About this Journal Submit a Manuscript Table of Contents
Evidence-Based Complementary and Alternative Medicine
Volume 2012 (2012), Article ID 578305, 14 pages
http://dx.doi.org/10.1155/2012/578305
Review Article

Tuina-Focused Integrative Chinese Medical Therapies for Inpatients with Low Back Pain: A Systematic Review and Meta-Analysis

1Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, China
2Research Institute of Tuina, Shanghai Academy of Traditional Chinese Medicine, Shanghai 201203, China
3Department of Orthopedics, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China

Received 3 September 2012; Revised 5 November 2012; Accepted 20 November 2012

Academic Editor: Andreas Michalsen

Copyright © 2012 Ling Jun Kong et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. S. Dagenais, J. Caro, and S. Haldeman, “A systematic review of low back pain cost of illness studies in the United States and internationally,” Spine Journal, vol. 8, no. 1, pp. 8–20, 2008. View at Publisher · View at Google Scholar · View at Scopus
  2. B. F. Walker, “The prevalence of low back pain: a systematic review of the literature from 1966 to 1998,” Journal of Spinal Disorders, vol. 13, no. 3, pp. 205–217, 2000. View at Publisher · View at Google Scholar · View at Scopus
  3. O. Airaksinen, J. I. Brox, C. Cedraschi et al., “Chapter 4: european guidelines for the management of chronic nonspecific low back pain,” European Spine Journal, vol. 15, no. 2, supplement, pp. s192–s300, 2006. View at Publisher · View at Google Scholar · View at Scopus
  4. H. Nielens, J. van Zundert, P. Mairiaux, et al., Chronic Low Back Pain, vol. 48, Belgian Health Care Knowledge Centre (KCE) Reports, Brussels, Belgium, 2006.
  5. X. J. Pei, H. S. Zhan, and Y. K. Li, “Classification of chinese spinal tuina,” in Chinese Spinal Tuina Encyclopedia, Y. K. Li and G. H. Ye, Eds., pp. 12–16, Military Medical Science Press, Beijing, China, 2005.
  6. R. Chou, A. Qaseem, V. Snow et al., “Diagnosis and treatment of low back pain: a joint clinical practice guideline from the american college of physicians and the american pain society,” Annals of Internal Medicine, vol. 147, no. 7, pp. 478–491, 2007. View at Scopus
  7. P. Savigny, P. Watson, and M. Underwood, “Early management of persistent non-specific low back pain: summary of NICE guidance,” British Medical Journal, vol. 338, Article ID b1805, 2009. View at Publisher · View at Google Scholar · View at Scopus
  8. A. D. Furlan, M. Imamura, T. Dryden, and E. Irvin, “Massage for low-back pain,” Cochrane Database of Systematic Reviews, no. 4, Article ID CD001929, 2008. View at Scopus
  9. G. Bronfort, M. Haas, R. L. Evans, and L. M. Bouter, “Efficacy of spinal manipulation and mobilization for low back pain and neck pain: A systematic review and best evidence synthesis,” Spine Journal, vol. 4, no. 3, pp. 335–356, 2004. View at Publisher · View at Google Scholar · View at Scopus
  10. M. W. Van Tulder, B. Koes, and A. Malmivaara, “Outcome of non-invasive treatment modalities on back pain: an evidence-based review,” European Spine Journal, vol. 15, no. 1, pp. S64–S81, 2006. View at Publisher · View at Google Scholar · View at Scopus
  11. Z. A. Michaleff, C. W. Lin, C. G. Maher, and M. W. van Tulder, “Spinal manipulation epidemiology: systematic review of cost effectiveness studies,” Journal of Electromyography and Kinesiology, vol. 22, no. 5, pp. 655–662, 2012.
  12. D. N. Bu, “Integrative therapies for lumbar disc herniation,” Journal of Practical Traditional Chinese Internal Medicine, vol. 21, no. 10, pp. 5–6, 2007 (Chinese).
  13. B. J. Liang, “Clinical observation on effectiveness of huohua decoction in combination with tuina in treating 25 cases of lumbar spinal stenosis,” New Journal of Traditional Chinese Medicine, vol. 37, no. 4, pp. 35–36, 2005 (Chinese).
  14. L. M. Huang, “Clinical observation on effectiveness of tuina in combination with chinese herbal medicine for acute lumbar disc herniation,” Chinese Manipulation & Qi Gong Therapy, vol. 24, no. 10, pp. 14–15, 2008 (Chinese).
