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Chuna Manual Therapy for Lymphedema: A Systematic Review and Meta-analysis

림프부종에 대한 추나요법의 효과: 체계적 문헌고찰과 메타분석

  • Chung, In-Che (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University) ;
  • Kim, Ye-eun (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University) ;
  • Ahn, Jeong-hoon (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University) ;
  • Han, In-sik (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University) ;
  • Park, In-hwa (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University) ;
  • Cha, Yun-Yeop (Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University)
  • 정인채 (상지대학교 부속한방병원 한방재활의학과) ;
  • 김예은 (상지대학교 부속한방병원 한방재활의학과) ;
  • 안정훈 (상지대학교 부속한방병원 한방재활의학과) ;
  • 한인식 (상지대학교 부속한방병원 한방재활의학과) ;
  • 박인화 (상지대학교 부속한방병원 한방재활의학과) ;
  • 차윤엽 (상지대학교 부속한방병원 한방재활의학과)
  • Received : 2021.03.16
  • Accepted : 2021.04.01
  • Published : 2021.04.30

Abstract

Objectives Purpose of our study is to investigate the preventive and therapeutic effect of Chuna manual therapy (CMT) for lymphedema. Methods A study search of 10 databases was performed. We included the randomized controlled trials (RCTs) which performed CMT for lymphedema in this study. The keywords used were 'chuna' or 'tuina' and 'lymphedema'. Two independent authors rated study quality and risk of bias using the Cochrane risk of bias tool. Results 9 appropriate RCTs were remained after screening. The therapeutic effects of the experimental group was statistically higher than that of the control group with functional exercise or taking western medicine. Subjective symptom score was also lower in the CMT group. Conclusions These results suggests that CMT has sufficient evidence that it is more effective in prevent or alleviating symptoms of lymphedema than conventional treating methods. However, due to the high risk of bias of included studies, further researches are needed with higher quality of evidence.

Keywords

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