A Systematic Review of Moxibustion for Frozen Shoulder

Si-Hoon Han; Gi-Eon Lee; Da-Young Byun; Young-Ik Kim; Min-Kyun Kim; Boo-Ki Min; Han-Bit Lim; Yun-Jae Jeong; Minseok Oh

Journal of Korean Medicine Rehabilitation

Abbr : JKMR
2019, 29(3), pp.35-49
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Korean Medicine

Si-Hoon Han ¹, Gi-Eon Lee ², Da-Young Byun ³, Young-Ik Kim ⁴, Min-Kyun Kim ⁵, Boo-Ki Min ⁶, Han-Bit Lim ⁷, Yun-Jae Jeong ⁸, Minseok Oh ⁹

¹대전자생한방병원 한방재활의학과
²대전자생한방병원 한방재활의학과
³대전자생한방병원 한방재활의학과
⁴대전자생한방병원
⁵대전자생한방병원 한방재활의학과
⁶대전자생한방병원 한방재활의학과
⁷대전자생한방병원 한방재활의학과
⁸대전자생한방병원 한방재활의학과
⁹대전대학교 한의과대학 한방재활의학과교실

ABSTRACT

Objectives The purpose of this research is to evaluate the effectiveness of moxibustion theraphy for frozen shoulder through systematic review and meta-analysis. Methods The effect of moxibustion for frozen shoulder was constructed as a key question to search randomized controlled trials (RCTs) in 16 databases without type of publication restriction. Results A total of 790 studies were searched and 22 RCTs were finally selected through primary and secondary selection/exclusion process. In most of the evaluation indexes used in each study, moxibustion treatment for shoulder pain was statistically significant compared with other treatments. A meta-analysis of effective rate in 10 studies comparing moxibustion with acupuncture and acupuncture showed a statistically significant effect of moxibustion treatment. And there was a significant effect on the improvement of the shoulder mobility, but the effect size of shoulder pain was no significant effect for shoulder pain reduction. In addition in the result of meta-analysis of 4 studies' effective rate comparing moxibustion with electronic acupuncture, the effect of moxibustion was significantly higher than that of electronic acupuncture in frozen shoulder. Conclusions Moxibustion therapy was effective in symptoms in patients with frozen shoulder. However because of the high risk of bias in the quality of the included studies, the applicability of this study seems to be limited. It is thought that future randomized controlled trials will need to be designed and performed by reviewing ways to minimize bias. (J Korean Med Rehabil 2019;29(3):35-49)
KEYWORDS

Frozen shoulder, Moxibustion, Randomized controlled trial, Systematic review, Meta-analysis
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