Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
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DOI：
10.1155/2017/8218139
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发表时间：
2017
期刊：
影响因子：
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通讯作者：
Shin BC
中科院分区：
文献类型：
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作者：
Lee NW;Kim GH;Heo I;Kim KW;Ha IH;Lee JH;Hwang EH;Shin BC
回顾文献并系统评价推拿手法疗法(C[T]MT)对肌肉骨骼疾病疼痛和功能的疗效。我们使用相关关键词检索了15个英文、中文、日文和韩文数据库。我们考虑了C(T)MT治疗肌肉骨骼疾病的所有随机对照试验(RCT)，我们将分析限制在随机和/或分配隐藏的低风险偏向研究中。研究对象包括66个随机对照试验，6170名参与者。一项假对照随机对照试验显示，C(T)MT比假对照更有效地缓解疼痛(Smd−3.09[−3.59，−2.59])。对于主动控制的随机对照试验，混合荟萃分析显示，C(T)MT在减轻疼痛方面有统计学意义，特别是与牵引(P<；0.00001)、药物(P=0.04)和物理疗法(P<；0.0001)相比。在功能改善方面，C(T)MT联合药物(P=0.04)和牵引(P=0.05)也显示出类似的积极效果。这一系统的综述表明，C(T)MT在肌肉骨骼疾病的疼痛减轻和功能改善方面是安全和有效的；然而，功能改善的证据并不像疼痛减轻那样有力。对于未来的研究，需要高质量的随机对照试验，如带有标准化干预的假对照研究，以提供关于C(T)MT治疗肌肉骨骼疾病效果的充分证据。协议注册号为CRD42016038307 04/07/2016。
To review the literature and systematically evaluate the effectiveness of Chuna (or Tuina) manual therapy (C[T]MT) on pain and function for musculoskeletal disorders. We searched 15 English, Chinese, Japanese, and Korean databases using relevant keywords. All randomized controlled trials (RCTs) of C(T)MT for musculoskeletal disorders were considered, and we limited analyses to studies with a low-risk bias for randomization and/or allocation concealment. Sixty-six RCTs with 6,170 participants were included. One sham-controlled RCT showed that C(T)MT relieved pain more effectively than a sham control (SMD −3.09 [−3.59, −2.59]). For active-controlled RCTs, pooled meta-analysis showed that C(T)MT had statistically significant effects on pain reduction, especially compared to traction (P < 0.00001), drugs (P = 0.04), and physical therapies (P < 0.0001). For functional improvement, combined effects of C(T)MT with drugs (P = 0.04) and traction (P = 0.05) also showed similar positive effects. This systematic review suggests that C(T)MT is safe and effective for pain reduction and functional improvement for musculoskeletal diseases; however, the evidence for functional improvement was not as strong as for pain reduction. For future studies, high-quality RCTs such as sham-controlled studies with standardized interventions are needed to provide sufficient evidence on the effects of C(T)MT for musculoskeletal diseases. Protocol registration number is CRD42016038307 04/07/2016.