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KMID : 0895820210310020025
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Journal of Oriental Rehabilitation Medicine
2021 Volume.31 No. 2 p.25 ~ p.40
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Systematic Review and Meta-analysis on Acupotomy for Piriformis Muscle Syndrome
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Park Song-Mi
Jung Su-Eun
Park Jung-Hyeon
Do Hyun-Jeong
Cho Sung-Woo
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Abstract
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Objectives : This study was conducted to analyze the effect of using acupotomy for piriformis muscle syndrome.
Methods : The databases used for the search were PubMed, Embase, Cochrane library, China National Knowledge Infrastructure (CNKI), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), KMbase, and National Digital Science Library (NDSL). The literature was searched using a total of 9 domestic and foreign databases.
randomized controlled trial using only acupotomy as an intervention was selected. The selected studies are analyzed the risk of bias through Cochrane risk of bias, and meta-analysis was performed using Revman.
Results : As a result of meta-analysis of 11 selected studies, acupotomy was more effective than nerve block and acupuncture. In terms of visual analog scale and immediate analgesic effect, acupotomy did not have statistically significant results compared to other treatment methods. meta-analysis of electro-acupuncture and acupotomy showed no significant results.
Conclusions : When acupotomy is applied as a treatment for piriformis muscle syndrome, it is more effective than nerve block and acupuncture. but most of the studies have been judged as 'unclear' in the risk of bias assessment. Due to characteristics of treatment group and control group's intervention, It is judged that the blinding of the participant was not properly implemented. Therefore, it is considered that high-quality studies are necessary to supplement the problems in the future.
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KEYWORD
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Acupotomy, Piriformis muscle syndrome, Systematic review
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