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

  • 제19권1호
  • /
  • Pages.73-82
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  • 2024
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  • 1975-535X(pISSN)
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  • 2982-6136(eISSN)
척추신경추나의학회 (Korean Society of Chuna manual Medicine for Spine and Nerves)
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말초 안면신경마비에 대한 경추 교정기법의 효과 체계적 문헌고찰 및 메타 분석

Effectiveness of Cervical Chuna Manipulative Treatment (CCMT) in Treating Peripheral Facial Paralysis: A Systematic Review and Meta-Analysis

  • 홍진영 (상지대학교 한의과대학 침구의학과) ;
  • 서진우 (상지대학교 한의과대학 한방신경정신과) ;
  • 이동혁 (상지대학교 한의과대학 해부학과) ;
  • 우연주 (상지대학교 한의과대학 생리학과) ;
  • 권보인 (상지대학교 한의과대학 병리학과) ;
  • 송경송 (경송한의원) ;
  • 하서정 (상지대학교 한의과대학 침구의학과) ;
  • 김주희 (상지대학교 한의과대학 침구의학과)
  • Jinyeong Hong (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University) ;
  • Jin-woo Suh (Department of Neuropsychiatry of Korean Medicine, College of Korean Medicine, Sangji University) ;
  • Dong Hyuk Lee (Department of Anatomy, College of Korean Medicine, Sangji University) ;
  • Yeonju Woo (Department of Physiology, College of Korean Medicine, Sangji University) ;
  • Bo-In Kwon (Department of Pathology, College of Korean Medicine, Sangji University) ;
  • Kyoungsong Song (KS Koreaan Medical Clinic) ;
  • Seojung Ha (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University) ;
  • Joo-Hee Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University)
  • 투고 : 2024.05.31
  • 심사 : 2024.06.18
  • 발행 : 2024.06.30
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초록

Objectives This study aims to evaluate the effectiveness of cervical chuna manipulative treatment (CCMT) in patients with peripheral facial paralysis (PFP). Methods We conducted a comprehensive search of MEDLINE, CENTRAL, EMBASE, KMbase, OASIS and ScienceOn, and CNKI for randomized controlled trials (RCTs) comparing CCMT for PFP up to April 25, 2024. Risk of Bias was assessed using the Cochrane RoB tool. Results Among the 462 studies retrieved, 5 RCTs with a total of 340 patients were included in the systematic review. Of these, 4 RCTs that reported the total effectiveness rate as the primary outcome were included in the meta-analysis. CCMT combined with acupuncture showed significant improvement in total effectiveness rate compared to acupuncture alone (Relative Ratio [RR] 1.14, 95% CI 1.04 to 1.26, I2=49, P<0.008). However, the included studies had some limitations including uncertain risk of bias and short follow-up periods. Conclusions CCMT may be an effective treatment for PFP. Due to the low quality of evidence from the included studies, high-quality, well-designed RCTs are needed to further verify the effectiveness and safety of CCMT.

키워드

과제정보

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute(KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number : RS-2021-KH109727(HF21C0011)) and Regional Innovation Strategy (RIS) through the National Research Foundation of Korea(NRF) funded by the Ministry of Education(MOE)(2022RIS-005).

