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Effects of Manual Therapy on Musculoskeletal Diseases: A meta-analysis
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근육뼈대계 질환에 대한 도수치료의 효과: 메타분석

논문 기본 정보

Type
Academic journal
Author
공광식 (동신대 한방병원) lee Jeong-Woo (광주여자대학교) 김동연 (청연 한방병원) 고운 (광주 365 재활병원)
Journal
대한통합의학회 대한통합의학회지 대한통합의학회지 제9권 제1호 KCI Accredited Journals
Published
2021.1
Pages
203 - 217 (15page)

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Effects of Manual Therapy on Musculoskeletal Diseases: A meta-analysis
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Abstract· Keywords

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Purpose : The purpose of this meta-analysis was to examine the effects of manual therapy on musculoskeletal diseases. Methods : Domestic databases (RISS, NDSL, KISS, KCI, Kmbase, and DBpia) were searched for studies that conducted clinical trials associated with manual therapy on chronic musculoskeletal diseases. A total of 591 studies published between 2005 and 2018 were identified, with 18 studies satisfying the inclusion data. The studies were classified according to patient, intervention, comparison, and outcome (PICO). The search outcomes were items associated with pain and physical function. The 18 studies that were included in the study were evaluated using R meta-analysis (version 4.0). The quality of 18 randomized control trials was evaluated using Cochrane risk of bias (ROB). Effect sizes were computed as the corrected standard mean difference (SMD). A random-effect model was used to analyze the effect size because of the high heterogeneity among the studies. Sub-group and meta-regression analysis were also used. Egger’s regression test was carried out to analyze the publishing bias. Cumulative meta-analysis and sensitivity analysis were also done to analyze a data error. Results : The following factors had a large effect size of manual theapy on chroinc musculoskeletal diseases: pain (Hedges’s g=2.66, 95 %CI=1.47~3.85), and physical function (Hedges’s g=2.15, 95 % CI: 1.22~3.08). The sub-group analysis only showed a statistical difference in the type of manual therapy (pain) and outcome (physical function). No statistically significant difference was found in the meta-regression analysis. Publishing bias was found in the data, but the results of the trim-and-fill method showed that such bias did not large affect the obtained data. Also, the cumulative meta-analysis and sensitivity analysis showed no data errors. Conclusion : This study provides evidence for the effectiveness of manual therapy on chronic musculoskeletal diseases in pain and physical function. Subgroup analysis suggest that only the type of manual therapy in pain and the type of outcome in physical function differed in effect size.
#musculoskeletal disease #manual therapy #mobilization #meta-analysis

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Arendt-Nielsen L / 2011 / Basic aspects of musculoskeletal pain : from acute to chronic pain / J Man Manip Ther 19(4):186~193 Crossref Bailey LB / 2017 / Effectiveness on manual therapy and stretching for baseball player with shoulder range of motion deficits / Sports Health 9(3):230~237 Crossref Carlson H / 2011 / An overview of the management of persistent musculoskeletal pain / Ther Adv Musculoskelet Dis 3(2):91~99 Crossref Camargo PR / 2015 / Effects of stretching and strengthening exercises, with and without manual therapy, on scapular kinematics, function, and pain in Individuals with shoulder impingement: a randomized controlled trial / J Orthop Sports Phys Ther 45(12):984~997 Crossref Choi YJ / 2016 / The effects of nerve mobilization of pain, lumbar dysfunction and hamstring flexibility in patient with sciatica / J Korean Soc Rhyth Exer 9(1):31~38 google schola

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