Comparison of the effects of acupotomy and acupuncture on knee osteoarthritis: A systematic review and meta-analysis

Lee, Chieh-Jui; Luo, Wun-Ting; Tam, Ka‐Wai; Huang, Tsai-Wei

doi:10.1016/j.ctcp.2022.101712

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…The exact number of KMDs utilizing acupotomy and their demographic information have not been accurately collected. Acupotomy, unlike acupuncture, has not yet become widely generalized in Korea, and it remains a relatively new technology that is actively researched [ 17 , 27 , 28 , 29 ]. Consequently, a limited number of practitioners still utilize acupotomy.…”

Section: Discussionmentioning

confidence: 99%

Acupotomy in Korean Medicine Doctors: A Preliminary Survey on Experiences, Perceptions, and Clinical Usage Status

Jun,

Yoon,

Ryu

et al. 2023

Healthcare

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Acupotomy is a widely used medical intervention in traditional East Asian medicine, and efforts are being made to improve its effectiveness and safety. As a first step toward establishing more standardized procedural guidelines, a survey was conducted to explore the current clinical practice status and perceived adverse events (AEs) by Korean Medicine (KM) practitioners. The survey was developed via expert consensus and included information on clinical usage, perception, and the AEs experienced. The largest acupotomy society in Korea, which consists of 185 KM doctors, participated in an online survey conducted in September 2021. Of the 185 KM doctors, 107 (57.8%) responded. Musculoskeletal and connective tissue diseases accounted for 80.8% of suggested indications by KM doctors. Regarding the detailed procedure, there were considerable discrepancies between KM doctors. The most frequent acupotomy-related AEs observed by KM practitioners were bruises (77.3%), fatigue (57.7%), pain (51.8%), and hematoma (51.8%). Only 1.8% of the respondents answered that they had experienced severe AEs. Survey respondents answered that the use of imaging devices during acupotomy and the development of clinical practice guidelines are the most necessary policy requirements for promoting the use and ensuring the safety of acupotomy. To the best of our knowledge, this study marks the initial exploration into the KM physicians’ clinical usage status, AEs experienced, and their requests for standardized guidelines and expanded health insurance coverage concerning acupotomy. Further research should include qualitative studies to assess patient experience and prospective observational studies to examine the effects of operator skills and treatment modalities on AEs and adherence.

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Section: Discussionmentioning

confidence: 99%

Acupotomy in Korean Medicine Doctors: A Preliminary Survey on Experiences, Perceptions, and Clinical Usage Status

Jun,

Yoon,

Ryu

et al. 2023

Healthcare

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“…A systematic review and meta-analysis including 43 RCTs showed that compared with acupuncture, acupotomy was more effective in relieving pain and improving daily activity function of KOA. 18 Additionally, Lin et al 19 found that acupotomy was more effective than acupuncture in inhibiting the expression of inflammatory cytokines, such as IL-1β, IL-6, and TNF-α.…”

Section: Clinical Application Of Traditional Chinese Non-pharmacologi...mentioning

confidence: 99%

Effect of Traditional Chinese Non-Pharmacological Therapies on Knee Osteoarthritis: A Narrative Review of Clinical Application and Mechanism

Liu,

Zhang,

Liu

et al. 2024

ORR

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Knee osteoarthritis (KOA) stands as a degenerative ailment with a substantial and escalating prevalence. The practice of traditional Chinese non-pharmacological therapy has become a prevalent complementary and adjunctive approach. A mounting body of evidence suggests its efficacy in addressing KOA. Recent investigations have delved into its underlying mechanism, yielding some headway. Consequently, this comprehensive analysis seeks to encapsulate the clinical application and molecular mechanism of traditional Chinese non-pharmacological therapy in KOA treatment. The review reveals that various therapies, such as acupuncture, electroacupuncture, warm needle acupuncture, tuina, and acupotomy, primarily target localized knee components like cartilage, subchondral bone, and synovium. Moreover, their impact extends to the central nervous system and intestinal flora. More perfect experimental design and more comprehensive research remain a promising avenue in the future.

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“…In addition to pharmacological interventions, further studies should be conducted to explore the effects of non-pharmacological therapies on VGICs in OA, such as physical therapy, traditional Chinese acupuncture therapy, exercise therapy, etc. The non-drug therapy in alleviating pain and delaying cartilage degradation plays an important role [ 128 , 129 ], but the exact mechanism still needs further research. For example, excessive calcium influx can destroy the charge barrier on the surface of chondrocytes, reduce elasticity, and impact the resistance of cartilage [ 130 ].…”

Section: Conclusion and Prospectmentioning

confidence: 99%

Regulation of pain neurotransmitters and chondrocytes metabolism mediated by voltage-gated ion channels: A narrative review

Wang¹,

Li²

2023

Heliyon

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Comparison of the effects of acupotomy and acupuncture on knee osteoarthritis: A systematic review and meta-analysis

Cited by 5 publications

References 26 publications

Acupotomy in Korean Medicine Doctors: A Preliminary Survey on Experiences, Perceptions, and Clinical Usage Status

Acupotomy in Korean Medicine Doctors: A Preliminary Survey on Experiences, Perceptions, and Clinical Usage Status

Effect of Traditional Chinese Non-Pharmacological Therapies on Knee Osteoarthritis: A Narrative Review of Clinical Application and Mechanism

Regulation of pain neurotransmitters and chondrocytes metabolism mediated by voltage-gated ion channels: A narrative review

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