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Effect of Combined Korean Medicine Including Chuna Manual Therapy for Myofascial Pain Syndrome: A Systematic Review

근막통증증후군에 대한 추나요법을 포함한 한의복합치료의 효과: 체계적 문헌고찰

  • Dongyun Baek (School of Korean Medicine, Pusan National University) ;
  • Jin-Wook Park (School of Korean Medicine, Pusan National University) ;
  • Seul Yi (School of Korean Medicine, Pusan National University) ;
  • Yeon-Woo Lee (School of Korean Medicine, Pusan National University) ;
  • Seojae Jeon (Korea Institute of Integrative Medicine) ;
  • Junghan Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University) ;
  • Eui-Hyoung Hwang (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital)
  • 백동윤 (부산대학교 한의학전문대학원) ;
  • 박진욱 (부산대학교 한의학전문대학원) ;
  • 이슬 (부산대학교 한의학전문대학원) ;
  • 이연우 (부산대학교 한의학전문대학원) ;
  • 전서재 (대한통합의료연구원) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학교실) ;
  • 황의형 (부산대학교한방병원 한방재활의학과)
  • Received : 2024.09.18
  • Accepted : 2024.10.06
  • Published : 2024.10.31

Abstract

Objectives This study aimed to evaluate the effect of combined Korean medicine treatment, including chuna manual therapy, for the management of myofascial pain syndrome (MPS). Methods This study was conducted across ten electronic databases, including PubMed, Ovid MEDLINE, Embase, The Cochrane Library, China Academic Journals (CAJ), ScienceON, Korean studies Koreanstudies Information Service System, Oriental Medicine Advanced Searching Intergrated System, Korean Traditional Knowledge Portal, and Research Information Sharing Service, up to August 2024. Randomized controlled trials (RCTs) investigating the effect of combined Korean medicine treatments, including chuna manual therapy, for MPS were selected. The methodological quality of included studies was assessed using the Cochrane risk of bias tool 2.0. Results Five RCTs met the inclusion criteria. A meta-analysis of two trials showed that combined Korean medicine treatments, including chuna manual therapy, demonstrated a statistically significant improvement in total effective rate compared to the control group. However, a high risk of bias was identified across all studies. Conclusions Despite favorable outcomes in the meta-analysis, the evidence supporting the effect of combined Korean medicine treatment, including chuna manual therapy, for MPS remains limited due to reliance on a single Chinese database (CAJ) and the methodological limitations of the included studies. Well-designed, high-quality RCTs are necessary to confirm these findings and address the identified limitations.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: RS-2000-KH142004).

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