DOI QR코드

DOI QR Code

Review of Clinical Researches for Herbal Medicine Treatment on Cerebral Palsy

뇌성마비의 한약치료에 대한 임상연구 동향 -중의학 논문을 중심으로-

  • Lee, Boram (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Shin, Hye Jin (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Lee, Jihong (Department of Korean Pediatrics, Graduate School, Kyung Hee University) ;
  • Chang, Gyu Tae (Department of Korean Pediatrics, Graduate School, Kyung Hee University)
  • 이보람 (경희대학교 대학원 소아과학교실) ;
  • 신혜진 (경희대학교 대학원 소아과학교실) ;
  • 이지홍 (경희대학교 대학원 소아과학교실) ;
  • 장규태 (경희대학교 대학원 소아과학교실)
  • Received : 2017.07.17
  • Accepted : 2017.08.11
  • Published : 2017.08.31

Abstract

Objectives The purpose of this study is to provide clinical evidence of herbal medicine treatment for cerebral palsy by reviewing randomized controlled trials conducted in China. Methods We searched literatures dated up to 17 May, 2017 in China National Knowledge Infrastructure (CNKI), and evaluated methodological quality of those studies using 'Risk of Bias' tool. Results Sixteen studies were selected for analysis. These studies indicated that the total effective rate, motor function, self-care, muscle spasticity were significantly improved in the herbal medicine treatment group, as compared to the control group. The most-commonly-used herbs were Poria (茯?), Astragali Radix (黃?), Glycyrrhizae Radix (甘草), and Atractylodis Rhizoma Alba (白朮). There were no serious adverse events found that were associated with herbal medicine treatment. The methodological quality of included studies was generally unclear or low. Conclusions This study shows that the herbal medicine treatment can be effective and safe in treating cerebral palsy. Further well-designed clinical trials with high methodological quality and appropriate assessment tools need to be performed to solidify these findings.

