소아 야제의 추나 및 수기 치료의 효과에 관한 체계적 문헌고찰 | ebook

학술논문

소아 야제의 추나 및 수기 치료의 효과에 관한 체계적 문헌고찰

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영문명: Systemic literature review on the effects of chiropractic and manual therapy on children with night crying
발행기관: 척추신경추나의학회
저자명: 권나연(Na-Yoen Kwon) 성현경(Hyun-Kyung Sung)
간행물 정보: 『척추신경추나의학회지』제20권 제1호, 105~117쪽, 전체 13쪽
주제분류: 의약학 > 한의학
파일형태: PDF
발행일자: 2025.06.30

4,360원

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Objectives This systematic review aimed to evaluate the therapeutic effects and safety of Chuna and manual therapies for children with nocturnal crying by analyzing randomized controlled trials (RCTs). Methods A literature search was conducted in May 2025 using databases including PubMed, CAJ, KISS, RISS, and OASIS. RCTs that investigated the effects of Chuna or manual therapy in children with nocturnal crying were selected. A total of 13 stud- ies met the inclusion criteria. Meta-analysis and risk of bias assessment were con- ducted, and the interventions and clinical outcomes were systematically analyzed. Results Thirteen RCTs were included, mostly targeting infants and toddlers. Treatment durations ranged from 4 days to 4 weeks, with the majority of studies ap- plying short-term treatment within 7 days. The most common treatment frequency was once daily. Among the included studies, 11 applied Chuna or manual therapy based on Korean medicine focusing on meridian and acupoint stimulation, one ap- plied chiropractic therapy, and one osteopathic treatment characterized by light touch and muscle relaxation. Risk of bias assessment showed that most studies had a low risk. Overall, Chuna and manual therapies demonstrated statistically significant im- provements in clinical outcomes such as increased sleep duration, reduced frequency of crying, and improvement in symptom scores compared to control groups. A meta-analysis of two studies comparing Chuna to herbal medicine revealed that Chuna was significantly more effective with low heterogeneity. Adverse events were mostly unreported or mild. Conclusions This systematic review of 13 RCTs suggests that Chuna and manual therapies may be safe and effective non-pharmacological interventions for nocturnal crying in infants and young children. These therapies can be a useful option for pa- tients with limited use of medication. Further rigorous clinical studies are needed to strengthen the evidence base and refine treatment protocols.

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