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Evidence-Based Complementary and Alternative Medicine
Volume 2017 (2017), Article ID 8218139, 22 pages
https://doi.org/10.1155/2017/8218139
Review Article

Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

1School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea
2Korean Medicine Clinical Research Center, Korean Medicine Hospital, Pusan National University, Yangsan 50612, Republic of Korea
3Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul 02447, Republic of Korea
4Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 06017, Republic of Korea
5Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, Republic of Korea
6Korean Medicine Life Science, University of Science & Technology (UST), Campus of Korea Institute of Oriental Medicine, Daejeon 34054, Republic of Korea
7Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea
8Spine & Joint Center, Korean Medicine Hospital, Pusan National University, Yangsan 50612, Republic of Korea

Correspondence should be addressed to Byung-Cheul Shin; moc.liamg@cbnihsrd

Received 9 September 2017; Accepted 27 November 2017; Published 26 December 2017

Academic Editor: Deborah A. Kennedy

Copyright © 2017 Nam-Woo Lee 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. I. Weinstein, E. H. Yelin, and S. I. Watkins-Castillo, The Burden of Musculoskeletal Diseases in the United States, United States Bone and Joint Initiative, Rosemont, IL, USA, 2014.
  2. B. O. L. Statistics, Occupational Injuries/Illnesses and Fatal Injuries Profiles, United States Department of Labor, 2016. View at Publisher · View at Google Scholar · View at Scopus
  3. T. C. Clarke, R. L. Nahin, P. M. Barnes, and B. J. Stussman, “Use of complementary health approaches for musculoskeletal pain disorders among adults: United States, 2012,” National Health Statistics Reports, vol. 2016, no. 98, 2016. View at Google Scholar · View at Scopus
  4. T.-Y. Park, T.-W. Moon, D.-C. Cho et al., “An introduction to Chuna manual medicine in Korea: history, insurance coverage, education, and clinical research in Korean literature,” Integrative Medicine Research, vol. 3, no. 2, pp. 49–59, 2014. View at Publisher · View at Google Scholar
  5. M.-Y. Chen, Q.-Q. Pu, S.-Y. Liu, and Z.-Y. Jiang, “Efficacy comparison of different stimulation therapies for periarthritis of shoulder,” Chinese acupuncture & moxibustion, vol. 33, no. 2, pp. 109–112, 2013 (Chinese). View at Google Scholar · View at Scopus
  6. M. Lu and X. Liu, “Insomnia due to deficiency of both the heart and spleen treated by acupuncture-moxibustion and Chinese Tuina,” Journal of Traditional Chinese Medicine, vol. 28, no. 1, pp. 10–12, 2008. View at Publisher · View at Google Scholar · View at Scopus
  7. P. Liu and Z. S. Qi, “To observe the curative effect of Tongyang Sanjie massage method in the treatment of coronary heart disease with stable angina pectoris,” Chinese Community Doctors, vol. 30, no. 13, pp. 79-80, 2014 (Chinese). View at Publisher · View at Google Scholar
  8. H. S. Choi, B. K. Uhm, C. Y. Kim, S. W. Han, Y. G. Jung, and D. J. Shin, “The latest trends of Chuna treatment on low back pain in PubMed,” Journal of Oriental Rehabilitation Medicine, vol. 22, no. 4, pp. 99–113, 2012. View at Google Scholar
  9. H. J. Cho, J. U. Sul, and M. S. Shin, “Research trends on the treatment of lumbar herniated intervertebral disc in Korean Medicine,” Korean Journal of Acupuncture, vol. 29, no. 4, pp. 537–553, 2012. View at Google Scholar
