척추 수술 실패 증후군에 대한 수기요법의 효과

• 영문명: Manual Therapy for Failed Back Surgery Syndrome: A Systematic Review
• 발행기관: 척추신경추나의학회
• 저자명: 윤홍렬 정지홍 김순중
• 간행물 정보: 『척추신경추나의학회지』제17권 제2호, 1~15쪽, 전체 15쪽
• 주제분류: 의약학 > 한의학
• 파일형태: PDF
• 발행일자: 2022.12.31

영문 초록

Objectives This study aimed to assess the efficacy and safety of manual therapy in patients with failed back surgery syndrome (FBSS). Methods We searched eight electronic databases from October 2022 and only selected randomized controlled trials (RCTs) reporting outcomes for manual therapy in FBSS patients. Included studies were analyzed qualitatively. Results A total of twelve RCTs were included and three studies were meta-analyzed. Manual therapy combined with exercise demonstrated more favorable outcomes in terms of pain reduction compared to exercise therapy only (P<0.01). Some studies reported that manual therapy resulted in low efficacy, while some studies reported that specific manual techniques have a significant effect in pain relief. We, therefore, conclude that several studies have a high risk of bias. Conclusions Findings suggest that manual therapy is a safe and non-invasive, promising option for managing FBSS. However, manual therapy is not the best option in all circumstances; thus, this should be selectively applied by a well-trained practitioner. Further studies such as well-designed, risk-controlled RCTs are required to gain stronger evidence.

목차

1. 서론

2. 대상 및 방법

3. 결과

4. 고찰

5. 결론

References

키워드

Failed back surgery syndrome Manual therapy Chuna manual therapy Systematic review Meta-analysis