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추나 치료가 성인 소화기계 질환에 미치는 영향에 대한 문헌 고찰 (Review of Chuna Manual Therapy for Adult Digestive System Disease)

  • 김규진;추수철;이재원;황의형
    • 척추신경추나의학회지
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    • 제13권2호
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    • pp.35-46
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    • 2018
  • Objectives : To determine the effectiveness of Chuna manual therapy(CMT) for Adult Visceral Diseases. Methods : To find evidence of CMT for adult digestive system disease, we used 9 electronic databases(Pubmed, CAJ, EMBASE, Cochrane Library, Web of Science, KISS, KISTI, NDSL, RISS) up to April 2018. We reviewed randomized control trials(RCTs) using Chuna for Digestive system disease. To assess the methodological quality of each RCT, we used the Cochrane risk of bias tool. Results : We identified 11 RCTs about irritable bowel syndrome, chronic ulcerative colitis, gastritis, gastroptosis, spleen entropathy, gastrointestinal dysfunction after stroke in 356 studies. All studies used total efficiency rate for main outcome. In all studies, CMT was effective for digestive system disease. Conclusions : CMT was effective for Digestive system disease. Risk of bias was high and the difference between the experimental group and the control group was not great. Considering that there were no reports of side effects, it seems possible to apply CMT to the treatment of adult digestive system disease.

이명에 대한 추나요법의 효과 : 체계적 문헌고찰과 메타분석 (Chuna Manual Therapy for Tinnitus : A Systematic Review and meta-analysis)

  • 정인채;차윤엽;허인
    • 척추신경추나의학회지
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    • 제14권1호
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    • pp.13-23
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    • 2019
  • Objectives : The purpose of this study was to evaluate the effectiveness of Chuna manual therapy (CMT) for the treatment of tinnitus. Methods : We performed a literature search using eight electronic databases, using related keywords, from January 1990 until the end of April 2019. The randomized controlled trials (RCTs) which evaluated the effectiveness of CMT in the treatment of tinnitus were included in this study. The risk of bias were evaluated using the Cochrane risk of bias tool. Results : Five appropriate RCTs were included and analyzed. The efficacy rate of the CMT group was statistically significantly higher (P<0.03) versus the control group treated with Western medicine, acupuncture, and herbal medicine-only. Conclusions : In this literature review, there was sufficient evidence that CMT is more effective than conventional therapy (including Western medicine, acupuncture, and herbal medicine) in treating tinnitus. However, it should be considered that the included studies lacked any reference of the risk of bias

척추측만증의 추나치료에 대한 문헌 고찰 연구 보고 (Chuna Manual Therapy for Spinal Scoliosis : A Review of Clinical Study)

  • 허인
    • 척추신경추나의학회지
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    • 제14권1호
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    • pp.39-47
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    • 2019
  • Objectives : The purpose of this study was to evaluate the scientific literature demonstrating the effectiveness of Chuna manual therapy (CMT) in the treatment of spinal scoliosis. Methods : A literature search was conducted using eight electronic databases to identify all randomized controlled clinical trials (RCTs) that investigated CMT as a treatment for spinal scoliosis. The Cochrane risk of bias tool was used to assess the methodological quality of each RCT. Results : Five RCTs met our inclusion criteria and were included in the analysis. These studies demonstrated positive results of CMT with respect to the reduction of Cobb's angle, vertebral rotation angle score, bending test score, and efficacy rate compared with brace treatment. Positive results were also assured, in terms of the reduction of Cobb's angle, pulmonary function, and efficacy rate when comparing CMT combined with other therapy with brace treatment, gymnastic training, or traction therapy. Conclusions : This review has identified encouraging and limited evidence of CMT for the treatment of spinal scoliosis. However, to obtain stronger evidence, without the disadvantages of study design and quality, we recommend that treatment effectiveness of CMT for spinal scoliosis is investigated further using a well-designed RCT.