  15. X. M. Su and L. M. Lei, “Clinical observation on effectiveness of tuina in combination with dajiang zhuyu fang in treating 60 cases of lumbar disc herniation,” Shan Xi Journal of Traditional Chinese Medicine, vol. 29, no. 1, pp. 83–85, 2008 (Chinese).
  16. A. L. Cai, “Clinical observation on effectiveness of Tuina in combination with shentong zhuyu decoction in treating 48 cases of lumbar disc herniation,” Guide of China Medicine, vol. 8, no. 4, pp. 79–81, 2010 (Chinese).
  17. D. D. Wen, “Clinical observation on effectiveness of tuina in combination with chinese herbal medicine for lumbar disc herniation,” Guiding Journal of Traditional Chinese Medicine and Pharmacy, vol. 16, no. 8, pp. 55–56, 2010 (Chinese).
  18. Y. Zhang, G. N. Wu, X. Li, et al., “Case-control study on manipulation combined with chinese herbs for treatment of lumbar disc herniation within chronic stage,” Zhongguo Gu Shang, vol. 24, no. 11, pp. 926–929, 2011 (Chinese).
  19. X. W. You and X. G. Zhou, “Clinical observation of the effectiveness of integrated Chinese and Western therapy for acute lumbar sprain,” Zhongguo Zhong Yi Ji Zheng, vol. 21, no. 4, pp. 673–674, 2012 (Chinese).
  20. J. Pang, L. M. Lei, J. X. Chen, J. J. Huang, Y. Huang, and Y. F. He, “Clinical observation of the effectiveness of Tuina plus electroacupuncture for lumbar disc herniation,” Journal of Clinical Acupuncture and Moxibustion, vol. 22, no. 4, pp. 43–45, 2006 (Chinese).
  21. H. Y. Chen, S. Zhao, C. Kong, et al., “Clinical observation on the effects of sun tuina combined with boshi ventral acupuncture in treating 30 cases of lumbar disc herniation,” Journal of New Chinese Medicine, vol. 39, no. 7, pp. 53–54, 2007 (Chinese).
  22. B. X. Liu, M. Xu, C. J. Huang, et al., “Clinical observation on effectiveness of tuina combined with the acupuncture on wrist and ankle for acute lumbar muscle sprain,” The Journal of Cervicodynia and Lumbodynia, vol. 29, no. 5, pp. 488–489, 2008 (Chinese).
  23. Q. He, L. H. Xu, W. F. Wu, et al., “Clinical observation on acupuncture combined with massage for treatment of lumbar intervertebral disc protrusion,” Journal of Guanzhou University of Traditional Chinese Medicine, vol. 27, no. 3, pp. 242–245, 2010 (Chinese).
  24. Y. L. Ke and L. Li, “Clinical observation on the effects of tuina combined with traction and electroacupuncture for lumbar disc herniation,” Hubei Journal of Traditional Chinese Medicine, vol. 33, no. 1, pp. 67–68, 2011 (Chinese).
  25. X. Y. Yang, X. Y. Zhang, J. W. Qi, and L. X. Duan, “Clinical observation on the effects of Tuina combined with acupuncture for lumbar disc herniation,” Chinese Journal of Convalescent Medicine, vol. 20, no. 10, pp. 886–887, 2011 (Chinese).
  26. L. P. Zeng, “Clinical observation on the effectiveness of dongshi tuina combined with acupuncture in treating 60 cases of lumbar disc herniation,” Guiding Journal of Traditional Chinese Medicine and Pharmacy, vol. 18, no. 4, pp. 66–67, 2012 (Chinese).
  27. B. Rong, “Clinical observation on effectiveness of tuina in combination with chinese herbal hot pack in treating 40 cases of lumbar disc herniation,” World Health Digest, vol. 7, no. 25, pp. 101–102, 2010 (Chinese).
  28. X. L. Yuan, X. J. He, and Q. Li, “Uninterrupted warm effect to the chronic lumbar strain by treatment of tuina,” Chinese Archives of Traditional Chinese Medicine, vol. 28, no. 6, pp. 1265–1266, 2010 (Chinese).
  29. C. Z. Liu, “Randomized clinical trials of Tuina combined with moxibustion for chronic lumbar strain,” Journal of Yichun College, vol. 32, no. 8, pp. 61–63, 2010 (Chinese).
  30. Z. Y. Zhou, “Clinical observation on effectiveness of tuina in combination with chinese herbal hot pack and traction in treating 50 cases of lumbar disc herniation,” Heilongjiang Journal of Traditional Chinese Medicine, vol. 38, no. 6, 40 pages, 2009 (Chinese).
