficacy and safety involved using visual analog scale (VAS), numeric rating scale (NRS), Roland Morris disability questionnaire (RMDQ), EuroQol 5-dimention (EQ-5D), and similar parameters. This was achieved through the establishment of a comparable cohort using propensity score matching. Group A comprised 46 patients who underwent 4 sessions of acupotomy treatment for 2 weeks, while Group B consisted of 15 patients who received 6 acupotomy sessions for 3 weeks.
    Results: For Group A, the average amount of change in VAS values at weeks 4 and 6 was significantly decreased. However, the average amount of change in RMDQ values was not significant. Notably, the average amount of change of EQ-5D values at week 6 increased significantly. As for Group B, the average amount of change of NRS values in weeks 2 and 3 was significantly decreased. Conversely, the average amount of change in RMDQ and EQ-5D values was not significant. In comparing the 2 groups at the final follow-up, the average amount of change in all evaluation values was not significant. Further, no significant interaction effect was observed in the changes over time in all evaluation values between the 2 groups.
    Conclusion: This study establishes that there was no statistically significant difference in pain reduction, functional impairment, and quality of life improvement between 2 group.

  • Case ReportAugust 31, 2023

    0 284 69

    Complex Acupuncture Treatment for Cervical Ossification of Posterior Longitudinal Ligament: Case Report of Two Patients

    Jae Hyung Kim , Ga Young Choi , Sang Ha Woo , Jung Hee Lee , Hyun Jong Lee , Jae Soo Kim

    Journal of Acupuncture Research 2023; 40(3): 265-271
    Abstract

    Abstract : Ossification of the posterior longitudinal ligament (OPLL) is a disease that narrows the spinal canal, causing neurological symptoms. To date, there have been several reports on traditional Korean medicine treatments for OPLL; however, there is no study on complex acupuncture treatment. Herein, we report 2 cases of cervical OPLL involving cervical pain, upper limb radiating pain, and hypoesthesia. The patients were diagnosed using C-spine computed tomography and did not receive any treatment at any other hospital. The patients were treated with acupuncture treatments, including electroacupuncture, pharmacopuncture, and acupotomy, at Daegu Korean Medicine Hospital at Daegu Haany University. The results were assessed using the visual analog scale, neck disability index, and Japanese Orthopedic Association scores, and the results indicated an improvement in the symptoms. Thus, this study demonstrated that complex acupuncture treatment may be helpful for treating cervical OPLL and improving the quality of life.

  • Case ReportAugust 31, 2023

    0 294 77

    Effect of Complex Traditional Korean Medicine Treatment and Rehabilitation on Acetabular Fracture: A Case Report

    Young Han Nam , Choong Hyun Han , Young Kyung Kim , Youn Young Choi , Eun Sol Won , Hwa Yeon Ryu , Hyun Lee , Jae Hui Kang

    Journal of Acupuncture Research 2023; 40(3): 272-280
    Abstract

    Abstract : This report presents the clinical progress of a 50-year-old male diagnosed with a left acetabular fracture and left rib fracture after falling from a height of 3 m. The patient was treated nonsurgically and underwent complex traditional Korean medicine (TKM) treatment and rehabilitation, including acupuncture, electroacupuncture, pharmacopuncture, bee venom, herbal medicine, physiotherapy, and moxibustion. Patient progress was assessed using the numerical rating scale (NRS), manual muscle test (MMT), and modified Harris Hip Score (mHHS). During 113 days of hospitalization, the NRS score decreased from 7 to 3, and the MMT grade increased to normal in the hip, knee, and ankle joints. The mHHS score increased from 26 to 99 points. Radiographs and computed tomography scans of the left acetabulum were obtained periodically, and fracture union was successfully achieved. To our knowledge, this is the first case report of complex TKM treatment and rehabilitation of acetabular fractures.

  • Case ReportAugust 31, 2023

    0 268 80

    Integrative Korean Medicine Treatment for Sacral Fracture: Two Clinical Cases

    Yeon Soo Kang , Pil Je Park , So Jeong Kim , Hyun Jin Jang , Min Ju Kim , Hyeon Kyu Choi , Jeong Kyo Jeong , Ju Hyun Jeon , Young Il Kim

    Journal of Acupuncture Research 2023; 40(3): 281-292
    Abstract

    Abstract : This study presents the cases of a 67-year-old female with an isolated left sacral fracture and a 69-year-old female with fractures in sacrum 1, 2, and the left pubic bone. Both patients exhibited marked improvement following integrative Korean medicine treatment, encompassing acupuncture, acupotomy, pharmacopuncture, herbal medicine, moxibustion, and cupping therapy. The treatment’s efficacy was assessed using the numerical rating scale (NRS) scores, range of motion (ROM) in the lumbar spine, and alterations in gait and walking distance. Case 1 demonstrated an enhanced ROM and achieved independent walking after 29 days of treatment. Case 2 improved in both ROM and NRS score and could walk independently after 49 days of treatment. Significantly, radiological images showed notable changes in both cases following treatments. The study indicates that integrative Korean medicine treatment could provide clinical advantages to individuals suffering from sacral fractures.

JAR
Feb 29, 2024 Vol.41 No.1, pp. 1~73

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Journal of Acupuncture Research

pISSN 2586-288X
eISSN 2586-2898
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