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괄사요법의 국내외 최신 임상 연구 동향: 주제범위 문헌고찰

Recent Domestic and International Clinical Research Trends in Gua Sha Therapy: A Scoping Review

  • 정승원 (원광대학교 한의과대학 추나의학연구회) ;
  • 최승관 (원광대학교 한의과대학 추나의학연구회) ;
  • 조정호 (원광대학교 한의과대학 추나의학연구회) ;
  • 한윤희 (원광대학교 한의과대학 추나의학연구회) ;
  • 우현준 (원광대학교 한의과대학 추나의학연구회) ;
  • 전병현 (원광대학교 한의과대학 추나의학연구회) ;
  • 하원배 (원광대학교 한의과대학 추나의학연구회) ;
  • 이정한 (원광대학교 한의과대학 추나의학연구회)
  • Seungwon Jung (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University) ;
  • Seungkwan Choi (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University) ;
  • Jungho Jo (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University) ;
  • Yunhee Han (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University) ;
  • Hyeonjun Woo (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University) ;
  • Byeonghyeon Jeon (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University) ;
  • Wonbae Ha (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University) ;
  • Junghan Lee (Chuna Manual Medicine Research Group, College of Korean Medicine, Wonkwang University)
  • 투고 : 2023.12.19
  • 심사 : 2023.12.27
  • 발행 : 2024.01.31

초록

Objectives This study examined recent domestic and international clinical research trends in Gua sha therapy to suggest future direction for research. Methods We used six domestic and international databases (Research Information Sharing Service, Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, PubMed, Embase, Cochrane Library) to select clinical studies with an original text in English or Korean published after 2018. Results Finally, 55 studies were selected. Randomized controlled trials accounted for the largest amount with 42 studies. Instrument assisted soft tissue mobilization was the most frequent term referring to Gua sha. Muscle shortening, limited range of motion, and plantar fasciitis were the most common symptoms, with six cases each. Additionally, there were two studies targeting symptoms other than the musculoskeletal system. Conclusions Additional research is needed on the effects of Gua sha therapy on the back of the lower extremities and hip joints, and research is needed on the possibility of their clinical use for diseases or symptoms other than those of the musculoskeletal system. And standards for the terminology of Gua sha and the types and methods of applied interventions are needed.

키워드

참고문헌

  1. Yu JH, Koh HK, Kang SK. A study of meridian scraping therapy. Journal of Acupuncture Research. 2000;17(3):45-56. 
  2. Nielsen A, Knoblauch NT, Dobos GJ, Michalsen A, Kaptchuk TJ. The effect of Gua Sha treatment on the microcirculation of surface tissue: a pilot study in healthy subjects. Explore: The Journal of Science & Healing. 2007;3(5):456-66. 
  3. Wu SI, Chou P, Chen ML, Chen JH, Yeh ML, Lin KC. Multiple interacting factors corresponding to repetitive use of complementary and alternative medicine. Complementary Therapies in Medicine. 2012;20(4):190-8.  https://doi.org/10.1016/j.ctim.2012.01.003
  4. Cheatham SW, Lee M, Cain M, Baker R. The efficacy of instrument assisted soft tissue mobilization: a systematic review. Journal of the Canadian Chiropractic Association. 2016;60(3):200-11. 
