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A Scoping Review of Quantitative Research on Korean Traditional Medicine Rehabilitation for Patients Undergoing Surgery for Musculoskeletal Diseases

근골격계 질환 수술 환자의 퇴원 후 한의재활에 관한 양적연구 주제범위 문헌고찰

  • Seyune Lee (Department of Health and Medical Information, Myongii College) ;
  • Boyoung Jeon (Department of Health and Medical Information, Myongii College) ;
  • Hongbi Kim (Department of Statistics and Data Science, Korea National Open University) ;
  • Hye-In Jeong (Department of Health and Medical Information, Myongii College) ;
  • Eunji Sim (Department of Health and Medical Information, Myongii College) ;
  • Suyeon Kim (Department of Health and Medical Information, Myongii College) ;
  • Yun-Kyung Song (Department of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University)
  • 이세윤 (명지전문대학 보건의료정보과) ;
  • 전보영 (명지전문대학 보건의료정보과) ;
  • 김홍비 (한국방송통신대학교 통계데이터과학과) ;
  • 정혜인 (명지전문대학 보건의료정보과) ;
  • 심은지 (명지전문대학 보건의료정보과) ;
  • 김수연 (명지전문대학 보건의료정보과) ;
  • 송윤경 (가천대학교 한의과대학 한방재활의학교실)
  • Received : 2024.09.18
  • Accepted : 2024.10.02
  • Published : 2024.10.31

Abstract

Objectives This study identifies the status of research studying the effectiveness of Korean traditional medicine rehabilitation after hip, shoulder, and back surgery, and it also identifies research gaps to suggest future research direction. Methods The study conducted a scoping review in major databases, including the Research Information Sharing Service, Korean studies Information Service System, and PubMed, and identified 15 quantitative studies published in 2012 and 2023. Results Five studies were on hip surgery, four were on back surgery, two were on shoulder surgery, and the other four were on multi-site surgeries. The studies performed various interventions, including acupuncture, herbal medicine, cupping, moxibustion, and chuna. Outcome indicators included pain, functional status, quality of life, complication, period of medical treatment, and medical expenses. Of the 15 studies in the review, 14 reported a positive effect of applying Korean medicine rehabilitation intervention after musculoskeletal surgery. Conclusions Korean traditional medicine was effective as a rehabilitation treatment for patients undergoing hip, shoulder, and lumbar surgery, as it reduced pain and complications and improved the patient's quality of life and physical function. Researchers should conduct more in-depth studies with diverse outcome indicators and representative data, such as health insurance claim data.

Keywords

Acknowledgement

This research was supported by the Health and Medical Technology Research and Development Project of Korea Health Industry Development Institute (KHIDI), with funding from the Ministry of Health and Welfare (Project identification number: RS-2023-KH139918).

