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A Systematic Review and Meta-Analysis of Randomized Controlled Trials on Chuna Manual Therapy for Cervicogenic Headache

김근우|Ju-Young Kim|Dong-Wha Lee|Min-Ho Hong|Byung-Soo Koo
대한한방신경정신과학회 (The Korean Society Of Oriental Neuropsychiatry)|2019.06|동의신경정신과학회지 (The Korean Society of Oriental Neuropsychiatry)|제30권 제2호|pp. 89-105|DOI 10.7231/jon.2019.30.2.089

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키워드

.Systematic reviewMeta-analysis.Chuna manual therapyCervicogenic headache
주제분류한의학

초록

Objectives: We conducted this study to evaluate the efficacy of Chuna Manual Therapy (CMT) for treat-ment of cervicogenic headache (CeH) through systematic review and Meta-analysis of randomized controlled trials (RCTs) as a preceding research to further research the effective of Chuna Manual Therapy for patients who suffered from CeH.Methods: We conducted a systematic review and meta-analysis by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched the studies from MEDLINE, Elsevier- EMBASE, The Cochrane Library, CAJD, KISS, KMBase, Korean Traditional Knowledge Portal, NDSL, and OASIS. The studies selected only in randomized controlled trials. We selected the chosen studies by the selection and the exclusion criteria, and evaluated the quality of the selected studies using the Jadad score and the Cochran ROB tool. We used the Visual Analogue Scale score (VAS) and Clinical total Effective Rate (CER) for the results and analyzed the results of the included studies using RevMan 5.3 software provided by the Cochran library.Results: We included 20 RCTs, including 1,673 subjects, in the systematic review and meta-analysis. After the intervention, the CMT group showed better results than the pharmacotherapy group, the physiotherapy group, and the combined treatment group. The CMT group showed a good effect on the CER and the VAS but showed a significant heterogeneity compared to the pharmacotherapy group.Conclusions: The CMT as monotherapy might have benefits on Cervicogenic Headache patient. Further well-designed studies need to be conducted.

Abstract

Objectives: We conducted this study to evaluate the efficacy of Chuna Manual Therapy (CMT) for treat-ment of cervicogenic headache (CeH) through systematic review and Meta-analysis of randomized controlled trials (RCTs) as a preceding research to further research the effective of Chuna Manual Therapy for patients who suffered from CeH.Methods: We conducted a systematic review and meta-analysis by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We searched the studies from MEDLINE, Elsevier- EMBASE, The Cochrane Library, CAJD, KISS, KMBase, Korean Traditional Knowledge Portal, NDSL, and OASIS. The studies selected only in randomized controlled trials. We selected the chosen studies by the selection and the exclusion criteria, and evaluated the quality of the selected studies using the Jadad score and the Cochran ROB tool. We used the Visual Analogue Scale score (VAS) and Clinical total Effective Rate (CER) for the results and analyzed the results of the included studies using RevMan 5.3 software provided by the Cochran library.Results: We included 20 RCTs, including 1,673 subjects, in the systematic review and meta-analysis. After the intervention, the CMT group showed better results than the pharmacotherapy group, the physiotherapy group, and the combined treatment group. The CMT group showed a good effect on the CER and the VAS but showed a significant heterogeneity compared to the pharmacotherapy group.Conclusions: The CMT as monotherapy might have benefits on Cervicogenic Headache patient. Further well-designed studies need to be conducted.

