DOI QR코드

DOI QR Code

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

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.

Keywords

References

  1. Urits I, Burshtein A, Sharma M, Testa L, Gold PA, Orhurhu V, Viswanath O, Jones MR, Sidransky MA, Spektor B, Kaye AD. Low Back Pain, A Comprehensive Review: Pathophysiology, Diagnosis, and Treatment. Curr Pain Headache Rep. 2019;23(3):23-32. https://doi.org/10.1007/s11916-019-0757-1 
  2. Qaseem A, Wilt TJ, McLean RM, Forciea MA, Denberg TD, Barry MJ, Boyd C, Chow RD, Fitterman N, Harris RP, Humphrey LL, Vijan S. Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain: A Clinical Practice Guideline From the American College of Physicians. Ann Intern Med. 2017;166(7):514-30. https://doi.org/10.7326/M16-2367 
  3. Last AR, Hulbert K. Chronic Low Back Pain: Evaluation and Management. Am Fam Physician. 2009;79(12):1067-74. 
  4. Chan CW, Peng P. Failed Back Surgery Syndrome. Pain Med. 2011;12(4):577-606. https://doi.org/10.1111/j.1526-4637.2011.01089.x 
  5. Shim DM, Kim TK, Oh SK, Song SY, J ang BJ , Kim YM. The Usefulness of Selective Nerve Root Block for Failed Back Surgery Syndrome. JKOA. 2017;52(2):185-91. https://doi.org/10.4055/jkoa.2017.52.2.185 
  6. Thomson S, Jacques L. Demographic characteristics of patients with severe neuropathic pain secondary to failed back surgery syndrome. Pain Pract. 2009;9(3): 206-15. https://doi.org/10.1111/j.1533-2500.2009.00276.x. 
  7. Korean Statistical Information Service. 2020 Status of surgery by age and gender [cited 2022 Oct 31]. Available from: URL: https://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35004_A000&conn_path=I2 
  8. Sebaaly A, Lahoud MJ, Rizkallah M, Kreichati G, Kharrat K. Etiology, Evaluation, and Treatment of Failed Back Surgery Syndrome. Asian Spine J. 2018;12(3):574-85. https://doi.org/10.4184/asj.2018.12.3.574 
  9. Sheng X, Yue H, Zhang Q, Chen D, Qiu W, Tang J, Fan T, Gu J, Jiang B, Qiu M, Chen L. Efficacy of Electroacupuncture in Patients with Failed Back Surgery Syndrome: Study Protocol for a Randomized Controlled Trial. Trials. 2021;22(1):702-10. https://doi.org/10.1186/s13063-021-05652-4 
  10. Daniell JR, Osti OL. Failed Back Surgery Syndrome: A Review Article. Asian Spine J. 2018;12(2):372-9. https://doi.org/10.4184/asj.2018.12.2.372. 
  11. Frymoyer JW, Hanley E, Howe J, Kuhlmann D, Matteri R. Disc Excision and Spine Fusion in the Management of Lumbar Disc Disease, A Minimum Ten-Year Followup. Spine. 1978;3(1):1-6. https://doi.org/10.1097/00007632-197803000-00001 
  12. Park TY, Moon TW, Cho DC, Lee JH, Ko YS, Hwang EH, Heo KH, Choi TY, Shin BC. An Introduction to Chuna Manual Medicine in Korea: History, Insurance Coverage, Education, and Clinical Research in Korean Literature. Integr Med Res. 2014;3(2):49-59. https://doi.org/10.1016/j.imr.2013.08.001 
  13. Lee J, Shin JS, Lee YJ, Kim MR, Choi A, Lee JH, Shin KM, Shin BC, Cho JH, Ha IH. Long-Term Course of Failed Back Surgery Syndrome(FBSS) Patients Receiving Integrative Korean Medicine Treatment: A 1 Year Prospective Observational Multicenter Study. PLoS One. 2017;12(1):1-16. https://doi.org/10.1371/journal.pone.0170972 
