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KMID : 1155620190140020001
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Journal of Korea CHUNA Manual Medicine for Spine & Nerves
2019 Volume.14 No. 2 p.1 ~ p.14
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Chuna Manual Therapy for Adhesive Capsulitis : A Systematic Review and Meta Analysis
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Cho Ju-Chan
Heo In
Park Sun-Young
Shin Byung-Cheul
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Abstract
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Objectives : To evaluate the effectiveness of Chuna Manual Therapy for adhesive capsulitis by a systematic review manner.
Methods : Five foreign electronic databases (Pubmed, Ovid-medline, Embase, Cochrane library, Chinese Academic Journals (CAJ)) and two Korean medical electronic databases (Oriental Medicine Advanced Searching Integrated System (OASIS) and Research Information Sharing Service (RISS)) were searched to find all randomized controlled trials (RCTs) using Chuna Manual Therapy as a treatment for adhesive capsulitis. The methodological quality of each RCT was assessed using the Cochrane risk of bias tool.
Results : Twenty-one RCTs met our inclusion criteria. The meta-analysis showed positive results on the use of Chuna Manual Therapy combined with acupuncture or exercise therapy in terms of the efficacy rate and pain using the Visual Analogue Scale (VAS), compared to acupuncture or exercise alone [SMD-1.81 (95% CI & -2.54, -1.08), P<0.001, RR 1.19 (95% CI 1.14, 1.23), P<0.001)].
Positive results in terms of efficacy rate were also obtained comparing Chuna Manual Therapy to acupuncture alone [RR 1.10 (95% CI1.02, 1.18), P=0.01].
Conclusions : Our systematic review found favorable results on the effectiveness of Chuna Manual Therapy for pain and efficacy rate of adhesive capsulitis. However, evidence was limited due to the lack of well-designed RCTs. More qualified clinical trials are needed to obtain stronger evidence.
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KEYWORD
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Chuna manual therapy, Adhesive capsulitis, Systematic review, Meta-analysis, Randomized controlled trials(RCTs), Preferred Reporting Items for Systematic Review and Meta-Analysis
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