  5. Hammer WI. The effect of mechanical load on degenerated soft tissue. Journal of Bodywork and Movement Therapies. 2008;12(3):246-56.  https://doi.org/10.1016/j.jbmt.2008.03.007
  6. Stow R. Instrument-assisted soft tissue mobilization. International Journal of Athletic Therapy and Training. 2011;16(3):5-8.  https://doi.org/10.1123/ijatt.16.3.5
  7. Kim J, Sung DJ, Lee J. Therapeutic effectiveness of instrument-assisted soft tissue mobilization for soft tissue injury: mechanisms and practical application. Journal of Exercise Rehabilitation. 2017;13(1):12-22.  https://doi.org/10.12965/jer.1732824.412
  8. Park JH, Shim JW, Cho WY, Kim JI, Jeon JY, Kim HS, Park HS, Shin WC, Han JH, Cho JH. Literature review of tool-based manipulation for musculoskeletal diseases-with focus on Guasha and IASTM. J Korean Med Rehabil. 2016;26(4):57-65.  https://doi.org/10.18325/jkmr.2016.26.4.57
  9. Ren Q, Yu X, Liao F, Chen X, Yan D, Nie H, Fang J, Yang M, Zhou X. Effects of Gua Sha therapy on perimenopausal syndrome: a systematic review and meta-analysis of randomized controlled trials. Complementary Therapies in Clinical Practice. 2018;31:268-77.  https://doi.org/10.1016/j.ctcp.2018.03.012
  10. Li L, Zhang P, Qin Z, Liu X, Wang X, Zhang S, Wang L, Xue Q, Yin X. The effect of holographic meridian scraping therapy combined with free position on the labor process, perineum lateral resection rate, and delivery outcomes of primiparae. American Journal of Translational Research. 2021;13(8):9846-52. 
  11. Xie X, Lu L, Zhou X, Zhong C, Ge G, Huang H, Zhang X, Zeng Y. Effect of Gua Sha therapy on patients with diabetic peripheral neuropathy: a randomized controlled trial. Complementary Therapies in Clinical Practice. 2019;35:348-52.  https://doi.org/10.1016/j.ctcp.2019.03.018
  12. Gercek H, Unuvar BS, Umit Yemisci O, Aytar A. Acute effects of instrument assisted soft tissue mobilization technique on pain and joint position error in individuals with chronic neck pain: a double-blind, randomized controlled trial. Somatosensory & Motor Research. 2023;40(1):25-32.  https://doi.org/10.1080/08990220.2022.2157388
  13. Jadhav A, Gurudut P. Comparative effectiveness of Gua Sha, cryostretch, and positional release technique on tenderness and function in subjects with plantar fasciitis: a randomized clinical trial. International Journal of Therapeutic Massage and Bodywork. 2023;16(1):13-23.  https://doi.org/10.3822/ijtmb.v16i1.749
  14. Mahmood T, Afzal W, Ahmad U, Arif MA, Ahmad A. Comparative effectiveness of routine physical therapy with and without instrument assisted soft tissue mobilization in patients with neck pain due to upper crossed syndrome. Journal of the Pakistan Medical Association. 2021;71(10):2304-8.  https://doi.org/10.47391/JPMA.03-415
  15. Stanek J, Sullivan T, Davis S. Comparison of compressive myofascial release and the graston technique for improving ankle-dorsiflexion range of motion. Journal of Athletic Training. 2018;53(2):160-7.  https://doi.org/10.4085/1062-6050-386-16
  16. Ahmadpour Emshi Z, Okhovatian F, Mohammadi Kojidi M, Akbarzadeh Baghban A, Azimi H. Comparison of the effects of instrument assisted soft tissue mobilization and dry needling on active myofascial trigger points of upper trapezius muscle. Medical Journal of the Islamic Republic of Iran. 2021;35:59. 
  17. Haq K, Riaz H. Comparison of dry needling and graston technique on active myofascial trigger points in upper trapezius. Rawal Medical Journal. 2022;47(1):129-32. 
  18. Rivera M, Eberman L, Games K, Powden CJ. Comparison of myofascial release techniques on pectoralis minor length, glenohumeral total arc of motion, and skin temperature: a pilot study. Journal of Sport Rehabilitation. 2020;29(2):137-41.  https://doi.org/10.1123/jsr.2018-0130
  19. Bush HM, Stanek JM, Wooldridge JD, Stephens SL, Barrack JS. Comparison of the graston technique® with instrument-assisted soft tissue mobilization for increasing dorsiflexion range of motion. Journal of Sport Rehabilitation. 2020;30(4):587-94. https://doi.org/10.1123/jsr.2019-0397
  20. Lee HW, Beak HJ, Yoon EJ, Kim J. Effect of instrument-assisted soft tissue mobilization on ankle of range of motion and balance in older women: a preliminary study. The Asian Journal of Kinesiology. 2021;23(2):2-8.  https://doi.org/10.15758/ajk.2021.23.2.2
  21. Kim J, Lee J. Effect of instrument-assisted soft tissue mobilization on exercise-induced muscle damage and fibrotic factors: a randomized controlled trial. Journal of Men's Health. 2019;15(4):e18-27. 
