Objectives This study aimed to analyze the clinical application of manual therapy (including Chuna) in autism spectrum disorders (ASD). Methods We utilized worldwide databases and identified studies by pre-defined criteria. Then we analyzed the characteristic of included studies and investigated the efficacy and safety (adverse events) of manual therapy. Results Total of 27 studies in five countries (including 23 randomized controlled trials) were included. Regarding the intervention in experimental group, 22 studies conducted the massage on the some body parts, acupuncture point or meridian. However, in control group, diverse interventions including applied behavior analysis, sensory integration, language or occupational therapy, and acupuncture treatment were conducted. For this reason, we classified the 27 included studies into 4 categories according to monotherapy & combination treatment and add-on type. In 4 categories, we confirmed the therapeutic effects of manual therapy and low incidence of adverse events. Conclusions In this study, we could identify the therapeutic possibility of manual therapy for the ASD. However, the extreme diversity in control intervention, subject types, and outcome measures limits the ability to induce clear conclusion. Further researches related to ASD would be needed.

Objectives This study aimed to systematically review the effect of manual therapy including Chuna for fever in children. Methods Randomized controlled trials(RCTs) on the treatment of Chuna therapy for fever in children were selected among studies published until May 2024 in six databases. Cochrane's risk of bias tool was used to evaluate the quality of selected studies and Revman 5.4.1 was used for the synthesis of results. Results 26 RCTs were finally selected and analyzed. The meta analysis showed excellent clinical effectiveness of manual therapy including Chuna. The total effective rate(TER) of manual therapy including Chuna and Chuna with conventional treatment is statistically higher than control group of conventional treatment. And, time until fever disappear of manual therapy including Chuna and Chuna with conventional treatment is statistically shorter than control group and daily amount and frequency of using ibuprophen is also statistically lower than control group. Conclusions This systemic review and meta analysis shows reliability, clinical effectiveness and significance of Chuna treatment for fever in children. However, the quality of the studies were somewhat low and there are some uncertainties in the result analysis due to heterogeneity between studies. More high quality clinical trials would be required.

Objectives The aim of this study was to systematically review and analyze the clinical efficacy of Chuna Manual Therapy (CMT) for the treatment of Sacroiliac Joint Syndrome (SIJS). Methods A comprehensive literature search was conducted up to April 2024, utilizing databases such as PubMed, EMBASE, The Cochrane Library, CNKI, ScienceON, Kmbase, OASIS, RISS, and KISS. Studies were selected based on the PICOS criteria: Participants (patients with SIJS), Intervention (CMT), Control (various treatments), Outcomes (pain and functional improvements), and Study design (randomized controlled trials, RCTs). The Risk of Bias (ROB) was assessed using the Cochrane ROB tool, and data were analyzed using Review Manager 5.4.1. The primary outcomes were pain reduction measured by Visual Analogue Scale (VAS) and treatment efficacy rates. Results Out of 330 identified studies, 10 RCTs involving 776 patients met the inclusion criteria. The selected studies compared CMT with acupuncture, pharmacotherapy (celecoxib), and physical therapy. Meta-analysis showed that CMT significantly reduced pain compared to physical therapy (p<0.00001). When compared with pharmacotherapy, the results indicated no statistically significant difference (p >0.05). Combined treatments of CMT with other modalities such as acupotomy and cupping showed enhanced efficacy rates and pain reduction, suggesting synergistic effects. Conclusions The review indicates that CMT is effective in reducing pain and improving function in patients with SIJS, especially when compared to physical therapy. However, the study also highlights the need for larger sample sizes and longer follow-up periods to validate these findings. Additionally, future studies should address the challenges of blinding in manual therapy trials to mitigate bias risks. Despite these limitations, CMT appears to be a viable option for the treatment of SIJS, with potential for enhanced outcomes when combined with other therapeutic modalities.

Objectives To evaluate the effectiveness of Manual therapy(MT) for plantar fasciitis. Methods Using nine electronic databases, we selected 10 randomized controlled trials(RCTs) that applied MT for plantar fasciitis and conducted a meta-analysis. The risk of bias was assessed using the Cochrane risk of bias tool. Results Meta-analysis showed statitically significant results for MT in terms of lower extremity functional scale(LEFS) and numeric pain rating scale(NPRS) compared to other treatment groups(p<0.005). Conclusions Findings suggest that MT is a safe and non-invasive, promising option for managing PF. Further studies such as well-designed, risk-controlled RCTs are required to support our findings.

