인문학
사회과학
자연과학
공학
의약학
농수해양학
예술체육학
복합학
DBpia AI
AI 에이전트
AI 아이디어
AI 리더
AI 뷰어
Citeasy
크롬 서지관리 다운로드
개인구독
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
피인용 0
초록·키워드
Objectives This study aimed to provide evidence on the effects and safety of acupotomy treatment for lumbar spinal stenosis. Methods We searched 10 databases (PubMed, Cochrane Library, Embase, China Academic Journals, VIP Chinese science journals, Wanfang, DBpia, Oriental medicine Advanced Searching Integrated System, Research Information Sharing Service, Korean studies Information Service System) up to July 31, 2025 without restrictions. Randomized controlled trials (RCTs) assessing acupotomy alone or as a combination therapy for lumbar spinal stenosis were included. The risk of bias of RCTs was assessed using the Cochrane tool. Results 14 eligible RCTs were included. Compared with acupuncture, acupotomy significantly improved visual analogue scale score (VAS) (standardized mean difference, SMD; -2.42 [95% confidence interval, CI; -4.49 to -0.34], p=0.02) and Japanese Orthopaedic Association score (JOA) (SMD 1.69 [95% CI, 0.12 to 3.26], p=0.03). Against caudal epidural block, acupotomy showed benefits in VAS (SMD -1.19 [95% CI, -1.86 to -0.52], p=0.0005) and total efficacy rate (TER) (relative risk, RR; 1.25 [95% CI, 1.13 to 1.39], p<0.0001). Compared with manipulative therapy, TER favored acupotomy (RR 1.23 [95% CI, 1.07 to 1.41], p=0.003) with additional improvements in VAS and JOA in some studies. Most combination therapy trials showed no significant differences, except for acupotomy plus electroacupuncture and manipulative therapy which improved VAS, JOA, and Oswestry disability index. Safety was reported in only five studies, with few adverse events and no significant differences between groups. Conclusions Acupotomy appears to be a safe and effective minimally invasive treatment for lumbar spinal stenosis. However, large-scale, high-quality randomized controlled trials are needed to strengthen the level of evidence and to clarify the clinical role of acupotomy in lumbar spinal stenosis management, particularly regarding combination therapies used in clinical practice.
본문·목차
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