KMCRIC

비특이적 목 통증에 사용된 침구치료에 대한 체계적 문헌고찰

양창섭, 김익태, 김영은, 김보영, 서복남, 박지은

Korean Journal of Acupuncture.

2017

34(4)

209-30.

10.14406/acu.2017.026

http://www.ndsl.kr/ndsl/search/detail/article/articleSearchResultDetail.do?cn=JAKO201706163144888

Neck pain; acupuncture; moxibustion; electroacupuncture; systematic review; randomized controlled trials

목 통증; 침 치료; 뜸 치료; 전침; 체계적 문헌고찰; 무작위배정 비교임상시험

없음

Y

Objectives :The aim of this study was to describe the details and to assess the clinical evidence of acupuncture and moxibustion for non-specific chronic neck pain.Methods :We searched seven databases including Korean, English, and Chinese databases through July 2016. Studies using acupuncture, moxibustion, pharmacopuncture, electroacupuncture, auricular-acupuncture, acupressure for non-specific chronic neck pain were included. Only controlled clinical trials or randomized clinical trials were assessed. Study design, number of subject, inclusion criteria, intervention, and results were extracted. In addition, details of intervention including needle type, retention time, acupoints were analyzed.Results :Total 64 studies(39 acupuncture, 9 laser, 6 pharmaco-acupuncture, 3 electro-acupuncture, 3 auricular-acupuncture, 3 moxibustion, 1 acupressure) were included. Among 39 acupuncture studies, 35 used acupuncture as sole intervention. Sham treatment was the most common intervention for control group, followed by no intervention. Various outcome including pain, disability, quality of life, range of motion was used as outcome measurement. The effect of acupuncture and moxibustion was different depending on the type of control and outcome measurement. The most commonly used method in acupuncture for neck pain was GB21, SI3, GB20, LI4, BL11 acupoints, 10~30 ㎜ insertion depth, 20~30 retention time, and 1~2 times per week.Conclusions :Analyzing the details of acupuncture and moxibustion treatment could be helpful for researches and clinics. Further studies should consider the characteristics of study design, intervention, and outcome to assess the effect of TKM.

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