한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제35권2호
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  • Pages.1-10
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  • 2025
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  • 1229-1854(pISSN)
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  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
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경추통에 대한 자가 운동의 효과: 체계적 문헌고찰

Self-Exercise for Neck Pain: A Systematic Review

  • 안재규 (부산대학교 한의학전문대학원 ) ;
  • 이연우 (부산대학교 한의학전문대학원 ) ;
  • 신영재 (부산대학교 한의학전문대학원 ) ;
  • 신봉진 (부산대학교 한의학전문대학원 ) ;
  • 이정경 (부산대학교한방병원 한방재활의학과) ;
  • 황의형 (부산대학교 한의학전문대학원 )
  • Jae-Gyu An (School of Korean Medicine, Pusan National University) ;
  • Yeon-Woo Lee (School of Korean Medicine, Pusan National University) ;
  • Yeong-Jae Shin (School of Korean Medicine, Pusan National University) ;
  • Bong-Jin Shin (School of Korean Medicine, Pusan National University) ;
  • Jung-Gyung Lee (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Eui-Hyoung Hwang (School of Korean Medicine, Pusan National University)
  • 투고 : 2025.03.21
  • 심사 : 2025.04.08
  • 발행 : 2025.04.30
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초록

Objectives This study focused on evaluating the effectiveness of self-exercise in managing cervical pain. Methods This study reviewed seven electronic databases, namely the Cochrane Library, Embase, PubMed, China Academic Journals of Chinese National Knowledge Infrastructure, ScienceON, Korean Studies Information Service System, and Research Information Sharing Service, up to October 2024. Moreover, randomized controlled trials (RCTs) examining the impact of self-exercise on cervical pain were included. The quality of the selected studies was evaluated using the Cochrane risk of bias tool 2.0. Results Six studies were eligible based on the inclusion criteria. A meta-analysis was conducted on four studies to evaluate the pain-reducing effect of self-exercise. Accordingly, self-exercise showed a significant pain-reducing effect (standardized mean difference [SMD] -0.72; 95% confidence interval [CI], -1.10 to -0.35; p<0.001) when compared to the control group that was provided only brochures. The comparison between self-exercise and therapist-led exercise therapy showed no statistically significant difference in pain reduction (SMD 0.37; 95% CI, -0.53 to 1.28; p=0.42). Three studies were found to have a high risk of bias in the risk of bias analysis. Conclusions The meta-analysis of two studies showed significant findings. However, there are limitations, as the overall analysis included only six studies, with three of them exhibiting a high risk of bias. The findings indicate that self-exercise could aid in pain management and functional improvement for patients with cervical pain, but the current evidence remains limited. Future research will require more high-quality RCTs.

키워드

과제정보

This work was supported by clinical research grant from Pusan National University Hospital in 2024.

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