  22. Heo HR, Jang HY, Kim DH, Kim HY, Lee SM. Effect of meridian muscle release and the graston technique on pain and functional movement in patients with myofascial pain syndrome of the shoulder joint. Journal of The Korean Society of Physical Medicine. 2020;15(1):85-94.  https://doi.org/10.13066/kspm.2020.15.1.85
  23. Mylonas K, Angelopoulos P, Billis E, Tsepis E, Fousekis K. Correction to: Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study. Biomedical Central Musculoskeletal Disorders. 2021;22(1):385. 
  24. Kiran N, Ahmed Awan W, Sahar W, Hameed N, Sarfraz N, Niaz A. Effectiveness of the graston technique on pain and general foot health in patients with chronic plantar fasciitis: a randomized clinical trial. Alternative Therapies in Health and Medicine. 2023;29(6):214-9. 
  25. Nasir M, Khan LG, Haq K, Khan UA, Batool M, Ali S. Effects of graston assisted soft tissue mobilization in patients with chronic plantar fasciitis. Rawal Medical Journal. 2022;47(4):978-81. 
  26. Kaya Mutlu E, Birinci T, Kilic S. Effects of instrument-assisted soft tissue mobilization on frozen shoulder: a randomized controlled trial. Annals of the Rheumatic Diseases. 2020;79:1945. 
  27. Kim DH, Lee JJ, Sung Hyun You J. Effects of instrument-assisted soft tissue mobilization technique on strength, knee joint passive stiffness, and pain threshold in hamstring shortness. Journal of Back and Musculoskeletal Rehabilitation. 2018;31(6):1169-76.  https://doi.org/10.3233/BMR-170854
  28. Aksan Sadikoglu B, Analay Akbaba Y, Taskiran H. Effects of ischemic compression and instrument-assisted soft tissue mobilization techniques in trigger point therapy in patients with rotator cuff pathology: randomized controlled study. Somatosensory & Motor Research. 2022;39(1):70-80.  https://doi.org/10.1080/08990220.2021.2005015
  29. Kim MJ, Kim TH. Effect of neuro dynamic technique and instrument assisted soft tissue mobilization on lower extremity muscle tone, stiffness, static balance in stroke patients. The Journal of Korean Physical Therapy. 2020;32(6):359-64.  https://doi.org/10.18857/jkpt.2020.32.6.359
  30. Simatou M, Papandreou M, Billis E, Tsekoura M, Mylonas K, Fousekis K. Effects of the Ergon® instrument-assisted soft tissue mobilization technique (IASTM), foam rolling, and static stretching application to different parts of the myofascial lateral line on hip joint flexibility. The Journal of Physical Therapy Science. 2020;32(4):288-91.  https://doi.org/10.1589/jpts.32.288
  31. Kim YK, Cho SY, Lee KH. Effects of transcutaneous electrical nerve stimulation and instrument-assisted soft tissue mobilization combined treatment on chronic low back pain: a randomized controlled trial. Journal of Back and Musculoskeletal Rehabilitation. 2021;34(5):895-902.  https://doi.org/10.3233/BMR-200369
  32. Rowlett CA, Hanney WJ, Pabian PS, McArthur JH, Rothschild CE, Kolber MJ. Efficacy of instrument-assisted soft tissue mobilization in comparison to gastrocnemius-soleus stretching for dorsiflexion range of motion: a randomized controlled trial. Journal of Bodywork and Movement Therapies. 2019;23(2):233-40.  https://doi.org/10.1016/j.jbmt.2018.02.008
  33. Kahere M, Matkovich G, Korporaal C. Functional and kinetic treatment with rehabilitation combined with cryotherapy compared to cryotherapy alone in the treatment of acute grade I or II inversion ankle sprains: a randomized clinical trial. Journal of Chiropractic Medicine. 2022;21(4):305-15.  https://doi.org/10.1016/j.jcm.2022.03.002
  34. Saha FJ, Brummer G, Lauche R, Ostermann T, Choi KE, Rampp T, Dobos G, Cramer H. Gua Sha therapy for chronic low back pain: a randomized controlled trial. Complementary Therapies in Clinical Practice. 2019;34:64-9.  https://doi.org/10.1016/j.ctcp.2018.11.002