References

  1. Healthcare Bigdata Hub. Frequent disease statistics [Internet]. Health Insurance Review & Assessment Service; 2023 [cited 2024 Apr 25]. Available from: URL: https://opendata.hira.or.kr/op/opc/olapHifrqSickInfoTab1.do. 
  2. Healthcare Bigdata Hub. Statistics on medical treatment by type of medical institution [Internet]. Health Insurance Review & Assessment Service; 2023 [cited 2024 Apr 25]. Available from: URL: https://opendata.hira.or.kr/op/opc/olapHifrqSickInfoTab1.do. 
  3. Korea Institute of Oriental Medicine. 2022 yearbook of Korean traditional medicine [Internet]. Korea Institute of Oriental Medicine; 2022 [cited 2024 Apr 25]. Available from: URL: https://kiom.re.kr/gallery.es?mid=a10204000000&bid=0003&b_list_cnt=8&act=view&list_no=43&nPage=1&vlist_no_npage=0&keyField=&keyWord=&ord=. 
  4. White HK. Post-acute care: current state and future directions. Journal of the American Medical Directors Association. 2019;20(4):392-5. 
  5. Perna A, Proietti L. Editorial on: musculoskeletal rehabilitation: current challenges and new perspectives. Journal of Clinical Medicine. 2023;12(12):3981. 
  6. Shin JY, You MS. A decomposition analysis of factors that increase therapeutic rehabilitation service expenditures. Health and Social Welfare Review. 2022;42(1):106-24. 
  7. Park HY, Kim YH, Park YS. Super-aged society and the surgical management of geriatric spinal diseases. Journal of Korean Society of Spine Surgery. 2023;30(4):182-90. 
  8. Jeong ES, You HR, Ryu MK. Establishment of a plan to evaluate the adequacy of joint replacement surgery. Wonju:Health Insurance Review & Assessment. 2019. 
  9. Kim CH, Chung CK, Park CS, Choi B, Kim MJ, Park BJ. Reoperation rate after surgery for lumbar herniated intervertebral disc disease: nationwide cohort study. Spine. 2013;38(7):581-90. 
  10. Song YK. Korean medicine clinical practice guideline for post-operative treatment of spinal disorders. Gyeongsan: National Institute for Korean Medicine Development. 2021. 
  11. Bajwa SJ, Haldar R. Pain management following spinal surgeries: an appraisal of the available options. Journal of Craniovertebral Junction and Spine. 2015;6(3):105-10. 
  12. Jung J, Shon MS. Epidemiology and etiology of shoulder pain based on health statistics data from healthcare bigdata hub in Korea. Journal of the Korean Medical Association. 2022;65(11):687-98.
  13. Gong NG, Kim NK, Kim HM, Lee HY. Study on cost-effectiveness evaluation of treatment of Korean medicine after rotator cuff surgery: a scoping review. Journal of Physiology & Pathology in Korean Medicine. 2022;36(2):48-53. 
  14. Sung AD, Baik YS, Jang S, Park JK, Sung HK, Lee JY, Shin BC, Choi SY, Sung SH. Utilization of traditional Korean medicine services by the older population: a cross-sectional study. Healthcare. 2022;10(8):1444. 
  15. Park JS, Song YK. A scoping review of musculotendinous releasing manual therapy and suggestions for clinical application. Journal of Korean Medicine for Obesity Research. 2023;23(1):18-27. 
  16. Lee KJ, Park CH, Lee YJ, Lee JH, Cho JH, Park TY, Yang NR, Hwang EH, Song YK. Trends of Korean medicine treatment after musculoskeletal disorder surgery: a literatural review. J Korean Med Rehabil. 2017;27(3):61-70. 
  17. Lee H, Kim H, Kim KW, Cho JH, Song MY, Chung WS. Effectiveness and safety of Korean medicine for pain management after musculoskeletal surgery: a retrospective study. Advances in Traditional Medicine. 2022;22(4):905-18. 
  18. Arksey H, O'Malley L. Scoping studies: towards a methodological framework. International Journal of Social Research Methodology. 2005;8(1):19-32. 
  19. Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tuncalp O, Straus SE. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Annals of Internal Medicine. 2018;169(7):467-73. 
  20. Seo HJ, Kim SY, Lee YJ, Jang BH, Park JE, Sheen SS, Hahn SK. A newly developed tool for classifying study designs in systematic reviews of interventions and exposures showed substantial reliability and validity. Journal of Clinical Epidemiology. 2016;70:200-5. 