Keywords

References

  1. The Korean Child Neurology Society. Pediatric neurology. Koonja Publishing co. 2008:85-107.
  2. Oskoui M, Coutinho F, Dykeman J, Jette N, Pringsheim T. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013;55(6):509-19. https://doi.org/10.1111/dmcn.12080
  3. Zhang YQ, Liu JP, Wang J, He QY. Traditional Chinese medicine for treatment of cerebral palsy in children: a systematic review of randomized clinical trials. J Altern Complement Med. 2010;16(4):375-95. https://doi.org/10.1089/acm.2009.0609
  4. Jeong MJ, Lim JH, Hwangbo M, Kim KB, Yun YJ. A study on the utilization of Korean medicine & other parallel treatments for neurological disease children & adolescents treated with western medicine. J Pediatr Korean Med. 2012;26(2):72-84. https://doi.org/10.7778/jpkm.2012.26.2.072
  5. Jung JH, Lee JY, Kim DG. Dongeui pediatric clinical practice. Kyunghee university communication & press. 2012:233-5.
  6. Yun YJ, Kim SC, Yu SA. Three cases of developmental delay due to cerebral palsy treated with Korean medicine. J Pediatr Korean Med. 2017;31(1):82-91. https://doi.org/10.7778/jpkm.2017.31.1.082
  7. Lee MR, Kim SB, Woo JM, Kang AR, Cho KH, Moon SK, Jung WS. Case study of a patient with dystonia due to dystonic cerebral palsy treated with traditional Korean medicine. J Int Korean Med. 2016;37(2):257-64.
  8. Ha SY, Min SY, Kim JH. A literature study on acupuncture for cerebral palsy -based on the current traditional Chinese medical journals-. J Korean Orient Pediatr. 2009;23(1):205-28.
  9. Yu SA, Cho SW, Lee SY. A literature study on acupuncture for spastic cerebral palsy. J Pediatr Korean Med. 2015;29(4):108-18. https://doi.org/10.7778/jpkm.2015.29.4.108
  10. Higgins JPT, Altman DG, Sterne JAC. Chapter 8: assessing risk of bias in included studies. In: Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions version 5.1.0 [updated March 2011]. The cochrane collaboration, 2011. Available from: http://handbook.cochrane.org/
  11. Xiu HM. The clinical research on the children with cerebral palsy of Pi Xu type treatment with the Jian Pi Yi Qi fa theory of traditional Chinese medicine. Master's degree of thesis of Guangzhou traditional Chinese medicine university. 2007.
  12. Qian XG, Fu WJ, Zhao Y, Li YX, Ma MM, Li SP, Liu ZH. The role of Sijunzi decoction in treating cerebral palsy patients with replenish Qi and fortify the spleen. J North China Coal Med Univ. 2009;11(3):310-1. (translated into English by the author)
  13. Song ZP, Song YP, Song YH, Du SG, Feng LM, Ma ST, Zhao ZG, Wu L. Clinical study of Scorpion, Tortoise shells and other traditional Chinese medicine plus physical therapy, functional training in treatment of children with cerebral palsy. The 6th Beijing International Forum on Rehabilitation. 2011:175-9. (translated into English by the author)
  14. Wang YP, Wu JJ, Li ZJ, Wang Q. Clinical observation on treatment of spastic pediatric cerebral palsy with Shujinjiannao granule. Inf Tradit Chin Med. 2011;28(3):89-90. (translated into English by the author)
  15. Wang ZL, Wei YX, Wu SC. Treatment of 36 cases of pediatric cerebral palsy with Naotan pills combined with acupuncture and moxibustion. J Gansu Coll Tradit Chin Med. 2011;28(1):59-60. (translated into English by the author)
  16. Lu CL, Zhou SL, Guo G. Clinical effect of Shenluqizhi decoction on patients with spastic cerebral palsy. Hubei J Tradit Chin Med. 2012;34(1):21-3.
  17. Lu S, Pi LH, Yan JL. Clinical observation on treatment of cerebral palsy in children by acupoint massage combined with children's Xingnao oral liquid. J Sichuan Tradit Chin Med. 2012;30(10):133-5. (translated into English by the author)
  18. Wang GH, Jiang S, Lin Y. Efficacy of acupuncture and massage combined with Rongshuan capsule treating cerebral palsy. Chin Archives Tradit Chin Med. 2013;31(5):1191-2.
  19. Wang Q, Zhou D. Clinical observation on 40 cases of low muscle tension cerebral palsy treated with Jinkuishenqi decoction. The 31 Academic Conference of Chinese Medicine Association of Pediatrics. 2014. (translated into English by the author)
  20. Han L, Shang Q. Clinical research of Yunpi prescription in treating cerebral palsy combined with malnutrition. China J Chin Med. 2015;30(11):1653-5.
  21. Shi JG, Xie Q. Integrated medicine therapy in treating 70 children with cerebral palsy of convulsion pattern. Western J Tradit Chin Med. 2015;28(8):104-6.
  22. Cheng W, Zhang ZM, Feng KJ, Cai ZX, Li AW, Lu Y. Effect observation of child cerebral palsy gross movement disorders treated with high dose of Astragalus Mongholicus. Lishizhen Med Mater Med Res. 2016;27(9):2192-4.
  23. Du XB, Zheng GZ, Feng B, Ma BX. Clinical research of modified Suanzaoren granule in treating sleep disorders of cerebral palsy. Guangming J Chin Med. 2016;31(11):1576-7.
  24. Yu ML. The influence of clinical effects and walking function on 40 cases of children with spastic cerebral palsy treated by the combination of Chinese herbs and rehabilitation training. J Pediatr Tradit Chin Med. 2016;12(5):78-81.
  25. Dan HJ, Zhang YY, Zhang P, Cao CH, Lou YJ, Hou YJ. Observation on the therapeutic effect of nourishing kidney and inducing resuscitation for expelling phlegm prescription in the treatment of cerebral palsy with mental retardation. Chin Med Mod Distance Educ China. 2017;15(1):78-80.
  26. Wang CN. Clinical observation and mechanism study on effect of Sijunzi decoction on intestinal microecological regulation in children with strong liver and weak spleen type. Liaoning J Tradit Chin Med. 2017;44(3):537-40. (translated into English by the author)
  27. Kim YR, Gu HG, Yun YJ. Review of the use of Korean medicine or complementary and alternative medicine among children with cerebral palsy. Soc Prev Korean Med. 2015;19(2):13-22.
  28. Surveillance of Cerebral Palsy in Europe. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Dev Med Child Neurol. 2000;42(12):816-24. https://doi.org/10.1111/j.1469-8749.2000.tb00695.x
  29. Noritz GH, Murphy NA, Neuromotor Screening Expert Panel. Motor delays: early identification and evaluation. Pediatr. 2013;131(6):e2016-27. https://doi.org/10.1542/peds.2013-1056
  30. The textbook compilation committee of Korean herbology. Korean herbology. Seoul: Younglimsa Publishing co. 2008.
  31. Kim CG. Bonchojongsin. Haenglim Publishing co. 1989.
  32. Son CH, Yun YJ, Yu SA. The experts survey and in-depth interview on the Korean medicine treatments for the cerebral palsy children. J Pediatr Korean Med. 2016;30(4):66-76. https://doi.org/10.7778/jpkm.2016.30.4.066
  33. Ma BX, Lei S, Zhang JK, Li HW, Zheng H. Questionnaire results analysis on TCM syndrome classification of cerebral palsy. China J Tradit Chin Med Pharm. 2013;28(12):3545-7.
  34. Ahn HS, Shin HY. Hong Chang Eui Pediatrics. 11th ed. 2nd Vol. Seoul: Miraen Publishing co. 2016:1001-4.
  35. World Health Organization. International Classification of Functioning, Disability and Health. Geneva: World Health Organization. 2001.
  36. Novak I, Mcintyre S, Morgan C, Campbell L, Dark L, Morton N, Stumbles E, Wilson SA, Goldsmith S. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol. 2013;55(10):885-910. https://doi.org/10.1111/dmcn.12246