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Applicability of Daoyin Exercise with Therapeutic Exercise for Shoulder Pain: A Systematic Review and Meta-analysis

치료적 운동을 포함한 도인운동의 어깨 통증에 대한 적용 가능성 탐색: 체계적 문헌고찰 및 메타 분석

  • Hyeonsun Park (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Sanghyeon Park (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Jiho Lee (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Seohyun Park (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital) ;
  • Dongho Keum (Department of Korean Medicine Rehabilitation, Dongguk University Bundang Oriental Hospital)
  • 박현선 (동국대학교 분당한방병원 한방재활의학과) ;
  • 박상현 (동국대학교 분당한방병원 한방재활의학과) ;
  • 이지호 (동국대학교 분당한방병원 한방재활의학과) ;
  • 박서현 (동국대학교 분당한방병원 한방재활의학과) ;
  • 금동호 (동국대학교 분당한방병원 한방재활의학과)
  • Received : 2023.09.21
  • Accepted : 2023.10.15
  • Published : 2023.10.31

Abstract

Objectives The purpose of this study is to investigate therapeutic exercise and to provide the evidence of daoyin exercise for shoulder pain. Methods Electronic databases including PubMed, EMBASE, China National Knowledge Infrastructure, Science ON, Oriental Medicine Advanced Searching Integrated System were searched up to October 2022. We selected randomized controlled trials. The quality of studies was assessed by Cochrane risk of bias tool. Meta-analysis were perfomed by Review Manager software. Results Eighteen randomized controlled trials were collected in accordance with the selection and exclusion criteria. Among the 18 trials, 7 trials used strengthening exercise, 4 trials used stablilization exercise, 5 trials used both types of intervention, and 2 trials used daoyin exercise. The study characteristics, results and method of intervention were analyzed. Meta-analysis showed that therapeutic exercise appeared to more effective than no treatment group for shoulder pain (standardized mean difference=-1.18, 95% confidence interval=-1.44 to 0.91, Z=8.82, p<0.00001; chi2=2.71, p=0.61; I2=0%). Conclusions All of 18 selected studies reported the effectiveness of therapeutic exercise for shoulder pain. Combining strengthening and stablilization exercise is considered the most efficient way for shoulder pain. Based on this study, well-designed studies should be performed to be evidence of the use of daoyin exercise for shoulder pain.

Keywords

Acknowledgement

This study was conducted with the support of the Korea Health Industry Development Institute's Health and Medical Technology Research and Development Project with funding from the Ministry of Health and Welfare (Project Number: HF22C0127).

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