  10. Q. L. Yuan, T. M. Guo, L. Liu, F. Sun, and Y. G. Zhang, “Traditional Chinese medicine for neck pain and low back pain: a systematic review and meta-analysis,” PLoS ONE, vol. 10, no. 2, Article ID e0117146, 2015. View at Publisher · View at Google Scholar
  11. Q. Xu, J. Pang, Y. Zheng, H. Zhan, Y. Cao, and C. Ding, “The effectiveness of manual therapy for relieving pain, stiffness and dysfunction in knee osteoarthritis: a systematic review and meta-analysis,” Osteoarthritis and Cartilage, vol. 23, p. A387, 2015. View at Publisher · View at Google Scholar
  12. M.-Y. Wang, P.-S. Tsai, P.-H. Lee, W.-Y. Chang, and C.-M. Yang, “Systematic review and meta-analysis of the efficacy of tuina for cervical spondylosis,” Journal of Clinical Nursing, vol. 17, no. 19, pp. 2531–2538, 2008. View at Publisher · View at Google Scholar · View at Scopus
  13. C. Patel Kinjal, A. Gross, N. Graham et al., “Massage for mechanical neck disorders,” in Cochrane Database of Systematic Reviews, John Wiley & Sons, Ltd, 2012. View at Google Scholar
  14. T.-W. Moon, T.-Y. Choi, T.-Y. Park, and M. S. Lee, “Chuna therapy for musculoskeletal pain: a systematic review of randomized clinical trials in Korean literature,” Chinese Journal of Integrative Medicine, vol. 19, no. 3, pp. 228–232, 2013. View at Publisher · View at Google Scholar · View at Scopus
  15. L. J. Kong, H. S. Zhan, Y. W. Cheng, W. A. Yuan, B. Chen, and M. Fang, “Massage therapy for neck and shoulder pain: a systematic review and meta-analysis,” Evidence-Based Complementary and Alternative Medicine, vol. 2013, Article ID 613279, 10 pages, 2013. View at Publisher · View at Google Scholar · View at Scopus
  16. L. J. Kong, M. Fang, H. S. Zhan et al., “Tuina-focused integrative Chinese medical therapies for inpatients with low back pain: a systematic review and meta-analysis,” Evidence-Based Complementary and Alternative Medicine, vol. 2012, Article ID 578305, 14 pages, 2012. View at Publisher · View at Google Scholar · View at Scopus
  17. L. Kong, R. R. Bannuru, W. Yuan et al., “Therapeutic massage on pain relief for fibromyalgia: a systematic review and meta-analysis,” Arthritis and Rheumatism, vol. 63, no. 10, 2011. View at Publisher · View at Google Scholar · View at Scopus
  18. A. D. Furlan, M. Giraldo, A. Baskwill, E. Irvin, and M. Imamura, “Massage for low-back pain,” in Cochrane Database of Systematic Reviews, John Wiley & Sons, Ltd, 2015. View at Publisher · View at Google Scholar · View at Scopus
  19. D.-C. Dai, M. Fang, G.-Q. Shen, and J.-T. Yan, “Research on the characteristics of sacroiliac joint dysfunction and interventional treatment of tuina,” Chinese Journal of Clinical Rehabilitation, vol. 10, no. 35, pp. 135–138, 2006. View at Google Scholar · View at Scopus
  20. Y. H. Cheng and G. C. Huang, “Efficacy of massage therapy on pain and dysfunction in patients with neck pain: a systematic review and meta-analysis,” Evidence-Based Complementary and Alternative Medicine, vol. 2014, Article ID 204360, 13 pages, 2014. View at Publisher · View at Google Scholar
  21. G.-H. An, Y. Zaho, F. Yao et al., “Effectiveness and safety of spinal manipulation for low back pain or neck pain: an overview of systematic reviews,” Chinese Journal of Evidence-Based Medicine, vol. 15, no. 9, pp. 1010–1017, 2015. View at Publisher · View at Google Scholar · View at Scopus
  22. C. Y. Ma, A. Liu, and S. G. Yan, “External rotation immobilization does not reduce recurrence rate or improve quality of life after primary anterior shoulder dislocation:the result of a meta analysis,” Chinese Journal of Bone and Joint Surgery, vol. 08, no. 01, pp. 56–61, 2015 (Chinese). View at Google Scholar