참고문헌 (44)

  1. Krishna C, "Assess-ment of acute headache in adults – what the general physician needs to know", Clinical Medicine, 18(5), pp.422~427 (2018)
  2. Hamid RR, "Approach to Chronic Secondary Headache: A Case Report on Unusual Drug Side Effects", Iranian Journal of Medical Sciences, 42(6), pp.611~615 (2017)
  3. ICHD, "Headache Classification Subcommittee of the International Headache Society. The international classi-fication of headache disorders, 3rd edition (beta version)", Cephalalgia, 33(9), pp.629~808 (2013)
  4. Bogduk N, "The anatomical basis for cervicogenic head-ache", Journal of Manipulative & Physiological Therapeutics, 15(1), pp.67~70 (1992)
  5. Sjaastad O, "Cervicogenic headache: diagnostic criteria. The cervicogenic head-ache international study group", Headache, 38(6), pp.442~445 (1998)
  6. Aleksander C, "Manual therapies for cervico-genic headache: a systematic review", The Journal of Headache and Pain, 13(5), pp.351~359 (2012)
  7. Sjaastad O, "Prevalence of cervicogenic headache: Vaga study of headache epidemiology", Acta Neurologica Scandinavica, 117(3), pp.173~180 (2008)
  8. Ha YI, "The Headache Clinic", pp.56~ (1995), Korea Medicine
  9. Pfaffenrath V, "Cervicogenic headache-the clinical picture, radiological findings and hypotheses on its pathophysiology", Headache, 27(9), pp.495~499 (1987)
  10. Jun Li, "Pulsed radiofrequency of C2 dorsal root ganglion under ultrasound guidance for chronic migraine: a case report", Journal of Pain Re-search, 11, pp.1915~1919 (2018)
  11. 박만용, "교통사고 후 발생한 후두통의 근골격계 초음파를 이용한　침도치료 임상증례", Journal of Acupuncture Research, 28(2), pp.165~172 (2011), 대한침구의학회
  12. Lee GM, "A Clinical Study for Cervical Headache", The Journal of Korean Acupuncture & Moxibustion Medicine Society, 18(6), pp.114~124 (2001)
  13. 정원제, "교통사고 후 두통을 호소하는 환자의 풍지혈․후계혈 자침 효과에 대한 임상적 고찰 －무작위 임상 연구－", Journal of Acupuncture Research, 27(4), pp.127~136 (2010), 대한침구의학회
  14. 윤석훈, "교통사고로 유발된 경추성 두통 환자의 추나치료 효과에 대한 임상적 연구", 한방재활의학과학회지, 22(2), pp.165~175 (2012), 한방재활의학과학회
  15. Do HJ, "Comparative effectiveness and economic evaluation of Chuna Manual Therapy for chronic neck pain: protocol for a multicenter randomized controlled trial", Trials, 19(1), pp.1~11 (2018)
  16. Lee HE, "The Clinical Studies on the Patients with Headache Diagnosis ‘Cervical Sprain’ after the Car Accident", Journal of Oriental Sports Medicine, 9(1), pp.29~35 (2009)
  17. 신선호, "경추성 두통에 대한 추나 요법의 체계적 문헌고찰", 척추신경추나의학회지, 12(1), pp.1~12 (2017), 척추신경추나의학회
  18. Moher D, "Preferred re-porting items for systematic reviews and meta-analyses:the PRISMA statement", International Journal of Surgery, 8(5), pp.336~341 (2010)
  19. Higgins JP, "The Cochrane collaboration’s tool for as-sessing risk of bias in randomised trials", BMJ, 343, pp.d5928~ (2011)
  20. Luan G, "The Treatment of 52 Cases of Cervicogenic Headache", Chinese Journal of Physical Medicine and Rehabilitation, 24(2), pp.80~ (2002)
  21. Sun Y, "The Observation on Curative Effect of 28 Cases of Cervicogenic Headache by Manipulation", Chinese General Practice, 8(19), pp.1625~1626 (2005)
  22. Jiang Y, "Comparison of effects of three methods on the treatment of headache of cervical origin", Chinese Jounral of Clinical Rehabilitation, 9(33), pp.22~24 (2005)
  23. Chen L, "Comparative Study on Effects of Manipulation Treatment and Transcu-taneous Electrical Nerve Stimulation on Patients with Cervicogenic Headache", Journal of Chinese Integrative Medicine, 5(4), pp.403~406 (2007)
