• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.18 no.2
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• pp.1-8
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• 2023

Objectives This study aimed to propose biomarkers for diagnosing Chuna manual therapy (CMT) based on X-ray images in the thoracic and lumbar spines. Methods Through a literature review and expert consensus process, diagnostic biomarkers for CMT were selected based on the listing system in thoracic and lumbar radiograph anterior-posterior (AP) and lateral views. Results 1. Diagnostic biomarkers were derived from four points on the outer contour of the vertebral body in the thoracic and lumbar spine radiograph lateral view, enabling the diagnosis of flexion and extension malposition. 2. Additional diagnostic biomarkers were identified in the thoracic and lumbar radiographAP view, utilizing points on the outer contour of the vertebral body. These biomarkers facilitate the diagnosis of lateral bending. Moreover, biomarkers derived from the innermost point of the pedicle contour allow for the diagnosis of rotation malposition. 3. Furthermore, through the biomarkers proposed in this study, all malpositions of the thoracolumbar spines and complex Type I and II malpositions can be diagnosed in CMT. Conclusions The biomarkers reported in this study consist of minimal points to determine the position of the vertebral body, providing the advantage of simplicity while minimizing potential errors during the CMT diagnostic process. Further clinical research and the development of related programs should be pursued to expand the evidence for CMT.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.19 no.1
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• pp.33-43
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• 2024

Objectives The aim of this study was to systematically review and analyze the clinical efficacy of Chuna Manual Therapy (CMT) for the treatment of Sacroiliac Joint Syndrome (SIJS). Methods A comprehensive literature search was conducted up to April 2024, utilizing databases such as PubMed, EMBASE, The Cochrane Library, CNKI, ScienceON, Kmbase, OASIS, RISS, and KISS. Studies were selected based on the PICOS criteria: Participants (patients with SIJS), Intervention (CMT), Control (various treatments), Outcomes (pain and functional improvements), and Study design (randomized controlled trials, RCTs). The Risk of Bias (ROB) was assessed using the Cochrane ROB tool, and data were analyzed using Review Manager 5.4.1. The primary outcomes were pain reduction measured by Visual Analogue Scale (VAS) and treatment efficacy rates. Results Out of 330 identified studies, 10 RCTs involving 776 patients met the inclusion criteria. The selected studies compared CMT with acupuncture, pharmacotherapy (celecoxib), and physical therapy. Meta-analysis showed that CMT significantly reduced pain compared to physical therapy (p<0.00001). When compared with pharmacotherapy, the results indicated no statistically significant difference (p >0.05). Combined treatments of CMT with other modalities such as acupotomy and cupping showed enhanced efficacy rates and pain reduction, suggesting synergistic effects. Conclusions The review indicates that CMT is effective in reducing pain and improving function in patients with SIJS, especially when compared to physical therapy. However, the study also highlights the need for larger sample sizes and longer follow-up periods to validate these findings. Additionally, future studies should address the challenges of blinding in manual therapy trials to mitigate bias risks. Despite these limitations, CMT appears to be a viable option for the treatment of SIJS, with potential for enhanced outcomes when combined with other therapeutic modalities.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.19 no.1
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• pp.73-82
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• 2024

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.

• The Journal of Korean Obstetrics and Gynecology
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• v.26 no.4
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• pp.204-212
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• 2013

Objectives: The purpose of this study is to report the effects of traditional Korean treatment (acupuncture, herb medicine and Chuna manipulation treatment) on a postpartum patient with pelvic girdle pain. Methods: The postpartum patient with pelvic girdle pain was treated by traditional Korean treatment such as herbal medication (Boheotanggagam-bang), acupuncture. The patient was diagnosed pelvic insufficiency in pelvis AP x-ray. So we treated the patient a total of 10 times of acupuncture and Chuna manipulation treatment. Results: After the treatment, the patient's pain was disappeared and the pelvic insufficiency in pelvis AP x-ray was improved. Conclusions: This case shows that traditional Korean treatment might be effective in improving postpartum patients' pain and pelvic insufficiency.

• Journal of Haehwa Medicine
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• v.15 no.1
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• pp.117-124
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• 2006

Objectives : This study was performed to evaluate the effect of oriental medical treatment on adolescent structural scoliosis. Methods : A patient who has scoliosis was treated with chuna and acupuncture treatment. After the treatment, we evaluated the effects of treatment with radiological measurement by calculating the scoliosis correction angle from the initial and follow-up spine AP view. Result : After the treatment, the cobb's angle of T-spine was changed $23^{\circ}$ to $15^{\circ}$, that of L-spine was changed $25^{\circ}$ to $10^{\circ}$. Conclusions : In this study, Chuna and acupuncture treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more early detection, earily treated and continuous observed.

