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Acupuncture for Symptomatic Rotator Cuff Disease: A Systematic Review and Meta-Analysis

Journal of Acupuncture Research 2021년 38권 1호 p.20 ~ 31
최서영, 이지선, 이성훈, 양기영, 김건형,
소속 상세정보
최서영 ( Choi Seo-Young ) - Pusan National University Korean Medicine Hospital Department of Acupuncture & Moxibustion Medicine
이지선 ( Lee Ji-Sun ) - Pusan National University Korean Medicine Hospital Department of Acupuncture & Moxibustion Medicine
이성훈 ( Lee Seung-Hoon ) - Kyung Hee University College of Korean Medicine Department of Acupuncture and Moxibustion
양기영 ( Yang Gi-Young ) - Pusan National University Korean Medicine Hospital Department of Acupuncture & Moxibustion Medicine
김건형 ( Kim Kun-Hyung ) - Pusan National University Korean Medicine Hospital Department of Acupuncture & Moxibustion Medicine

Abstract


The objective was to evaluate the effectiveness and safety of acupuncture for patients with rotator cuff diseases. There were 12 electronic databases and 3 trial registries searched up to November 30th, 2019. All randomized trials were eligible, regardless of language, date of publication, or settings. The primary outcomes were pain, shoulder function, and proportion of improved participants assessed within 12 weeks of randomization of the trial. The Cochrane risk of bias for the studies was assessed. Effects sizes were presented as a risk ratio, mean difference, or standardized mean difference with a 95% confidence intervals. Grading of Recommendations Assessment, Development and Evaluation approach was adopted to rate certainty of evidence. Of the 3,686 records screened, 28 randomized trials (2,216 participants) were included in this review. The types of acupuncture included manual acupuncture, dry needling, electroacupuncture, acupotomy, warm needle acupuncture, and fire needle acupuncture. All of the studies had an unclear or high risk of bias related to more than 1 domain. Significant benefits of acupuncture in terms of pain and shoulder function were observed in all comparisons, however, the proportion of improved participants was not described in 2 comparisons. There was substantial heterogeneity among meta-analyzed trials. No serious harm was observed. For primary outcomes, the overall certainty of evidence was very low. There was very low certainty of evidence for the benefits of acupuncture for patients with rotator cuff diseases. The safety of acupuncture remains unclear due to the incompleteness of reporting. Future well-designed randomized trials with transparent reporting are required.

키워드

acupuncture; rotator cuff injuries; rotator cuff tear arthropathy; shoulder impingement syndrome

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