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

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

DOI QR Code

Tai-chi for Low back pain: Systematic Review

태극권 운동이 요통에 미치는 영향 : 체계적 문헌 고찰

  • Choo, Su-Cheol (School of Korean Medicine, Pusan National University) ;
  • Kim, Kyu-Jin (School of Korean Medicine, Pusan National University) ;
  • Kim, Eun-Bi (School of Korean Medicine, Pusan National University) ;
  • Hwang, Eui-Hyoung (School of Korean Medicine, Pusan National University)
  • 추수철 (부산대한방병원 한방재활의학과) ;
  • 김규진 (부산대한방병원 한방재활의학과) ;
  • 김은비 (부산대한방병원 한방재활의학과) ;
  • 황의형 (부산대한방병원 한방재활의학과)
  • Received : 2018.05.16
  • Accepted : 2018.06.12
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: To determine the effectiveness of Tai-chi in treatinglow back pain. Methods: We searched 9 electronic databases(Pubmed, CAJ, EMBASE, Cochrane Library, Web of Science, KISS, KISTI, NDSL, and RISS) till April 2018 and included randomized controlled trials(RCTs) that used Tai-chi for lower back pain treatment. The methodological quality of each RCT was assessed usingthe Cochrane risk of bias tool. Results: As per the inclusion criteria, 5 RCTswere found to be eligible for our review. These studies were divided into 4 groups and meta-analysis was performed. The meta-analysis of 1 study showed favorable results regardingthe use of Tai-chi. Twostudies showed favorable results regardingthe use of Tai-chi with Tuina rather than Tuina alone. All studies were observed to have a high risk of bias. Conclusions: There is limited evidence available to support the effectiveness of Tai-chi in relieving low back pain;hence, additionalwell-designed RCTs should be encouraged for better evidence.

Keywords

References

  1. Britt H, Miller G, Charles J. General practice activity in Australia 2015-2016. Sydney University Press. 2016;40:16-128
  2. Kwan BH, Park KH, Kim W, Kim YM, Choi HG. Analysis of Occurrence of Musculoskeletal Disorders in Korea(1998-2007). Ergonomics Society of Korea. 2008:28-33.
  3. Williams CM, Maher CG, Hancock MJ, McAuley JH, McLachlan AJ, Britt H, Fahridin S, Harrison C, Latimer J. Low back pain and best practice care: a survey of general practice physicians. Arch Intern Med. 2010;170(3):271-7. https://doi.org/10.1001/archinternmed.2009.507
  4. Henschke N, Maher CG, Refshauge KM, Herbert RD, Cumming RG, Bleasel J, York J, Das A, McAuley JH. Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. BMJ. 2008;337:a171. https://doi.org/10.1136/bmj.a171
  5. Costa Lda C, Maher CG, McAuley JH, Hancock MJ, Herbert RD, Refshauge KM, Henschke N. Prognosis for patients with chronic low back pain: inception cohort study. BMJ. 2009;339:b3829. https://doi.org/10.1136/bmj.b3829
  6. Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. The Spine Journal. 2008;8:8-20. https://doi.org/10.1016/j.spinee.2007.10.005
  7. Hoy D, March L, Brooks P, Woolf A, Blyth F, Vos T, Buchbinder R. Measuring the global burden of low back pain. Best Practice & Research Clinical Rheumatology 2010;24:155-65. https://doi.org/10.1016/j.berh.2009.11.002
  8. Ferreira ML, Smeets RJ, Kamper SJ, Ferreira PH, Machado LA. Can we explain heterogeneity among randomized clinical trials of exercise for chronic back pain? A meta-regression analysis of randomized controlled trials. Phys Ther 2010;90:1383-403. https://doi.org/10.2522/ptj.20090332
  9. Hwang EH, Kim JH, Jang IS, Yang CS, Kwang JW. The Effects of Tai Chi for Arthritis on Chronic Arthritic Pain of Senior Female : A Pilot Study. J Oriental Rehab Med. 2010;20(1):79-90.
  10. Hall AM, Maher CG, Lam P, Ferreira M, Latimer J. Tai Chi Exercise for Treatment of Pain and Disability in People With Persistent Low Back Pain: A Randomized Controlled Trial. Arthritis Care & Research. 2011;63(11):1576-1583. https://doi.org/10.1002/acr.20594
  11. Logghe IH, Verhagen AP, Rademaker AC, Bierma-Zeinstra SM, van Rossum E, Faber MJ, Koes BW. The effects of tai chi on fall prevention, fear of falling and balance in older people: ameta-analysis. Prev Med 2010;51:222-7. https://doi.org/10.1016/j.ypmed.2010.06.003
  12. Wu TT, Yang JH, Wang YQ, SUN D, HUANG CC. Clinical study on acupuncture therapy combined with Taijiquan(太拳) exercise for treatment of chronic nonspecific low back pain. J Trad Chin Orthop Trauma, 2017;29(6):32-38.
  13. Lin ZG, Gong DG, Wang XC, Chen SMJ. Tai Chi Yun Hand to Improve the Proprioception of Patient with Chronic Low Back Pain for 30Cases. Chinese Medicine Modern Distance Education Of China, 2015;13:127-29.
  14. Cho YH. Effects of Tai Chi on Pain and Muscle Activity in Young Males with Acute Low Back Pain. J. Phys. Ther. Sci. 2014;26:679-681. https://doi.org/10.1589/jpts.26.679
  15. Wu WF, Aikeremujiang MHRM, Chen CH, Liu WG. Sun L. Effectiveness of Tai Chi Practice for Non-Specific Chronic Low Back Pain on Retired Athletes: A Randomized Controlled Study. Journal of Musculoskeletal Pain, 2013;21(1):1058-2452.
  16. Li X, Wang YB, Li TJ, He J, Hou MJ. A Meta-analysis : Therapeutic Effect of Tai Chi on Low Back Pain. 2017;27(4):60-63.