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KMID : 0895820230330010013
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Journal of Oriental Rehabilitation Medicine
2023 Volume.33 No. 1 p.13 ~ p.29
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Acupuncture for Facet Joint Syndrome: A Review of Clinical Study
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Gu Ji-Hyang
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Abstract
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Objectives To evaluate the evidence supporting the effectiveness of acupuncture for facet joint syndrome.
Methods We conducted search across 9 electronic databases (PubMed, EMBASE, Cochrane CENTRAL (CENTRAL), KoreaMed, Kmbase, Koreanstudies Information Service System (KISS), ScienceOn, China National Knowledge Infrastructure (CNKI), and Wanfang) to find clinical trials that used acupuncture as treatment for facet joint syndrome. The methodological quality of randomized controlled clinical trials (RCTs) were assessed using the Cochrane Risk of Bias (RoB) tool, while non-randomized controlled clinical trials (nRCTs) were assessed using the Cochrane Risk of Bias Assessment tool for Non-randomized Study (RoBANS) tool.
Results Nine RCTs and one nRCT met our inclusion criteria. Fire needle was more effective than medial branch block in terms of visual analogue scale (VAS) after 1 month (p=0.02). Also, Fire needle was more effective than Ibuprofen in terms of VAS and oswestry disability index (ODI) (p＜0.05). However, in the rest of the study results, the intervention group did not show a statistically significant difference than the control group.
Conclusions Although our review found encouraging but limited evidence of acupuncture for facet joint syndrome, most of the studies included in the analysis were evaluated as methodologically high risk of bias. From now on further well-designed RCTs should be encouraged.
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KEYWORD
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Acupuncture, Facet joint syndrome, Review, Acupotomy, Fire needle
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