PMID- 35206908
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220301
IS  - 2227-9032 (Print)
IS  - 2227-9032 (Electronic)
IS  - 2227-9032 (Linking)
VI  - 10
IP  - 2
DP  - 2022 Feb 2
TI  - Safety of Chuna Manipulation Therapy in 289,953 Patients with Musculoskeletal 
      Disorders: A Retrospective Study.
LID - 10.3390/healthcare10020294 [doi]
LID - 294
AB  - 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.
FAU - Kim, Suna
AU  - Kim S
AD  - Daejeon Jaseng Hospital of Korean Medicine, Daejeon 35263, Korea.
FAU - Kim, Gook-Beom
AU  - Kim GB
AD  - Daejeon Jaseng Hospital of Korean Medicine, Daejeon 35263, Korea.
FAU - Kim, Hyo-Jun
AU  - Kim HJ
AD  - Daejeon Jaseng Hospital of Korean Medicine, Daejeon 35263, Korea.
FAU - Park, Joon
AU  - Park J
AD  - Daejeon Jaseng Hospital of Korean Medicine, Daejeon 35263, Korea.
FAU - Lee, Ji-Won
AU  - Lee JW
AD  - Daejeon Jaseng Hospital of Korean Medicine, Daejeon 35263, Korea.
FAU - Jeong, Wu-Jin
AU  - Jeong WJ
AD  - Daejeon Jaseng Hospital of Korean Medicine, Daejeon 35263, Korea.
FAU - Kim, Hye-Gyeong
AU  - Kim HG
AD  - Daejeon Jaseng Hospital of Korean Medicine, Daejeon 35263, Korea.
FAU - Kim, Min-Young
AU  - Kim MY
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundations, Seoul 
      06110, Korea.
FAU - Park, Kyoung-Sun
AU  - Park KS
AD  - Jaseng Hospital of Korean Medicine, Seoul 06110, Korea.
FAU - Lee, Jinho
AU  - Lee J
AD  - Jaseng Hospital of Korean Medicine, Seoul 06110, Korea.
FAU - Lee, Jun-Hwan
AU  - Lee JH
AUID- ORCID: 0000-0001-5730-6869
AD  - Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, 
      Korea.
AD  - Korean Medicine Life Science, Campus of Korea Institute of Oriental Medicine, 
      University of Science & Technology (UST), Daejeon 34113, Korea.
FAU - Shin, Joon-Shik
AU  - Shin JS
AD  - Jaseng Hospital of Korean Medicine, Seoul 06110, Korea.
FAU - Shin, Byung-Cheul
AU  - Shin BC
AUID- ORCID: 0000-0002-0059-2689
AD  - School of Korean Medicine, Pusan National University, Yangsan 50612, Korea.
AD  - Spine & Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 
      50612, Korea.
FAU - Ha, In-Hyuk
AU  - Ha IH
AUID- ORCID: 0000-0002-5020-6723
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundations, Seoul 
      06110, Korea.
LA  - eng
GR  - HF21C0026/Ministry of Health and Welfare/
PT  - Journal Article
DEP - 20220202
PL  - Switzerland
TA  - Healthcare (Basel)
JT  - Healthcare (Basel, Switzerland)
JID - 101666525
PMC - PMC8871927
OTO - NOTNLM
OT  - Chuna manipulation therapy
OT  - Korean medicine
OT  - adverse events
OT  - manipulation
OT  - manual therapy
OT  - musculoskeletal disorders
OT  - safety
COIS- The authors declare no conflict of interest.
EDAT- 2022/02/26 06:00
MHDA- 2022/02/26 06:01
PMCR- 2022/02/02
CRDT- 2022/02/25 01:10
PHST- 2021/12/27 00:00 [received]
PHST- 2022/01/28 00:00 [revised]
PHST- 2022/01/29 00:00 [accepted]
PHST- 2022/02/25 01:10 [entrez]
PHST- 2022/02/26 06:00 [pubmed]
PHST- 2022/02/26 06:01 [medline]
PHST- 2022/02/02 00:00 [pmc-release]
AID - healthcare10020294 [pii]
AID - healthcare-10-00294 [pii]
AID - 10.3390/healthcare10020294 [doi]
PST - epublish
SO  - Healthcare (Basel). 2022 Feb 2;10(2):294. doi: 10.3390/healthcare10020294.