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KMID : 0895820230330030135
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Journal of Oriental Rehabilitation Medicine
2023 Volume.33 No. 3 p.135 ~ p.148
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Effectiveness of Acupuncture in the Treatment of Post-Disaster Musculoskeletal Pain: A Systematic Review
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Kim Ka-Hyun
Choi Sung-Won
Hong Hae-Won
Yoon Ju-Young
Kim Yong-Jun
Kim Jung-Hyun
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Abstract
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Objectives To investigate the effectiveness of acupuncture in the treatment of postdisaster musculoskeletal pain by reviewing relevant clinical studies.
Methods A systematic search was conducted across 10 electronic databases to identify relevant clinical studies on acupuncture treatment for post-disaster musculoskeletal pain until May 2023. The methodological quality was evaluated using the Cochrane Risk of Bias 2 and Risk of Bias Assessment tool for non-randomized studies tools.
Results Six articles were analyzed, including two randomized controlled trials (RCTs), two before-after studies, one qualitative research, and one case series. Overall, acupuncture therapy showed some improvement in pain scale among musculoskeletal pain survivors. However, no significant improvement was observed in the Short-Form McGill Pain Questionnaire (SF-MPQ-2). Subgroup analysis of participants who completed at least four acupuncture sessions revealed a significant effect on the SFMPQ- 2. Additionally, a significant improvement in 36-Item Short Form Survey (SF- 36P) was observed after 6 months of treatment, but the 2-month treatment period did not show statistically significant effects on SF-36P improvement. The evaluation of the methodological quality of the RCTs identified some concerns of bias.
Conclusions The results suggest that acupuncture is effective in alleviating post-disaster musculoskeletal pain. However, considering the limited number of selected studies and the inclusion of subjective evaluation measures, caution should be exercised in interpreting the results. Further large-scale follow-up studies are needed to determine the optimal frequency and duration of acupuncture treatment. Well-designed controlled trials should be conducted to provide more robust evidence regarding the effectiveness of acupuncture for post-disaster musculoskeletal pain.
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KEYWORD
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Disaster medicine, Musculoskeletal pain, Acupuncture
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