Current Usage of Terminologies Related to Acupotomy: A Literature Research and Standardization Suggestion

Yoon, Sang-Hoon; Kim, Yoon-Sik; Jo, Hee-Geun; Kwon, Chan-Young

doi:10.1007/s11655-018-3015-1

Cited by 19 publications

(16 citation statements)

References 12 publications

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“…The process of selecting the articles is illustrated using the flow chart of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Fig. 1), and details of selected articles are summarized in Table 1 [9,. Acupotomy is referred to as different names, such as needle-knife, small needle knife, stiletto needle, as well as acupotomy [10].…”

Section: Study Selection Resultsmentioning

confidence: 99%

Acupotomy for Osteoarthritis of the Knee; A Systematic Review and Meta-Analysis

Lee

Kim

et al. 2021

J Acupunct Res

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The purpose of this study was to evaluate the effectiveness and safety of acupotomy for the treatment of patients with knee osteoarthritis. There were 9 databases searched to retrieve randomized controlled trials until August 3, 2019 regarding acupotomy versus conventional Western medicine, conventional Western medicine treatment with and without acupotomy, and Korean medicine treatment with and without acupotomy, and meta-analysis was performed. Of 303 potentially relevant studies retrieved, 43 were systematically reviewed. All studies were conducted in China. Effective rate, visual analogue scale, and Western Ontario and McMaster Universities Osteoarthritis index were used as the evaluation scales. The Ashi point was selected most frequently. In all studies, the intervention group was more effective than the control group. Meta-analysis revealed that acupotomy showed statistically significant beneficial results. Although acupotomy had a beneficial effect on knee osteoarthritis, the risk of bias of the included studies was not low. The majority of the results from the evaluation scales used were highly heterogeneous (> 50%) which reduced confidence in the estimation of effect, or had a small sample size. Further clinical research and development is required in the future.

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Section: Study Selection Resultsmentioning

confidence: 99%

Acupotomy for Osteoarthritis of the Knee; A Systematic Review and Meta-Analysis

Lee

Kim

et al. 2021

J Acupunct Res

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“…[ 9 ] Acupotomy is a type of acupuncture used in traditional Chinese medicine (TCM), and it has both the characteristics of a “needle” in traditional Chinese medicine and a “knife” in Western medicine. [ 10 ] The mechanism of acupotomy remains unclear and remains to be explored, but acupotomy can be used to release ligaments, joint sacs, and synovium. [ 11 ] Some studies have shown that acupotomy therapy can release adhesions, alter the mechanical balance of the knee joint, improve lymphatic circulation, and reduce abnormal tissue pressures.…”

Section: Introductionmentioning

confidence: 99%

Acupotomy by ultrasound-guided versus anatomical guidance in knee osteoarthritis: A protocol for systematic review and meta-analysis

et al. 2022

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Background: At present, there is no systematic evaluation on whether ultrasonic-guided acupotomy is more effective compared with anatomical guidance in knee osteoarthritis. We conducted a protocol for systematic review and meta-analysis to provide a method for evaluating the effectiveness and safety of acupotomy by ultrasound-guided technique.Methods: An all-round retrieval will be performed in the following electronic journal databases from their inception to October 2022, which comprise PubMed, MEDLINE, EMBASE, Cochrane Library, China National Knowledge Infrastructure, Wanfang data, Chinese Scientific Journals Database, and China biomedical literature database. The following key words were used on combination with Boolean operators AND or OR: "acupotomy," "ultrasound," "knee osteoarthritis." Two authors completed the quality assessment using the Cochrane Collaborations risk of bias tool. The meta-analysis was conducted using Review Manager 5.3 software from the Cochrane Collaboration (London, UK).Results: The findings of this study will be submitted to peer-reviewed journals for publication. Conclusion:This systematic review will provide evidence to judge whether acupotomy by ultrasound-guided technique is effective and safe for knee osteoarthritis.

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“…6 , 7 Since it has a fine blade at the tip, which cuts the adhesive tissue, 7 , 8 acupotomy is also called a miniscalpel-needle and needle knife. 9 Recently published overview studies have reported that acupotomy is mainly used for musculoskeletal pain such as cervical spondylosis, frozen shoulder, osteoarthritis of the knee, lumbar spinal stenosis, the third lumbar vertebrae transverse process syndrome, and trigger finger. 10 According to a network meta-analysis, the acupotomy was the most effective treatment modality for increasing the pressure pain threshold, compared to manual acupuncture or electro-acupuncture, in myofascial pain syndrome.…”

Section: Introductionmentioning

confidence: 99%

Using magnetic resonance imaging to measure the depth of acupotomy points in the lumbar spine: A retrospective study

Yoon

Kim

Lee

et al. 2021

Integrative Medicine Research

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Background The acupotomy is an acupuncture device recently used to stimulate lumbar vertebrae such as transverse processes (TPs) and facet joints (FJs). However, there are many organs, nerves, and blood vessels, which can lead to side effects if the needle misses the treatment target. Therefore, information regarding appropriate insertion depths, which is currently lacking, could facilitate its safe use. We retrospectively investigated the depth from the skin to the TP and FJ of the lumbar vertebrae, using magnetic resonance imaging (MRI). Methods This retrospective chart review was conducted at a single medical centre in Korea. From 55,129 patient records, 158 subjects were selected. Perpendicular depth from the skin to the left and right TPs and FJs was measured using T1-weighted sagittal plane MRI. Depth differences between the left and right sides were evaluated using the paired t -test and analysis of covariance (body mass index [BMI] as a covariate). The influence of BMI on depth at each location was evaluated by simple linear regression analysis. Results The mean age was 43.2 years and mean BMI was 23.6 kg/m 2 . The depth from skin to the TPs or FJs was unaffected by age, sex, or side. Mean depths (cm) were as follows: (TPs) L1 = 4.5, L2 = 4.9, L3 = 5.3, L4 = 5.7, L5 = 5.9; (FJs) L12 = 3.8, L23 = 4.0, L34 = 4.4, L45 = 4.6, L5S1 = 4.6. Depth was highly correlated with BMI at each location. Conclusion The depth of TPs and FJs adjusted for BMI can safely and effectively be used for treatment via various invasive interventions, including acupotomy treatment, in the lumbar region.

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Current Usage of Terminologies Related to Acupotomy: A Literature Research and Standardization Suggestion

Cited by 19 publications

References 12 publications

Acupotomy for Osteoarthritis of the Knee; A Systematic Review and Meta-Analysis

Acupotomy for Osteoarthritis of the Knee; A Systematic Review and Meta-Analysis

Acupotomy by ultrasound-guided versus anatomical guidance in knee osteoarthritis: A protocol for systematic review and meta-analysis

Using magnetic resonance imaging to measure the depth of acupotomy points in the lumbar spine: A retrospective study

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