Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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History and Concept of Manual Therapy

도수치료의 역사 및 개념

  • Moon, Sang Ho (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital) ;
  • Lee, Song (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital) ;
  • Bae, Dae Kyung (Department of Orthopedic Surgery, Seoul Sacred Heart General Hospital)
  • Received : 2019.02.18
  • Accepted : 2019.05.29
  • Published : 2020.02.28
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Abstract

Manual therapy has undergone parallel development throughout many parts of the world dating back to ancient times for at least 2,500 years. The earliest historical reference to the practice of manual therapy in Greece, dates back to 400 B.C. Over the centuries, manual medicines have fallen in and out of favor with the medical profession. To truly understand the principle, it is important to know that manual therapy was initially the mainstay of the three leading alternative health care systems, osteopathy, chiropractic, and most notably physical therapy. These were all founded in the latter part of the 19th century in response to the shortcomings in allopathic medicine. Although it has been around for a long time and has been used all over the world, there are a few reports on manual therapy treatment, and most papers provided a low level of evidence. Despite the controversies over manual therapy, its use appears to be increasing gradually. This article reviews the history of manual therapy from ancient times to the present including Korean history, discusses the current state of knowledge on manual therapy, and informs physicians who manage musculoskeletal pain.

도수치료는 전 세계적으로 다수의 지역에서 각각 독립적으로 시행되고 발전되어왔던 학문으로 2,500년의 역사를 가진 아주 오래된 치료 방법이다. 최초의 역사적 기록은 기원전 4세기경 그리스에서 확인할 수 있는데 이후 오랜 세월 동안 도수치료는 의학계와 같이 연구하고 발전하기도 했지만 대립된 길을 걸어왔던 것도 사실이다. 우리가 도수치료를 제대로 이해하려면 의학적 치료의 한계를 넘어서기 위해 19세기 후반에 정립된 카이로프랙틱, 정골의학, 물리치료학의 관점에서 각각 연구되고 발전되어 온 도수치료의 세 분야에 대해 알고 있어야 한다. 아주 오랜 옛날부터 시작했고 전 세계적으로 사용된 치료법임에도 불구하고 도수치료에 대한 문헌들은 많지 않고 근거 수준이 낮은 논문들이 대부분이다. 그러나 현재 그 효과에 대한 논란에도 불구하고 도수치료는 점점 더 많은 환자들에게 시술되고 있는 실정이다. 저자들은 이 논문에서 고대부터 도수치료의 역사와 한국 도수치료의 역사, 그리고 현재 도수치료에 대한 최신 지견을 논하고 그것을 근골격계 통증의 치료를 담당하는 의사들에게 소개하고자 한다.

Keywords

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