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골절에서의 추나를 포함한 수기요법 임상적용 현황분석

The Analysis of Clinical Application Status of Manual Therapy Including Chuna in Fracture

  • 박경은 (동국대학교 대학원 한의학과) ;
  • 문정현 (동국대학교 대학원 한의학과) ;
  • 서병관 (경희대학교 한의과대학) ;
  • 성원석 (동국대학교 분당한방병원 침구의학과) ;
  • 김은정 (동국대학교 분당한방병원 침구의학과)
  • Gyoungeun Park (College of Korean Medicine, Dongguk University Graduate School) ;
  • Jeong-Hyun Moon (College of Korean Medicine, Dongguk University Graduate School) ;
  • Byung-Kwan Seo (College of Korean Medicine, Kyung Hee University) ;
  • Won-Suk Sung (Department of Acupuncture and Moxibustion Medicine, Dongguk University Bundang Oriental Hospital Bundang) ;
  • Eun-Jung Kim (Department of Acupuncture and Moxibustion Medicine, Dongguk University Bundang Oriental Hospital Bundang)
  • 투고 : 2024.05.14
  • 심사 : 2024.06.06
  • 발행 : 2024.06.30

초록

Objectives This study aimed to analyze the clinical application of manual therapy including Chuna in fracture. Methods We searched related studies using worldwide databases and analyzed the identified studies by classifying fracture regions and type of manual therapy including Chuna techniques. Results Total of 73 studies included according to previously established criteria. Among 73 studies, 53 studies treated upper limb, 9 studies treated lower limb, and 7 studies treated spine (4 studies did not report the region). 60 studies conducted bone setting manual therapy. Other 13 studies consists of Chuna manual therapy (5 studies), massage therapy (3 studies), and manual therapy combined other KM treatments (5 studies). 13 studies (non-bone setting manual therapy) primarily measured range of motion and the scale of pain intensity and function. Most outcome measures improved statistically. 13 studies (non-bone setting manual therapy) did not report adverse events. Conclusions In this study, we could identify the therapeutic possibility of Chuna and manual therapy for the fracture patients, assuming the precise judgement and correct procedure by skilled practitioner.

