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Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study

Studies have reported that mild adverse events (AEs) are common after manual therapy and that there is a risk of serious injury. We aimed to assess the safety of Chuna manipulation therapy (CMT), a traditional manual Korean therapy, by analysing AEs in patients who underwent this treatment. Patients...

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Autores principales: Kim, Suna, Kim, Gook-Beom, Kim, Hyo-jun, Park, Joon, Lee, Ji-Won, Jeong, Wu-jin, Kim, Hye-Gyeong, Kim, Min-Young, Park, Kyoung-Sun, Lee, Jinho, Lee, Jun-Hwan, Shin, Joon-Shik, Shin, Byung-Cheul, Ha, In-Hyuk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871927/
https://www.ncbi.nlm.nih.gov/pubmed/35206908
http://dx.doi.org/10.3390/healthcare10020294
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author Kim, Suna
Kim, Gook-Beom
Kim, Hyo-jun
Park, Joon
Lee, Ji-Won
Jeong, Wu-jin
Kim, Hye-Gyeong
Kim, Min-Young
Park, Kyoung-Sun
Lee, Jinho
Lee, Jun-Hwan
Shin, Joon-Shik
Shin, Byung-Cheul
Ha, In-Hyuk
author_facet Kim, Suna
Kim, Gook-Beom
Kim, Hyo-jun
Park, Joon
Lee, Ji-Won
Jeong, Wu-jin
Kim, Hye-Gyeong
Kim, Min-Young
Park, Kyoung-Sun
Lee, Jinho
Lee, Jun-Hwan
Shin, Joon-Shik
Shin, Byung-Cheul
Ha, In-Hyuk
author_sort Kim, Suna
collection PubMed
description Studies have reported that mild adverse events (AEs) are common after manual therapy and that there is a risk of serious injury. We aimed to assess the safety of Chuna manipulation therapy (CMT), a traditional manual Korean therapy, by analysing AEs in patients who underwent this treatment. Patients who received at least one session of CMT between December 2009 and March 2019 at 14 Korean medicine hospitals were included. Electronic patient charts and internal audit data obtained from situation report logs were retrospectively analysed. All data were reviewed by two researchers. The inter-rater agreement was assessed using the Cohen’s kappa coefficient, and reliability analysis among hospitals was assessed using Cronbach’s Alpha coefficient. In total, 2,682,258 CMT procedures were performed in 289,953 patients during the study period. There were 50 AEs, including worsened pain (n = 29), rib fracture (n = 11), falls during treatment (n = 6), chest pain (n = 2), dizziness (n = 1), and unpleasant feeling (n = 1). The incidence of mild to moderate AEs was 1.83 (95% confidence interval [CI] 1.36–2.39) per 100,000 treatment sessions, and that of severe AEs was 0.04 (95% CI 0.00–0.16) per 100,000 treatment sessions. Thus, AEs of any level of severity were very rare after CMT. Moreover, there were no instances of carotid artery dissection or spinal cord injury, which are the most severe AEs associated with manual therapy in other countries.
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spelling pubmed-88719272022-02-25 Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study Kim, Suna Kim, Gook-Beom Kim, Hyo-jun Park, Joon Lee, Ji-Won Jeong, Wu-jin Kim, Hye-Gyeong Kim, Min-Young Park, Kyoung-Sun Lee, Jinho Lee, Jun-Hwan Shin, Joon-Shik Shin, Byung-Cheul Ha, In-Hyuk Healthcare (Basel) Article Studies have reported that mild adverse events (AEs) are common after manual therapy and that there is a risk of serious injury. We aimed to assess the safety of Chuna manipulation therapy (CMT), a traditional manual Korean therapy, by analysing AEs in patients who underwent this treatment. Patients who received at least one session of CMT between December 2009 and March 2019 at 14 Korean medicine hospitals were included. Electronic patient charts and internal audit data obtained from situation report logs were retrospectively analysed. All data were reviewed by two researchers. The inter-rater agreement was assessed using the Cohen’s kappa coefficient, and reliability analysis among hospitals was assessed using Cronbach’s Alpha coefficient. In total, 2,682,258 CMT procedures were performed in 289,953 patients during the study period. There were 50 AEs, including worsened pain (n = 29), rib fracture (n = 11), falls during treatment (n = 6), chest pain (n = 2), dizziness (n = 1), and unpleasant feeling (n = 1). The incidence of mild to moderate AEs was 1.83 (95% confidence interval [CI] 1.36–2.39) per 100,000 treatment sessions, and that of severe AEs was 0.04 (95% CI 0.00–0.16) per 100,000 treatment sessions. Thus, AEs of any level of severity were very rare after CMT. Moreover, there were no instances of carotid artery dissection or spinal cord injury, which are the most severe AEs associated with manual therapy in other countries. MDPI 2022-02-02 /pmc/articles/PMC8871927/ /pubmed/35206908 http://dx.doi.org/10.3390/healthcare10020294 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Suna
Kim, Gook-Beom
Kim, Hyo-jun
Park, Joon
Lee, Ji-Won
Jeong, Wu-jin
Kim, Hye-Gyeong
Kim, Min-Young
Park, Kyoung-Sun
Lee, Jinho
Lee, Jun-Hwan
Shin, Joon-Shik
Shin, Byung-Cheul
Ha, In-Hyuk
Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study
title Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study
title_full Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study
title_fullStr Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study
title_full_unstemmed Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study
title_short Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal Disorders: A Retrospective Study
title_sort safety of chuna manipulation therapy in 289,953 patients with musculoskeletal disorders: a retrospective study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8871927/
https://www.ncbi.nlm.nih.gov/pubmed/35206908
http://dx.doi.org/10.3390/healthcare10020294
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