Clinical Efficacy and Safety of Miniscalpel-Needle Treatment for Tension-Type Headache: A Systematic Review and Meta-Analysis

Kwon, Chan-Young; Yoon, Sang-Hoon; Chung, Sun-Yong; Kim, Jong Woo

doi:10.1007/s11655-020-3179-3

Cited by 5 publications

(6 citation statements)

References 16 publications

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Section: Discussionmentioning

confidence: 99%

“…13,39 In particular, acupotomy is a type of microsurgery treatment and is known to reduce shoulder pain by lowering the thickness of the coracohumeral ligament, releasing ligament, promoting local blood circulation, and detaching adhesions. 40,41 Various clinical studies on the effect of acupotomy treatment have reported effects on knee osteoarthritis and low back pain, but there are few multicenter studies in primary medical institutions, on shoulder pain. 22,24,38 In a study by Li, retrospective analysis was performed on 120 patients with chronic neck pain, but it was a 12-month long-term follow-up, and no immediate effect was reported according to the treatment session.…”

Section: Discussionmentioning

confidence: 99%

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Effectiveness and Safety of Acupotomy Treatment on Shoulder Pain: 25 Multicenter Retrospective Study

Chae¹,

Chu²,

Lee³

et al. 2023

JPR

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Objective Shoulder pain is a common complaint in outpatient clinics and can result in an inability to work or perform household activities, leading to significant socioeconomic burden. Acupotomy, as one kind acupuncture that has flat knife-shaped tip, has been widely used for treating shoulder pain. However, despite the widespread use of acupotomy in primary medical institutions, large sample size clinical trials have not sufficiently been performed. In this respect, this multi-center retrospective study aimed to investigate the effectiveness and safety of acupotomy in reducing shoulder pain and disability using data from multi-center primary care clinics. Methods This study was conducted in 25 Korean medicine clinics affiliated with the Korean Medical Society of Acupotomology, Republic of Korea, from August 2021 to December 2021. The medical records of patients who visited the clinics complaining of shoulder pain were gathered, and among them were those of patients who underwent acupotomy treatment and those who received acupuncture combined therapy. The Numeric Rating Scale (NRS), SPADI (Shoulder Pain and Disability Index), Range of Motion (ROM) and adverse event were evaluated at each visit. A linear mixed-effects models and paired t -test were used to identify the effectiveness of the treatment. Results Overall analysis showed that the NRS score of patients decreased from 4.95 ± 1.97 before treatment to 3.78 ± 2.03 after treatment (n = 332, difference in NRS score, 1.17; 95% CI: 0.96–1.38, t = 10.89 p < 0.001). SPADI score decreased from 19.05 ± 20.44 at baseline before treatment to 12.12 ± 17.26 after the last visit, which was statistically significant (n = 332, mean difference in SPADI score, 6.93; 95% CI: 4.71–9.15, t = 6.150, p < 0.001). No serious adverse event was reported in both groups. Conclusion This study showed the effectiveness of acupotomy therapy for shoulder pain, and as the treatment sessions increased, the effect of pain reduction and shoulder function improvement were also increased.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effectiveness and Safety of Acupotomy Treatment on Shoulder Pain: 25 Multicenter Retrospective Study

Chae¹,

Chu²,

Lee³

et al. 2023

JPR

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“…The inclusion criteria were as follows: (1) age 50-80 years; (2) pain or discomfort in the low back or lower extremity for at least 3 months; (3) diagnosis of LSS on computed tomography or magnetic resonance imaging; (4) Visual Analog Scale (VAS) score of 4-7; (5) no difficulty in language, concentration, and expression; (6) availability for follow-up evaluations during the trial period; and (7) voluntary participation. The exclusion criteria were as follows: (1) history of hypersensitivity reactions or side effects to acupuncture treatment; (2) need for severe surgical treatment for cauda equina syndrome or neurological symptoms of sensory or motor paralysis; (3) spinal surgery before the trial; (4) a lumbar epidural nerve block within 3 months of the trial; (5) neurodegenerative diseases or neuromuscular scoliosis; (6) abnormal liver function, defined as alanine aminotransferase and aspartate aminotransferase levels three times higher than the reference range; (7) abnormal renal function test results (blood urea nitrogen level 7-23 mg/dL, creatinine level 0.6-1.3 mg/dL); (8) or current neurological or psychologically significant disease; (9) pregnant or lactating women and those who have planned pregnancy or refuse appropriate contraceptive options; (10) anticoagulant medication; (11) artificial pacemaker; and (12) deemed inappropriate to participate in the clinical trial by the clinical trial director.…”

