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A Review of Studies on Chuna Manual Therapy for Low Back Pain through Korean Database Search

국내 데이터베이스 검색을 통한 요통의 추나의학적 치료에 대한 연구동향 분석

  • Yim, Min-Young (Department of Acupuncture, Moxibustion and Acupoint, College of Korean Medicine, Daegu Haany University) ;
  • Park, Han-Byeol (Department of Acupuncture, Moxibustion and Acupoint, College of Korean Medicine, Daegu Haany University) ;
  • Kim, Jae-Soo (Department of Acupuncture, Moxibustion and Acupoint, College of Korean Medicine, Daegu Haany University) ;
  • Lee, Hyun-Jong (Department of Acupuncture, Moxibustion and Acupoint, College of Korean Medicine, Daegu Haany University) ;
  • Lim, Sung-Chul (Department of Acupuncture, Moxibustion and Acupoint, College of Korean Medicine, Daegu Haany University) ;
  • Lee, Yun-Kyu (Department of Acupuncture, Moxibustion and Acupoint, College of Korean Medicine, Daegu Haany University)
  • 임민영 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 박한별 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 김재수 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 이현종 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 임성철 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 이윤규 (대구한의대학교 한의과대학 침구경혈학교실)
  • Received : 2021.12.03
  • Accepted : 2021.12.06
  • Published : 2021.12.30

Abstract

Objectives This review aimed to investigate studies of Chuna manual therapy (CMT) for low back pain and the evidence of their effects in order to suggest a better research method in the future. Methods We investigated studies on CMT for low back pain by searching Korean web databases from 2020 to 2021. As a result, 72 research papers were analyzed according to their published year, the titles of journals, the types of studies, the techniques of Chuna, and the instruments used for assessment. Results The results were as follows: 1. There were three papers published initially in 2000. this number showed a steady increase, and a total of 72 papers were published that year. 2. Studies on CMT were mainly published in the Journal of Korea Chuna Manual Medicine for Spine and Nerves. 3. When categorized according to the methods of studies, a simple case report was used more often than the sum of randomized controlled trials (RCTs) and non-RCTs. 4. The most frequently adopted technique of Chuna in the examined studies was the COX flexion and distraction technique. 5. The Visual Analog Scale and Oswestry Disability Index were used as primary means of assessment. Conclusions Based on the analysis, it was observed that this review provided limited evidence of CMT use in patients with LBP. Therefore, further investigation using well-designed RCTs is required to obtain higher evidence.

Keywords

References

  1. Korean Acupuncture and Moxibustion Medicine Society Textbook Compilation Committee. Acupuncture medicine. Seoul:Hanmibook. 2020:406, 474-82, 502-3, 512, 526-30.
  2. Lee HJ, Choi DJ, Park EJJ. Biportal endoscopic spinal surgery for lumbar intervertebral disc herniation. Journal of the Korean Orthopaedic Association. 2019;54(3):211-18. https://doi.org/10.4055/cios.2016.8.3.325
  3. Lee GM, Lee KC, Hwang YJ. Collaborative study of oriental-western medicine on HIVD. The Journal of Korean Acupuncture & Moxibustion Society. 2000;17(2):1-10.
  4. Choi HS, Choi YI, Son SK, Choi CW, Im HB, Kim HD, Jeong YJ. The domestic trend of chuna treatments on lumbar spinal disorder. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2012;7(2):25-38.
  5. Bong SM, Jang WS, Kim KH. Effects of sweet bee venom pharmacopuncture combined with Korean medicine treatment for acute low back pain syndrome patient: A case peport. Korean Journal of Acupuncture. 2020;37(1):54-63. https://doi.org/10.14406/acu.2020.004
  6. Kim HS, Oh MS. The effect of burning acupuncture theraphy on the sacroiliac joint syndrome. Journal of Hawhwa Medicine. 2007;16(1):133-8.
  7. Hwang HJ, Park YH, Keum DH. Effects of pulsed electromagnetic therapy with acupuncture theraphy for sacroiliac joint syndrome. J Korean Med Rehabil. 2010;20(3):75-91.
  8. Peterson DH, Bergmann TF. Chiropractic technique. 2nd ed. Seoul:Elsevier Korea LLC. 2007:364-6.
  9. Korean Society of Chuna Manual Medicine for Spines & Nerves. Chuna manual medicine. Seoul:Korean Society of Chuna Manual Medicine for Spine & Nerves. 2017:4-25, 46-50.