Objectives The purpose of this study was to review the studies of domestic fascia manual treatment and suggestion for development direction. Methods Derive research questions using the scoping review methodology. Searching for related studies, the studies were selected, and the data were analyzed and reported. We searched domestic database for studies on fascia manual treatment reported till 2023. We reviewed 770 studies and 28 studies were selected. Results Of the total 28 studies, 1 literature study, 7 case reports, and 20 interventional studies. literature study was to assess the effect of fascia chuna therapy in the treatment of piriformis syndrome. Among the 7 case reports were conducted on patients with scoliosis, achilles tendinitis, plantar fasciitis, acute strain injury and meralgia paresthetica. Among the 20 intervention studies, 10 were single group studies. The remaining 10 studies were parallel design studies. Background diseases in the group included cervical pain, scoliosis, tension headache, and whiplash injury. Among the 7 case studies, the types of techniques used were used alone or in combination: MFR(Myofascial Release) was used in 5, fascia chuna therapy was used in 4, and Graston Technique was used in 1. In the 20 intervention studies, the most frequently used manual therapy was MFR in 14 cases, FDM(Fascial Distortion Model) in 6 studies, joint mobilization in 2 studies, foam roller in 2 studies, soft tissue mobilization in 1 study, and Self Myofascial Release in 1 study each. Conclusions Since myofascial pain syndrome was introduced in South of Korea in the 1990s, it has developed from the concept of fascia in a narrow sense(Myofascia) to the concept of fascia in a broad sense(Fascia), and the fascia technique has changed from the mainstream MFR technique to research into new fascia techniques such as FDM in recent years. In the future, discussions on extensive research and technique development are needed in the field of Korean Traditional Medicine.

Objectives This study aims to evaluate the effectiveness of cervical chuna manipulative treatment (CCMT) in patients with peripheral facial paralysis (PFP). Methods We conducted a comprehensive search of MEDLINE, CENTRAL, EMBASE, KMbase, OASIS and ScienceOn, and CNKI for randomized controlled trials (RCTs) comparing CCMT for PFP up to April 25, 2024. Risk of Bias was assessed using the Cochrane RoB tool. Results Among the 462 studies retrieved, 5 RCTs with a total of 340 patients were included in the systematic review. Of these, 4 RCTs that reported the total effectiveness rate as the primary outcome were included in the meta-analysis. CCMT combined with acupuncture showed significant improvement in total effectiveness rate compared to acupuncture alone (Relative Ratio [RR] 1.14, 95% CI 1.04 to 1.26, I²=49, P<0.008). However, the included studies had some limitations including uncertain risk of bias and short follow-up periods. Conclusions CCMT may be an effective treatment for PFP. Due to the low quality of evidence from the included studies, high-quality, well-designed RCTs are needed to further verify the effectiveness and safety of CCMT.

Objectives This study aims to explore the trends of Korean Medicine treatments for Myofascial pain syndrome (MPS) using a scoping review. Based on analyzing trends and results, we provide a comprehensive overview and suggest directions for future research in Korean Medicine treatments. Methods The study analyzed the trends in Korean medicine treatments for MPS over the past 20 years by using the scoping review method proposed by Arksey & O'Malley. Researchers searched databases including three international databases(PubMed, EMBASE, Cochrane Libaray) and three domestic databases(Science ON, KMBASE, Oriental Medicine Advanced Searching Integrated System) using keywords such as "Myofascial Pain Syndrome", "Myofascial pain" and various Korean medicine treatments. Results A total of 30 studies were included in this review. The number of studies has increased over the last decade. Most studies were conducted in Asia, particularly China. Acupuncture was the most frequently studied intervention, used in 43.4% of the studies. The main outcomes of the studies used VAS, NRS, MPQ, ROM and PPT. Although 18 studies showed significant benefits from Korean medicine treatments, there was inconsistency in evaluation methods and treatment protocols. Conclusions This study reviews the current trends in research on Korean medicine treatments for MPS. However, there is a need for more standardized research to establish the efficacy of various Korean medicine treatments. Future studies should focus on standardized evaluation criteria and expanding the range of treatments explored to build a stronger evidence base.

Objectives This study aimed to analyze the clinical application of manual therapy including Chuna in fracture. Methods We searched related studies using worldwide databases and analyzed the identified studies by classifying fracture regions and type of manual therapy including Chuna techniques. Results Total of 73 studies included according to previously established criteria. Among 73 studies, 53 studies treated upper limb, 9 studies treated lower limb, and 7 studies treated spine (4 studies did not report the region). 60 studies conducted bone setting manual therapy. Other 13 studies consists of Chuna manual therapy (5 studies), massage therapy (3 studies), and manual therapy combined other KM treatments (5 studies). 13 studies (non-bone setting manual therapy) primarily measured range of motion and the scale of pain intensity and function. Most outcome measures improved statistically. 13 studies (non-bone setting manual therapy) did not report adverse events. Conclusions In this study, we could identify the therapeutic possibility of Chuna and manual therapy for the fracture patients, assuming the precise judgement and correct procedure by skilled practitioner.

Objectives This case study purposed to report effect of Complex Korean Medicine Treatment and facial chuna manual therapy for patient with bilateral facial palsy in Miller fisher syndrome. Methods Complex Korean Medicine Treatments were performed on a patient with a Miller fisher syndrome. The patient complained of bilateral facial palsy, diplopia, dizziness, and ophthalmoplegia. To evaluate facial palsy degree, Sunnybrook Facial Grading system, Facial Nerve Grading Scale 2.0, and House Brackmann Grading Score were used. To evaluate other symptoms, distance of eyeball movement, distance of diplopia, and Numeric rating scale were used. Results After 6 weeks treatment, the degree of facial palsy, diplopia, dizziness improved. Conclusions This case study reports Complex Korean Medicine Treatment including facial chuna manual therapy may improve symptoms of Miller fisher syndrome.