Section: Participantsmentioning

confidence: 99%

“…The treatment effect is a combination of acupuncture and microsurgery. 10 A systematic review 11 showed that acupotomy has a significant benefit in LSS treatment. However, in Korean clinical practice, disease treatment mainly involves multiple modalities rather than a single modality.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness and Safety of Acupotomy on Lumbar Spinal Stenosis: A Pragmatic, Pilot, Randomized Controlled Trial

Lee¹,

Lee²,

Woo³

et al. 2023

JPR

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In Korea, complex treatments such as acupotomy, acupuncture, and physical therapy are performed for lumbar spinal stenosis (LSS). Although there are reports of acupotomy as monotherapy or acupuncture treatment for LSS, pragmatic studies are lacking. Therefore, this study aimed to determine the effectiveness and safety of acupotomy for LSS to provide baseline evidence for a large-scale study. Materials and Methods: This pragmatic randomized controlled pilot study enrolled 34 participants and randomly assigned them to two groups (n=17/group). The intervention was conducted for 8 weeks. Acupotomy plus and usual care groups received acupuncture (17 acupoints) and interferential current therapy (ICT) twice weekly; however, the acupotomy plus group received an additional acupotomy (7 acupoints) for treatment of the usual care group. The primary outcome was measured using visual analog scales (VAS), and secondary outcomes were assessed using the self-rated walking distance, short-form McGill Pain Questionnaire (SF-MPQ), and the Oswestry Disability Index (ODI). Outcome measurements were conducted at baseline and 4, 8, and 12 weeks after the commencement of the intervention. Adverse events were assessed at each visit. Hematological and biochemical examinations were performed at screening and week 8. Results: Overall, 33 of the 34 participants completed the study, and one participant in the usual care group dropped out. In both groups, VAS scores at weeks 4, 8, and 12 significantly improved compared to baseline. Also, self-rated walking distance, SF-MPQ, and ODI scores were significantly improved at weeks 4, 8, and 12 than at baseline. However, there were no significant differences in the time-dependent and group-to-time interactions between the two groups. In addition, no severe adverse reactions were reported, and there were no significant differences in hematological and biochemical results. Conclusion:This study provides baseline data for large-scale studies on the effectiveness and safety of acupotomy in LSS. Clinical Trial Number: KCT0006234.

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“…Previous meta-analyses and systematic reviews revealed that acupuncture was an effective therapy in treating pain disorders, such as tension-type headache [1], lateral elbow pain [7], labour pain [8], low back pain [9], migraine prophylaxis [10], shoulder pain [11], and peripheral joint osteoarthritis [12]. e systematic reviews from the Cochrane Library conclude that acupuncture is a valuable nonpharmacological tool in patients with frequent episodic or chronic TTH [1,13], and it appears to be effective and safe for TTH [14,15].…”

Section: Introductionmentioning

confidence: 99%

Acupoints for Tension-Type Headache: A Literature Study Based on Data Mining Technology

Hao

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objectives. This study aimed to explore the characteristics and principles of acupoints, which were applied for treating tension-type headache (TTH). Methods. Four databases were searched for the literature studies of treating TTH with acupuncture and moxibustion up to September 1, 2020. Titles, journals, authors, key words, interventions, main acupoints, and outcomes of the included literature studies were extracted and inputted into the self-established Data Excavation Platform of Acupoint Specificity for analysis. Results. In total, 128 papers containing 137 prescriptions, 89 meridian acupoints, and 7 extraordinary acupoints of treating TTH with acupuncture and moxibustion were included. The total frequency of acupoints’ application was 763 times. Fengchi (GB20), Baihui (GV20), Taiyang (EX-HN5), Hegu (LI4), and Taichong (LR3) were used most frequently. The acupoints in Yang meridians were utilized more than those in Yin meridians (66.1% vs. 17.8%), and the acupoints in the Gallbladder Meridian of Foot Shaoyang were applied most commonly. 59.9% (457/763) of the applied acupoints were on the head, face, and neck, and 31.7% (242/763) were on the four limbs. Additionally, the proportion of specific acupoints’ application was 78.2% (597/763). Conclusions. The prescription of Fengchi (GB20), Baihui (GV20), Taiyang (EX-HN5), Hegu (LI4), and Taichong (LR3) might be relatively reasonable in clinical practices of treating TTH with acupuncture, which should be verified in further studies.

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Clinical Efficacy and Safety of Miniscalpel-Needle Treatment for Tension-Type Headache: A Systematic Review and Meta-Analysis

Cited by 5 publications

References 16 publications

Effectiveness and Safety of Acupotomy Treatment on Shoulder Pain: 25 Multicenter Retrospective Study

Effectiveness and Safety of Acupotomy Treatment on Shoulder Pain: 25 Multicenter Retrospective Study

Effectiveness and Safety of Acupotomy on Lumbar Spinal Stenosis: A Pragmatic, Pilot, Randomized Controlled Trial

Acupoints for Tension-Type Headache: A Literature Study Based on Data Mining Technology

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