DOI QR코드

DOI QR Code

Chuna Manual Therapy for Rhinitis: Systematic Review and Meta Analysis

비염에 대한 추나요법의 효과: 체계적 문헌 고찰과 메타분석

  • Cho, Ju-chan (Department of Korean Medicine, The Graduate School Pusan National University) ;
  • Park, In-hwa (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University) ;
  • Heo, In (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 조주찬 (부산대학교 대학원 한의학과) ;
  • 박인화 (상지대학교 한의과대학 한의학과교실) ;
  • 허인 (부산대학교 한의학전문대학원 임상의학 3부)
  • Received : 2021.05.14
  • Accepted : 2021.05.25
  • Published : 2021.06.30

Abstract

Objectives The objective of this study was to evaluate the effect of chuna manual therapy for rhinitis. Methods We performed a literature search using ten electronic databases (PubMed, Embase, Cochrane Library, Chinese Academic Journals(CAJ), Research Information Sharing Service(RISS), Dbpia, National Digital Science Library(NDSL), Koreanstudies Information Service System(KISS), Korean Medical database(KMbase), and Oriental Medicine Advanced Searching Integrated System(OASIS)) and two academic journals up to the end of April 2021. We included randomized controlled trials (RCTs) which appraised the effect of chuna manual therapy (CMT) in the treatment of rhinitis. The risk of bias was evaluated from the Cochrane Risk of Bias tool. Results 4 appropriate RCTs were included and analyzed. The efficacy rate of the CMT group was statistically higher compared to the control group treated with medicine[RR 1.14 (95%CI 1.06 1.22), P<0.01]. Conclusions Based on results, CMT could be effective in rhinitis. However, evidence were limited due to small number of studies, lack of well-designed RCT and regional bias. Further well-designed research should be required to obtain stronger evidence.

Keywords

Acknowledgement

본 연구는 2019학년도 부산대학교 교내학술연구비(신임교수연구정착금)에 의한 연구임.

