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循证医学:推拿疗法治疗肌肉骨骼疼痛的系统评价-韩国文献中的随机临床试验。

Chuna therapy for musculoskeletal pain: a systematic review of randomized clinical trials in Korean literature.

机构信息

Brain Disease Research Center, Korea Institute of Oriental Medicine, Daejeon 305-811, South Korea.

出版信息

Chin J Integr Med. 2013 Mar;19(3):228-32. doi: 10.1007/s11655-012-1238-0. Epub 2012 Aug 18.

Abstract

OBJECTIVE

To evaluate the effectiveness of Chuna for the treatment of musculoskeletal pain as reported in Korean literature.

METHODS

We conducted an electronic literature search using seven Korean databases and manually searched six traditional Korean medicine journals. Risk of bias was assessed with the Cochrane criteria.

RESULTS

Six randomized controlled trials (RCTs) were included in the study. Compared with standard care, three RCTs suggested favorable effects of Chuna on neck pain due to a hypolordotic cervical spine, low back pain caused by traffic accidents, and low back pain. In contrast, compared with standard care, three RCTs failed to show positive effects on temporomandibular joint disorder, mandibular movement, and neck pain caused by traffic accidents.

CONCLUSIONS

Currently, the evidence of the effectiveness of Chuna for the treatment of musculoskeletal pain is not convincing. Further rigorously designed trials are warranted to determine its effectiveness.

摘要

目的

评估韩文文献中推拿治疗肌肉骨骼疼痛的疗效。

方法

我们使用七个韩国数据库进行电子文献检索,并手动检索了六本传统韩国医学期刊。使用 Cochrane 标准评估偏倚风险。

结果

本研究纳入了 6 项随机对照试验(RCT)。与标准治疗相比,3 项 RCT 表明推拿对因颈椎过度前屈引起的颈痛、交通事故引起的腰痛和腰痛有较好的疗效。相比之下,与标准治疗相比,3 项 RCT 未能显示推拿对颞下颌关节紊乱、下颌运动和交通事故引起的颈痛有积极作用。

结论

目前,推拿治疗肌肉骨骼疼痛的疗效证据尚不令人信服。需要进一步设计严谨的试验来确定其疗效。

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