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The Effect of Chuna Manual Therapy for Shoulder Pain in Hemiplegic Patients after Stroke: A Systematic Review and Meta-Analysis
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¿ÀÀº¹Ì(Oh Eun-Mi) - Daejeon University College of Korean Medicine Department of Korean Medicine Rehabilitation
ÀÌÀºÁ¤(Lee Eun-Jung) - Daejeon University College of Korean Medicine Department of Korean Medicine Rehabilitation
Abstract
Objectives : The purpose of this study is to assess the effectiveness of Chuna manual therapy for shoulder pain in hemiplegic patients after stroke.
Methods : For a systematic review and meta-analysis, we set a key question in accordance with participants, intervention, comparison, outcome, study design (PICO-SD). we searched for clinical studies that conducted chuna manual therapy for shoulder pain in hemiplegic patients after stroke 7 databases until September 2019. Only randomized controlled trials were chosen.
Results : Total 14 randomized controlled trials were chosen for systematic review and meta-analysis. 9 studies used efficacy rate as evaluation tool, and 8 used visual analogue scale. Pressure method (äâÕôúþ) was used in 11 studies, followed by osteopathy method (ïÚÍéúþ) and wave motion method (÷îÔÑúþ) in 9 studies. Chuna manual therapy showed statistically significant pain reduction effect. Through meta analysis, Chuna manual therapy showed significant pain reducing effect except the study with Chuna manual therapy and electroacupuncture compared to electroacupuncture only.
Conclusion : As a result, Chuna manual therapy showed statistically significant effect in pain reduction. However, almost studies were evaluated in a state of having probable high risk of bias. This suggests that it requires attention to make an interpretation in this study. Furthermore, more clinical research need to be accomplished in the future.
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Chuna, Shoulder pain, Stroke
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Chuna manual therapy showed statistically significant effect in pain reduction. However, almost studies were evaluated in a state of having probable high risk of bias.