  10. Ministry of Health and Welfare. 2020 Announcement of the results of a survey on the use of oriental medicine and oriental medicine consumption [cited 2021 May 31]. Available from: URL:https://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=365877
  11. Ministry of Health and Welfare. Chuna therapy health insurance and medical benefits are applied [cited 2019 Mar 25]. Available from: URL:https://www.korea.kr/news/pressReleaseView.do?newsId=156323173&call_from=naver_news
  12. Heo SY. Cases report on chuna treatmet for spondylolithesis. J Korean Med Rehabil. 2000;10(2):9-15.
  13. Heo SY, Kim KH. Investigation on the correlation improvement rate of symptoms with moire topography analytic improvement rate. The Joural of Korean Manual Medicine. 2000;(1):55-65.
  14. Han MG, Heo SY, Choi JM. Investigation on common-using ttechnique of chinese chuna manipulations for herniated nucleus pulposus. The Joural of Korean Manual Medicine. 2000;1(1):103-174.
  15. Lee TK. The effect of chuna treatment on the low back pain & radiating pain [master's thesis]. Kookmin University. 2001:1-52.
  16. Kim SJ, Jang HS, Kim SY, Shin JS. The clinical study on the effect of chuna treatment for patients with herniated intervertebral disc of lumbar spine. The Journal of Korea CHUNA Manual Medicine. 2001;2(1):93-109.
  17. Lee HJ. The effects of tuina program on nurses with low back pain [master's thesis]. Han Yang University. 2002:1-102.
  18. Kim SJ, Yoon JP, Kim SY. A clinical analysis of 40 cases with spondylolisthesis. Gynecologic Oncology. 2002;12(3):1-10.
  19. Yu S, Lee MJ. A clinical case study using only flexion-distraction technique for ruptured intervertebral lumbar disc. J Oriental Rehab Med. 2004;14(1):177-183.
  20. Hang EH, Kim JY. The study on the asymmetry ratio of surface EMG in low back pain groups - Before and after flexion-distraction technique. The Journal of Korea CHUNA Manual Medicine. 2004;5(1):243-9.
  21. Youn YS, Cho JH, Ryu HJ, Lee JS. Ruptures lumbar disc in a patient undergoing lumbar chuna treatment: A case report. The Journal of Korea CHUNA Manual Medicine. 2004;5(1):163-8.
  22. Kim SJ, Min BK, Yoon IJ, Oh MS. A case report on the thoracic & lumbar disc and scoliosis treated by flexion-distraction technique. The Journal of Korea CHUNA Manual Medicine. 2006;1(2):73-80.
  23. Jang G, Cho TY, Lee BY, Lim HH, Lee JS. Herniated lumbar disc in a patient undergoing lumbar chuna manipulation treatment: A case report. The Journal of Korea CHUNA Manual Medicine. 2006;1(2):137-41.
  24. Jeong B, Chung SH, Lee JS. Magnetic resonance imaging follow-up study on the case of protruded lumbar intervertebral disc herniation through chuna therapy. J Oriental Rehab Med. 2006;1(2):137-41.
  25. Kang MH, Kim SY, Lee JH, Koh DH, Song WS. The clinical report on 1 case of low b ack pain and radiational pain patient treated by chuna traction and conservative treatment. The Journal of Korea CHUNA Manual Medicine. 2006;1(2):1-9.
  26. Park WS, Ha IH, Kwon HJ, Woo I. MRI follow-up study of 4 lumbar HIVD patients after conservative oriental medical treatment. Journal of Oriental Rehabilitation Medicine. 2007;17(4):269-80.
  27. Lee GJ, Lee BY, Jang G, Song YK, Lim HH. A clinical study on the effect of chuna to herniated lumbar disc patients. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007;2(2):79-88.
  28. Seok SY, Choi HK. Clinical study on 3 cases of HIVD patients treated by the oriental medical conservative treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007;2(1):11-22.
  29. Hwang HJ, Heo KH, Keum DH. Two cases on tortipelvis caused by lumbar disc herniation - Using mckenzie method treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007;2(1):85-98.
  30. Heo M, An JH, Jo HK, Yoo HR, Kim YS, Seol IC. A clinical study of oatient with lumbar stenosis and leg length inequality by acupuncture treating and chuna treating to A-Shi point of iliopsoas muscle. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007;2(2):69-78.