  23. B. H. Yan, F. Feng, M. Y. Shao, and G. Z. Deng, “Chinese bone-setting manipulation for lumbar disc protrusion : A systematic review,” Chinese Journal of Traditional Medical Traumatology Orthopedics, vol. 19, no. 09, pp. 21–23, 2011 (Chinese). View at Google Scholar
  24. Q. Wang and G. M. Zhu, “Systematic reviews for the clinical effects and safety of manipulative therapy on cervical spondylopathy,” China Journal of Traditional Chinese Medicine and Pharmacy, vol. 29, no. 12, pp. 3716–3723, 2014 (Chinese). View at Google Scholar
  25. Q. Wang and G. M. Zhu, “Therapeutic effect of manipulation therapy on knee osteoarthritis: a systematic review,” Shanghai Journal of Traditional Chinese Medicine, vol. 47, no. 11, pp. 11–15, 2013 (Chinese). View at Google Scholar
  26. J. Yang, R. C. Zhang, and X. J. Wang, “Meta-analysis on nerve-root-type cervical spondylosis treatment by manipulation and cervical traction,” Journal of Traditional Chinese Medicine, vol. 06, no. 09, pp. 641–648, 2013 (Chinese). View at Google Scholar
  27. H. M. Song, X. Z. Yang, S. Q. Chen, S. Z. Wang, and T. X. Wu, “Effect evaluating system of manipulative therapy for cervical spondylotic radiculopathy,” Modern Journal of Integrated Traditional Chinese and Western Medicine, vol. 17, no. 34, pp. 5251–5253, 2008 (Chinese). View at Google Scholar
  28. X. M. Meng, “Meta-analysis of manipulation in the treatment of cervical vertigo,” Hunan Journal of Traditional Chinese Medicine, vol. 30, no. 12, pp. 74-75, 2014 (Chinese). View at Google Scholar
  29. Y. M. Su, H. H. Wang, H. Wang, Y. L. Tang, and T. L. Li, “A systematic review of randomized controlled trials of Tuina therapy for insomnia,” Hunan Journal of Traditional Chinese Medicine, vol. 30, no. 04, pp. 142–147, 2014 (Chinese). View at Google Scholar · View at MathSciNet
  30. J. Q. Wang, X. Yu, M. Yang, and J. L. She, “A randomized control study of Tuina treatment of infantile anorexia,” Guide of China Medicine, vol. 12, no. 05, 2014 (Chinese). View at Google Scholar
  31. H. L. Tang, J. Pang, Y. Yang et al., “Systematic review of clinical research of m assage therapy for sub-health,” Liaoning Journal of Traditional Chinese Medicine, vol. 37, no. 2, pp. 723–726, 2010 (Chinese). View at Google Scholar
  32. J. Zhang, Z. W. Wu, D. J. Ma, X. Tang, Y. H. Wen, and H. L. Li, “Meta-analysis of the effect of Tuina for constipation,” Hunan Journal of Traditional Chinese Medicine, vol. 29, no. 03, pp. 127–130, 2013 (Chinese). View at Google Scholar
  33. X. Yang, H. Zhao, and J. Wang, “Chinese massage (Tuina) for the treatment of essential hypertension: a systematic review and meta-analysis,” Complementary Therapies in Medicine, vol. 22, no. 3, pp. 541–548, 2014. View at Publisher · View at Google Scholar · View at Scopus
  34. S.-H. Lee, J.-Y. Kim, S. Yeo, S.-H. Kim, and S. Lim, “Meta-analysis of massage therapy on cancer pain,” Integrative Cancer Therapies, vol. 14, no. 4, pp. 297–304, 2015. View at Publisher · View at Google Scholar · View at Scopus
  35. D. Moher, A. Liberati, J. Tetzlaff, D. G. Altman, and The PRISMA Group, “Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement,” Annals of Internal Medicine, vol. 151, no. 4, pp. 264–269, 2009. View at Publisher · View at Google Scholar
  36. A. D. Furlan, V. Pennick, C. Bombardier, and M. van Tulder, “2009 Updated method guidelines for systematic reviews in the cochrane back review group,” The Spine Journal, vol. 34, no. 18, pp. 1929–1941, 2009. View at Publisher · View at Google Scholar · View at Scopus
