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KMID : 0895820140240040049
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Journal of Oriental Rehabilitation Medicine
2014 Volume.24 No. 4 p.49 ~ p.60
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The Research Trends on the Acupuncture Treatment of Lumbar Herniated Intervertebral Disc Using PubMed Database
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Shin Woo-Suk
Park Won-Hyung
Cha Yun-Yeop
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Abstract
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Objectives : The purpose of this study is to research current trends of acupuncture treat-ment of lumbar herniated intervertebral disc using the PubMed database.
Methods : We set up the search strategy and investigated clinical trials on acupuncture treatment of lumbar herniated intervertebral disc through PubMed search. This study ana-lyzed previous researched papers published from January 1st, 2000 to April 30th, 2014, and classified them by publication year, journal names, types of literature, treatment meth-ods and evaluation scales. To assess the quality of the reviewed literature, randomized controlled trial (RCT) studies were assessed by Cochrane`s risk of bias (ROB) tool and non-RCT studies were assessed by risk of bias for non-randomized studies (RoBANS).
Results : We found 35 studies on the acupuncture treatment of lumbar herniated inter-vertebral disc. Papers on this topic have been published, on average, three to four times annually in 9 journals since the mid-2000`s. The journal with the largest number of pub-lications was Chinese Acupuncture & Moxibustion, and most of articles were classified as RCT. Acupuncture treatment was performed individually or together with other treatments. The most frequently used pain evaluation index was visual analogue scale (VAS). The index of effective rate was used frequently but there was a lack of objectivity. In regards to the quality of the studies, outcome assessment in RCT showed that random sequence gen-eration, allocation concealment, and the blinding of participants and personnel increase po-tential of risk of bias. For non-RCT assessment, outcome showed that confounding varia-ble, measurement of intervention were at high risk of bias.
Conclusions : In order to obtain objective clinical evidence of acupuncture treatment of lumbar herniated intervertebral disc, further clinical studies should be designed to minimize the risk of bias, using STRICTA with larger sample sizes.
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KEYWORD
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Intervertebral Disc Displacement, Lumbar Herniated Disc, Acupuncture, Electroacupuncture, Pubmed
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