  31. iLi G. The effects of Tuina massage and physical therapy intervention on pain sense and lumbar flexibility of patients with low back pain [master's thesis]. Chungnam University. 2007:1-50
  32. Lee KJ, Heo KH, Park YH, Keum DH. Radiological changes on spondylolisthesis using COX technique and acupuncture therapy treatment: Clinical cases. J Oriental Rehab Med. 2007;17(5):229-42.
  33. Shin JM, Kang MS, Song YK. A case report on HIVD patient treated by conservative oriental medical treatment with Kyungkuen chuna. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2008;3(1):83-94.
  34. Oh WK, Shin BC. Effect of bong chuna manual treatment combined with oriental medical treatment on posterior inferior ilium deviation; 3 cases report. Journal of Oriental Rehabilitation Medicine. 2008;15(1):173-85.
  35. Cho JH, Lee HE, Moon JY, Lim MJ, Kang I, Kim JH. The clinical study on spinal stenosis of lumbar spine. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2008;3(2):77-85.
  36. Youn YS, Park WS, Ha IH, Shin HD. A clinical study on the effect of Korean medical treatments for patients with lumbar disc herniation. Journal of Korean Medicine Rehabilitation. 2008;18(1):153-161.
  37. Youn YS, Lee JS, Ha IH, Kim JW, Kwon HJ. A comparative study with lumbar disc herniation under conservative treatment according to the duration. Journal of Korean Medicine Rehabilitation. 2008;18(4):135-45.
  38. Lee KH, Kim WY, Kim CY, Lee HJ. Woong ET. The clinical study on difference of sex, age, medical history, part, or type in patients with lumbar spine herniation of nucleus pulpous. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2008;3(1):37-48.
  39. Kim EG, Lee DG, Yoon EH, Jeong WJ, Kim KH, Cho HS, Hwang MS. The clinical effects of sciatica with cox flexion distraction. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(1):43-52.
  40. Kim E, Jun KS, Song YS. Case report of 7 herniated lumbar disc patients treated by decompression therapy and chuna treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(2):95-102.
  41. Kim ES, Han KW, Jung HS, Lee HE, Cho JH, Kim CY. Two cases of patients visiting with herniated intervertebral disc of lumbar spine showing symptoms opposed to radiological findings. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(2):185-96.
  42. Kwon HJ, Kim JW, Ryu KJ, Kim HJ, Lee MJ. One case on lumbar kyphosis with complaining lower back pain and low extremity pain. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(2):109-20.
  43. Hong SS, Jin ES. The case report of conservative treatment on failed back surgery syndrome. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(2):163-72.
  44. Pi CH, Kim E, Song YS, Kim DE. Clinical case report on comparison between 6 herniated lumbar disc patients which were divided into two groups each treated by decompression therapy and chuna treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(1):75-84.
  45. Lee JM, Park JH, Lee EJ, Hong SY. Effect of chuna treatment(Manipulation) on cervical sprain caused by traffic accident in early stage. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(2):61-74.
  46. Jung MG, Hwang HJ, Park YH, Keum DH. The case report on improved change of lumbosacral radiculopathy using acupuncture therapy and cox technique-In the point of needle electromyogram -. J Oriental Rehab Med. 2009;19(4):203-17.
  47. Kim WY, Han SY, Kim KY, Kong DH, Lee HJ, Kim CY, Nam HW. Changes on magnetic resonance imaging in lumbar disc herniations treated with oriental medicine. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2009;4(1):31-42.
  48. Yoon DY, Son JM, Choi JS, Jung SH, Kim SJ. Effect of chuna treatment(Manupulation) on lumbar sprain caused by traffic accident. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(1):23-30.
  49. Lee SH. Clinical study for patients with lumbar disc herniation: changes in magnetic resonance imaging after conservative treatment: Is there any relationship between clinical outcomes and change in disc morphology? [doctoral thesis]. Kyung Hee University. 2010:1-35.
  50. Kim JW. Clinical trial on effect of integrative treatment on lumbar disc herniation [master's thesis]. Kyung Hee University. 2010:1-29.
  51. Lee JH, Min KS, Kim SY, Kim SJ. The case report on 3 case of conservative treatment on failed back surgery syndrome. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(2):57-68.
  52. Woo JH, Lee H, Jung HS, Kim ES, Han KW, Lee JS, Youn KC. The clinical case report on a patient with HIVD (Herniated Intervertebral Disc) and schwannoma, treated by conservative oriental medical treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(1):111-24.