  35. Osailan A, Jamaan A, Talha K, Alhndi M. Instrument assisted soft tissue mobilization (IASTM) versus stretching: a comparison in effectiveness on hip active range of motion, muscle torque and power in people with hamstring tightness. Journal of Bodywork and Movement Therapies. 2021;27:200-6.  https://doi.org/10.1016/j.jbmt.2021.03.001
  36. El-Hafez HM, Hamdy HA, Takla MK, Ahmed SEB, Genedy AF, Abd El-Azeim ASS. Instrument-assisted soft tissue mobilisation versus stripping massage for upper trapezius myofascial trigger points. Journal of Taibah University Medical Sciences. 2020;15(2):87-93.  https://doi.org/10.1016/j.jtumed.2020.01.006
  37. Gunn LJ, Stewart JC, Morgan B, Metts ST, Magnuson JM, Iglowski NJ, Fritz SL, Arnot C. Instrument-assisted soft tissue mobilization and proprioceptive neuromuscular facilitation techniques improve hamstring flexibility better than static stretching alone: a randomized clinical trial. Journal of Manual & Manipulative Therapy. 2019;27(1):15-23.  https://doi.org/10.1080/10669817.2018.1475693
  38. Sun X, Zhang X, Lin J, Liao B. Instrument-assisted soft tissue mobilization combined with physiotherapy scoliosis specific exercises for adolescent idiopathic scoliosis type RigoA: improving trunk rotation angle and reducing back pain. Chinese Journal of Tissue Engineering Research. 2023;27(18):2871-7. 
  39. Gulick DT. Instrument-assisted soft tissue mobilization increases myofascial trigger point pain threshold. Journal of Bodywork and Movement Therapies. 2018;22(2):341-5.  https://doi.org/10.1016/j.jbmt.2017.10.012
  40. Gupta U, Sharma A, Rizvi MR, Alqahtani MM, Ahmad F, Kashoo FZ, Miraj M, Asad MR, Uddin S, Ahamed WM, Nanjan S, Hussain SA, Ahmad I. Instrument-assisted soft tissue mobilization technique versus static stretching in patients with pronated dominant foot: a comparison in effectiveness on flexibility, foot posture, foot function index, and dynamic balance. Healthcare (Basel). 2023;11(6):785. 
  41. Jones ER, Finley MA, Fruth SJ, McPoil TG. Instrument-assisted soft-tissue mobilization for the management of chronic plantar heel pain: a pilot study. Journal of the American Podiatric Medical Association. 2019;109(3):193-200.  https://doi.org/10.7547/16-105
  42. Pisirici P, Sakul BU. Investigation the effect of graston technique on strength and postural stabilization in individuals with asymptomatic dynamic knee valgus. Gait & Posture. 2020;81 Suppl 1:279-80.  https://doi.org/10.1016/j.gaitpost.2020.08.035
  43. Cai YY, Chen WH, He DD, Zhang JL. Knee joint pain treated with scraping combined with collateral bloodletting therapy. World Journal of Acupuncture - Moxibustion. 2018;28(3):181-4.  https://doi.org/10.1016/j.wjam.2018.08.005
  44. Abdel-Aal NM, Elsayyad MM, Megahed AA. Shortterm effect of adding graston technique to exercise program in treatment of patients with cervicogenic headache: a single-blinded, randomized controlled trial. European Journal of Physical and Rehabilitation Medicine. 2021;57(5):758-66.  https://doi.org/10.23736/S1973-9087.21.06595-3
  45. Ramadan SM, El Gharieb HA, Labib AM, Embaby EA. Short-term effects of instrument-assisted soft tissue mobilization compared to algometry pressure release in tension-type headache: a randomized placebo-controlled trial. Journal of Manual & Manipulative Therapy. 2023;31(3):174-83.  https://doi.org/10.1080/10669817.2022.2082637
  46. Lee J, Young A, Erb NJ, Herzog VW. Acute and residual effects of IASTM and roller massage stick on hamstring range of motion. Journal of Allied Health. 2020;49(1):e51-5. 