키워드

참고문헌

  1. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine. 5th ed. Paju:Globooks. 2020:206-10, 321-52.
  2. Cauley JA, The Global burden of fractures. The Lancet Healthy Longevity. 2021;2(9):e535-6.
  3. Taljanovic MS, Jones MD, Ruth JT, Benjamin JB, Sheppard JE. Fracture fixation. Radiographics. 2003;23(6):1569-90. https://doi.org/10.1148/rg.236035159
  4. Korean Society of Chuna Manual Medicine. Chuna manual medicine. 2.5th ed. Seoul: Korean Society of Chuna Manual Medicine. 2017:4-21, 48-50, 210-2.
  5. Bae KJ, Jeong JW, Jung MY, Kim SJ. Reviewing research on the treatment and study of fracture in Korean journals objective - focus on domestic thesis. J Korean Med Rehabil. 2015;25(3):41-53. https://doi.org/10.18325/jkmr.2015.25.3.27
  6. Paik SW, Nam KH, Choi SK, Lee JH, Han YH. A Review of Case Reports on the Application of Acupuncture as a Treatment for Fracture since 2013. J Korean Med Rehabil. 2021;31(4):49-63. https://doi.org/10.18325/jkmr.2021.31.4.49
  7. Cho EB, Shim SS, Han YM, Ahn JY. A Literature Review of Case Reports of Korean Medicine Applying Herbal Medicine to fracture, Maternal and Child Health Care & Functional Medicine and Nutrition Association. 2020;1(1):63-74. https://doi.org/10.21213/kabmkmfna.pub.1.1.63
  8. Park SH, Ko YS, Lee JH, A Study for Indication and Adopted Techniques of Chuna Treatment-Focusing on Domestic Clinical Studies. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2013;8(2):57-66.
  9. Lee SJ, Lee KJ, Park JS, Song YK. Clinical Application Status Analysis of Chuna Manual Therapy after Musculoskeletal Disorder Surgery. The Journal of Korea CHUNA Manual Medicine for Spine and Nerves. 2019;14(2):123-34. https://doi.org/10.30581/jkcmm.2019.14.2.123
  10. Korean Acupuncture and Moxibustion Medicine Society. Clinical Practice Guideline of Korean Medicine Deforming Dorsopathies (Scoliosis). National institute for Korean Medicine Development. 2023:65.
  11. Huang JZ. Clinical effect of pelvic traction technique reset on simple compression fracture of thoracolumbar spine (骨盆牵引下手法复位治疗胸腰椎单纯压缩骨折的临床疗效观察). 数理医药学杂志. 2015;28(9):1281-2.
  12. He SH, Peng JY, Xhao X. Treatment of thoracolumbar fracture with pressure massage. China J Orthop&Trauma. 2017;20(11): 752-3.
  13. Chen JY, Gu HY, Gao HW, Tang ZR. Treating 21 cases of thoracolumbar fractures, Clinical Journal of Chinese Medicine. 2015;7(20):47-9.
  14. Alcantara J, Plaugher G, Elbert RA, Cherachanko D, Konlande JE, Casselman AM. Chiropractic care of a geriatric patient with an acute fracture-subluxation of the eighth thoracic vertebra. Journal of Manipulative and Physiological Therapeutics. 2004;27(3):216e1-9. https://doi.org/10.1016/j.jmpt.2003.12.026
  15. Alcantara J, Plaugher G, Elbert R, Gatterman B. Chiropractic care of a patient with low back pain associated with subluxations and a Malgaigne-type pelvic fracture. Journal of Manipulative and Physiological Therapeutics. 20004;27(5):358-65. https://doi.org/10.1016/S0161-4754(03)00008-3
  16. Ratajczak K, Plominski J. The Effect of Isometric Massage on Global Grip Strength after Conservative Treatment of Distal Radial Fractures. Pilot Study. Ortop Traumatol Rehabil. 2015;17(4):359-70. https://doi.org/10.5604/15093492.1173378
  17. Geoffroy-Legeay H. Massage Therapy Effectiveness in Rehabilitation on Humeral Shaft Fracture in a Child: A Case Study. Int J Ther Massage Bodywork. 2022;5(1):54-65. https://doi.org/10.3822/ijtmb.v15i1.665
  18. Jiang JW. Analysis of 55 Cases of Simple Thoracic Lumbar Compression Fracture Treated by Chuna plus sealing (推拿加封闭治疗单纯性胸腰椎压缩骨折55例分析). Clinical research of TCM(中医临床研究). 2011;3(4):47.
  19. Gao HW, Tang ZR, Chen JY, Gu HY, Zhang YW, Observation on the curative effect of pelvic traction in prone position combined with manipulative reduction on thoracolumbar compression fracture. The Journal of Traditional Chinese Orthopedics and Traumatology. 2014;26(01):38-42.
  20. Hong G, Chen Y, Huang YH, Lin HY, Zhan SB, Lei BL, Lai CC, Liang ZR, Chen C, Liao KM. Treating simple thoracolumbar fractures by osseous lacuna needle decompression plus gentle manipulation of loose tendons and balanced chiropractic. Clinical Journal of Chinese Medicine. 2020;35:74-6.
  21. Bae JH, Ko JH, Kim SY, Lee HS, C hang HK, Ahn JH, Kim HS, Chung WS. The Clinical Effects of Korean Medicine Rehabilitation Including Chuna Manual Therapy on Scapular Fracture Patient's Functional Recovery: A Case Report. Journal of Korean Medicine Rehabilitation. 2019;29(4):117-26. https://doi.org/10.18325/jkmr
  22. Lee KM, Lim SHm Yoon DY, Kim SJ, Jeong SH. Two Clinical Cases on Patients with Pain And Limited Range of Motion about Shoulder Subsequent to Scapular Fracture By Oriental Medical Treatments And Chuna Treatment. The Journal of Churna Manual Medicine for Spine & Nerves. 2009;4(2):99-107.
  23. Wang GL, Shao ST, Zhou YF. Clinical Study on the Prevention and Treatment of Knee Stiffness after Lower Limb Fracture by Hand massage and Chinese Medicine External Washing and CPM Machine (手法推拿配合中药外洗及 CPM 机防治下肢骨折后膝关节僵硬临床研究) Journal of Chinese Medicine(中医学报). 2013;28(1):148-9.
  24. HIRA Bigdata Open Portal. Statistics of Diseases of Public Interest. 2024 May [cited 2024 May 9]. Available from: URL https://opendata.hira.or.kr/op/opc/olapMfrnIntrsIlnsInfoTab3.do
  25. HIRA Bigdata Open Portal. Classification of diseases (third stage disease) statistics. 2024 April [cited 2024 April 26] Available from: URL: https://opendata.hira.or.kr/op/opc/olap3thDsInfoTab4.do
  26. Wen FL, Chen PB. Progress in treatment of distal radius fracture with traditional Chinese and western medicine. World Latest Med Inform. 2019;19:187-92.
  27. Liu T, Xia Y, Kuang G, Zhou L. Acupuncture combined with TCM bonesetting in the treatment of distal radius fractures. A protocol for systematic review and metaanalysis Medicine. 2021;100(50):e28279. https://doi.org/10.1097/MD.0000000000028279
  28. Fujiura T, Nagasawa H, Wakabayashi H. Effect of manual lymphatic drainage for up to 10 days after total knee arthroplasty: a randomized controlled trial. Phys Ther Res. 2020;23(1):39-46.
  29. Cheung WH, Wong RMY, Choy VMH, Li MCM, Cheng KYK, Chow SKH. Enhancement of osteoporotic fracture healing by vibration treatment: the role of osteocytes. Injury. 2021;52:S97-100.