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J Korean Med Rehabi 2019 Jul; 29(3): 35-49  
A Systematic Review of Moxibustion for Frozen Shoulder
Published online July 31, 2019
Copyright © 2019 The Society of Korean Medicine Rehabilitation.

Si-Hoon Han, K.M.D.*,†, Gi-Eon Lee, K.M.D.*, Da-Young Byun, K.M.D.*, Young-Ik Kim, K.M.D., Min-Kyun Kim, K.M.D.*, Boo-Ki Min, K.M.D.*, Han-Bit Lim, K.M.D.*, Yun-Jae Jeong, K.M.D.*, Min-Seok Oh, K.M.D.

Department of Korean Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine*, Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University, Daejeon Jaseng Hospital of Korean Medicine
Correspondence to: Min-Seok Oh, Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University, 75, Deadeok-dearo 176beon-gil, Seo-gu, Daejeon 35235, Korea
TEL (042) 470-9424
FAX (042) 470-9005
E-mail ohmin@dju.ac.kr
Received: June 16, 2019; Revised: July 3, 2019; Accepted: July 8, 2019
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords : Frozen shoulder, Moxibustion, Randomized controlled trial, Systematic review, Meta-analysis


July 2019, 29 (3)

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