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

Chuna Manual Therapy for Carpal Tunnel Syndrome: A Systematic Review

손목 터널 증후군에 대한 추나요법의 효과: 체계적 문헌 고찰

  • Park, Sun-Young (Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital) ;
  • Lee, Sang-Hyun (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Heo, In (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Hwang, Eui-Hyoung (The third Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 박선영 (부산대학교 한의학전문대학원 임상의학 3부) ;
  • 이상현 (부산대학교 한방병원 한방재활의학과) ;
  • 허인 (부산대학교 한방병원 한방재활의학과) ;
  • 황의형 (부산대학교 한방병원 한방재활의학과)
  • Received : 2021.11.26
  • Accepted : 2021.12.06
  • Published : 2021.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives This systematic review aimed to provide evidence for the effectiveness and safety of Chuna manual therapy (CMT) for carpal tunnel syndrome (CTS). Methods We searched 12 electronic databases (PubMed, Ovid-MEDLINE, EMBASE, The Cochrane Library, CNKI, CiNii, ScienceON, KMbase, KISS, OASIS, KMTANK, and RISS) up to the end of October 2021. We only included randomized controlled trials (RCTs) investigating CMT for the treatment of CTS. The methodological quality of the included RCTs was evaluated using the Cochrane Risk of Bias Tool 1.0. Results Six RCTs were eligible for inclusion in our study. A meta-analysis of four studies demonstrated positive results for the use of CMT when used in conjunction with Korean medicine treatment compared to those for Western conservative treatment for CTS. Conjunction treatment significantly improved the total efficacy rate compared to conservative treatment alone (P=0.0007, n=4). Conclusions There is reliable evidence for the use of CMT in treating CTS based on a published meta-analysis. To measure only the effect of Chuna, an experimental group should be designed with Chuna alone to evaluate its effectiveness. However, it should be noted that the studies included in this systematic review were heterogeneous and of low quality, thus warranting further investigation using well-designed RCTs.

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: HF20C0201)

