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

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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A Study on the Application of Chuna Therapy to Patients with Post-stroke Spasticity based on Korean Reseach

중풍 후 경직완화를 위한 추나요법 제언: 국내 임상연구를 기반으로

  • Kim, Min-Woo (Department of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University) ;
  • Ki, Sung-hoon (Academic board of Korea Society of CHUNA Manual Medicine for Spine & Nerves) ;
  • Han, Chang-Ho (Department of Korean Internal Medicine, College of Korean Medicine, Dongguk University) ;
  • Nam, Hang-Woo (Academic board of Korea Society of CHUNA Manual Medicine for Spine & Nerves) ;
  • Song, Yun-Kyung (Department of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University)
  • 김민우 (가천대학교 한의과대학 한방재활의학교실) ;
  • 기성훈 (척추신경추나의학회 학술위원회) ;
  • 한창호 (동국대학교 한의과대학 한방내과학교실) ;
  • 남항우 (척추신경추나의학회 학술위원회) ;
  • 송윤경 (가천대학교 한의과대학 한방재활의학교실)
  • Received : 2022.05.20
  • Accepted : 2022.06.08
  • Published : 2022.06.30
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Abstract

Objectives This study aimed to the application of Chuna manual therapy in patients with stroke where much evidence is not available. Methods Domestic databases (KOREANTK, OASIS, RISS, KISS, and KMBASE) were queried for literature showing application of Chuna manual therapy in stroke patients. Additionally, insufficient evidence was supplemented with expert consensus using the Delphi method. Based on the literature review and expert consensus, the academic committee of the Korean Society of Chuna Manual Medicine reviewed and summarized the Chuna technique recommendations that can be applied to stroke patients. Results There were six studies on Chuna manual therapy in stroke patients, and Chuna therapy was applied for pelvic, shoulder, and elbow joint spasticity. The expert Delphi survey did not agree with the application of the nine of the 69 standard Chuna techniques and deliberated on matters to be considered when applying Chuna manual therapy to stroke patients. Finally, based on clinical research literature and expert opinions, Chuna technique was recommended for patients with post-stroke spasticity. Conclusions The application of Chuna therapy to non-muscular skeletal disorders, including stroke is recommended and should be applied while taking the necessary precautions.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술연구개발사업 지원에 의하여 이루어진 것임(과제고유번호: HF20C0161).