  14. Ryu HS, Kim MH. A Case Report on Conservative Treatments with Chuna Manual Therapy on Patient Who Has Failed Back Surgery Syndrome Following to Herniated Intervertebral Lumbar Disc with Scoliosis. Korean Society of Chuna Manual Medicine Spine and Nerves. 2018;13(2):65-73. https://doi.org/10.30581/jkcmm.2018.13.2.65 
  15. J eong SY, Lee J B. A Case Report on HIVD-Cervical Spine Failed Back Surgery Syndrome Applied Chuna Treatment. Korean Society of Chuna Manual Medicine Spine and Nerves. 2011;6(1):105-11. https://doi.org/10.22246/jikm.2019.40.1.126 
  16. Lee JH, Chnag DH, Kim JS, Kim DE, Park SE, Cho SW. A Case Report of 2 Failed Back Surgery Syndrome Patients Treated by Chuna Cranio-Sacral Therapy with Korean medical Treatments. Korean Society of Chuna Manual Medicine Spine and Nerves. 2015;10(2):37-49. https://doi.org/10.30581/jkcmm.2020.15.1.35 
  17. Maddalozzo GF, Aikenhead K, Sheth V, Perisic MN. A Novel Treatment Combination for Failed Back Surgery Syndrome, with a 41-Month Follow-up: A Retrospective Case Report. J Chiropr Med. 2018;17(4):256-63. https://doi.org/10.1016/j.jcm.2018.03.007 
  18. Gong FP, Chen G, Zhou YN. Characteristics and Therapeutic Effects of Sacroiliac Joint-Derived Low Back Pain after Lumbar Spine Surgery. Clinical Medical Research and Practice. 2016;1(8):44-5. https://doi.org/10.19347/j.cnki.2096-1413.2016.08.035 
  19. Wei T, Zhang Z, Zhang H. Clinical Observation of Du-Moxibustion Combined with Manipulation in Treating Failed Lumbar Surgery Syndrome. China's Naturopathy. 2021;29(16):37-9. https://doi.org/10.19621/j.cnki.11-3555/r.2021.1616 
  20. Zhao Q, Zhao LJ, Yuan S, Zhao MY. Clinical Study on the Treatment of Failed Back Surgery Syndrome by Combined Manipulation of Waist and Abdomen Under the Guidance of the Theory of "Tendon Stagnation and Bone Dislocation". Henan Traditional Chinese Medicine. 2020;40(3):459-62. https://doi.org/10.16367/j.issn.1003-5028.2020.03.0114. 
  21. Liang HY, He QM. Clinical Observation of Three-Dimensional Bone Setting in the Treatment of Failed Lumbar Spine Surgery Syndrome (FBSS). Journal of Sichuan of Traditional Chinese Medicine. 2010;28(6): 96-7. 
  22. Su C. Therapeutic Effect of Jianxiang Tendon Massage on Residual Lumbar and Leg Pain after Lumbar Discectomy. Guanzhou University of Chinese Medicine. 2019. https://doi.org/10.27044/d.cnki.ggzzu.2019.001178 
  23. Ma YM, Wu S, Lin YQ. Observation of Curative Effect of Tuina Treatment on 37 Cases of Failed Back Surgery Syndrome. The Journal of Traditional Chinese Orthopedics and Traumatology. 2001;12:19-20. 
  24. Li YJ, Lin DK, L YP. Observation on the Curative Effect of "YuBai Manipulation" in the Treatment of Low Back Pain after Lumbar Internal Fixation. Journal of New Chinese Medicine. 2012;44(8):126-7. https://doi.org/10.13457/j.cnki.jncm.2012.08.104 
  25. Yang DL, Fan Q, Liang WQ. Treating Tightening pain from Lumbar Surgery by Small Needle. Clinical Journal of Chinese Medicine. 2017;9(33):74-5. 
  26. Chen JC. The Clinical Study of Sling Exercise Therapy Combined with Chinese Traditional Manipulation in Patients with Low Back Pain after Surgery for Lumbar Disc Disease. Fujian University of Traditional Chinese Medicine. 2011. 