References

  1. The Society of Korean Medicine Rehabilitation Joint Disease. Korean rehabilitation nedicine. 5th ed. Paju:Globooks. 2020:140-1.
  2. Healthcare Bigdata Hub Disease Subdivision Statistics. 2021 [cited 2021 Oct 27]. Available from: URL:http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do
  3. Gelberman RH, Aronson D, Weisman MH. Carpal-tunnel syndrome. Results of a prospective trial of steroid injection and splinting. The Journal of Bone and Joint Surgery. 1980;62(7):1181-1184. https://doi.org/10.2106/00004623-198062070-00020
  4. MacDermid JC, Wessel J. Clinical diagnosis of carpal tunnel syndrome: a systematic review. Jounal of Hand Therpy. 2004;17(2):309-319. https://doi.org/10.1197/j.jht.2004.02.015.
  5. Szabo RM. Acute carpal tunnel syndrome. Hand Clinics. 1998;14(3):419-429. https://doi.org/10.1016/S0749-0712(21)00400-5
  6. Ekman-Ordeberg G, Salgeback S, Ordeberg G. Carpal tunnel syndrome in pregnancy: A prospective study. Acta Obstetricia et Gynecologica Scandinavica. 1987;66(3):233-235. https://doi.org/10.3109/00016348709020753
  7. Ellis J, Folkers K, Watanabe T, Kaji M, Saji S, Caldwell JW, Temple CA, Wood FS. Clinical results of a crossover treatment with pyridoxine and placebo of the carpal tunnel syndrome. Am J Clin Nutr. 1979;32(10):2040-6. https://doi.org/10.1093/ajcn/32.10.2040
  8. Kim YK, Oh MS. Study of Carpal tunnel syndrome. Journal of Haehwa medicine. 2008;17(1):129-136.
  9. Jung JY, Kim YI. The clinical study 5 cases through hot acupuncture for treating the carpal tunnel syndrome. Journal of Haehwa medicine. 2010;19(1):9-15.
  10. Hyun JY, Shin JE, IM CJ. Park JY. A systematic review of the reporting quality of acupuncture treatment for carpal tunnel syndrome. Korean Journal of Acupuncture. 2020;37(3):131-144. https://doi.org/10.14406/acu.2020.022
  11. Lee SH, Lee SJ. Carpal tunnel syndrome. J Korean Orthop Assoc. 2014;49(5):331-9. https://doi.org/10.4055/jkoa.2014.49.5.33
  12. Choi GH, Wieland LS, Lee H, Sim H, Lee MS, Shin BC. Acupuncture and related interventions for the treatment of symptoms associated with carpal tunnel syndrome. Cochrane Database Syst Rev. 2018;12(12):1-87. https://doi.org/10.1002/14651858.CD011215.pub2
  13. Wu IX, Lam VC, Ho RS, Cheung WK, Sit RW, Chou LW, Zhang Y, Leung TH, Chung VC. Acupuncture and related interventions for carpal tunnel syndrome: Systematic review. Clin Rehabil. 2020;34(1):34-44. https://doi.org/10.1177/0269215519877511
  14. Cheung WK, Wu IX, Sit RW, Ho RS, Wong CH, Wong SY, Chung VC. Low-level laser therapy for carpal tunnel syndrome: systematic review and network meta-analysis. Physiotherapy. 2020;106:24-35. doi:10.1016/j.physio.2019.06.005
  15. Mohammadi S, Roostayi MM, Naimi SS, Baghban AA. The effects of cupping therapy as a new approach in the physiotherapeutic management of carpal tunnel syndrome. Physiotherpy Research International. 2019;24(3):e1770. https://doi.org/10.1002/pri.1770
  16. Chu HY, Lee SW, Bae IS, Yoon KY, Youn JH, Hwang DW, Cho HW. A case of combined Korean medicine treatment of hip pain caused by obturator nerve entrapment: Case report. Journal of Korean Medicine Rehabilitation. 2020;30(3):163-9. https://doi.org/10.18325/jkmr.2020.30.3.163
  17. Koo JS, Jang JW, Kim SM, Choi JH, Jang YW, Kim DJ. Two clinical case studies on femoral neuralgia with nerve entrapment. J. Int. Korean Med. 2016;37(2):212-7.
  18. Higgins JPT, Green S. Cochrane handbook for systematic reviews of interventions 5.1.0 [updated September 2011]. The cochrane collaboration:John Wiley & Sons, Ltd. 2006:1-17.
  19. Lu XG, Yu LW, Gou HX, Wang P, Che W, An BC, Zhu DC. Clinical observation of massage combined with conventional western medicine in the treatment of mild-to-moderate carpal tunnel syndrome. SH. J. TCM. 2018;52(1):58-61.
  20. Cai DF. Warm-needling plus Tuina relaxing for the treatment of carpal tunnel syndrome. J Tradit Chin Med. 2010;30(1):23-4. https://doi.org/10.1016/s0254-6272(10)60007-6
  21. Qin FR, Tang C. Curative effect of manipulation combined with physical therapy such as ultra-laser in the treatment of carpal tunnel syndrome. Chinese Health Medicine. 2015;24(5):503-4.
  22. Zhang SM, Liu JQ. 40 cases of carpal tunnel syndrome treated with manipulation and external washing with Chinese medicine. Modern Traditional Chines Medicine. 2010;30(4):53-4. https://doi.org/10.1016/S0254-6272(10)60014-3
  23. Chen HM, Yang XC, Zheng QF, Wang HB, Ying QL. Effect of electroacupuncture combined with massage on median nerve conduction velocity and wrist joint motor function rehabilitation in patients with carpal tunnel syndrome. Global Traditional Chinese Medicine. 2021; 14(8):1525-8.
  24. Wang YS, Guo XW, Qin XY. Ob serve acute carpal tunnel syndrome's non-operative treatment,clinical curative effect and feasibility. Jilin Medicine. 2013;34(30):6215-6.
  25. Lee YK. Definition and classification of pain. Clinical Pain. 2002;1(1):1-3.
  26. Park SY, Lee SH, Heo I, Hwang MS, Hwang EH, Shin BC. Survey of difficulty, safety, and frequency of techniques by education training members of Korean society of chuna manual medicine for spine & nerves. 2019;14(2): 147-156. https://doi.org/10.30581/jkcmm.2019.14.2.147