Objective: This study aims to evaluate the effectiveness of chuna therapy for nonspecific chronic low back pain.
Methods: 10 databases (MEDLINE, CENTRAL, EMBASE, Koreamed, KMBASE, KISS, NDSL, KISTI, OASIS, CNKI) were searched from inception to April 2019. Randomized controlled trial studies...
Objective: This study aims to evaluate the effectiveness of chuna therapy for nonspecific chronic low back pain.
Methods: 10 databases (MEDLINE, CENTRAL, EMBASE, Koreamed, KMBASE, KISS, NDSL, KISTI, OASIS, CNKI) were searched from inception to April 2019. Randomized controlled trial studies using chuna therapy for nonspecific chronic low back pain were selected. There were no restrictions according to publication status. Data from the selected studies were extracted using a formal extraction tool. Primary outcome measurements were pain using VAS or NRS and function and disability using ODI or RMDQ. The risk of bias of each of the selected studies was assessed using the Cochrane risk of bias tool. For continuous data, standardized mean difference was calculated with 95% confidence intervals in a random effect model. Heterogeneity between the selected studies was assessed using the forest plot and Chi-square test.
Results: 5,238 records were verified from the searched databases. After screening the records, 18 studies involving 1,883 participants were included in this systematic review. Chuna therapy showed significant effect on pain relief and function and disability score compared to sham chuna therapy. Chuna therapy as alone showed significant effect on pain relief and favorable effect on function and disability score. Chuna therapy as an add-on treatment, showed a favorable effect on pain relief and significantly improved function and disability score. Maintained chuna therapy was significantly effective compared to non-maintained chuna therapy. Among 18 studies, 1 study reported 6 cases of serious adverse events such as syncope and chest pain.
Conclusion: This systematic review suggests that chuna therapy can be an alternative and add-on treatment for non-specific low back pain. Chuna therapy has a significant effect on reducing pain and improving the function and has rare serious adverse events.
Keywords: Chuna therapy, Nonspecific chronic low back pain, Pain, Function and disability, Systematic review
Objective: This study aims to evaluate the effectiveness of chuna therapy for nonspecific chronic low back pain.
Methods: 10 databases (MEDLINE, CENTRAL, EMBASE, Koreamed, KMBASE, KISS, NDSL, KISTI, OASIS, CNKI) were searched from inception to April 2019. Randomized controlled trial studies using chuna therapy for nonspecific chronic low back pain were selected. There were no restrictions according to publication status. Data from the selected studies were extracted using a formal extraction tool. Primary outcome measurements were pain using VAS or NRS and function and disability using ODI or RMDQ. The risk of bias of each of the selected studies was assessed using the Cochrane risk of bias tool. For continuous data, standardized mean difference was calculated with 95% confidence intervals in a random effect model. Heterogeneity between the selected studies was assessed using the forest plot and Chi-square test.
Results: 5,238 records were verified from the searched databases. After screening the records, 18 studies involving 1,883 participants were included in this systematic review. Chuna therapy showed significant effect on pain relief and function and disability score compared to sham chuna therapy. Chuna therapy as alone showed significant effect on pain relief and favorable effect on function and disability score. Chuna therapy as an add-on treatment, showed a favorable effect on pain relief and significantly improved function and disability score. Maintained chuna therapy was significantly effective compared to non-maintained chuna therapy. Among 18 studies, 1 study reported 6 cases of serious adverse events such as syncope and chest pain.
Conclusion: This systematic review suggests that chuna therapy can be an alternative and add-on treatment for non-specific low back pain. Chuna therapy has a significant effect on reducing pain and improving the function and has rare serious adverse events.
Keywords: Chuna therapy, Nonspecific chronic low back pain, Pain, Function and disability, Systematic review
Keyword
#추나, 비특이적 만성 요통, Chuna therapy, Nonspecific chronic low back pain, Pain, Function and disability, Systematic review
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