The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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Manual Therapy for Failed Back Surgery Syndrome: A Systematic Review

척추 수술 실패 증후군에 대한 수기요법의 효과: 체계적 문헌 고찰

  • HongRyoul Yoon (Department of Rehabilitation Medicine of Korean Medicine, Semyung University Korean Medicine Hospital) ;
  • JiHong Jeong (Department of Rehabilitation Medicine of Korean Medicine, Semyung University Korean Medicine Hospital) ;
  • SoonJoong Kim (Department of Rehabilitation Medicine of Korean Medicine, Semyung University Korean Medicine Hospital)
  • 윤홍렬 (세명대학교 부속 제천한방병원 한방재활의학과) ;
  • 정지홍 (세명대학교 부속 제천한방병원 한방재활의학과) ;
  • 김순중 (세명대학교 부속 제천한방병원 한방재활의학과)
  • Received : 2022.11.14
  • Accepted : 2022.11.25
  • Published : 2022.12.30
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Abstract

Objectives This study aimed to assess the efficacy and safety of manual therapy in patients with failed back surgery syndrome (FBSS). Methods We searched eight electronic databases from October 2022 and only selected randomized controlled trials (RCTs) reporting outcomes for manual therapy in FBSS patients. Included studies were analyzed qualitatively. Results A total of twelve RCTs were included and three studies were meta-analyzed. Manual therapy combined with exercise demonstrated more favorable outcomes in terms of pain reduction compared to exercise therapy only (P<0.01). Some studies reported that manual therapy resulted in low efficacy, while some studies reported that specific manual techniques have a significant effect in pain relief. We, therefore, conclude that several studies have a high risk of bias. Conclusions Findings suggest that manual therapy is a safe and non-invasive, promising option for managing FBSS. However, manual therapy is not the best option in all circumstances; thus, this should be selectively applied by a well-trained practitioner. Further studies such as well-designed, risk-controlled RCTs are required to gain stronger evidence.

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References

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