  53. Kang MJ, Kong DH, Kim WY, Nam HW. The case report of conservative treatment on the herniation of intervertebral disc patient after the fusion surgery of a lumbar segment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(2):127-34.
  54. Jung WH, Seo SK, Park KJ, Kang JH. The clinical study for the effects of flexion-distraction VTechnique on patients with low back pain. J Oriental Rehab Med. 2010;20(3):61-74.
  55. Kim E, Jun KS, Song YS. Case report of 7 herniated lumbar disc patients treated by decompression therapy and chuna treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2010;5(2):95-102.
  56. Choi HS, Kim MY, Choi YL, Choo WJ, Nam HW. A case report of hamstring shortening after spinal fusion, treated by chuna manual therapy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2011;6(2):133-43.
  57. Kim JS, Lee JH, Yang KY, Kim JW, No HR, Jeong YG, Han SY, Hwang EM. The comparative study on the effect of pharmacopuncture treatment and chuna treatment for low back pain caused by traffic accidents. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2011;6(2):155-64.
  58. Kwon HJ, Park YH. Clinical study for patients with lumbar disc herniation on change of magnetic resonance imaging at one year after conservative treatment. J Oriental Rehab Med. 2011;21(2):253-263.
  59. Lim MG, Moon SJ, Jun KS, Shin HK, Ko YS. A clinical case of oriental medical treatment on failed back surgery syndrome. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2011;6(2):23-32.
  60. Chang DH, Bae UY, Jung JH, Lee IS. The effects of burning acupuncture therapy with chuna therapy for low back pain patients. Journal of Korean Medicine Rehabilitation. 2011;21(3):21-32.
  61. Yim JH, Yoon SH, Jung WS, Sin HS, Cho SH. The comparative study of improvement of patient who were diagnosed sprain and strain of lumbar spine with MET treatment on iliopsoas muscles and with acupuncture treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2011;6(1):1-9.
  62. Lim DC. The effects of combined treatment of chuna theraphy and spinal stablization exercise on muscle mass of lumbar spine and static balance ablity in patients with low back pain [doctor's thesis]. Korea National Sport University. 2011:1-62.
  63. Lee SC, Bae SE, Kim HJ, Kim IJ, Shin JS, Kim CS, Ahn YT. Clinical study on the effect of chuna manupulation in treating postpartum patients with low back pain and pelvic girdle pain. The Journal of Oriental Obstetrics & Gynecology. 2012;25(3):117-131.
  64. Bae UY, Kwon HJ, Jung JH, Lee IS, Cho SW. A case report of degenerative spondylolisthesis treated by oriental medical treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2012;7(1):113-20.
  65. Nam JH, Lee JS, Lee SJ, Kim KW, Lee MJ, Jun JY, Lim SJ, Song JH, Moon JY, Yeom SC, Lee SC, Hong NJ. Clinical observation on 39 patients of spondylolisthesis with lumbar herniated intervertebral disc treated by conservative oriental medical treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2012;7(2)63-74.
  66. Lee CH, Park SW, Byun JH, Kim HS, Lim SJ, Jeon JY, Kim KW, Nam JH, Lee MJ, Song JH. A case report: Low back pain with achondroplasia treated with conservative treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2013;8(2):131-139.
  67. Kim MH, Bae YH, Kim HS, Kim HS, Kim JY, Kim SH, Lee SG. The clinical report of the chronic HIVD patient with sacralization treated with quadratus lumborum MST(Motion Style Treatment) & Korean medicine treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2014;9(2):11-19.
  68. Kim TH, Yoon TK, Yun YU, Jeong SY, Lee CR. Clinical study of the treatment of spondylolisthesis with lumbar herniated intervertebral disc. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2014;9(1):15-26.
  69. Chung JH, Yun YU, Cheong SH, Kim TH, Chi YJ, Kim SW, Lee CR. Seven cases report on the foot drop patients with herniated intervertebral lumbar disc by muscle energy technique & Korean traditional medicine therapy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2014;9(1):27-37.
  70. Jang HG, Yang DH, Woo CH, Ahn HD. A clinical two case studies on juvenile idiopathic scoliosis treated by lumbar flexion-distraction manipulation and sitting position thoracic and lumbar vertebra adjustment manipulation. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2014;9(1):103-14.
