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KMID : 1155620190140010001
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Journal of Korea CHUNA Manual Medicine for Spine & Nerves
2019 Volume.14 No. 1 p.1 ~ p.11
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Effect of Chuna Manual Therapy for Peripheral Facial Paralysis in Children : A Systematic Review
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Kim Eui-Byeol
Kang Ki-Wan
Kim Min-Woo
Ko Youn-Seok
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Abstract
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Objectives : The purpose of this study is to review clinical studies about the effect of chuna manual therapy (CMT) for peripheral facial paralysis in children.
Methods : In this review, we searched 11 electronic databases (Pubmed, Cochrane Library, EMBASE, CINAHL, CAJ, Oasis, NDSL, KISS, RISS, KISTI, Dbpia); We concluded our literature search in April 23, 2019. We included only randomized controlled trials (RCTs) of testing CMT for peripheral facial paralysis in children. The methodological quality of each RCT was assessed using the Cochrane risk of bias tool. The meta-analysis was performed by synthesizing outcome data of total efficacy rate (TER).
Results : After screening papers, a total of 6 RCTs were selected and analyzed. In the 6 RCTs, patients(n=15─60 per study) were randomized into groups for treatment and control. Specifically, the treatment group received CMT, while the control group was concurrently given usual care, such as acupuncture and medicine. The meta-analysis showed that the treatment group receiving CMT alone showed significant improvement in TER, compared to the control group receiving acupuncture therapy alone(P<0.05). And the treatment group receiving CMT combined with usual care showed positive results, in terms of TER, compared to the control group receiving usual care, but was not statistically significant(P>0.05).
Conclusions : Our analysis suggests that CMT has therapeutic effects for peripheral facial paralysis in children. However, to confirm this result, further investigation accompanied by high quality studies is required.
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KEYWORD
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Chuna manual therapy, CMT, Children, Facial paralysis, Systematic review
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