A Systematic Review and Meta-Analysis of Herbal Medicine for Frozen Shoulder

Abstract

Objectives The objective of this study is to provide the evidence of the effectivness of herbal medicine for frozen shoulder. Methods 2 Korean medical on-line databases (Oriental Medicine Advanced Searching Integrated System, Korean Traditional Knowledge), and 3 foreign databases (Pubmed, Cochrane library, China National Knowledge Infrastructure) were searched to find articles concerning herbal medicine for frozen shoulder. We selected randomized controlled trials (RCTs). Several repeated articles and those not relevant to the topic were excluded, as well as review articles and commentaries. The methodological quality of RCTs were evaluated using the Cochrane risk of bias tool and meta-analyes were perfomed. Results Total 474 studies were founded and 22 RCTs were selected for systematic review. Efficiency rate was used as the primary evaluation method. Almost studies reported that herbal medicine has significant effect on pain reduction, increasing shoulder function on frozen shoulder. 3 studies comparing herbal medicine and chuna with chuna and 3 studies comparing herbal medicine with ibuprofen were included in the meta-analysis. At herbal medicine and chuna with chuna meta-analysis, it showed positive results of herbal medicine for efficiency rate (risk ratio: 1.18, 95% confidence interval: 1.09-1.27, p<0.0001). At herbal medicine with ibuprofen medta-analysis, it showed positive results of herbal medicine for efficiency rate (risk ratio: 1.15, 95% confidence interval: 1.05-1.27, p=0.003). Conclusions The studies showed that herbal medicine can significantly effective on frozen shoulder. However, the risk of bias in RCTs were evaluated as uncertain. In the future, further well-designed RCTs are needed to prove the effectiveness of herbal medicine for frozen shoulder and reduce the risk of bias.

Effect of Complex Korean Medical Treatment in Patients with Frozen Shoulder: A Retrospective Chart Review

“…동결견의 치료는 환자의 증상에 따라 소염진통제, 물 리치료, 스트레칭 등의 일반적인 치료로 시작하여 관절 강내 스테로이드 주사, 관절강 수압팽창술, 마취하 도수 조작법등의 보다 적극적인 방법을 선택하기도 한다 19,20) . 한의치료에는 침, 뜸, 한약, 약침, 도침, 화침, 추나 등의 다양한 방법이 적용되며 그 치료 효과를 입증하는 증례 및 체계적 문헌고찰 등이 보고되고 있다 10,11,13,[21][22][23]…”

“…그 원 인이 특발성인 경우에는 조기에 스테로이드 주사와 경 구 비스테로이드성 소염제 치료를 통해 통증 조절과 관 절 기능 회복을 도모한다 9) . 동결견의 한의학적 치료로는 침치료, 약침치료, 추나, 뜸 등의 단일 치료들이 효과가 있다는 연구결과들이 많 이 보고되어 있다 10,11) . 그 밖에도 경혈경락이론에 따라 체 외충격파 치료를 시행하거나 약침과 추나, 등 한방치료 를 복합적으로 이용하여 동결견에 치료 효과를 보고한 연구들이 있었다 12,13) .…”

A Case of Frozen Shoulder Treated with Korean Medicine

“…이에 祛風濕, 溫經通絡, 補氣血虛, 消腫止痛 등의 치료원칙을 토대로 뜸, 침, 한약 등을 사용해 치료하였다 10 . 동결견 환자에 대한 한약치료에서 관절가동범위(Range of Motion), 견관절의 기능, 통증평가도구(VAS), 임상평가도구 (CMS) 등에 효과가 있다는 연구 결과들이 있으며 11 3) EQ-5D 2021년 02월 24일 입원 1일차에 EQ-5D 점수는 0.682점이었으며, 03월 10일 입원 2주차에는 EQ-5D 0.752점, 03월 26일 퇴원 시에는 EQ-5D 0.677점으 로 유의미한 차이가 나타나지 않았다(Fig. 6).…”

Pharmacoacupuncture for the Treatment of Frozen Shoulder: protocol for a systematic review and meta-analysis

“…There is growing interest in complementary and alternative therapies due to the limitations of conventional FS treatments. Studies indicate that traditional Korean medicine (TKM), which uses acupuncture, moxibustion, cupping therapy, and herbal medicines, has potential therapeutic effects on FS [ 9 - 11 ]. Pharmacoacupuncture (PA), or herbal acupuncture, is a novel form of TKM acupuncture that combines conventional acupuncture with herbal or animal-based extract injections into acupoints.…”