References

  1. National Institute for Korean Medicine Development. Korean medicine clinical practice guideline for stroke. 2021.
  2. Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43(11):3132-6. https://doi.org/10.1161/strokeaha.111.639831
  3. Susan AO, Thomas JS. Physical rehabilitation assessment and treatment. In: Kang SH. trans. 3rd ed. Seoul: Yeongmunsa. 2001:352-64.
  4. Lundstrom E, Smits A, Borg J, Terent A. Four-fold increase in direct costs of stroke survivors with spasticity compared with stroke survivors without spasticity: The first year after the event. Stroke. 2010;41(2):319-24. https://doi.org/10.1161/strokeaha.109.558619
  5. Kim MK, Han CH. Chuna manual therapy for stroke: A systematic review and meta-analysis. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2019;14(2):15-28. http://doi.org/10.30581/jkcmm.2019.14.2.15
  6. Oh EM, Lee EJ. The effect of chuna manual therapy for shoulder pain in hemiplegic patients after stroke: A systematic review and meta-analysis. J Korean Medicine Rehabilitation. 2020;30(3):89-101. https://doi.org/10.18325/jkmr.2020.30.3.89
  7. Kim M, Han CH. E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care. J Korean Med. 2017;38(3):143-59. https://doi.org/10.13048/jkm.17032
  8. Ministry of Health and Welfare, Health Insurance Review & Assessment Service. Guidance for Chuna manual therapy pilot project. 2017 [cited 2019 Oct 22]; Available from: http://www.hira.or.kr/cms/inform/01/__icsFiles/afieldfile/2017/03/10/4Ae9a48rlIIH.pdf
  9. Korean Society of Chuna Manual Medicine for Spine and Nerves. Textbook of Chuna manual medicine. 2.5 ed. Seoul:Korean Society of Chuna Manual Medicine for Spine and Nerves. 2017.
  10. Bae BC, Kwon OG. The effect of adjusting leg length inequality by Chuna manual treatment on the cerebral blood flow in post-stroke hemiplegia. The Journal of East-West Medicine. 2010;35(3):75-84.
  11. Kwon OG, Jang WS, Woo CH, An HD. The efficacy of adjusting leg length inequality by Chuna manual treatment for post-stroke hemiplegia. Journal of Oriental Rehab Med. 2009;19(2):187-202.
  12. Kim MB, Chung SH, Kim SS. The influences of Chuna (shoulder traction) therapy for shoulder pain and range of movement in hemiplegic patients after stoke. Journal of Oriental Rehab Med. 2007;17(2):185-98.
  13. Kwon OG, Kim MS, Ahn HD, Woo CH. The efficacy of Sacro-Occipital technique for stroke patients on activity of daily living (ADL), leg function.balance. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007;2(2):57-68.
  14. Choi SP, Eun YJ, Soh MG, Cho TY, Song YK, Lim HH. The efficacy of Chuna manual therapy for stroke patients on activity of daily living (ADL), leg function balance, and arm function. Journal of Oriental Rehab Med. 2006; 16(4):97-113.
  15. Sim WJ, Moon SH, Ryu HJ, Jung SH, Kim SS, Lee JS. The effects of the muscles along meridians release therapy to spastic patients after stroke. Journal of Oriental Rehab Med. 2004;14(1):63-75.
  16. Susan AO, Thomas JS. translation Kang SH. Physical rehabilitation assessment and treatment. 3rd ed. Seoul: Yeongmunsa. 2001:352-64.
  17. D Burke. Spasticity as an adaptation to pyramidal tract injury. Adv Neurol. 1988;47:401-23.
  18. Lee SW, Yun JM, Son JW, Kang BG, Park SM, Yun HJ, Kim DJ, Kim TJ, Lee I, Shin YI, Moon BS. The effect of electroacupuncture on upper-extremity spasticity of stroke patients. Korean Journal of Oriental Internal Medicine. 2007; 28(3):492-501.
  19. Moon SK, Whang YK, Park SU, Ko CN, Kim YS, Bae HS, Cho KH. Antispastic effect of electroacupuncture and moxibustion in stroke patients. Am J Chin Med. 2003;31(3): 467-74. https://doi.org/10.1142/S0192415X03001077
  20. Kim YS. Antispastic Effects of electroacupuncture, TENS and NMES in Stroke Patient. The Journal of of Korean Acupuncture & Moxibustion Society. 2000;17(2):209-21.
  21. Kim JH, Kim SB, Jeong YK, Cho KH, Jung WS, Kwon SW, Mun SK. A case of post-stroke spasticity patient treated with low-frequency electroacupuncture. The Journal of the Society of Stroke on Korean Medicine. 2017;18(1): 47-54.
  22. Cho JH, Chung SH, Lee JS, Kim SS. MEMG analysis on antispastic effect of electroacupuncture and transcutaneous electrical nerve stimulation. Journal of Oriental Rehab Med. 2006;16(2):131-43.
  23. Sim WJ, Jung SH, Kim SS, Shin HD, Lee JS. Which is more effective for elbow spasticity after stroke, the electroacupuncture on Yin or Yang Meridians? Journal of Oriental Rehab Med. 2003;13(1):95-111.
  24. Kim JY, Kim BH, Kim HB, Yook TH, Kim JU. A review of Chuna manual therapy for tension type headache: Focusing on Pubmed and Korean literature. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2016;11(1):1-10.
  25. Lee YJ, Lee EB, Kim HJ, An HD, Yang DH. Chuna manual therapy for simple obesity: A systematic review and meta-analysis. The Journal of Chuna Manual Medicine for Spine & Nerves. 2021;16(1):43-52. https://doi.org/10.30581/jcmm.2021.16.1.43
  26. Cho JC, Park IH, Heo I. Chuna manual therapy for rhinitis: Systematic review and meta analysis. The Journal of Chuna Manual Medicine for Spine & Nerves. 2021; 16(1):35-42. https://doi.org/10.30581/jcmm.2021.16.1.35
  27. Hwang MS, Shin BC, Heo KH, Heo I, Kim BJ, Kim KB, Cheon JH, Park JH, Hwang EH. Chuna manual therapy for nocturnal crying; A systematic review. Journal of Korean Medicine Rehabilitation. 2015;25(3):51-7. http://dx.doi.org/10.18325/jkmr.2015.25.3.51
  28. Seo HR, Lee HY, Hwang MS. Chuna manual therapy for irritable bowel syndrome; A systematic review. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2016;11(2):1-9.
  29. Ko YS, Park TY, Kong JC, Oh WK, Song YS, Shin BC. The safety of cervical chuna manipulation; Mechanism, adverse reactions and cases report. Journal of Oriental Rehab Med. 2006;16(4):83-95.