  71. Kim SJ, Park DS, Jeng SH, Ahn JM. The impacts of muscle energy technique (MET) and transcutaneous electrical nerve stimulation (TENS) performed on elector spinae muscle of Acute Low Back Pain Patients on Pain and Meridian Electromyography. Journal of Korean Medicine Rehabilitation. 2014;24(1):83-92.
  72. Cho DI, Yoon JW, Park DS, Kim SJ. The effects of ultra sound and chuna in patients with lumbago by meridian muscle electrography. Journal of Korean Medicine Rehabilitation. 2015;25(4):93-103. https://doi.org/10.18325/jkmr.2015.25.4.93
  73. Kwon JG, Park JW, Park SH, Keun DH. The two cases report of iliolumbar ligament syndrome showed a physical examination positive result by acupuncture and chuna therapy. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2016;11(1):75-84.
  74. Lee EH. A clinical study of acute low back pain treated by chuna & general oriental therapy during pregnancy. J Korean Obstet Gynecol. 2016;29(3):110-120. http://dx.doi.org/10.15204/jkobgy.2016.29.3.110
  75. Kim MH, Youn DW, Jung HK, Lee MS, Kim SH, Go U. The clinical report of the acute low back pain patient with Scheuermann's disease treated with chuna & Korean medicine treatment. J Sports Korean Med. 2016;16(1):21-30.
  76. Song KC, Seo JY, Song SB, Cho MU, Moon HY, Kwon HY, Ju YG, Kim KH. A case report of nocturnal pain in patients diagnosed with HIVD of L-spine treated by Samul-tang(Siwu-tang) Gagam and chuna manual treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2017;12(2):43-52.
  77. Jang JW, Lee JW, Roh JA, Lee GE, Kim HJ, Hong JS, Kim DJ. Effects of Korean medical combination treatment for lumbar spinal herniatedIntervertebral disc: accompanying or not high-intensive zone(HIZ). The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2018;13(2):47-63. http://dx.doi.org/10.30581/jkcmm.2018.13.2.47
  78. Rye HS, Kim MH. A case report on conservative treatments with chuna manual therapy on patient who has failed back surgery syndrome owing to herniated intervertebral lumbar disc with scoliosis. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2018;13(2):65-73. http://dx.doi.org/10.30581/jkcmm.2018.13.2.65
  79. Rhu JS, Kim DS, Shin BC, Lim BM. Evaluating the effectiveness of chuna manual therapy for low back pain in the pilot insuring project of the national health insurance. Journal of Society of Preventive Korean Medicine. 2018;22(3):1-10. http://dx.doi.org/10.25153/spkom.2018.22.3.001
  80. Kim SS. The effects of the combination of tuina therapy and exercise rehabilitation therapy on pain rating scale and flexibility of patients with acute low back pain. JKSSPE, 2020;25(3):163-169. https://doi.org/10.15831/JKSSPE.2020.25.3.163
  81. Namgoong J, Hwang BK, Shin WB, Choi HJ, Baek HK, Lee YH, Choi DJ. Five cases of nonstructural scoliosis with lumbar herniated intervertebral disc treated by complex Korean medicine treatment with chuna manual therapy: Case report. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2020;15(1):121-134. http://dx.doi.org/10.30581/jkcmm.2020.15.1.12
  82. Kim DH, Sul JU, Jeong JM, Yoon JS, Lee SW, Yi YH, Choi JB. A case of spinal stenosis improved by combined with chuna manual therapy and exercise treatment. Journal of Korean Medicine Rehabilitation. 2021;31(3):115-23. https://doi.org/10.18325/jkmr.2021.31.3.115
  83. Jung SE, Park SM, Cho SW. VAS, a case of Korean medicine treatments including chuna therapy in lower extremity weakness and gait disturbance due to lumbar disk herniation and spinal stenosis. Journal of Korean Medicine Rehabilitation. 2021;31(2):99-108. https://doi.org/10.18325/jkmr.2021.31.2.99
  84. Kim YU, Lee KM, Kim SW, Leee SY, Seo JC, Jung TY, Lim CH, Han SY. The effect of 8 constitution acupuncture on neck pain by pain disability index and visual analogue scale. The Journal of Korean Acupuncture & Moxibustion Society. 2003;20(1):202-8.
  85. Kim DH, Shin WS, Lee JW, Cho YJ, Song YK, Shin BC, Park HJ. A review of questionnaire for the clinical trials on chronic low back pain. J Korean Med Rehabil. 2013;23(4):95-115.
  86. Shim SY, Park HJ, Lee JM, Lee HS. An overview of pain measurements. The Korean Journal of Maridian & Acupoint. 2007;24(2):77-97.