  24. Wang F, "The Treatment of Cervical Cervicogenic Headache with Tuina in 30 Cases", Journal of Traditional Chinese Medicine, 48(4), pp.149~150 (2007)
  25. Yan X, "The Clinical Observation of Osteopathic treatment for Cervicogenic Headache", Chinese Journal of Rehabilitation Medicine, 22(4), pp.356~357 (2007)
  26. Tang X, "The Clinical Classification and Occipito-cervical Individualized Manipulative Treat-ment for Cervicognic Headache", Chinese Journal of Traditional Medical Traumatology & Orthopedics, 16(1), pp.6~9 (2008)
  27. Huang H, "The Clinical Observation of Tuina Treatment of Cervicogenic Headache", Practical Chinese and Western Medicine Combined with Clinical, 8(4), pp.20~21 (2008)
  28. Wang F, "The Clinical Observation on Treatment of Cervical Headache with Scalp Manipulation", Journal of Sichuan of Traditional Chinese Medicine, 26(4), pp.113~114 (2008)
  29. Wei L, "The Tuina Treatment of 37 Cases of Cervical Headache", Chinese Manipulation & Qi Gong Therapy, 24(4), pp.14~15 (2008)
  30. Wei F, "The Therapeutic Effect of Manipulation on Cervico-genic Headache", The Journal of Medical Theory and Practice, 22(3), pp.285~287 (2009)
  31. Wang F, "The Clinical Observation of Manipulative Treatment for Cervicogenic Headache in 50cases", Chinese Journal of Traditional Medical Science and Technology Comprehensive, 16(6), pp.484~485 (2011)
  32. Li S, "Comparative Study of Massage in the Treatment of Cervicogenic Headache", Chinese Archives of Traditional Chinese Medicine, 29(5), pp.1168~1170 (2011)
  33. Yu M, "Efficacy Analysis of Treating Cervicogenic Head-ache by Massage", Clinical Journal of Traditional Chinese Medicine, 3(22), pp.77~ (2011)
  34. Quan X, "The Treatment of Cervicogenic Headache by Manipulative Therapy in 60 Cases", Journal of Zhejiang Traditional Chinese Medicine, 46(9), pp.655~656 (2011)
  35. Liu Y, "The Clinical Observation of Manipulative Treatment for Cervicogenic Headache", China Modern Doctor, 52(21), pp.150~152 (2014)
  36. Xu Y, "The Clinical Observation on 30 Cases of Cervical Headache Treated by Massage", Journal of Zhejiang Traditional Chinese Medicine, 51(10), pp.751~ (2016)
  37. Ding D, "The Clinical Observation of Manipulative treat-ment for Cervicogenic Headache in 100 cases", World Latest Medicine Information, 17(99), pp.163~164 (2017)
  38. Aleksander C, "Tuchin and Michael Bjørn Russell. Chiropractic spinal manipulative therapy for cer-vicogenic headache: a single‐blinded, placebo, random-ized controlled trial", BMC Research Notes, 10, pp.310~ (2017)
  39. Wang F, "Effect of Meridian Tendon Massage on Cervix Headache and Its Effect on Cervical Vertebra Activity", Progress in Modern Biomedicine, 18(20), pp.3887~3891 (2018)
  40. Lee YJ, "Manipulative Therapy", Korean Journal of Family Practice, 4(3), pp.194~202 (2014)
  41. David M, "Cervicogenic Headache: A Review of Diagnostic and Treatment Strategies", The Journal of the American Osteopathic Association. 200e J of Headache and Pain, 105(4), pp.16S~22S (2005)
  42. Aleksander C, "Manual therapies for cervico-genic headache: a systematic review", The Journal of Headache and Pain, 13(5), pp.351~359 (2012)
  43. Gert B, "Efficacy of spinal manipulation for chronic headache: A systemic review", Journal of Manipulative & Physiological Ther-apeutics, 24(7), pp.457~466 (2001)
  44. René F, "Pressure pain thresholds over the cranio-cervical region in headache: a systematic review and meta-analysis", The Journal of Headache and Pain, 19(1), pp.1~15 (2018)

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