  27. Timm KE. A Randomized-Control Study of Active and Passive Treatments for Chronic Low Back Pain Following L5 Laminectomy. J Orthop Sports Phys Ther. 1994;20(6):276-86. https://doi.org/10.2519/jospt.1994.20.6.276 
  28. Zhang LZ, Zhao BL. Effect of Rehabilitation Training Combined with Canalis sacralis Injections in Patients with Failed Back Surgery Syndrome. Chinese Journal of Traditional Medical Traumatology & Orthopedics. 2014;22(12):26-7. 
  29. Elsayyad MM, Abdel-Aal NM, Helal ME. Effect of Adding Neural Mobilization Versus Myofascial Release to Stabilization Exercises after Lumbar Spine Fusion: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2021;102(2):251-60. https://doi.org/10.1016/j.apmr.2020.07.009 
  30. Sharaf MA, Rezkallah SS, Fouda KZ, Gharib NM. Effects of Adding Neural Mobilization to Traditional Physical Therapy on Pain, Functional Disability, and H-reflex in Patients after Lumbar Laminectomy: A Randomized Controlled Trial. Clin Rehabil. 2022;36(1):51-8. https://doi.org/10.1177/02692155211034154 
  31. Baber Z, Erdek MA. Failed Back Surgery Syndrome: Current Perspectives. J Pain Res. 2016;9:979-87. https://doi.org/10.2147/JPR.S92776 
  32. Hussain A, Erdek M. Interventional Pain Management for Failed Back Surgery Syndrome. Pain Pract. 2014;14(1):64-78. https://doi.org/10.1111/papr.12035 
  33. Cho J H, Lee J H, Song KS, Hong J Y, J oo YS, Lee DH, Hwang CJ, Lee CS. Treatment Outcomes for Patients with Failed Back Surgery. Pain Physician. 2017;20(1):29-43. 
  34. Lucas AJ. Failed Back Surgery Syndrome: Whose Failure? Time to Discard a Redundant Term. Br J Pain. 2012;6(4):162-5. https://doi.org/10.1177/2049463712466517 
  35. Hazard RG. Failed Back Surgery Syndrome: Surgical and Nonsurgical Approaches. Clin Orthop Relat Res. 2006;443:228-32. https://doi.org/10.1097/01.blo.0000200230.46071.3d 
  36. Seo YW, Park HS, Kim MC, Kim SY, Seo YH, Lee SM, Kim YJ , Hong J R, Kim J S, Kim KO, Kim TH. Korean Medicinal Combination Treatments for Failed Back Surgery Syndrome: A Retrospective Case Series. Korean Acupuncture and Moxibustion Medicine Society. 2015;35(2):217-27. https://doi.org/10.13045/acupunct.2015032 
  37. Chu EC, Trager RJ. Effectiveness of Multimodal Chiropractic Care Featuring Spinal Manipulation for Persistent Spinal Pain Syndrome Following Lumbar Spine Surgery: Retrospective Chart Review of 31 Adults in Hong Kong. Med Sci Monit. 2022;28:e937640. https://doi.org/10.12659/MSM.937640 
  38. Peul WC, van den Hout WB, Brand R, Thomeer RT, Koes BW. Prolonged Conservative Care Versus Early Surgery in Patients with Sciatica Caused by Lumbar Disc Herniation: Two Year Results of a Randomised Controlled Trial. BMJ. 2008;336(7657):1355-8. https://doi.org/10.1136/bmj.a143 
  39. Ai J, Dong Y, Tian Q, Wang C, Fang M. Tuina for Periarthritis of Shoulder: A Systematic Review Protocol. Medicine(Baltimore). 2020;99(11):e19332. https://doi.org/10.1097/MD.0000000000019332 
  40. Coulter ID, Crawford C, Hurwitz EL, Vernon H, Khorsan R, Suttorp Booth M, Herman PM. Manipulation and Mobilization for Treating Chronic Low Back Pain: A Systematic Review and Meta-Analysis. Spine J. 2018;18(5):866-79. https://doi.org/10.1016/j.spinee.2018.01.013