The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
권호 표지
DOI QR코드

DOI QR Code

A Research Analysis of Current Trends in Manual Therapy for Low Back and Pelvic Girdle Pain as Regards Pregnancy

임신과 관련하여 발생한 요통 및 골반통에서 수기요법에 관한 국내외 연구동향

  • Park, Na-Ri (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Daegu Haany University) ;
  • Lee, Yun-Jin (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Daegu Haany University) ;
  • Chu, Hui-Yeong (Department of Rehabilitation Medicine of Korean Medicine, Haeundae Jaseng Hospital of Korean Medicine) ;
  • An, Hee-Duk (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Daegu Haany University) ;
  • Yang, Doo-Hwa (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Daegu Haany University)
  • 박나리 (대구한의대학교 부속 대구한방병원 한방재활의학과) ;
  • 이윤진 (대구한의대학교 부속 대구한방병원 한방재활의학과) ;
  • 추희영 (해운대자생한방병원 한방재활의학과) ;
  • 안희덕 (대구한의대학교 부속 대구한방병원 한방재활의학과) ;
  • 양두화 (대구한의대학교 부속 대구한방병원 한방재활의학과)
  • Received : 2020.05.15
  • Accepted : 2020.06.01
  • Published : 2020.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study aimed to determine the current trends in manual therapy for low back and pelvic girdle pain as regards pregnancy. Methods : Using 7 online databases, we searched for appropriate clinical studies. Results : Eighteen studies were selected from online databases. The included studies consisted of 8 randomized controlled trials, 6 uncontrolled trials, 4 case reports, and 1 non-randomized controlled trial. Four studies were performed in pregnant patients, while others were in postpartum patients. The majority of studies used relaxing or rubbing of soft tissue and some of the studies were manipulated. The visual analog scale (VAS) was the most frequently used outcome, with the effective rate second. Conclusions : This study demonstrates that manual therapy may be a promising therapeutic option low back and pelvic girdle pain for patients as regards pregnancy or postpartum.

