DOI QR코드

DOI QR Code

소아 뇌성마비에 대한 추나 요법의 효과: 체계적 문헌고찰과 메타분석

Chuna Manual Therapy for Cerebral Palsy in Children: A Systematic Review and Meta-analysis

  • 남현서 (상지대학교 부속한방병원 한방내과) ;
  • 한승희 (상지대학교 부속한방병원 한방내과) ;
  • 안다영 (상지대학교 부속한방병원 한방내과) ;
  • 백태현 (상지대학교 부속한방병원 한방내과)
  • Nam, Hyun seo (Department of Internal Korean Medicine, Sangji Oriental Medical Hospital) ;
  • Han, Seung hee (Department of Internal Korean Medicine, Sangji Oriental Medical Hospital) ;
  • An, Da young (Department of Internal Korean Medicine, Sangji Oriental Medical Hospital) ;
  • Baek, Tae hyun (Department of Internal Korean Medicine, Sangji Oriental Medical Hospital)
  • 투고 : 2021.05.18
  • 심사 : 2021.12.17
  • 발행 : 2021.12.30

초록

Objectives This study was aimed to evaluate the effects of Chuna manual therapy (CMT) for the treatment of cerebral palsy. Methods The randomized controlled trials (RCTs) on the treatment of CMT for cerebral palsy in children were selected among the literature published until January 2021 in seven databases. The quality of the literature was evaluated using the Cochrane's risk of bias tool, and RevMan 5.3 was used for the synthesis of results. Results Total 801 pediatric patient with cerebral palsy incontinence were finally selected from twelve RCTs. The total effective rate of the combined treatment general rehabilitation and CMT is statistically significantly higher (P<0.0001) than that of general rehabilitation alone. Conclusions This study suggests that general rehabilitation combined with CMT for cerebral palsy in children might be more effective in improving symptoms than general rehabilitation alone. As the number and quality of the literature included in the meta-analysis was insufficient, high-quality clinical studies on CMT for cerebral palsy would be required.

