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KMID : 0895820210310020041
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Journal of Oriental Rehabilitation Medicine
2021 Volume.31 No. 2 p.41 ~ p.48
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Extracorporeal Shock Wave Therapy with Meridian and Acupoint Theory for Knee Osteoarthritis: Systematic Review
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Kim Byung-Jun
Lee Sang-Hyun
Kim Hyun-Tae
Park Hye-Jin
Park Sun-Young
Heo In
Hwang Man-Suk
Shin Byung-Cheul
Hwang Eui-Hyoung
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Abstract
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Objectives : To determine the evidence of effectiveness and safety of extracorporeal shock wave therapy (ESWT) with meridian and acupoint theory for knee osteoarthritis.
Methods : By March 3, 2021, five foreign electronic databases and six Korean medical electronic databases were reviewed with the key words ‘extracorporeal shock wave’ and ‘(acupoint OR acupuncture point)’. This key words was set up to increase the sensitivity of the search. After the search, knee osteoarthritis study was selected based on the title and abstract and then included after full-texts were read.
Results : Five randomized controlled trials were eligible in our inclusion criteria. The meta-analysis of three studies showed positive results for the using ESWT with meridian and acupoint theory for knee osteoarthritis compared with the control group on efficancy rate, visual analog scale and lysholm knee score. but there remains a conundrum regarding the safety of ESWT in the treatment of knee osteoarthritis.
Conclusions : Most of studies showed ESWT with meridian and acupoint theory were statistically effective to knee osteoarthritis. However there are limitations that the number of selected studies was small, risk of bias was unclear. So use of ESWT with meridian and acupoint theory for knee arthritis has limited evidence compared to usual care.
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KEYWORD
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Extracorporeal shockwave therapy, Acupuncture points, Systematic review, Knee osteoarthritis
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