Chuna Manual Therapy Alone for Cervicogenic Dizziness: A Systematic Review

Shin, Seon-Ho; Min, Ki Ha; Kim, Eui-Byeol; Ha, Won-Bae; YounSeok, Ko

doi:10.18325/jkmr.2019.29.1.1

Cited by 7 publications

(5 citation statements)

References 6 publications

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“…Previous studies have explored a variety of treatments to improve the severity and frequency of dizziness by relaxing muscles and ameliorating abnormal proprioceptive sensitivity or impaired blood flow in the cervical region. Treatment strategies include physical therapy [ 1 , 3 , 7 , 10 , 18 – 22 ], surgery [ 10 , 16 ], topical drug injection [ 9 , 23 ], acupuncture therapy [ 24 , 25 ], and medications, such as muscle relaxants, opioids, nonsteroidal anti-inflammatory drugs, and anxiolytics, in combination with Chinese herbal medicines (CHMs). CHMs have been widely used for CGD, either alone or in combination with other treatments, based on their empirical effectiveness to suppress pain and improve blood circulation in the human body [ 24 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

Chinese Herbal Medicine for Cervicogenic Dizziness: A Systematic Review and Meta-Analysis

Shin

Lee

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Background. Chinese herbal medicines (CHMs) have been widely used in the treatment of cervicogenic dizziness (CGD) based on their empirical effectiveness and safety. Herein, we reviewed and evaluated the clinical evidence of the efficacy and safety of CHMs for CGD. Methods. Among the relevant studies published in 11 electronic databases up to December 2021, only randomised controlled trials were included. Methodological quality was assessed using the revised Cochrane risk-of-bias tool for randomised trials, and the strength of evidence for the main outcomes was evaluated using the grading of recommendations assessment, development, and evaluation system. Results. All 35 included randomised controlled trials with 3,862 participants were conducted with six types of modified CHM and four types of active controls. More than half of the included studies were of low quality because of the high risk of bias due to deviations from intended interventions. CHM plus active control was more effective in the treatment of CGD than active control alone. CHM plus anti-vertigo drugs, CHM plus manual therapy, CHM plus acupuncture therapy, and CHM plus manual and acupuncture therapy were all effective in treating CGD, with CHM plus manual and acupuncture therapy showing the most reliable effect. All CHMs were effective for specific patterns of CGD when administered with active controls, with Dingxuan Tang and Yiqi Congming Tang demonstrating the most reliable effects. No serious adverse events were reported in any of the included studies. Conclusion. The current evidence suggests that CHM may enhance the treatment of CGD when combined with other treatments without serious adverse events. Further high-quality evidence is needed to draw definitive conclusions.

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Section: Introductionmentioning

confidence: 99%

Chinese Herbal Medicine for Cervicogenic Dizziness: A Systematic Review and Meta-Analysis

Shin

Lee

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…The treatment of CGD has not been standardized yet; therefore, previous studies have explored a variety of treatments, including physical therapies, [ 3 , 4 , 8 , 10 , 18 – 22 ] surgery, [ 10 , 16 ] topical drug injection, [ 11 , 23 ] acupuncture therapy, [ 24 , 25 ] and medications, such as muscle relaxants, opioid drugs, nonsteroidal anti-inflammatory drugs, and anxiolytic drugs, in combination with Chinese herbal medicines, to improve the severity and frequency of dizziness, by relaxing muscles and ameliorating abnormal proprioceptive sensibility or impaired blood flow in the cervical region. Among these, herbal medicine is empirically used in combination with other treatments owing to its known therapeutic effect on CGD by suppressing pain and improving blood circulation in the human body.…”

Section: Introductionmentioning

confidence: 99%

Herbal medicine for cervicogenic dizziness

Shin

Lee

2020

Medicine

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Background: Herbal medicines are empirically used to treat cervicogenic dizziness. However, till date there have been no systematic review to evaluate the efficacy and safety of these medicines. Therefore, this study protocol describes the methods for evaluating the efficacy and safety of herbal medicine for cervicogenic dizziness. Methods and analysis: The following electronic academic databases will be searched up to December 2019 without language or publication status restrictions: Medical Literature Analysis and Retrieval System Online (MEDLINE), Excerpta Medica database (EMBASE), and the Cochrane Central Register of Controlled Trials (CENTRAL), together with Korean, Chinese, and Japanese databases. Any randomized controlled trials related to herbal medicine for cervicogenic dizziness will be included. The functional outcomes and the vertebrobasilar artery hemodynamic states will be evaluated as primary outcomes. The total effective rate, hematological conditions, and adverse events will be assessed as secondary outcomes. Study selection, data extraction, quality assessment of studies, and qualitative evaluation of clinical evidence will be performed by 2 independent reviewers. The methodological quality of the included studies will be evaluated using a revised Cochrane risk-of-bias tool for randomized trials. The strength of evidence from the included data will be evaluated using the Grading of Recommendations Assessment, Development, and Evaluation approach. Data synthesis will be performed as either a fixed-effects or a random-effects model using Review Manager software version 5.3. The results will be reported as a risk ratio for dichotomous outcomes and as a mean difference or standardized mean difference for continuous outcomes. Ethics and dissemination: No ethical approval is required since the individual clinical information of the patient is not used. The findings of this systematic review will be disseminated through the peer-reviewed publications or conference presentations. Review Registry Unique Identifying Number: reviewregistry1036.

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“…이 는 드물게는 수 년간 지속되어 위와 같은 생리학적 문 제 외에도 심리학적 문제까지 유발하여 삶의 질에 전반 적으로 영향을 미칠 수 있고 이로 인해 생산성 저하를 초래할 수 있다 9) . 현재까지 경추성 현훈에 대한 국내 한의학적 연구는 한방 복합치료, 전신조정술을 각각 사용하여 치료한 증 례보고 2편 10,11) , 추나요법을 사용한 치료 효과를 다룬 체계적 문헌고찰 2편 12,13)…”

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