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KMID : 1155620200150010001
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Journal of Korea CHUNA Manual Medicine for Spine & Nerves
2020 Volume.15 No. 1 p.1 ~ p.33
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Economic evaluation of manual therapy for musculoskeletal diseases: a systematic review and narrative synthesis of evidence
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Kim Chang-Gon
Lee Hyun-Jin
Kim Ka-Na
Shin Byung-Cheul
Ko Youn-Seok
Park Tae-Yong
Ha Won-Bae
Lee Jung-Han
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Abstract
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Objectives: The aim of this study was to systematically review economic evaluations of manual therapy relevant to other interventions used for the management of musculoskeletal diseases.
Methods: We searched clinical and economic electronic databases and the reference list of related systematic reviews and included studies up to 2 February 2017. Two reviewers independently selected studies for inclusion and performed the risk of bias assessment by the Cochrane and the Drummond checklist and extracted data independently.
Results: We screened 3,327 economic evaluation-related references and included a total of 18 randomized controlled trials studies. The economic evaluation was conducted as a comparison of the effectiveness of manual therapy intervention with other alternatives. Manual therapy techniques were more cost-effective for improving low back and shoulder pain and lateral epicondylalgia than spinal stabilization, general practitioner care, injection or etc. Moreover, manual therapy was dominant than general practitioner care, physiotherapy, self-management program, traction therapy in improving neck, musculoskeletal chest pain, osteoarthritis of the hip or knee, cervical spondylotic radiculopathy, and hand injury.
Conclusions: In ten out of 18 studies manual therapy was cost-effective, in five out of 10 studies manual therapy was dominant in the treatment of musculoskeletal diseases. This may indicate some economic value of manual therapy compared with other interventions. However, there is an overall lack of evidence as to the economic aspects of the use of manual therapy in the context of musculoskeletal disease treatment. Further well-organized research is needed to make more definitive conclusions and effective recommendations for policy making.
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KEYWORD
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economic evaluation, manual therapy, musculoskeletal diseases, systematic review
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