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KMID : 0895820230330040045
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Journal of Oriental Rehabilitation Medicine
2023 Volume.33 No. 4 p.45 ~ p.59
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The Effect of Oriental Medicine Treatments for Supraspinatus Tendinopathy: Systematic Review and Meta-Analysis
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Kang Dong-Hyeob
Lee Do-Hoon
Yoo Sang-Joon
Yang Seok-Gyu
Son Ja-Yean
Jung Seol
Kim Hea-Ju
Kwon Min-Jin
Kwon Oh-Bin
Jang Seon-Woo
Cho Hyun-Woo
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Abstract
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Objectives : The aim of this study was to analyze the trends of researches on oriental medicine treatments for supraspinatus tendinopathy.
Methods : We used five databases for searching researches; Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, PubMed, and China National Knowledge Infrastructure. Only randomized controlled trials suitable for the subject were selected. The methodological quality of included randomized controlled trials (RCTs) was assessed by the Cochrane risk of bias tool.
Results : Twenty randomized controlled trials were analyzed. There were 9 types of treatment interventions; acupuncture, acupotomy, pharmacopuncture, electroacupuncture, fire needling, warming needle, catgut-embedding therapy, herbal medicine, cupping. The most frequently used treatment intervention was acupuncture and acupotomy. There were 9 outcome measurements including visual analog scale (VAS), ConstantMurley Score (CMS), and range of motion. The most used measurement was VAS. As a result of meta-analysis, acupuncture was more effective than control group in VAS. Additionally, acupotomy was clinically significant compared to control groups in VAS and CMS.
Conclusions : In this review, we analyzed researches on effectiveness of oriental medicine for supraspinatus tendinopathy. A provisional conclusion can be produced that acupuncture and acupotomy showed beneficial effect to supraspinatus tendinopathy. Although there were some RCT studies, many of them had a high risk of bias, so it is
hard to conclude that our study can include overall clinical status. Further well-designed trials are needed.
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KEYWORD
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Supraspinatus tendon, Supraspinatus tendinopathy, Oriental medicine, Acupuncture
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