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KMID : 0895820210310040049
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Journal of Oriental Rehabilitation Medicine
2021 Volume.31 No. 4 p.49 ~ p.63
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A Review of Case Reports on the Application of Acupuncture as a Treatment for Fracture since 2013
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Paik Seung-Won
Nam Kyeong-Ho
Choi Seung-Kwan
Lee Jung-Han
Han Yun-Hee
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Abstract
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Objectives : This study aimed to investigate the trend in treating fracture with acupuncture and to evaluate the quality of case reports.
Methods : All case reports of fractures treated with acupuncture were extracted from four Korean web databases. We classified these studies by five fracture sites and investigated frequently used meridian and acupoint, outcome measurements, treatment period. And we assessed the quality of the case reports by the STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) guidelines.
Results : A total of 33 case reports were included. The outcome measurements were divided into six categories, and the outcome measurements used in more than three studies showed improvement in patient symptoms. The mainly used meridians for each fracture site were as follows: chest and abdomen (GB, LR, CV), back (BL, GB), upper limb (LI, TE), lower Limb (GB, ST, BL, SP). The most commonly used acupoints for each fracture site were as follows: chest and abdomen (Ashi points, GB24, GB25, GB26, LR13, LR14, CV16, CV17, CV18, CV19), back (BL23, BL24, BL25, BL26, BL40, BL51, BL52, BL60, GB34), upper limb (LI4, LI10, LI11, TE3), lower limb (GB34, GB40). According to the STRICTA guidelines, more than 54.54% of the reports were found to be ‘not reported’ or ‘not sufficient’ in the following categories: ‘response sought’, ‘description of participating acupuncturist’, and ‘number of needle insertions per subject per session’.
Conclusions : The meridians and acupuncture points frequently used for acupuncture treatment of fractures were near the fracture site. Future clinical studies involving acupuncture must be reported in accordance with the STRICTA guidelines to improve transparency and uniformity.
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KEYWORD
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Bone fractures, Acupuncture, Case Reports, STRICTA guidelines, Korean traditional medicine
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