키워드

참고문헌

  1. Krigger KW. Cerebral palsy: An overview. Am Fam Physician. 2006;73:91-100.
  2. Koo YA, Choi DS, Choi SJ, Oh SY, Jang YS, Park WS, Kim HS, Roh CR, Kim JH. Clinical characteristics of cerebral palsy following preterm or term birth; 10 years' experience. Obstetrics & Gynecology Science. 2006;49(12);2543-2549.
  3. Ahn YP, Park KH, Lee SJ, Shin KS. Factors influencing on the early diagnosis and early treatment of the cerebral palsy. J Korean Acad Rehabil Med. 1987;11(2):140-146.
  4. Hurvitz EA, Leonard C, Ayyangar R, Nelson VS. Complementary and alternative medicine use in families of children with cerebral palsy. Developmental Medicine & Child Neurology. 2003;45(6):364-370. https://doi.org/10.1017/s0012162203000707
  5. Lyn F. 30 children with cerebral paralysis treated with Tong's acupuncture. New Chinese Medicine. 1997;29(6):25-26.
  6. Moon SH, Kim JY, Kim LH, Jang IS. A review of recent acupucture therapy for developmental disorder. The Korean Journal of Meridian & Acupoint. 2004;20(3):129-146.
  7. You HS, Oh MS, Song TW. The literature study on the cerebral palsy. Daejeon University Institute of Oriental Medicine's dissertation collection. 2009;9(1):469-501.
  8. Korean Society of Chuna Manual Medicine for Spine & Nerve. Chuna manual medicine. 2.5rd ed. Seoul:Korean Society of Chuna Manual Medicine for Spine & Nerve. 2019:4, 33-34.
  9. Li LY, Liu ZH, Xie QL. Meta-analysis on scalp acu puncture based therapy in treating children cerebral palsy. World J Acupunct Moxibustion. 2014;24(3):49-53. http://dx.doi.org/10.1016/S1003-5257(15)60012-5
  10. Zhang Y, Liu J, Wang J, He Q. Traditional Chinese medicine for treatment of cerebral palsy in children: A systematic review of randomized clinical trials. J Alternat Complement Med. 2010;16(4):375-95. https://doi.org/10.1089/acm.2009.0609
  11. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions Ver 5.1.0 [updated Mar 2011] The Cochrane Collaboration; 2011. Available from: URL:http://handbook.cochrane.org
  12. Higgins JPT, Green S. Analyzing and presenting results. Cochrane handbook for systematic reviews of interventions 4.2.6. Chichester, UK:John Wiley&Sons Inc. 2008:79-165.
  13. Wang JL, Wang XF. Observation on the clinical efficacy of pediatric massage therapy in children with cerebral palsy. Liaoning Journal of Traditional Chinese Medicine. 2007;6:766-767. https://doi.org/10.13192/j.ljtcm.2007.06.66.wangjl.038
  14. Hwa JJ. 40 children with cerebral palsy treated by massage. Journal of External Therapy of TCM. 2011; 20(5):46-48.
  15. Su XC. Clinical research on a three point method with physical therapy to treat infantile spasms of type cerebral palsy movement dysfunction [master's thesis]. Changchun Middle College. 2013:1-38.
  16. Su Wei, Wong KM. Effect of massage technique combined with rehabilitation training on 68 cases with spastic cerebral palsy. Gansu Medical Journal. 2013;32(11):838-840. https://doi.org/10.15975/j.cnki.gsyy.2013.11.033
  17. Zhu J, Shao XN, Zhang LY, Wang Y. Observation on the curative effect of Liu's pediatric massage on 30 cases of spastic pediatric cerebral palsy. Hunan Journal of Traditional Chinese Medicine. 2014;30(4):86-87. https://doi.org/10.13913/j.cnki.41-1110/r.2014.04.012
  18. Feng SC, Lee RS, Ma, Du CY. Treatment of cereb ral palsy spasticity in children with acupuncture treatment and tongue acupuncture treatment combined with chuna therapy. Traditional Chinese Medicinal Research. 2014;27(10):50-52.
  19. Yi XC, Tang LP, Wu QM, Zhang HJ, Guo CG, Du GS. Effect of Liu's pediatric massage on children with cerebral palsy with mild intellectual disorder. Chinese Journal of Rehabilitation Medicine. 2016;31(1):64-67. https://doi.org/10.3969/j.issn.1001-1242.2016.01.014
  20. Zhang Li. Clinical study on treatment of squint with cerebral palsy in children with dispelling wind and rectifying massage [master's thesis]. Yunnam College. 2016: 1-48.
  21. Juan DU, Qing GAO, Zhang XF, Li DM. The clinical observation of balance massage in treating cerebral palsy combined with back tension of the knee in children. Henan traditional chinese medicine. 2018;38(2):249-252. https://doi.org/10.16367/j.issn.1003-5028.2018.02.0064
  22. Shang HY. Analysis of the clinical effect of combined rehabilitation training and massage on children's cerebral palsy(CP). Journal of Clinical Medical. 2018;5(64):44-46. https://doi.org/10.16281/j.cnki.jocml.2018.64.037
  23. Wang XH. Effect of motor development massage combined with hyperbaric oxygen therapy on joint mobility and developmental status of children with cerebral palsy. China's Neuropathy. 2019;27(5):21-22. https://doi.org/10.19621/j.cnki.11-3555/r.2019.0512
  24. Chen C. Effect of massage and swallowing coordination training on cerebral palsy salivary disease in children. Chin Med J Metall Indus. 2020;37(4)457-458. https://doi.org/10.13586/j.cnki.yjyx1984.2020.04.080
  25. Lim YH. Cerebral palsy. J. Kor. Soc. Health-Syst. Pharm. 2007;24(4):321-328.
  26. Korean Society of Pediatrics and Neurology. Pediatric neurology. Seoul:Goonja. 2007:87-89.
  27. You SA, Kim BH. A review of functional evaluation tools for cerebral palsy-based on GMFCS, GMFM and PEDI. J. of Oriental Neuropsychiatry. 2010;21(1):13-42.
  28. Hwang YJ. Kim DI, Lee BH, Yoon PH, Jeon P, Ryu YH, Hwang GJ, Kim EK, Lee BH. MR findings of cerebral palsy: Comparison between preterm patients and fullterm patients. Journal of the Korean Radiologist Society. 1997;37:547-553. https://doi.org/10.3348/jkrs.1997.37.3.547
  29. Jung HY, Han YK, Hyun IY. Effects of hyperbaric air therapy on cerebral perfusion in children with cerebral palsy. Annals of Rehabilitation Medicine. 2003;27(3):335-339.
  30. Gang MH, Kim JH. Literature review on pediatric chuna treatment. J Korean Orient Pediatr. 1995;9(1):139-62.
  31. Yu DF. Tuina. Shanghai:Shanghai Science and Technology publisher. 1992:172-175.
  32. Ming JL, Wang JG. Pediatric massage. Beijing:China Chinese Medicine publisher. 2007:104-110.
  33. Li LP, Jin CZ. Tuina combined with needling distal points for pseudo-myopia in adolescents, J Acupunct Tuina Sci. 2015;13(3):160-4. https://doi.org/10.1007/s11726-015-0842-x
  34. Lee JW, Han JK, Kim YH. Domestic and foreign research trend on the pediatric chuna treatment. The Journal of Pediatrics of Korean Medicine. 2015;29(4):67-76. https://doi.org/10.7778/jpkm.2015.29.4.067