DOI QR코드

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근막통증증후군에 대한 추나요법을 포함한 한의복합치료의 효과: 체계적 문헌고찰

Effect of Combined Korean Medicine Including Chuna Manual Therapy for Myofascial Pain Syndrome: A Systematic Review

  • 백동윤 (부산대학교 한의학전문대학원) ;
  • 박진욱 (부산대학교 한의학전문대학원) ;
  • 이슬 (부산대학교 한의학전문대학원) ;
  • 이연우 (부산대학교 한의학전문대학원) ;
  • 전서재 (대한통합의료연구원) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학교실) ;
  • 황의형 (부산대학교한방병원 한방재활의학과)
  • Dongyun Baek (School of Korean Medicine, Pusan National University) ;
  • Jin-Wook Park (School of Korean Medicine, Pusan National University) ;
  • Seul Yi (School of Korean Medicine, Pusan National University) ;
  • Yeon-Woo Lee (School of Korean Medicine, Pusan National University) ;
  • Seojae Jeon (Korea Institute of Integrative Medicine) ;
  • Junghan Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University) ;
  • Eui-Hyoung Hwang (Department Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital)
  • 투고 : 2024.09.18
  • 심사 : 2024.10.06
  • 발행 : 2024.10.31

초록

Objectives This study aimed to evaluate the effect of combined Korean medicine treatment, including chuna manual therapy, for the management of myofascial pain syndrome (MPS). Methods This study was conducted across ten electronic databases, including PubMed, Ovid MEDLINE, Embase, The Cochrane Library, China Academic Journals (CAJ), ScienceON, Korean studies Koreanstudies Information Service System, Oriental Medicine Advanced Searching Intergrated System, Korean Traditional Knowledge Portal, and Research Information Sharing Service, up to August 2024. Randomized controlled trials (RCTs) investigating the effect of combined Korean medicine treatments, including chuna manual therapy, for MPS were selected. The methodological quality of included studies was assessed using the Cochrane risk of bias tool 2.0. Results Five RCTs met the inclusion criteria. A meta-analysis of two trials showed that combined Korean medicine treatments, including chuna manual therapy, demonstrated a statistically significant improvement in total effective rate compared to the control group. However, a high risk of bias was identified across all studies. Conclusions Despite favorable outcomes in the meta-analysis, the evidence supporting the effect of combined Korean medicine treatment, including chuna manual therapy, for MPS remains limited due to reliance on a single Chinese database (CAJ) and the methodological limitations of the included studies. Well-designed, high-quality RCTs are necessary to confirm these findings and address the identified limitations.

키워드

과제정보

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: RS-2000-KH142004).

참고문헌

  1. Bodine N. An overview of myofascial pain syndrome with a focus on trigger point injection. The Nurse Practitioner. 2023;48(11):18-25. https://doi.org/10.1097/01.NPR.0000000000000110
  2. Lavelle ED, Lavelle W, Smith HS. Myofascial trigger points. Anesthesiology Clinics. 2007;25(4):841-51, vii-iii. https://doi.org/10.1016/j.anclin.2007.07.003
  3. Xiong J, Zhou X, Luo X, Gong X, Jiang L, Luo Q, Zhang S, Jiang C, Pu T, Liu J, Zhang J, Li B, Chi H. Acupuncture therapy on myofascial pain syndrome: a systematic review and meta-analysis. Frontiers in Neurology. 2024;15:1374542.
  4. Simons DG, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual vol. 1. Philadelphia:Lippincott Williams & Wilkins. 1999:31-5.
  5. Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Practice & Research Clinical Rheumatology. 2011;25(2):185-98. https://doi.org/10.1016/j.berh.2011.01.002
  6. Kwon JH, Lee YH, Ok YH, Kim JH, Hong HR, Kim JS, Kim HJ. Critical evaluation about diagnosis and treatment of myofascial trigger points. Exercise Science. 2018;27(4):245-51. https://doi.org/10.15857/ksep.2018.27.4.245
  7. The Society of Korean Medicine Rehabilitation. Korean rehabilitation medicine. 5th ed. Paju:Globooks. 2020:124, 348-9.
  8. Ministry of Health and Welfare, Health Insurance Review & Assessment Service. Guidelines for chuna medicine pilot project. Wonju:Health Insurance Review & Assessment Service. 2017:19-20, 33.
  9. Park JS, Lim HH. Analysis of chuna manual therapy usage status after the application of chuna manual therapy health insurance (2019-2021). J Korean Med Rehabil. 2022;32(4):61-72. https://doi.org/10.18325/jkmr.2022.32.4.61
  10. Higgins JPT, Sterne JAC, Savovic J, Page MJ, Hrobjartsson A, Boutron I, Reeves B, Eldridge S. A revised tool for assessing risk of bias in randomized trials. Cochrane Database of Systematic Reviews. 2016;10(Suppl 1):29-31.
  11. Cai CS, Wei LQ, Yin J, Zeng ZY, Zhang Y, Zhao XJ. Efficacy of exercise prescription for treating chronic cervical myofascial pain syndrome. Orthopedic Journal of China. 2011;19(23):1964-6.
  12. Nie Y. Effect of suspension exercise therapy combined with ultrasound in the treatment of myofascial pain syndrome. The Journal of Cervicodynia and Lumbodynia. 2017;38(6):586-9.
  13. Lou YX. Effects of acupuncture and massage combined with celecoxib on cervical spine function in patients with cervical and shoulder myofascial pain syndrome. Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine. 2023;23(23):23-6.
  14. Yan HW. Clinical effects of manipulation, blood-letting puncture and cupping in treating myofascial pain syndrome of neck and back. Western Journal of Traditional Chinese Medicine. 2013;26(4):100-2.
  15. Yang HF, Chen FM, Ren F. Observation on the effect of bloodletting and cupping therapy after massage on myofascial pain syndrome of neck, shoulder and back. Contemporary Medical Symposium. 2018;16(11):67-8.
  16. Wang ZH, Yu TY. Tuina therapy. Beijing:Publishing House of Traditional Chinese Medicinet. 2012:155-6.
  17. Yuk JY. Effects of chuna therapy and chiropractic adjustment on treatment of dizziness. Korea Sports Research. 2017;27(1):23-7.
  18. Ministry of Health and Welfare. 2022 Korean medicine utilization and herbal medicine consumption survey [Internet]. Ministry of Health and Welfare; 2023 [cited 2024 Aug 27]. Available from: URL: https://www.mohw.go.kr/board.es?mid=a10503010100&bid=0027&act=view&list_no=375634&tag=&nPage=1.
  19. Shin YJ, Shin BJ, Lee YW, Park SY, Heo I, Hwang MS, Hwang EH, Shin BC. Analysis of research trends in Korean medicine treatments for myofascial pain syndrome: a scoping review. The Journal of Chuna Manual Medicine for Spine & Nerves. 2024;19(1):83-97.
  20. Lew J, Kim J, Nair P. Comparison of dry needling and trigger point manual therapy in patients with neck and upper back myofascial pain syndrome: a systematic review and meta-analysis. Journal of Manual & Manipulative Therapy. 2021;29(3):136-46. https://doi.org/10.1080/10669817.2020.1822618