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Complementary medicine
Protocol
Effectiveness and safety of moxibustion treatment for non-specific lower back pain: protocol for a systematic review
  1. Jungtae Leem1,2,
  2. Seunghoon Lee3,
  3. Yeoncheol Park4,
  4. Byung-Kwan Seo4,5,
  5. Yeeun Cho3,
  6. Jung Won Kang3,5,
  7. Yoon Jae Lee6,
  8. In-Hyuk Ha6,
  9. Hyun-jong Lee7,
  10. Eun-Jung Kim8,
  11. Sanghoon Lee3,5,
  12. Dongwoo Nam3,5
  1. 1 Department of Clinical Korean Medicine, Graduate School, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea
  2. 2 Korean Medicine Clinical Trial Center, Kyung Hee University Korean Medicine Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea
  3. 3 Deparment. of Acupuncture & Moxibustion Medicine, Kyung Hee University Korean Medicine Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea
  4. 4 Department of Acupuncture & Moxibustion, Kyung Hee University Hospital at Gangdong, 892 Dongnam-ro, Gangdong-gu, Seoul, 05278, South Korea
  5. 5 Department of Acupuncture & Moxibustion, College of Korean Medicine, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea
  6. 6 Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858 Eonju-ro, Gangnam-gu, Seoul, 06017, South Korea
  7. 7 Department of Acupuncture & Moxibustion, College of Korean Medicine, Daegu Haany University, Haanydaero1, Gyeongsan-si, Gyeongsangbuk-do, 38610, South Korea
  8. 8 Department of Acupuncture & Moxibustion, College of Oriental Medicine, Dongguk University, 268 Buljeong-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 24 13601, South Korea
  1. Correspondence to Prof Dongwoo Nam; hanisanam{at}daum.net

Abstract

Introduction Many patients experience acute lower back pain that becomes chronic pain. The proportion of patients using complementary and alternative medicine to treat lower back is increasing. Even though several moxibustion clinical trials for lower back pain have been conducted, the effectiveness and safety of moxibustion intervention is controversial. The purpose of this study protocol for a systematic review is to evaluate the effectiveness and safety of moxibustion treatment for non-specific lower back pain patients.

Methods and analysis We will conduct an electronic search of several databases from their inception to May 2017, including Embase, PubMed, Cochrane Central Register of Controlled Trial, Allied and Complementary Medicine Database, Wanfang Database, Chongqing VIP Chinese Science and Technology Periodical Database, China National Knowledge Infrastructure Database, Korean Medical Database, Korean Studies Information Service System, National Discovery for Science Leaders, Oriental Medicine Advanced Searching Integrated System, the Korea Institute of Science and Technology, and KoreaMed. Randomised controlled trials investigating any type of moxibustion treatment will be included. The primary outcome will be pain intensity and functional status/disability due to lower back pain. The secondary outcome will be a global measurement of recovery or improvement, work-related outcomes, radiographic improvement of structure, quality of life, and adverse events (presence or absence). Risk ratio or mean differences with a 95% confidence interval will be used to show the effect of moxibustion therapy when it is possible to conduct a meta-analysis.

Ethics and dissemination This review will be published in a peer-reviewed journal and will be presented at an international academic conference for dissemination. Our results will provide current evidence of the effectiveness and safety of moxibustion treatment in non-specific lower back pain patients, and thus will be beneficial to patients, practitioners, and policymakers.

Trial registration number CRD42016047468 in PROSPERO 2016

  • Back pain
  • moxibustion
  • systematic review
  • meta analysis
  • traditional medicine

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

https://doi.org/10.1136/bmjopen-2016-014936

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    Footnotes

    • Contributors DN conceived of the study. The protocol was drafted by JL and YC. The search strategy was developed by SL and SL. The inclusion criteria were developed by YP and BS. The authors JK and E-K revised the manuscript. The authors YL, I-HH, and H-JL developed the analysis plan. JL submitted the manuscript for publication. All authors have read and approved the final manuscript.

    • Funding This study is supported by the Traditional Korean Medicine R&D program that is funded by the Ministry of Health & Welfare through the Korea Health Industry Development Institute (KHIDI, grant HB16C0040).

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Data sharing statement As it is protocol of systematic review, there are no data to share.