Browse > Article

A Systematic Review of the Effectiveness of Eastern-Western Integrative Medicine for Musculoskeletal Disorders  

Lee, Seung-Jin (Dept. of Oriental rehabilitation medicine, School of Korean Medicine, Pu-San National University)
Shin, Byung-Cheul (Dept. of Oriental rehabilitation medicine, School of Korean Medicine, Pu-San National University)
Song, Geun-Sung (Dept. of Neurosurgery, School of Medicine & Medical Research Institute, Pu-San National University Yangsan hospital)
Hwang, Eui-Hyoung (Dept. of Oriental rehabilitation medicine, School of Korean Medicine, Pu-San National University)
Yun, Young-Ju (Dept. of Integrative Medicine, School of Korean Medicine, Pu-San National University)
Cho, Hyun-Woo (Dept. of Oriental Rehabilitation Medicine, Pu-San National University Korean medicine hospital)
Publication Information
Journal of Korean Medicine Rehabilitation / v.21, no.4, 2011 , pp. 87-96 More about this Journal
Abstract
Objectives: This study aims to systematically evaluate the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western Medicine. Methods: Systematic sea-mes of 9 major Korean databases were conducted for articles published up to July 2011. Searching keyword was "Integrative Medicine". Prospective studies dealt with musculoskeletal disorders by Eastern-Western integrative medicine were included. Quality assessment of included studies was evaluated by Cochrane risk of bias tool. Results: 470 studies in total were seamed, Amalg them 7 studies met our inclusion criteria(3 randomized controlled clinical trials, 2 non-randomized controlled trials and 2 uncontrolled clinical trials). Included studies dealt with lumbar pan(3), shoulder pain(2), pain after traffic injury(1), spinal compression fracture(1). Eastern-Western integrative medicine showed better or equal effect for the treatment of various muscloskeletal disorders compared with Eastern or Western medicine alone. Conclusions: There is very weak evidence for the effectiveness of Eastern-Western integrative medicine for musculoskeletal disorders compared with Eastern or Western medicine alone. Well designed randomized controlled trials with rigorous methodology are needed to evaluate the effectiveness of Eastern-Western integrative medicine objectively in the future.
Keywords
Musculoskeletal disorder; Eastern-Western integrative medicine; Clinical research; Systematic review; Eastern medicine; Western medicine;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 한국보건산업진흥원. 한의약 R&D 중장기 발전방안 연구. 2006.
2 정인숙, 신병철, 황선경, 이원철. 한.양방 협진 코디네이터의 현황 및 발전방안. 대한예방한의학회지. 2010;14(1):13-24.
3 이윤현. 양.한방 협진 의료정책에 관한 고찰. 한국 사회복지 정책학회 논문집. 2000;11:84-103.
4 보건복지부. 협진병원 관리안내. 2010.
5 정인숙, 임병묵, 이원철. 한.양방 협진에 대한 의.한의.간호대학생의 태도 비교. 대한예방한의학회지. 2010;14(1):25-35.
6 진삼곤, 남은우. 양방과 한방 벙원의 협진체계에 대한 입원 환자의 인식도. 병원경영학회지. 1998;3(1):134-64.
7 건강보험심사평가원 심사평가연구소 연구조정실. 21대 분류별 요양급여실적. 2010.
8 Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions 5.1.0 [updated March 2011]. The Cochrane Collaboration. 2011.
9 이경희, 김정은, 윤현민, 고우신, 송준호, 장경전, 안창범, 김철홍. 교통사고 환자의 한방치료와 한.양방협진치료 비교 연구. 대한약침학회지. 2007;10(3):91-9.
10 남동우, 김행범, 양동훈, 임사비나, 김건식, 이두익, 이재동, 최도영, 이윤호. 동결견 환자의 동서협진 치료의 임상효과 비교연구. 대한침구학회지. 2006;23(5):105-13.
11 남동우, 최양식, 김행범, 김종인, 임사비나, 김건식, 이두익, 이재동, 이윤호, 최도영. 여성 만성견비통 환자에 대한 동서 협진 치료의 무작위 대조군 연구. 대한침구학회지. 2007;24(6):113-22.
12 이건목, 이강창, 황유진. 요추추간판탈출증의 동.서의학적 협진연구. 대한침구학회지. 2000;17(2);1-10.
13 문형철, 황우준, 이건목, 조남근, 강성도, 조재운, 장병선, 진경선. 조기 한방치료를 시행한 요추수핵탈출증 환자의 CT 상 5-7년 후의 추간판의 변화. 대한침구학회지 2001;18(4);1-12.
14 조병진, 고필성, 이원일, 백용현, 남동현, 박동석. 급성 흉요추부 압박골절 환자 16례의 보존 치료에 따른 compression ratio에 중점을 둔 임상 고찰. 대한침구학회지. 2009;26(4):1-9.
15 서보명, 윤종석, 김성웅, 이세연, 이경민, 배은정, 서정철, 임성철, 정태영, 한상원. 요통 환자의 한방단독치료와 한양방협진치료의 효과 비교. 대한침구학회지. 2003;20(6):140-7.
16 Moore RA, Gavaghan D, Tramer MR, Collins SL, McQuay HJ. Size is everything-large amounts of information are needed to overcome random effects in estimating direction and magnitude of treatment effects. Pain. 1998;78:209-16.   DOI   ScienceOn