  87. Melzack R. The McGill pain questionnaire. Anesthesiology. 2005;103(1):199-202. https://doi.org/10.1097/00000542-200507000-00028
  88. Hislop HJ, Avers D, Brown M. Daniels and Worthingham' muscle testing: Techniques of manual examination and performance testing. 9th ed. St. Louis:Elsevier Saunders. 2014:2-5.
  89. Makoto T, Katsuhiko S. Explanatory variables to use in a multiple regression analysis to predict stroke patients' motor FIM score at discharge from convalescent rehabilitation wards: An investigation of patients with a motor FIM score of less than 40 points at admission. Japanese Journal of Comprehensive Rehabilitation Science. 2020;11:102-8.
  90. Tarek AH, Kim GS, John AS, Philip GJ, Mehdi HS. Associations of exercise ankle-brachial index, pain-free walking distance and maximum walking distance with the peripheral artery questionnaire: Finding from the portrait pad registry. Vascular Medicine. 2019;24(1):32-40. https://doi.org/10.1177/1358863x18785026
  91. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, Kim YT. South Korean time trade-off values for EQ-5D health states: Modeling with observed values for 101 health states. Value Health. 2009;12(8):1187-93. https://doi.org/10.1111/j.1524-4733.2009.00579.x
  92. Lim SK, Lee DH, Kwon YJ, Lee JC, Jung CJ, Kim YS, Park KM, Lee SH. Effects of fixed-intensity and varied-intensity electroacupuncture on heart rate variability in healthy people with stress task. Journal of Acupuncture Research. 2011;28(2):107-16.
  93. Heo SY, Kim KH. Investigation on the correlation improvement rate of symptoms with moire Ptopography analytic improvement rate. The Joural of Korean Manual Medicine. 2001;1(1):55-65.
  94. Hudgins WR. The role of microdiscectomy. Orthop Clin North Am. 1983;14:589-603. https://doi.org/10.1016/S0030-5898(20)31337-7
  95. Macnab I. Negative disc exploration. J Bone and Joint Surg. 1971;53(5):891-903. https://doi.org/10.2106/00004623-197153050-00004
  96. Lee KJ, Oh MS, Lee EJ, Shin BC, Hwang EH, Kim SJ, Cha YY, Ko YS, Song YK. Trends of Korean medicine conservative treatment using low back pain patients registry data: Analysis of medical records of 7 Korean medical hospital. Journal of Korean Medicine Rehabilitation. 2019;29(3):27-101.
  97. Kim T, Park AY, Baek Y, Cha S. Genome-wide association study reveals four loci for lipid ratios in the Korean population and the constitutional subgroup. PLoS One. 2017;12(1):e0168137. https://doi.org/10.1371/journal.pone.0168137
  98. Bjerkeset T, Johnsen LG, Kibsgaard L, Fuglesang P. Surgical treatment of degenerative lumbar diseases. Tidsskr Nor Laegeforen. 2005;1123(13):1817-9.
  99. Yi JM, Nam WD. Radiologic comparison of the sacroiliac joint degeneration following lumbar or lumbosacral fusion. J Kor Spine Sur. 2019;26(4):141-50. https://doi.org/10.4184/jkss.2019.26.4.141
  100. Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: A systematic review and risk assessment. Journal of Manipulative and Physiological Therapeutics. 2004;27(3):197-210. https://doi.org/10.1016/j.jmpt.2003.12.023
  101. Jeong SY, Lee CR. Research about adverse effect of spinal manipulation therapy: Systemic review of literature in Korea and pubmed. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2015;10(1):15-33.
  102. Lee KB, Ha IH, Kim HS, Bae YH, Kim NH, Suk CY, Yang KJ, Jung YH, So MJ, Lee YJ. Chunaa manual therapy for neck pain: A systematic review and meta-analysis. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2016;11:11-21.
  103. Nam DJ, Oh MS. Characteristics of 601 low back pain patients: A Korean medicine hospital experience, retrospecdtive chart review. J of Korean Medicine Rehabilitation. 2015;25(2):147-8. https://doi.org/10.18325/jkmr.2015.25.4.147
  104. Oliphant D. Safety of spinal manipulation in the treatment of lumbar disk herniations: A systemic review and risk assessment. J Manipulative Physiol Ther. 2004;27(3):197-210. https://doi.org/10.1016/j.jmpt.2003.12.023