• The Journal of Korea CHUNA Manual Medicine
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• v.5 no.1
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• pp.135-139
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• 2004

Objectives : The objectives of this report is to introduce PTA. Methods : The examination of the leg length inequality gives us a useful tool for diagnosis of body imbalance. especially pelvic distortion. There are four steps in the process of the leg analysis, according to "The Standard Manual of Chuna Society (2nd ed., Seoul:KCA Press. 2001)". In the last step of the analysis, knee-flexing over $90^{\circ}$, we have often experienced a specific sign that the lower legs are attracted toward one side spontaneously. The authors call it 'Lower Leg Lateral Attraction'. This is a very significant sign that gives us which is the major part between pelvis and the upper parts over sacrum. Thus it is definded as "Pelvic Twist Analysis, PTA" by the authors. With PTA, first, you must check the side of short leg and next, check the side of lateral attraction in lower leg over-flexing. If both sides coincide with each other, then the major part you can correct first is pelvic distortion. If not, you must find another part for primary correction, instead of pelvis. Conclusions : PTA becomes a useful complement to the examination of the leg length inequality.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.4 no.2
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• pp.197-209
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• 2009

Objectives : The purpose of this study is finding tendencies of diagnosis and treatment of the traffic accidental patients. Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by year, field of study, reviewed by focusing on diagnosis and evaluation, treatment type. Results : 1. 72 articles were published since 1993. 2. Classified by the major field of study, the korean academy of oriental rehabilitation medicine accounted for 33 papers. 3. 7-Zone-Diagnostic system and Minnesota Multiphasic Personality Inventory were studied mostly. 4. To add pharmacopuncture or chuna treatments are effective. 5. Traffic accidental patients get satisfaction about Oriental medicine therapy but methods of medical treatment are restrictively. Conclusions : Oriental medicine treatment is the effective way to cure traffic accidental sequela, but we need further studies.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.2 no.1
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• pp.39-47
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• 2007

Objectives : This study reported 3 cases of L-spine HIVD which was treated with spine decompression, as a new medical treatment alleviates lumbago by non-surgical treatment, and oriental medicine treatment. Methods : Each patient has been treated with spine decompression and oriental medicine treatment, and the degree of improvement has been evaluated by VAS and Rating scale for LBP. Results : Through the result, the medical treatment proved to have valid effect for L-spine HIVD, but patients did not become healthy enough restored to their job before. Conclusions : At the result of this, every case can be certified to give appropriate effect, and there needs more research into synergy between spine decompression and oriental medicine treatment.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.9 no.2
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• pp.21-33
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• 2014

Objectives : This study was to report the improvement of the patient with multiple sclerosis treated by Korean Medical treatment. Methods : The patient diagnosed as multiple sclerosis treated by acupuncture, bee venom pharmacupuncture, chuna manual therapy, and herbal medicine. To evaluate the effects of korean medicine, we used manual muscle test(MMT), the standard for assessment of the effect of stroke treatment, functional system(FS), visual analog scale(VAS). Results : 1. The patient's pain and optic dysfunction were reduced by the above therapy. 2. There was no change in manual muscle test(MMT), but there was mild improvement in finger joints function in the standard for assessment of the effect of stroke treatment. 3. In functional system(FS) scale, there was enhancement in optic function within a range. And there was improvement in expanded disability statue scale(EDSS) from 4.0 to 3.0. 4. In visual analog scale(VAS), there was considerable improvement from 9 to 6. Conclusions : The korean medical treatment was reduced pain and optic dysfunction.

• The Journal of Pediatrics of Korean Medicine
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• v.24 no.3
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• pp.50-57
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• 2010

Objectives: The purpose of this study is to report two cases of adolescent patient with structural spinal scoliosis treated by Chuna therapy. Methods: We examined two adolescent patients with an X-ray examination. These patients were diagnosed with structural scoliosis, and we used acupuncture and Chuna method at these patients. Cobb's angle and VAS(Visual Analogue Scale) were used to evaluate effects of the treatment. Results and Conclusions: After the treatment, we got these improvement results : In one case, the Cobb's angle was improved by $8.4^{\circ}$ ($19^{\circ}$ to $10.6^{\circ}$) at thoracic level (44.2% correctability) and VAS has been changed from 5 to 1-2. In another case, the Cobb's angle was improved by $4.3^{\circ}$($11.3^{\circ}$ to $7^{\circ}$) at lumbar level(38.0% correctability) and VAS has been changed from 7 to 1-2.