  47. Lee JY, Sim HP, Choi YJ. The effect of muscle energy technique and instrument assisted soft tissue mobilization in adults with shortened hamstring on the range of motion, muscle strength and muscle thickness. Korean Academy of Orthopedic Manipulative Physical Therapy. 2021;27(1):21-30. 
  48. Kim JW, Yoo SH, Kim SS. The effects of IASTM using vibration stimulation on shoulder muscle activity, flexibility and pain of chronic shoulder pain patients. Journal of The Korean Society of Integrative Medicine. 2021;9(2):13-21. 
  49. Cakmak O, Atici E, Gulsen M. The effect of instrument-assisted soft tissue mobilizationand kinesio taping on pain, functional disability and depression in patient chronic low back pain: a randomized trial. Turkish Journal of Physiotherapy and Rehabilitation. 2022;33(3):179-86.  https://doi.org/10.21653/tjpr.1018016
  50. Park JH, Rhyu HS, Rhi SY. The effects of instrument-assisted soft tissue mobilization rehabilitation exercise on range of motion, isokinetic strength, and balance in chronic ankle instability taekwondo players. Journal of Exercise Rehabilitation. 2020;16(6):516-21.  https://doi.org/10.12965/jer.2040752.376
  51. Koumantakis GA, Roussou E, Angoules GA, Angoules NA, Alexandropoulos T, Mavrokosta G, Nikolaou P, Karathanassi F, Papadopoulou M. The immediate effect of IASTM vs. vibration vs. light hand massage on knee angle repositioning accuracy and hamstrings flexibility: a pilot study. Journal of Bodywork and Movement Therapies. 2020;24(3):96-104.  https://doi.org/10.1016/j.jbmt.2020.02.007
  52. Li Y, Fredrickson V, Resnick DK. How should we grade lumbar disc herniation and nerve root compression? a systematic review. Clinical Orthopaedics and Related Research. 2015;473(6):1896-902.  https://doi.org/10.1007/s11999-014-3674-y
  53. Maselli F, Storari L, Barbari V, Colombi A, Turolla A, Gianola S, Rossettini G, Testa M. Prevalence and incidence of low back pain among runners: a systematic review. Biomedical Central Musculoskeletal Disorders. 2020;21(1):343. 
  54. van der Worp H, van Ark M, Roerink S, Pepping GJ, van den Akker-Scheek I, Zwerver J. Risk factors for patellar tendinopathy: a systematic review of the literature. British Journal of Sports Medicine. 2011;45(5):446-52.  https://doi.org/10.1136/bjsm.2011.084079
  55. Mansfield CJ, Culiver A, Briggs M, Schmitt LC, Grooms DR, Onate J. The effects of knee osteoarthritis on neural activity during a motor task: a scoping systematic review. Gait Posture. 2022;96:221-35.  https://doi.org/10.1016/j.gaitpost.2022.05.035
  56. Vialleron T, Delafontaine A, Millerioux I, Memari S, Fourcade P, Yiou E. Acute effects of short-term stretching of the triceps surae on ankle mobility and gait initiation in patients with Parkinson's disease. Clinical Biomechanics. 2021;89:105449. 
  57. Fortier LM, Rockov ZA, Chen AF, Rajaee SS. Activity recommendations after total hip and total knee arthroplasty. The Journal of Bone and Joint Surgery. 2021;103(5):446-55.  https://doi.org/10.2106/JBJS.20.00983
  58. Cheatham SW, Baker RT, Larkins LW, Baker JG, Casanova MP. Clinical practice patterns among health care professionals for instrument-assisted soft tissue mobilization. Journal of Athletic Training. 2021;56(10):1100-11.  https://doi.org/10.4085/1062-6050-047-20