Scraping therapy for knee osteoarthritis: a systematic review and Meta-analysis  

作　　者：CHEN Dandan JIN Qianhong SHEN Yuanjuan WANG Qing DAI Zhengxiang 

机构地区：[1]School of Nursing,Guangxi University of Chinese Medicine,Nanning 530200,China [2]School of Nursing,Nanjing University of Chinese Medicine,Nanjing 210023,China [3]General Surgery Department,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210004,China [4]Hospital Infection Control Office,Jiangsu Province Hospital of Chinese Medicine,Nanjing 210004,China

出　　处：《Journal of Traditional Chinese Medicine》2024年第4期633-641,共9页中医杂志（英文版）

基　　金：Science and Technology Development Program of Traditional Chinese Medicine in Jiangsu Provincial:Standardized Study on the Application of Waist and Knee Joint Treatment Scraping Method in the Rehabilitation Treatment of Knee Osteoarthritis(YB201911);Construction Project for Universities in Jiangsu Provincial:the Application of Scraping Therapy for Both Waist and Knee in the Rehabilitation of Patients with Knee Osteoarthritis(SZLHLA-1901)。

摘　　要：OBJECTIVE:To systematically evaluate the efficacy of scraping therapy on knee osteoarthritis(KOA).METHODS:A computerized search was conducted in several databases,including PubMed,Web of Science,Cochrane Library,China National Knowledge Infrastructure Database,China Science and Technology Journal Database,Wanfang,and Chinese BioMedical Literature Database,from the establishment date of these databases to April 9,2023.Randomized controlled trials(RCTs)on scraping therapy for KOA were collected in accordance with the“Participants-Intervention-Control-Outcome-Study design”criteria.The methodological evaluation of the included studies was carried out using RoB 2.0,and Meta-analysis was conducted using RevMan.The Grades of Recommendations Assessment,Development and Evaluation(GRADE System)was applied to grade the quality of evidence.RESULTS:A total of 12 RCTs with 997 subjects were included in the Meta-analysis.Results indicated that compared with the control group,the scraping therapy treatment group exhibited increased Lysholm scores[mean difference(MD)=4.96,95%confidence intervals(CI)(3.18,6.74),P<0.00001]and Hospital for Special Surgery scores[MD=8.35,95%CI(3.92,12.78),P=0.0002]and decreased visual analog scale scores[MD=-2.11,95%CI(-3.79,-0.44),P=0.01]and Western Ontario and McM aster University Osteoarthritis Index scores[MD=-6.77,95%CI(-8.99,-4.56),P<0.00001)].The quality of evidence obtained in this Meta-analysis was low according to the GRADE system.CONCLUSION:The available evidence suggests that scraping therapy may have certain clinical efficacy in the treatment of KOA.However,further high-quality RCTs are needed to confirm the findings.

关 键 词：osteoarthritis knee SCRAPING META-ANALYSIS systematicreview 

分 类 号：R244.4[医药卫生—针灸推拿学]