  37. J. P. T. Higgins and S. G. Thompson, “Quantifying heterogeneity in a meta-analysis,” Statistics in Medicine, vol. 21, no. 11, pp. 1539–1558, 2002. View at Publisher · View at Google Scholar · View at Scopus
  38. D. Carroll, M. Tramè, R. H. McQuay, B. Nye, and A. Moore, “Randomization is important in studies with pain outcomes: systematic review of transcutaneous electrical nerve stimulation in acute postoperative pain,” British Journal of Anaesthesia, vol. 77, no. 6, pp. 798–803, 1996. View at Publisher · View at Google Scholar · View at Scopus
  39. J. Pildal, A. Hróbjartsson, K. J. Jörgensen, J. Hilden, D. G. Altman, and P. C. Gøtzsche, “Impact of allocation concealment on conclusions drawn from meta-analyses of randomized trials,” International Journal of Epidemiology, vol. 36, no. 4, pp. 847–857, 2007. View at Publisher · View at Google Scholar · View at Scopus
  40. C. M. Sousa, L. Moreira, D. Coimbra, J. Machado, and H. J. Greten, “Immediate effects of Tuina techniques on working-related musculoskeletal disorder of professional orchestra musicians,” Journal of Integrative Medicine, vol. 13, no. 4, pp. 257–261, 2015. View at Publisher · View at Google Scholar · View at Scopus
  41. L. G. Zhu, J. Yu, J. H. Gao, and S. Q. Wang, “X-ray observation on manipulative reduction for degenerative lumbar spondylolisthesis,” World Journal of Integrated Traditional and Western Medicine, vol. 02, no. 10, pp. 587–590, 2007 (Chinese). View at Publisher · View at Google Scholar
  42. X. Y. Chen, W. H. Jia, M. J. Liu, X. Q. Meng, Y. D. Ma, and L. L. Wang, “Observation on therapeutic effect of digital acupoint pressure for treatment of the nerve root type of cervical spondylosis,” Chinese Acupuncture & Moxibustion, vol. 29, no. 08, pp. 659–662, 2009 (Chinese). View at Google Scholar
  43. Q. Wang, L. G. Zhu, J. H. Gao et al., “Clinical observation on rotation-traction manipulation for treatment of the cervical spondylotic radiculopathy,” The Journal of Traditional Chinese Orthopedics and Traumatology, vol. 21, no. 06, pp. 9–11, 2009 (Chinese). View at Google Scholar
  44. D. L. Huang, Arm Neck And Shoulder Massage Treatment of Nerve Root Type Cervical Spondylosis Clinical Observation, Chengdu University of Traditional Chinese Medicine, 2010 (Chinese). View at Publisher · View at Google Scholar · View at Scopus
  45. J. Liao, S. J. Chen, T. Xu, X. C. Wang, and S. Z. Wang, “Efficacy of Tongduqiangji technique in treating cervical spondylotic radiculopathy—a randomized, controlledand single-blinded trial,” Lishizhen Medicine and Materia Medica Research, vol. 22, no. 02, pp. 445–447, 2011 (Chinese). View at Google Scholar
  46. C.-B. Jiang, J. Wang, Z.-X. Zheng, J.-S. Hou, L. Ma, and T. Sun, “Efficacy of cervical fixed-point traction manipulation for cervical spondylotic radiculopathy: a randomized controlled trial,” Journal of Chinese Integrative Medicine, vol. 10, no. 1, pp. 54–58, 2012 (Chinese). View at Publisher · View at Google Scholar · View at Scopus
  47. Y. Qin, Z. Y. Li, Y. Lu, J. Qin, and J. M. Jiang, “Randomized controlled clinical study of the clinical efficacy of the Sun manipulation of rotating treatment to cervical spondylotic radiculopathy,” Chinese Journal of Traditional Medical Traumatology & Orthopedics, vol. 20, no. s2, pp. 361–369, 2012 (Chinese). View at Google Scholar
  48. Z. Q. Xu, Clinical Study on Three Steps And Nine Method Tuina Therapy for The Treatment of Nerve Root Type Cervical Spondylosis, Shandong University of Traditional Chinese Medicine, 2013 (Chinese).
