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Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Joint Authors
Shin, Byung-Cheul
Ha, In-Hyuk
Lee, Jun-Hwan
Kim, Koh-Woon
Lee, Nam-Woo
Kim, Gee-Heon
Hwang, Eui-Hyoung
Heo, In
Source
Evidence-Based Complementary and Alternative Medicine
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-22, 22 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-12-26
Country of Publication
Egypt
No. of Pages
22
Main Subjects
Abstract EN
Objective.
To review the literature and systematically evaluate the effectiveness of Chuna (or Tuina) manual therapy (C[T]MT) on pain and function for musculoskeletal disorders.
Methods.
We searched 15 English, Chinese, Japanese, and Korean databases using relevant keywords.
All randomized controlled trials (RCTs) of C(T)MT for musculoskeletal disorders were considered, and we limited analyses to studies with a low-risk bias for randomization and/or allocation concealment.
Results.
Sixty-six RCTs with 6,170 participants were included.
One sham-controlled RCT showed that C(T)MT relieved pain more effectively than a sham control (SMD -3.09 [-3.59, -2.59]).
For active-controlled RCTs, pooled meta-analysis showed that C(T)MT had statistically significant effects on pain reduction, especially compared to traction (P<0.00001), drugs (P=0.04), and physical therapies (P<0.0001).
For functional improvement, combined effects of C(T)MT with drugs (P=0.04) and traction (P=0.05) also showed similar positive effects.
Conclusions.
This systematic review suggests that C(T)MT is safe and effective for pain reduction and functional improvement for musculoskeletal diseases; however, the evidence for functional improvement was not as strong as for pain reduction.
For future studies, high-quality RCTs such as sham-controlled studies with standardized interventions are needed to provide sufficient evidence on the effects of C(T)MT for musculoskeletal diseases.
Protocol registration number is CRD42016038307 04/07/2016.
American Psychological Association (APA)
Lee, Nam-Woo& Kim, Gee-Heon& Heo, In& Kim, Koh-Woon& Ha, In-Hyuk& Lee, Jun-Hwan…[et al.]. 2017. Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine،Vol. 2017, no. 2017, pp.1-22.
https://search.emarefa.net/detail/BIM-1154684
Modern Language Association (MLA)
Lee, Nam-Woo…[et al.]. Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine No. 2017 (2017), pp.1-22.
https://search.emarefa.net/detail/BIM-1154684
American Medical Association (AMA)
Lee, Nam-Woo& Kim, Gee-Heon& Heo, In& Kim, Koh-Woon& Ha, In-Hyuk& Lee, Jun-Hwan…[et al.]. Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evidence-Based Complementary and Alternative Medicine. 2017. Vol. 2017, no. 2017, pp.1-22.
https://search.emarefa.net/detail/BIM-1154684
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1154684