  21. Ahn J, Ko J, Kim H, Rhee SM, Lee SH, Kim KW, Chung WS, Song MY, Chung SH, Lee J, Kim S, Cho JH. Effect of integrative Korean medicine on acute postoperative pain after arthroscopic shoulder surgery: a retrospective observational study. J Korean Med Rehabil. 2021;31(2):69-79. 
  22. Chen WH, Tsai WC, Wang HT, Wang CH, Tseng YT. Can early rehabilitation after osteoarthritis reduce knee and hip arthroplasty risk?: a national representative cohort study. Medicine. 2019;98(21):e15723. 
  23. Crespin DJ, Griffin KH, Johnson JR, Miller C, Finch MD, Rivard RL, Anseth S, Dusek JA. Acupuncture provides short-term pain relief for patients in a total joint replacement program. Pain Medicine. 2015;16(6):1195-203. 
  24. Hao YQ, Guo H, Zhu T, Xu ZC, Qi HD, Lu C, Yuan PW. Core decompression, lesion clearance and bone graft in combination with Tongluo Shenggu decoction for the treatment of osteonecrosis of the femoral head: a retrospective cohort study. Medicine. 2018;97(41):e12674. 
  25. Heo I, Hwang MS, Hwang EH, Cho JH, Ha IH, Shin KM, Lee JH, Kim NK, Son DW, Shin BC. Electroacupuncture as a complement to usual care for patients with non-acute low back pain after back surgery: a pilot randomised controlled trial. BMJ Open. 2018;8(5):e018464. 
  26. Khang HJ, Lee HY, Lee SY, Kim NK, Song YK. A comparative analysis on Korean medical and Western medical service usage tendency of rotator cuff surgery patients - using HIRA's patients sample data. Journal of Korean Medicine. 2021;42(4):133-49. 
  27. Khang H. A status and effectiveness of Korean medicine patients after musculoskeletal surgery: prospective multicenter registration study [Doctoral dissertation]. Gachon University; 2022. 
  28. Kim M. Clinical patterns and effects of Korean medicine on patients after musculoskeletal surgery: a multicenter retrospective study [Doctoral dissertation]. Gachon University; 2022. 
  29. Komann M, Weinmann C, Schwenkglenks M, Meissner W. Non-pharmacological methods and post-operative pain relief: an observational study. Anesthesia and Pain Medicine. 2019;9(2):e84674. 
  30. Lan F, Ma YH, Xue JX, Wang TL, Ma DQ. Transcutaneous electrical nerve stimulation on acupoints reduces fentanyl requirement for postoperative pain relief after total hip arthroplasty in elderly patients. Minerva Anestesiologica. 2012;78(8):887-95. 
  31. Lee HY, Kim N, Song YK. An exploratory health out-come analysis of lumbar surgery patients utilizing Korean medical services: using health insurance review and assessment service-national patients sample (HIRANPS 2019) data. The Journal of Chuna Manual Medicine for Spine & Nerves. 2022;17(2):131-9. 
  32. Oh J, Lee MJ, Kim H. The effect of traditional Korean medicine treatment and herbal network analysis in postoperative hip fracture inpatients. J Korean Med Rehabil. 2022;32(3):119-29. 
  33. Woo HJ, Geum JH, Lee JH. The effectiveness of Korean medical rehabilitation treatment after musculoskeletal surgery: a retrospective observational study. J Korean Med Rehabil. 2020;30(3):151-62. 
  34. Yao F, Zhang G, Xiang J, Shui Y, Zhang L. Acupuncture therapy fully improves the heart rate variability indexes of elderly patients with fractures. Alternative Therapies in Health and Medicine. 2024;30(3):86-9. 
  35. Ye SA, Kim NK, Song YK. Analysis of medical and Korean medical services utilization after lumbar surgery patients: using health insurance review and assessment service's patients sample data. J Korean Med Rehabil. 2019;29(4):89-100. 
  36. Jeong MJ, Woo CH, An HD. A study for developing oriental medicine clinical practice guideline. J Korean Med Rehabil. 2012;22(2):133-49. 
  37. Suh WJ, Seo Y, Jin C, Cho SY, Park SU, Jung WS, Moon SK, Park JM, Ko CN, Kwon S, Cho KH. Traditional East Asian herbal medicine for amyotrophic lateral sclerosis: a scoping review. Evidence-Based Complementary and Alternative Medicine. 2021;2021:5674142. 
  38. Park YK, Kim HS, Kim JS. Analysis and research on the status of use of Western and Korean medicine institutions by disease. Seoul:Research Institute for Healthcare Policy. 2016:14.