  49. H. X. Xue, “Observation on the clinical effect of pulling winding manipulation for treatment of cervical spondylotic radiculopathy,” Modern Journal of Integrated Traditional Chinese and Western Medicine, vol. 24, no. 19, pp. 2114–2116, 2015 (Chinese). View at Google Scholar
  50. M. Yang, Shi's Three Steps And Nine Methods for Cervical Spondylotic Radiculopathy: A Randomized Controlled Clinical Trial, Anhui University of Chinese Medicine, 2015 (Chinese).
  51. W. P. Liu, The Clinical Observation on Treatment of Cervical Spondylotic Radiculopathy with E Mei's Changqitongluo Manipulation, Guangzhou University of Chinese Medicine, 2015 (Chinese).
  52. L. G. Zhu, J. Yu, J. H. Gao et al., “The measurement of pain and numbness in patients with cervical spondylotic radiculopathy,” Chinese Journal of Traditional Medical Traumatology & Orthopedics, vol. 3, no. 04, pp. 1–3, 2009 (Chinese). View at Google Scholar
  53. L. L. Lin, J. Liao, S. Z. Wang, and X. D. Yan, “Clinical observation on the treatment of cervical spondylosis with Tuina using MCU system,” Guangming Journal of Chinese Medicine, vol. 27, no. 02, pp. 323-324, 2012 (Chinese). View at Publisher · View at Google Scholar
  54. B. H. Yan, F. Feng, and Q. S. Peng, “Effect of Gun massage on cervical spondylosis of recent VAS and CASCS score,” Liaoning Journal of Traditional Chinese Medicine, vol. 41, no. 08, pp. 1600-1601, 2014 (Chinese). View at Google Scholar · View at MathSciNet
  55. B. B. Li and J. Zhou, “Effect of the technique of Qinglong Lock on sympathetic nerve type of cervical spondylosis,” Chinese Journal of Traditional Medical Traumatology Orthopedics, vol. 24, no. 08, pp. 23–25, 2016 (Chinese). View at Google Scholar
  56. Z. F. Jin, ClInical Research of Screwing And Raising Manipulation in Treating CSA and the Effect of TCD Observation, Chinese Academy of Medical Scienses, 2008 (Chinese).
  57. J. H. Gao, L. G. Zhu, and L. M. Xie, “Clinical research of rotation-traction manipulation on cervical spondylosis of vertebral artery type,” Chinese Journal of Traditional Medical Traumatology Orthopedics, vol. 19, no. 07, pp. 17–19, 2011 (Chinese). View at Google Scholar
  58. Y. X. Zeng, Clinical Efficacy Observation of Traditional Chinese Manipulation Combined with Micro-current Therapy Instrument Treated to Cervical Spondylosis of Vertebral Artery Type, Fujian University of Traditional Chinese Medicine, 2015 (Chinese).
  59. H. Sun, “Clinical observation of rotational Manipulation in treating atlantoaxial joint disturbance,” Shenzhen Journal of Integrated Traditional Chinese and Western Medicine, vol. 17, no. 06, pp. 381–383, 2007 (Chinese). View at Google Scholar
  60. C. Y. Wang, Clinical Curative Effects of Tuina Therapy on Lower Cervical Vertebral Degenerative Instability, Beijing University of Chinese Medicine, 2012 (Chinese).
  61. K. X. Yang, J. Qiao, H. Zhang, C. Y. Wang, and W. Zhang, “Therapeutic effect of Sun's manipulation in degenerative lower cervical vertebral instability syndrome,” Chinese Journal of Traditional Medical Traumatology & Orthopedics, vol. 22, no. 05, pp. 4–7, 2014 (Chinese). View at Google Scholar
  62. P. Chen, S. M. Zheng, X. Q. Jin, and B. H. Fan, “The regulatory effect of Tuina treatment for cervical shoulder pain, back pain and the relevant inflammatory factors,” Shandong Journal of Traditional Chinese Medicine, vol. 30, no. 08, pp. 553-554, 2011 (Chinese). View at Publisher · View at Google Scholar
  63. J. H. Chen, B. Sun, Y. D. Wu et al., “Clinical study on lumbar disc herniation treated by Luwen's traditional chinese manipulation,” China Journal of Orthopaedics and Traumatology, vol. 19, no. 12, pp. 705–707, 2006 (Chinese). View at Google Scholar
  64. L. H. Wang, Clinical Research on Treatment of Lumbar Intervertebral Disc Protrusion by Standardized Oblique-Pulling Manipulation, Hunan University of Traditional Chinese Medicine, 2010 (Chinese).