자세패턴과 관련된 국내 연구동향 분석 (Research Trends of Posture Pattern in Korea Literature)

  • 이강준;송윤경
    • 척추신경추나의학회지
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    • 제14권1호
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    • pp.99-118
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    • 2019
  • Objectives : The purpose of this study was to analyze trends of posture pattern in Korean literature. Methods : We searched four Korean databases (NDSL, RISS, OASIS, and KISTI) and classified the studies according to publication year and the study type. Additionally, we analyzed clinical research papers according to the predominant reported posture pattern, the type of study, assessment for clinical outcomes. Results : In total, 50 published studies were included in our analysis, and we determined the following: By study type, there were 37 interventional studies, 6 observational studies and 7 non-clinical research papers. In the interventional studies, the most common posture pattern was the forward head posture pattern, which was investigated in 22 studies. As a tool for evaluating posture pattern, cervical vertebral angle and the height of the scapula inferior angle are used most. Conclusions : Although this study has provided insight into the commonly investigated posture patterns types in Korean clinical studies, further research is required and future studies should include randomized controlled trials and systematic reviews in their analyses.

요추 척추관협착증에 대한 추나요법의 효과 : 체계적 문헌 고찰 (Chuna Manual Therapy for Lumbar Spinal stenosis : A Systematic Review)

  • 임경태;신병철;허인;황만석
    • 척추신경추나의학회지
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    • 제13권2호
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    • pp.1-10
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    • 2018
  • Objectives : To evaluate the evidence supporting the effectiveness and safety of Chuna manual therapy(CMT) for lumbar spinal stenosis Methods : We searched 10 electronic databases(Pubmed, EMBASE, Cochrane Library, CAJ, RISS, KISS, KISTI, KMBASE, DBpia, NDSL) and related 2 journals up to October 2018. We included randomized controlled trials(RCTs) of testing CMT for lumbar spinal stenosis patients. The methodological quality of RCTs related assessed by the Cochrane risk of bias tool 1.0. Results : Three RCTs were eligible in our inclusion criteria. The meta-analysis of 3 studies showed positive results for the using CMT for lumbar spinal stenosis. Conclusions : The review found favorable evidence of CMT for treating lumbar spinal stenosis with meta-analysis. However, our systematic review has limited evidence to support CMT for lumbar spinal stenosis because of low quality of original articles and further well-designed RCTs should be encouraged.

Effects of Thorax Belt Application on the Spinal Stability in Subjects with Wide Infra-sternal Angle

  • Ha, Sung-min
    • 한국컴퓨터정보학회논문지
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    • 제26권4호
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    • pp.143-147
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    • 2021
  • 본 연구의 목적은 정상 범위보다 큰 명치각을 가진 대상자들에게 가슴벨트 적용이 척추 안정성에 어떠한 영향을 미치는지에 대하여 알아보고자 하였다. 정상 범위보다 큰 명치각을 가진 총 15 명의 대상자가 본 연구에 참여했으며 가슴벨트 적용 유-무의 조건에서 능동적 두 다리 내리기와 능동적 한 다리 올리기가 수행되었다. 가슴 벨트 적용 여부에 따라 수행 된 두 가지 척추 안정성 테스트 (능동적 두 다리 내리기와 능동적 한 다리 올리기)는 각 조건 간에 유의 한 차이를 보였다. 본 연구의 결과에 따르면, 가슴벨트 적용은 비정상적으로 증가된 명치각으로 인해 척추 또는 몸통 불안정성을 가진 대상자에게 척추를 안정화 시켜줄 수 있는 효과적인 치료적 방법으로 여겨진다.

