Review Article

Journal of Acupuncture Research 2021; 38(2): 96-109

Published online May 24, 2021

https://doi.org/10.13045/jar.2020.00339

© Korean Acupuncture & Moxibustion Medicine Society

Acupotomy for Osteoarthritis of the Knee; A Systematic Review and Meta-Analysis

Seung Min Lee1, Cham Kyul Lee1, Kyung Ho Kim2, Eun Jung Kim3, Chan Yung Jung4, Byung-Kwan Seo5, Bon Hyuk Goo5, Yong Hyeon Baek5, Eun Yong Lee1*

1Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University, Chungju, Korea;2Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital, Goyang, Korea;3Department of Acupuncture and Moxibustion Medicine, Dongguk University Bundang Oriental Medicine Hospital, Seongnam, Korea;4Institute of Oriental Medicine, College of Korean Medicine, Dongguk University, Goyang, Korea;5Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital, Gangdong, Seoul, Korea

Received: October 5, 2020; Revised: November 28, 2020; Accepted: January 8, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this study was to evaluate the effectiveness and safety of acupotomy for the treatment of patients with knee osteoarthritis. There were 9 databases searched to retrieve randomized controlled trials until August 3, 2019 regarding acupotomy versus conventional Western medicine, conventional Western medicine treatment with and without acupotomy, and Korean medicine treatment with and without acupotomy, and meta-analysis was performed. Of 303 potentially relevant studies retrieved, 43 were systematically reviewed. All studies were conducted in China. Effective rate, visual analogue scale, and Western Ontario and McMaster Universities Osteoarthritis index were used as the evaluation scales. The Ashi point was selected most frequently. In all studies, the intervention group was more effective than the control group. Meta-analysis revealed that acupotomy showed statistically significant beneficial results. Although acupotomy had a beneficial effect on knee osteoarthritis, the risk of bias of the included studies was not low. The majority of the results from the evaluation scales used were highly heterogeneous (> 50%) which reduced confidence in the estimation of effect, or had a small sample size. Further clinical research and development is required in the future.

Keywords acupotomy, needle, knee osteoarthritis, meta-analysis, systematic review

Article

Review Article

Journal of Acupuncture Research 2021; 38(2): 96-109

Published online May 24, 2021 https://doi.org/10.13045/jar.2020.00339

Copyright © Korean Acupuncture & Moxibustion Medicine Society.

Acupotomy for Osteoarthritis of the Knee; A Systematic Review and Meta-Analysis

Seung Min Lee1, Cham Kyul Lee1, Kyung Ho Kim2, Eun Jung Kim3, Chan Yung Jung4, Byung-Kwan Seo5, Bon Hyuk Goo5, Yong Hyeon Baek5, Eun Yong Lee1*

1Department of Acupuncture and Moxibustion Medicine, Chungju Hospital of Korean Medicine, Semyung University, Chungju, Korea;2Department of Acupuncture and Moxibustion Medicine, Dongguk University Ilsan Oriental Medicine Hospital, Goyang, Korea;3Department of Acupuncture and Moxibustion Medicine, Dongguk University Bundang Oriental Medicine Hospital, Seongnam, Korea;4Institute of Oriental Medicine, College of Korean Medicine, Dongguk University, Goyang, Korea;5Department of Acupuncture and Moxibustion, Kyung Hee University, Korean Medicine Hospital, Gangdong, Seoul, Korea

Received: October 5, 2020; Revised: November 28, 2020; Accepted: January 8, 2021

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this study was to evaluate the effectiveness and safety of acupotomy for the treatment of patients with knee osteoarthritis. There were 9 databases searched to retrieve randomized controlled trials until August 3, 2019 regarding acupotomy versus conventional Western medicine, conventional Western medicine treatment with and without acupotomy, and Korean medicine treatment with and without acupotomy, and meta-analysis was performed. Of 303 potentially relevant studies retrieved, 43 were systematically reviewed. All studies were conducted in China. Effective rate, visual analogue scale, and Western Ontario and McMaster Universities Osteoarthritis index were used as the evaluation scales. The Ashi point was selected most frequently. In all studies, the intervention group was more effective than the control group. Meta-analysis revealed that acupotomy showed statistically significant beneficial results. Although acupotomy had a beneficial effect on knee osteoarthritis, the risk of bias of the included studies was not low. The majority of the results from the evaluation scales used were highly heterogeneous (> 50%) which reduced confidence in the estimation of effect, or had a small sample size. Further clinical research and development is required in the future.

Keywords: acupotomy, needle, knee osteoarthritis, meta-analysis, systematic review

JAR
May 31, 2023 Vol.40 No.2, pp. 111~175

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