References

  1. Adkinson N, Middleton E. Middleton's allergy: principles & practice. Philadelphia:Mosby/Elsevier. 2009:664-85.
  2. Hoyte FCL, Nelson HS. Recent advances in allergic rhinitis. F1000Research. 2018;23(7):1333. https://doi.org/10.12688/f1000research.15367.1
  3. Im DH, Yang YS. Prevalence of Allergic Disease in Korean Adults: Results from the Korea National Health and Nutrition Examination Survey(2010-2012). Korean J Otorhinolaryngol-Head Neck Surg. 2017;60(10):504-11. https://doi.org/10.3342/kjorl-hns.2017.00185
  4. Ahn JC, Kim JW. Prevalence and Risk Factors of Chronic Rhinosinusitus, Allergic Rhinitis, and Nasal Septal Deviation: Results of the Korean National Health and Nutrition Survey 2008-2012. JAMA Otolaryngol Head Neck Surg. 2016;142(2):162-7. https://doi.org/10.1001/jamaoto.2015.3142
  5. Brozek JL, Bousquet J. Allergic Rhinitis and its Impact on Asthma (ARIA) guidelines-2016 revision. J Allergy Clin Immunol. 2017;140(4):950-8. https://doi.org/10.1016/j.jaci.2017.03.050
  6. Korea National Health Insurance Service and Korea Health Insurance Review and Assessment Services. National Health Insurance Statistical Annual Report. 2017.
  7. Korean society of otorhinolaryngology. korean medicine otorhinolaryngology. 1st ed. Korea:Sunwoo. 2007:229-40.
  8. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna Manual Medicine. 2nd ed. Seoul:Korean Society of Chuna Manual Medicine for Spine & Nerves. 2014:32.
  9. Moher D, Liberati A. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med. 2009;151(4):264-9. https://doi.org/10.1136/bmj.b2535
  10. Higgins JPT, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, Welch VA. Cochrane Handbook for Systematic Reviews of Interventions. 2nd ed. Chichester:John Wiley& Sons. 2019.
  11. Wang JJ. Clinical analysis of massage treatment for allergic rhinitis. Chinese Manipultaion & Qi gong therapy. 2006;22(4):2-3.
  12. Qiao JJ. Clinical study on the treatment of perennial allergic rhinitis by pressing and kneading. Shandong Journal of Traditional Chinese Medicine. 2004;(05):284-6. https://doi.org/10.16295/j.cnki.0257-358x.2004.05.018
  13. Qiao JJ. Clinical Observation on Treatment of Perennial Allergic Rhinitis with Massage. Chinese Journal of Integrated Traditional and Western Medicine. 2003;(12):937-8.
  14. Zou SC. Treatment of 64 cases of perennial allergic rhinitis with manipulation. Chinese Manipulation & Qi Gong Therapy. 1999;15(03):11. https://doi.org/10.19787/j.issn.1008-1879.1999.03.006
  15. Li M. Diagnostic criteria and therapeutic evaluation criteria for allergic rhinitis (1997revision, Haikou) Chinese Journal of Otorhinolaryngology. 1988;(20):124.
  16. Editorial Board of Chinese Journal of Otorhinolaryngology (Data Sorting by Gu ZY). Criteria for diagnosis and therapeutic Evaluation of allergic rhinitis. Chin J Otorhinolaryngol. 1991;26(3):134.
  17. Bousquet J, Khaltaev N. Allergic Rhinitis and its Impact on Asthma (ARIA) 2008 Update (in collaboration with the World Health Organization, GA(2)LEN and AllerGen). Allergy. 2008;86:8-160. https://doi.org/10.1111/j.1398-9995.2007.01620.x
  18. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna Manual Medicine, 2nd ed. Seoul:Korean Society of Chuna Manual Medicine for Spine & Nerves. 2014:4.
  19. Yin M. Experience in treating allergic rhinitis with massage. Chinese Manipulat ion & QI Gong therapy. 2007;23(07);11-2.
  20. Xu ZH. Tuina Treatment of Chronic Simple Rhinitis. Jiangsu Traditional Chinese Medicine. 1988;(12):12.
  21. Qiao JJ. Massage for allergies 27 cases of true inflammation. Shandong Journal of Traditional Chinese Medicine. 1989;(05):26.
  22. Jiang SY. Observation on Curative Effect of 15 Cases of Chronic Rhinitis Treated by Massage. Xinjiang Journal of Traditional Chinese Medicine. 1999;(04):28.
  23. Zhao KP. Treatment of 36 Cases of Chronic Rhinitis with Massage. Shandong Journal of Traditional Chinese Medcine. 2002;(03):163.
  24. Hu YJ. Observation on Therapeutic Effect of Massage on Chronic Rhinitis. Chinese Journal of Integrated Traditional Chinese and Western Medicine Otorhinolaryngology. 1996;(03):115-7. https://doi.org/10.16542/j.cnki.issn.1007-4856.1996.03.004
  25. Pei MH. Treatment of 28 Cases of Allergic Rhinitis with Manipulation. China's Naturopathy. 2000;(11):11. https://doi.org/10.19621/j.cnki.11-3555/r.2000.11.012
  26. Lee KS. A Systematic review from the journals under the korean oriental medical society. J Korean Oriental Med. 2010;31(5):1-11.
  27. Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. 2008;122(2 Suppl):S1-84. https://doi.org/10.1016/j.jaci.2008.06.003
  28. Bousquet PJ, Combescure C, Neukirch F, Klossek JM, Mechin H, Daures JP. Visual analog scales can assess the severity of rhinitis graded according to ARIA guidelines. Allergy. 2007;62:367-72. https://doi.org/10.1111/j.1398-9995.2006.01276.x
  29. Laekeman G, Simoens S, Buffels J, Gillard M, Robillard T, Benedetti MS. Continuous versus on-demand pharmac otherapy of allergic rhinitis: evidence and practice. Respir Med. 2010;104:615-25. https://doi.org/10.1016/j.rmed.2010.01.006