The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
권호 표지

Research about Adverse Effect of Spinal Manipulation Therapy : Systemic Review of Literature in Korea and Pubmed

척추수기치료의 부작용에 대한 국내 및 국외 현황 비교

  • Jeong, Seon-Yeong (Dept. of Oriental Neuropsychiatry, Jaseng Hospital of Korean Medicine) ;
  • Lee, Cha-Ro (Dept. of Korean Internal Medicine, Jaseng Hospital of Korean Medicine)
  • 정선영 (자생한방병원 한방신경정신과) ;
  • 이차로 (자생한방병원 한방내과)
  • Received : 2015.05.18
  • Accepted : 2015.06.10
  • Published : 2015.06.30
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Abstract

Objectives : The aim of this systemic review was to summarize and compare adverse effect of spinal manipulation at domestic and abroad. Methods : We searched articles in Korean databases and Pubmed. We selected and analysed the articles met inclusion criteria. Results : 51 cases were included. 32 cases in Pubmed show that adverse effect related to cervical rotation and high velocity low amplitude(HVLA) thrust manipulation. It leads to severe adverse effect and sequela about vascular. While, 19 cases in Korean articles shows that domestic spinal manipulation is more safe becase of lower use of high velocity low amplitude(HVLA) thrust. It leads to low incidence of vascular adverse effect and no sequela. Conclusions : We concluded that Chuna is difficult manipulation because of possibility of adverse effect. Chuna is recommended to be taken by licensed medical practitioners who are skilled and complete the regular curriculum. Further studies like meta analysis about spinal manipulation are needed to estimate incidence of adverse effect. And adverse effects are going to be collected continually through randomized controlled trials(RCT) related to spinal manipulation.

Keywords

References

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