  31. G. J. Wang, Y. H. Xiang, and L. S. Lin, “Clinical research on in-patients of lumbar disc herniation and lumbar spinal stenosis by tuina combined with chinese herbal medicine and acupuncture,” Chinese Journal of Gerontology, vol. 31, pp. 4234–4235, 2011 (Chinese).
  32. M. L. Chen, “Clinical observation on effectiveness of tuina in combination with acupuncture and moxibustion lumbar disc herniation,” Chinese Manipulation & Rehabilitation Medicine, vol. 3, no. 5, 50 pages, 2012 (Chinese).
  33. C. G. Maher, C. Sherrington, R. D. Herbert, A. M. Moseley, and M. Elkins, “Reliability of the PEDro scale for rating quality of randomized controlled trials,” Physical Therapy, vol. 83, no. 8, pp. 713–721, 2003. View at Scopus
  34. A. D. Furlan, M. W. van Tulder, D. C. Cherkin et al., “Acupuncture and dry-needling for low back pain,” Cochrane Database of Systematic Reviews, vol. 25, no. 1, Article ID CD001351, 2005. View at Scopus
  35. R. Chou and L. H. Huffman, “Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an american pain society/american college of physicians clinical practice guideline,” Annals of Internal Medicine, vol. 147, no. 7, pp. 492–504, 2007. View at Scopus
  36. E. Manheimer, A. White, B. Berman, K. Forys, and E. Ernst, “Meta-analysis: acupuncture for low back pain,” Annals of Internal Medicine, vol. 142, no. 8, pp. 651–663, 2005. View at Scopus
  37. J. J. Gagnier, M. van Tulder, B. Berman, and C. Bombardier, “Herbal medicine for low back pain,” Cochrane Database of Systematic Reviews, vol. 19, no. 2, Article ID CD004504, 2006. View at Scopus
  38. J. E. Chrubasik, B. D. Roufogalis, and S. Chrabasik, “Evidence of effectiveness of herbal antiinflammatory drugs in the treatment of painful osteoarthritis and chronic low back pain,” Phytotherapy Research, vol. 21, no. 7, pp. 675–683, 2007. View at Publisher · View at Google Scholar · View at Scopus
  39. H. R. Rothstein, A. J. Sutton, and M. Borenstein, “Publication bias in meta-analysis,” in Publication Bias in Meta-Analysis, H. R. Rothstein, A. J. Sutton, and M. Borenstein, Eds., pp. 1–7, Wiley, Chichester, UK, 2005.
  40. M. Egger and G. D. Smith, “Meta-analysis: bias in location and selection of studies,” British Medical Journal, vol. 316, no. 7124, pp. 61–66, 1998. View at Scopus
  41. G. C. Goats, “Massage—the scientific basis of an ancient art: part 2 physiological and therapeutic effects,” British Journal of Sports Medicine, vol. 28, no. 3, pp. 153–156, 1994. View at Scopus
  42. M. H. M. Lee, K. Itoh, and G. -FW. Yang, “Physical therapy and rehabilitation medicine: massage,” in The Management of Pain, J. J. Bonica, Ed., pp. 1777–1778, Lea & Febiger, Philadelphia, Pa, USA, 1990.
  43. S. M. Sagar, T. Dryden, and R. K. Wong, “Massage therapy for cancer patients: a reciprocal relationship between body and mind,” Current Oncology, vol. 14, no. 2, pp. 45–56, 2007. View at Publisher · View at Google Scholar · View at Scopus
  44. J. G. Pickar, “Neurophysiological effects of spinal manipulation,” Spine Journal, vol. 2, no. 5, pp. 357–371, 2002. View at Publisher · View at Google Scholar · View at Scopus
  45. J. J. Gagnier, “Nutritional, herbal, and homeopathic supplementsin,” in Evidence-Based Management of Low Back Pain, S. Dagenais and S. Halderman, Eds., pp. 261–262, Elsevier, St. Louis, Mo, USA, 2012.
  46. Z. Q. Zhao, “Neural mechanism underlying acupuncture analgesia,” Progress in Neurobiology, vol. 85, no. 4, pp. 355–375, 2008. View at Publisher · View at Google Scholar
  47. B. Pomeranz and B. Berman, “Scientific basis of acupuncture,” in Basics of Acupuncture, G. Stux, B. Berman, and B. Pomeranz, Eds., pp. 7–27, Springer, Berlin, Germany, 2003.
  48. R. Melzack, “Myofascial trigger points: relation to acupuncture and mechanisms of pain,” Archives of Physical Medicine and Rehabilitation, vol. 62, no. 3, pp. 114–117, 1981. View at Scopus
  49. F. J. Zijlstra, I. van den Berg-de Lange, F. J. P. M. Huygen, and J. Klein, “Anti-inflammatory actions of acupuncture,” Mediators of Inflammation, vol. 12, no. 2, pp. 59–69, 2003. View at Publisher · View at Google Scholar · View at Scopus