회전근개 질환에 대한 추나 치료의 효과: 체계적 문헌 고찰 (Effects of Chuna Manual Therapy(CMT) on Rotator Cuff Disorder: A Systematic Review)

  • 홍수민;도기원;윤광식
    • 척추신경추나의학회지
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    • 제16권1호
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    • pp.1-11
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    • 2021
  • Objectives This study aimed to evaluate the efficacy of Chuna manual therapy(CMT) in the treatment of rotator cuff disorder. Methods We searched th following nine online databases without language restriction (MEDLINE/PubMed, Cochrane library, Ebscohost, CNKI, RISS, NDSL, KMBASE, and KISS) to identify randomized controlled trials (RCTs) that used CMT in the treatment of rotator cuff disorder. The methodological quality of each RCT was assessed using the Cochrane risk-of-bias tool. Results Four RCTs were included. in the meta-analysis. CMT resulted in a significant reduction in symptoms in these trials. However, there was a high risk of bias in the RCTs. Conclusions We reviewed RCTs that studied the effects of CMT for rotator cuff disorder. While the studies indicate that CMT has favorable effects on rotator cuff disorder. But the risk of bias for most of the studies was high. Therefore, high-quality studies are required to make further conclusions.

소아 뇌성마비에 대한 추나 요법의 효과: 체계적 문헌고찰과 메타분석 (Chuna Manual Therapy for Cerebral Palsy in Children: A Systematic Review and Meta-analysis)

  • 남현서;한승희;안다영;백태현
    • 척추신경추나의학회지
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    • 제16권2호
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    • pp.29-38
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    • 2021
  • Objectives This study was aimed to evaluate the effects of Chuna manual therapy (CMT) for the treatment of cerebral palsy. Methods The randomized controlled trials (RCTs) on the treatment of CMT for cerebral palsy in children were selected among the literature published until January 2021 in seven databases. The quality of the literature was evaluated using the Cochrane's risk of bias tool, and RevMan 5.3 was used for the synthesis of results. Results Total 801 pediatric patient with cerebral palsy incontinence were finally selected from twelve RCTs. The total effective rate of the combined treatment general rehabilitation and CMT is statistically significantly higher (P<0.0001) than that of general rehabilitation alone. Conclusions This study suggests that general rehabilitation combined with CMT for cerebral palsy in children might be more effective in improving symptoms than general rehabilitation alone. As the number and quality of the literature included in the meta-analysis was insufficient, high-quality clinical studies on CMT for cerebral palsy would be required.

산후 유즙분비부전에 대한 추나 치료: 체계적 문헌 고찰 및 메타분석 (Chuna Manual Therapy for Postpartum Hypogalactia: A Systematic Review and Meta-Analysis)

  • 김채영;이은별;김현지;안희덕
    • 척추신경추나의학회지
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    • 제17권1호
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    • pp.1-10
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    • 2022
  • Objectives To evaluate the effectiveness of Chuna manual therapy (CMT) for postpartum hypogalactia. Methods Using nine electronic databases, we selected 13 randomized controlled trials (RCTs) that applied CMT for postpartum hypogalactia and conducted a meta-analysis. The risk of bias was assessed using the Cochrane risk of bias tool. Results Meta-analysis showed statistically significant results for CMT in terms of effective rate and breast filling degree compared to the other treatment groups (p<0.05). Conclusions Our study showed clinical evidence of CMT efficacy for postpartum hypogalactia. Further studies are required to support our findings.

턱관절 장애에 대한 근에너지 기법의 효과: 체계적 문헌 고찰 및 메타분석 (Efficacy of Muscle Energy Technique for Temporomandibular Disorders: A Systematic Review and Meta-analysis)

  • 윤홍렬;변정원;김순중
    • 척추신경추나의학회지
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    • 제18권2호
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    • pp.31-42
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    • 2023
  • Objectives This study aimed to conduct a systematic review evaluating the effectiveness of muscle energy technique(MET) in temporomandibular joint disorders (TMD). Methods Searches were conducted in 11 electronic databases until October 2023. Randomized controlled trials(RCT) comparing the effect of MET for TMD were included. All studies were evaluated using the Cochrane Risk of Bias tool. Results Nine documents that fulfilled all the criteria were obtained for analysis. All studies showed some concerns in high risk of bias, but showed a significant improvement in pain and maximum mouth opening compared to baseline of MET or control group. MET was not better than extracorporeal shock wave therapy or myofascial release in some outcomes. Conclusions MET seems to be an effective treatment for TMD in some regards, however, can be considered as an adjunct therapy which has weak evidence. Further studies are required due to the inconclusive data and poor homogeneity found in this review.