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Background: Shoulder impingement syndrome (SIS) is a common condition that causes chronic shoulder pain. The effectiveness of acupuncture in treating chronic shoulder pain has been documented in previous studies; however, existing systematic reviews and meta-analyses have often excluded Chinese databases and combined different types of acupuncture interventions, such as electroacupuncture, warm acupuncture, pharmacopuncture, and acupotomy. Thus, this study specifically examines the exclusive impact of manual acupuncture on SIS. Methods: Several databases, including PubMed, Cochrane Central, Embase, 1 Chinese database (China National Knowledge Infrastructure), and 5 Korean databases (ScienceON, Oriental Medicine Advanced Searching Integrated System, KoreaMed, Korean Studies Information Service System, and KMBASE), were systematically searched for relevant studies. The quality of the included studies was evaluated using the Cochrane Assessment Tool for Risk of Bias Version 2. Data collected from the selected studies were synthesized for meta-analysis. The primary outcome was a pain scale score, and the secondary outcomes were shoulder function and disability. Results: This study included 5 randomized controlled trials. The primary outcome assessment revealed significantly reduced pain (standardized mean difference [SMD] = −0.50, 95% confidence interval [CI] = −0.74 to −0.27) and improvements in shoulder function and disability (SMD = −0.57, 95% CI = −0.96 to −0.19). A subgroup analysis based on treatment duration indicated that short-term acupuncture treatment (≤4 weeks) exhibited a high level of confidence with low heterogeneity (SMD = −0.37, 95% CI = −0.73 to −0.02). Conclusion: Manual acupuncture is effective for relieving pain and improving shoulder function and disability in patients with SIS. However, further research is necessary to validate these findings owing to the limited number of patients and heterogeneity among the studies reviewed.
Background: Shoulder impingement syndrome (SIS) is a common condition that causes chronic shoulder pain. The effectiveness of acupuncture in treating chronic shoulder pain has been documented in previous studies; however, existing systematic reviews and meta-analyses have often excluded Chinese databases and combined different types of acupuncture interventions, such as electroacupuncture, warm acupuncture, pharmacopuncture, and acupotomy. Thus, this study specifically examines the exclusive impact of manual acupuncture on SIS. Methods: Several databases, including PubMed, Cochrane Central, Embase, 1 Chinese database (China National Knowledge Infrastructure), and 5 Korean databases (ScienceON, Oriental Medicine Advanced Searching Integrated System, KoreaMed, Korean Studies Information Service System, and KMBASE), were systematically searched for relevant studies. The quality of the included studies was evaluated using the Cochrane Assessment Tool for Risk of Bias Version 2. Data collected from the selected studies were synthesized for meta-analysis. The primary outcome was a pain scale score, and the secondary outcomes were shoulder function and disability. Results: This study included 5 randomized controlled trials. The primary outcome assessment revealed significantly reduced pain (standardized mean difference [SMD] = −0.50, 95% confidence interval [CI] = −0.74 to −0.27) and improvements in shoulder function and disability (SMD = −0.57, 95% CI = −0.96 to −0.19). A subgroup analysis based on treatment duration indicated that short-term acupuncture treatment (≤4 weeks) exhibited a high level of confidence with low heterogeneity (SMD = −0.37, 95% CI = −0.73 to −0.02). Conclusion: Manual acupuncture is effective for relieving pain and improving shoulder function and disability in patients with SIS. However, further research is necessary to validate these findings owing to the limited number of patients and heterogeneity among the studies reviewed.
Objectives: Although antidepressants and cognitive behavioral therapy are first-line therapies for patients with depression, they have some limitations. Korean medicine has been traditionally used in Korea to manage depression; however, the current clinical practice status of depression treatment by Korean medicine doctors (KMDs) is unknown. Therefore, this study aimed to investigate the current clinical practice status of KMDs for depression.Methods: KMDs were surveyed online from October 2021 to November 2021. A total of 712 KMDs responded to the survey.Results: Hwabyung and depressive syndrome were the most frequently diagnosed conditions. Among the patients who initially visited the KM clinic, 51.3% were taking antidepressants, with the majority seeking treatment to alleviate physical symptoms associated with depression. Acupuncture and herbal medicine decoctions were the most commonly administered treatments, with body acupuncture being the preferred modality (average: 2.37 times per week). The preferred acupoints were GV20, HT7, PC6, LI4, SP6, and ST36.Conclusion: This survey provides insights into the clinical practice landscape of KMDs in treating depression. These results will help develop clinical practice guidelines and conduct clinical trials on this topic in the future.
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