지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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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.
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참고문헌 (39)
참고문헌 신청
Arendt-Nielsen L / 2011 / Basic aspects of musculoskeletal pain : from acute to chronic pain / J Man Manip Ther 19(4):186~193
Bailey LB / 2017 / Effectiveness on manual therapy and stretching for baseball player with shoulder range of motion deficits / Sports Health 9(3):230~237
Carlson H / 2011 / An overview of the management of persistent musculoskeletal pain / Ther Adv Musculoskelet Dis 3(2):91~99
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
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
Bailey LB / 2017 / Effectiveness on manual therapy and stretching for baseball player with shoulder range of motion deficits / Sports Health 9(3):230~237
Carlson H / 2011 / An overview of the management of persistent musculoskeletal pain / Ther Adv Musculoskelet Dis 3(2):91~99
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
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
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