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KMID : 0615720150320040147
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Jouranl of Korean Acupuncture and Moxibustion society
2015 Volume.32 No. 4 p.147 ~ p.156
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Korean Medicine for Thoracolumbar Compression Fracture in Korean Literature: a Systematic Review
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Bae Ji-Min
Kim Dae-Hun
Kim Jae-Kyu
Lee Byung-Ryul
Yang Gi-Young
Kim Kun-Hyung
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Abstract
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Objectives: This study aims to evaluate the effectiveness and safety of Korean medicine for a thoracolumbar compression fracture
Methods: We searched six Korean databases (DBPIA Korean Studies Information Service System Oriental Medicine Advanced Searching Integrated System National Digital Science Library Research Information Sharing Service KoreaMed) (up to June 2015) and the Journal of Korean Acupuncture and Moxibustion Society Unpublished studies were also searched Clinical research other than case reports involving less than 10 patients were eligible The effectiveness and safety of Korean Medicine was analyzed The ‘Risk of Bias’ was assessed using the ‘Risk of Bias’ assessment tool for non-randomized studies as well as the Cochrane Collaboration’s ‘Risk of Bias’ tool
Results: We found 12 before-after studies (374 patients) There was no randomized trial All studies combined at least three different types of Korean medicine treatments The period of treatment varied between less a week and 154 days All the included studies reported improvements in pain functional disability related to lower back pain global assessment and benefits in the compression ratio of a fractured vertebrae and skin temperature measured by digital infrared thermal imaging in comparison with the baseline However all studies had a high risk of bias and three studies reported mild adverse events
Conclusions: There is no randomized trial for the role of Korean medicine for patients with a thoracolumbar compression fracture The effectiveness and safety of Korean medicine for this population remains unclear Findings in this review are seriously biased due to observational design and a high risk of bias included in the studies Future high-quality randomized trials are warranted.
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KEYWORD
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Spinal fracture, Compression fracture, Korean medicine, Vertebral fracture, Systematic review, Acupuncture
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