Keywords

References

  1. The Society of Korean Medicine Obstetrics and Gynecology. Oriental Obstetrics & Gynecology. Seoul: Uiseongdang. 3th edition. 2012:413, 775-80, 950.
  2. The Society of Medicine Obstetrics and Gynecology. Obstetrics & Gynecology. Seoul:Koonja. 4th edition. 2015:151.
  3. Stuge B. Diagnosis and treatment of pelvic girdle pain. Tidsskr Nor Laegeforen. 2010;130(21):2141-5. https://doi.org/10.4045/tidsskr.09.0702
  4. Hensel K, Buchanan S, Brown S, Rodgriguez M, Cruser A. Research on Osteopathic Manipulation Optimizing Treatment Effects: The PROMOTE STUDY A Randomized Controlled Trial. Am J Obstet Gynecol. 2015;212(1):108.e1-9. https://doi.org/10.1016/j.ajog.2014.07.043
  5. Lee JB, Im JG, Geol LH, Yeong JS. A Case Report on Postpartum Pelvic Pain Applied Chuna Treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2011;6(1):11-7.
  6. Lee SC, Bae SE, Kim HJ, Kim IJ, Shin JS, Kim CS, Ahn YT. Clinical Study on the Effect of Chuna Manipulation in Treating Postpartum Patients with Low Back Pain and Pelvic Girdle Pain. Korean J Obstet Gynecol. 2012;25(3):117-31.
  7. Choi KH, Jung EH, Kwon JM, Yoo DY. A Clinical Study on 1 Case of Postpartum Patient with Pelvic Girdle Pain. Korean J Obstet Gynecol. 2013;26(4):204-12. https://doi.org/10.15204/jkobgy.2013.26.4.204
  8. Lee EH. A Clinical Study of Acute Low Back Pain treated by Chuna & General Oriental Therapy during Pregnancy. Korean& J Obstet Gynecol. 2016;29(3):110-20. https://doi.org/10.15204/jkobgy.2016.29.3.110
  9. Gausel AM, Kjaermann I, Malmqvist S, Andersen K, Dalen I, Larsen JP, Okland I. Chiropractic Management of Dominating One-sided Pelvic Girdle Pain in Pregnant Women; A Randomized Controlled Trial. BMC Pregnancy Childbirth. 2017;17:331. https://doi.org/10.1186/s12884-017-1528-9
  10. Licciardone JC, Buchanan S, Hensel KL, King HH, Fulda KG, Stoll ST. Osteopathic Manipulative Treatment of Back Pain and Related Symptoms during Pregnancy: A Randomized Controlled Trial. Am J Obstet Gynecol. 2010;202(1):43.e1-8. https://doi.org/10.1016/j.ajog.2009.07.057
  11. Hastings V, McCallister AM, Curtis SA, Valant RJ, Yao S. Efficacy of Osteopathic Manipulative Treatment for Management of Postpartum Pain. Am J Osteopath Assoc. 2016;116(8):502-9.
  12. Schwerla F, Rother K, Rother D, Ruetz M, Resch KL. Osteopathic Manipulative Therapy in Women With Postpartum Low Back Pain and Disability: A Pragmatic Randomized Controlled Trial. Am J Osteopath Assoc. 2015;115(7):416-25.
  13. Zhu S, Wang S. Guoshi Techniques with Traditional Chinese Medicine Combined with Western Medicine Treatment of Postpartum Pain Randomized Controlled Study. J of Prac Traditional Chinese Internal Med. 2013;27(2):13-4.
  14. Hwang DS, Bang MM, Hae GJ. Observation on the Effect of Traditional Chinese Medicine Blanching Combined with Chiropractic Therapy on Postpartum Low Back Pain. Practical Clinical J of Integrated Traditional Chinese and Western Medicine. 2016;16(2):48-50.
  15. Feng ZW. Clinical Effect of Acupuncture and Regulation Tendon Plus Duhuojisheng Decoction in the Treatment of Postpartum Lumbago. China modern med. 2017;24(17):136-8.
  16. Ma JH, Huang Y, Zhang H. Massage Three-step Method for the Treatment of 54 Cases of Postpartum Lumbosacral pain. Chinese J Traditional Chinese Medicine. 2006;24(2):362.
  17. Ho IP, Lee EM. Treatment of 28 Cases of Postpartum Pelvic Ring Injury Syndrome with Manipulative Treatment. J of Emergency in Traditional Chinese Med. 2010;19(10):1805.
  18. Zhi EJ. Manipulative for Postpartum Low Back Pain. J of Chinese Manipulation & Qi Gong Therapy. 2007;23(10):34.
  19. Zhang JQ. Massage Treatment on Pulleys Symposia and Separation Symptom after Delivery. J of Jingganghan Medical College. 2003;10(1):63.
  20. Jang. Clinical Observation of Electroacupuncture Combined with Jia's Acupoint in the Treatment of Postpartum Low Back Pain. J of China's Naturopathy. 2018;26(4):37-8.
  21. Li YX. Manipulative treatment of pelvis ring injury syndrome after part in 21 patients. J Orthop Trauma. 2005;18(3):150. https://doi.org/10.1097/00005131-200403000-00005
  22. Breen TW, Ransil BJ, Groves PA, Oriole NE. Factors Associated with Back Pain after Childbirth. Anesthesilolgy. 1994;81:29-34. https://doi.org/10.1097/00000542-199407000-00006
  23. Noren L, Ostgaard S, Johansson G, Ostgaard HC. et al. Lumbar Back and Posterior Pelvic Pain during Pregnancy: A 3-year follow-up. Eur Spine J. 2001;11(3):267-71. https://doi.org/10.1007/s00586-001-0357-7
  24. Caroline a stone. Visceral and obstetric osteopathy. London:churchill livingstone. 2006:303.
  25. Deman L, Buyruk M, Goler-Uysal F, Lotgering F, Snijders C, Stam JH. Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints. Acta Obstet Gynecol Scand. 2001;80:1019-24. https://doi.org/10.1080/obs.80.11.1019.1024
  26. Sjodahl J, Gutke A, Ghaffari G, Stromberg T, Oberg B. Response of the Muscles in the Pelvic Floor and the Lower Lateral Abdominal Wall during the Active Straight Leg Raise in Women with and without Pelvic Girdle Pain: An Experimental Study. Clinic Biomech. 2016;35:49-55. https://doi.org/10.1016/j.clinbiomech.2016.04.007
  27. Gnat R, Spoor K, Pool-Goudzwaard A. The Influence of Simulated Transversus Abdominis Muscle Force on Sacroiliac Joint Flexibility during Asymmetric Moment Application to the Pelvis. Clinic Biomech. 2015;30:827-31. https://doi.org/10.1016/j.clinbiomech.2015.06.006
  28. Mens JMA, Pool-Goudzwaard A, Stam HJ. Mobility of the Pelvic Joints in Pregnancy-related Lumbopelvic Pain a Systematic Review. Obstet Gynecol Surv. 2009;64:200-8. https://doi.org/10.1097/OGX.0b013e3181950f1b
  29. Stephen sandler. Osteopathy and Obstetrics. Tunbridge Wells:Anshan. 2012:174-5.
  30. Korean Society of Chuna Manual Medicine for Spine & Nerve. Chuna Manual Medicine. 2.5th edition. Seoul:Korea. Society of Chuna Manual Medicine for Spine & Nerve. 2014;26-37, 100.