참고문헌

  1. Rath B, Gidudu JF, Anyoti H, Bollweg B, Caubel P, Chen Y-H, Cornblath D, Fernandopulle R, Fries L, Galama J, Gibbs N, Grilli G, Grogan P, Hartmann K, Heininger U, Hudson MJ, Izurieta HS, Jevaji I, Johnson WM, Jones J, Keller-Stanislawski B, Klein J, Kohl K, Kokotis P, Li Y, Linder T, Oleske J, Richard G, Shafshak T, Vajdy M, Wong V, Sejvar J. Facial nerve palsy including Bell's palsy: Case definitions and guidelines for collection, analysis, and presentation of immunisation safety data. Vaccine. 2017;35(15):1972-83.
  2. Peitersen E. Bell's palsy: the spontaneous course of 2,500 peripheral facial nerve palsies of different etiologies. Acta Otolaryngol Suppl. 2002;2002(549):4-30.
  3. Nellis JC, Ishii M, Byrne PJ, Boahene KDO, Dey JK, Ishii LE. Association Among Facial Paralysis, Depression, and Quality of Life in Facial Plastic Surgery Patients. JAMA Facial Plast Surg. 2017;19(3):190-6.
  4. Eviston TJ, Croxson GR, Kennedy PG, Hadlock T, Krishnan AV. Bell's palsy: aetiology, clinical features and multidisciplinary care. J Neurol Neurosurg Psychiatry. 2015;86(12):1356-61.
  5. Gupta S, Mends F, Hagiwara M, Fatterpekar G, Roehm PC. Imaging the facial nerve: A contemporary review. Radiol Res Pract. 2013;2013:248039.
  6. Parent AD, Harkey HL, Touchstone DA, Smith EE, Smith RR. Lateral cervical spine dislocation and vertebral artery injury. Neurosurgery. 1992;31(3):501-9.
  7. Cooper L, Lui M, Nduka C. Botulinum toxin treatment for facial palsy: A systematic review. J Plast Reconstr Aesthet Surg. 2017;70(6):833-41.
  8. Holland NJ, Weiner GM. Recent developments in Bell's palsy. Bmj. 2004;329(7465):553-7.
  9. Heckmann JG, Urban PP, Pitz S, Guntinas-Lichius O, Gagyor I. The Diagnosis and Treatment of Idiopathic Facial Paresis (Bell's Palsy). Dtsch Arztebl Int. 2019;116(41):692-702.
  10. Shin BC KD, Kim SD, Song YS. Influence on Vertebral Artery and Basilar Artery Blood flow by Cervical CHUNA Manual Therapy. The Journal of Korea Manual Medicine. 2000;1(1):45-53.
  11. Publishing KSoCMMfSN. Chuna manual medicine. 2.5th ed. Korean Society of Chuna Manula Medicine for Spine & Nerves. 2019:1-472.
  12. Lee Y CJ, Choi D, Ku S, Kim S, Moon H. Three Case Reports of Patients with Facial Nerve Palsy Treated by SJS Non-Resistance Technique-Facial Palsy (SJSNRT-F) Combined with Korean Medicine Treatment. Korean Society of Chuna Manual Medicine Spine and Nerves. 2021;16(2):87-95.
  13. Ha S KB, Kim M. The Effectiveness of Korean Medicine Treatment Including Facial Chuna Manual Therapy for the Sequelae of Bell's Palsy: Four Case Series. Journal of Korean Medicine Rehabilitation. 2023;33(2):87-94.
  14. Son JM, Youn HS, Lee EC , Park C H, Kwon SW, Lee JY, Han DY, Seo H. Five Clinical Cases of Facial Chuna Manual Therapy with Korean Medicine Treatment for Acute Bell's Palsy. J Acupunct Res. 2023;40(1):67-77.
  15. Park JH LC, Lee Y, Kwon GS, Yoon HM, Jeon DS, Han MS. The Clinical Research of the Effectiveness of "Danmuji Anchu Traction technique" on Acute Peripheral Facial Paralysis. The Journal of Churna Manual Medicine for Spine & Nerves. 2011;6(1):43-52.
  16. Deng X, Zhu H, Shi L, Li Y, Shi H, Wu Y, Zhang Y. Comparison of the efficacy of acupuncture with tuina with acupuncture-only in the treatment of peripheral facial paralysis: a network meta-analysis. Intern Emerg Med. 2024;19(3):839-58.
  17. Kim EB KK, Kim MW, Ko YS. Effect of Chuna Manual Therapy for Peripheral Facial Paralysis in Children : A Systematic Review. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2019;14(1):1-11.
  18. Cui H, Chen Y, Zhong W, Yu H, Li Z, He Y, Yu W, Jin L. The asymmetric facial skin perfusion distribution of Bell's palsy discovered by laser speckle imaging technology. Clin Hemorheol Microcirc. 2016;62(1):89-97.
  19. Higgins JP, Thompson SG, Deeks JJ, Altman DG. Measuring inconsistency in meta-analyses. Bmj. 2003;327(7414):557-60.
  20. Chen SFC HY, Zhang XH, Zheng FX, Lin YH. Observation on the therapeutic effect of acupuncture combined with reduction manipulation on peripheral facial nerve paralysis associated with atlantoaxial joint dislocation(针刺配合复位手法对伴寰枢关节错位的周围性面神经麻痹疗效观察). Chinese Manipulation Rehabilitation Medicine. 2018;9(13):25-7.
  21. GFS M. Clinical observation on the treatment of refractory facial paralysis using acupotomy combined with neck massage based on myofascial theory(基于肌筋膜理论运用针刀配合颈部推拿治疗顽固性面瘫的临床观察). China's Naturopathy. 2021;29(13):63-5.
  22. Jeong JY, Lee ES, Seo DG, Shin SY, Kim SY, Kwon HK, Kim CH, Jang KJ, Yoon HM. The Clinical Research of Cervical Treatment's Effects on Bell's Palsy. J Acupunct Res. 2014;31(3):45-55.
  23. Wang F QL, Shi NN. Observation on the therapeutic effect of warm-passage acupuncture with fine-tuning manipulation in the treatment of recalcitrant peripheral facial nerve palsy(温通针法配合微 手法治疗顽固性周围性面神经麻痹疗效观察). Journal of Practical Traditional Chinese Medicine. 2016;32(8):805-6.
  24. Zhong J DL, Wei Y, Song Z, Tian Y. Clinical study of magnetic suction needle combined with chiropractic manipulative therapy in the treatment of cervicogenic facial nerve paralysis. China Medical Herald. 2012;9(30):103-14.
  25. De Diego-Sastre JI, Prim-Espada MP, Fernandez-Garcia F. [The epidemiology of Bell's palsy]. Rev Neurol. 2005;41(5):287-90.
  26. Madhok VB, Gagyor I, Daly F, Somasundara D, Sullivan M, Gammie F, Sullivan F. Corticosteroids for Bell's palsy (idiopathic facial paralysis). Cochrane Database of Systematic Reviews. 2016;2016(7):1-36.
  27. Vita LR, Colavita A, Sweat RW, Sweat MH, Vitez C. Craniocervical Misalignment Masquerading as Facial Pain: Options for Diagnosis and Management. Cranio. 2020;38(6):351-4.
  28. Zhu QG, Fang M, Pan L. [Effects of tuina manipulation on the three-dimensional space of cervical vertebral segments of cervical spondylosis patients]. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2012;32(7):922-5.
  29. Gao H, Ye YJ. [Manipulative treatment of vertebral artery type of cervical spondylosis]. Zhongguo Gu Shang. 2010;23(4):257-60.
  30. Gao Y, Weng C, Wang X. Changes in nerve microcirculation following peripheral nerve compression. Neural Regen Res. 2013;8(11):1041-7.