초록정보 내용

Objectives :
This study aimed to systematically and comprehensively review controlled clinical trials on the effectiveness and safety of Chuna Manual Therapy for stroke.
Methods :
By October 7, 2019, three core databases and three domestic databases were searched. Seven major academic journals on the related field were also hand-searched. Methodological quality of the included studies was evaluated using the Cochrane risk of bias tool. Meta-analysis was conducted and the quality of its evidence was assessed using the GRADE methodology.
Results :
Five articles met the eligibility criteria. The results of most of included studies were in favor of Chuna Manual Therapy. No study described any adverse events during or after the clinical trials. Meta-analysis of three eligible studies showed that the pre- and post-treatment scores on the Modified Barthel Index (mean difference 8.00, 95% confidence interval 0.26 to 15.74) and Berg Balance Scale (mean difference 3.57, 95% confidence interval 0.64 to 6.51) of the Chuna-treated group were significantly different, but only marginally higher than those of the non-treatment group. Thus, the level of evidence gathered from these studies was assessed to be low.
Conclusions :
Based on current available evidence, any confirmative conclusions cannot be made on the effectiveness and safety of Chuna Manual Therapy for stroke because of the small sample size, low methodological quality, presence of statistical heterogeneity, and missing safety information. More rigorously designed large-scale multi-center studies are needed to establish more specific and credible evidence to support or oppose the use of Chuna Manual Therapy for stroke.

서지정보 내용

* 키워드 : Chuna manual therapy, stroke, cerebrovascular disorders, systematic review, meta-analysis
* 발행처 : 척추신경추나의학회
* 페이지 : 15-28
* ISBN :
* ISSN : 1975535X

초록정보 내용

Objectives
This study aimed to evaluate the effect of chuna manual therapy for the management of shoulder-hand syndrome (SHS).
Methods
This study was conducted across 10 electronic databases, including PubMed, The Cochrane Library, Embase, China National Knowledge Infrastructure (CNKI), Research Information Sharing Service, Korean studies Information Service System, DBpia, Oriental Medicine Advanced Searching Integrated System, National Digital Science Library, KMbase up to October 2024. Randomized controlled trials (RCTs) investigating the effect of chuna manual therapy for SHS were included. The risk of bias was assessed using the Cochrane risk of bias tool.
Results
After screening 8 RCTs included and meta analysis was conducted with 4 RCTs that reported visual analogue scale (VAS), Fugl-Meyer assessment (FMA), modified Bathel index (MBI). As results, chuna manual therapy with modern rehabilitation showed significant improvement in VAS (standardized mean difference, SMD; -1.35 [95% confidence interval, CI; -1.94 to -0.76], p<0.00001, I²=69%), FMA (SMD 1.93 [95% CI, 0.95 to 2.91], p=0.0001, I²=90%), MBI (SMD 1.09 [95% CI, 0.43 to 1.75], p=0.001, I²=69%).
Conclusions
Chuna manual therapy was effective for SHS. Despite favorable outcomes in the meta-analysis, the evidence supporting the effect of chuna manual therapy for SHS remains limited due to reliance on a single Chinese database (CNKI) and the methodological limitations of the included studies. Well-designed, high-quality RCTs are necessary to confirm these findings and address the identified limitations.

서지정보 내용

* 키워드 : Shoulder-hand syndrome, Reflex sympathetic dystrophy, Chuna manual therapy, Meta-analysis
* 발행처 : 한방재활의학과학회
* 페이지 : 25-36
* ISBN :
* ISSN : 12291854

초록정보 내용

Objectives
The purpose of this study is to assess the effectiveness of Chuna manual therapy for shoulder pain in hemiplegic patients after stroke.
Methods
For a systematic review and meta-analysis, we set a key question in accordance with participants, intervention, comparison, outcome, study design (PICO-SD). we searched for clinical studies that conducted chuna manual therapy for shoulder pain in hemiplegic patients after stroke 7 databases until September 2019. Only randomized controlled trials were chosen.
Results
Total 14 randomized controlled trials were chosen for systematic review and meta-analysis. 9 studies used efficacy rate as evaluation tool, and 8 used visual analogue scale. Pressure method (壓力型) was used in 11 studies, followed by osteopathy method (整骨型) and wave motion method (波動型) in 9 studies. Chuna manual therapy showed statistically significant pain reduction effect. Through meta analysis, Chuna manual therapy showed significant pain reducing effect except the study with Chuna manual therapy and electroacupuncture compared to electroacupuncture only.
Conclusion
As a result, Chuna manual therapy showed statistically significant effect in pain reduction. However, almost studies were evaluated in a state of having probable high risk of bias. This suggests that it requires attention to make an interpretation in this study. Furthermore, more clinical research need to be accomplished in the future.

서지정보 내용

* 키워드 : Chuna, Shoulder pain, Stroke
* 발행처 : 한방재활의학과학회
* 페이지 : 89-101
* ISBN :
* ISSN : 12291854