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Chuna Manual Therapy for Postpartum Low Back Pain: Systematic Review

출산 후 요통에 대한 추나요법의 효과: 체계적 문헌고찰

  • Cho, Ju-chan (Department of Korean Medicine, Graduate School of Pusan National University) ;
  • Park, In-hwa (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University) ;
  • Hwang, Man-Suk (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Heo, In (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 조주찬 (부산대학교 대학원 한의학과) ;
  • 박인화 (상지대학교 한의과대학 한의학과교실) ;
  • 황만석 (부산대학교 한의학전문대학원 임상의학 3교실) ;
  • 허인 (부산대학교 한의학전문대학원 임상의학 3교실)
  • Received : 2021.11.29
  • Accepted : 2021.12.06
  • Published : 2021.12.30

Abstract

Objectives This study aimed to evaluate the effect of chuna manual therapy (CMT) for postpartum low back pain using a systematic review. Methods We performed a literature search using 12 electronic databases up to the end of September 2021. We included randomized controlled trials (RCTs) that evaluated the effect of CMT in the treatment of postpartum low back pain. The risk of bias was evaluated using the Cochrane risk-of-bias tool. Results Four randomized controlled trials were reported statistically significant effect in pain VAS, ODI and JOA of chuna manual therapy compared with moxibution, electro acupuncture, hyperthermia or usual care. As a result of assessing the risk of bias tool, most of the contents of the evaluation items were not identified, so it was evaluated as an uncertain risk. Conclusions CMT may be effective in treating postpartum low back pain. However, evidence was limited due to the small sample size, lack of well-designed RCTs and regional bias. Further well-designed studies are required to obtain stronger evidence.

Keywords

Acknowledgement

This work was supported by clinical research grant from Pusan National University Hospital in 2020.

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