  65. N. Zhou, M. Fang, Q. Zhu et al., “The biomechanical evaluation of lumbodorsal muscle in spine micro-adjusting manipulation treating lumbar intervertebral disc protrusion,” Chinese Journal of Rehabilitation Medicine, vol. 27, no. 02, pp. 115–119, 2012 (Chinese). View at Publisher · View at Google Scholar · View at Scopus
  66. S. H. Luo, Z. W. Li, X. F. Xie, T. Liu, F. Y. Li, and R. T. Shi, “Wei’s Du meridian manipulation for lumbar intervertebral disc herniation,” Shanghai Journal of Traditional Chinese Medicine, vol. 47, no. 05, pp. 64–66, 2013 (Chinese). View at Google Scholar
  67. Q. Deng, W. T. Dong, and S. H. Li, “Maneuver in treating 145 cases of discogenic low back pain,” Western Journal of Traditional Chinese Medicine, vol. 25, no. 01, pp. 16–18, 2012 (Chinese). View at Publisher · View at Google Scholar
  68. Q. M. Zhang, M. Fang, Y. M. Lu, J. R. Wu, M. H. Zhao, and W. Q. Yu, “Clinical evaluation of modified Three-step massage in treating acute lumbar sprain,” Shanghai Journal of Traditional Chinese Medicine, vol. 39, no. 06, pp. 37-38, 2005 (Chinese). View at Publisher · View at Google Scholar
  69. Q. H. Xue, Clinical Study of Governor Ridge through Surgery in The Treatment of Chronic Lumbar Muscle Strain, Shanxi Academy of Traditional Chinese Medicine, 2016 (Chinese).
  70. Y. Y. Zhang, A Clinical Research of Bu Shen Huo Xue Method Massage to Cure Chronic Lumbar Muscle Strain, Shandong University of Traditional Chinese Medicine, 2010 (Chinese). View at Publisher · View at Google Scholar
  71. G. Tian, M. R. Shen, W. G. Liang, F. R. Xie, and W. W. Wei, “Case control study on spinal leveraging manipulation and medicine for the treatment of degenerative scoliosis,” China Journal of Orthopaedics and Traumatology, vol. 28, no. 06, pp. 508–511, 2015 (Chinese). View at Publisher · View at Google Scholar
  72. D. Wang, J. Luo, J. D. Li, M. M. Pei, and W. Zhang, “Case control study on clinical effects of sacrococcygeal manipulation in the treatment of coccyx pain,” China Journal of Orthopaedics and Traumatology, vol. 29, no. 09, pp. 831–835, 2016 (Chinese). View at Google Scholar
  73. J. Wang, H. Yin, J. Pan, Z. D. Tan, L. Q. Gao, and S. T. Yu, “Based on the SF-36 Quality of Life scale of massage therapy around the shoulder joint inflammation on the Quality of Life of research,” Journal of Clinical Acupuncture and Moxibustion, vol. 29, no. 07, pp. 36–39, 2013 (Chinese). View at Publisher · View at Google Scholar
  74. X. H. Xu, “The acromioclavicular joint dislocation palasy treatment effect and the introduction of the rehabilitation training time,” Chinese Medicine Modern Distance Education of China, vol. 12, no. 18, pp. 18-19, 2014 (Chinese). View at Publisher · View at Google Scholar
  75. L. L. Xu, “Observation on the effect of TCM manual reduction combined with external fixation in the treatment of proximal humerus fracture,” Journal of New Chinese Medicine, vol. 48, no. 02, pp. 120–122, 2016 (Chinese). View at Google Scholar
  76. Z. Pan, “Clinical experience of manipulative reduction and external fixation for fracture of surgical neck of humerus,” Modern Diagnosis and Treatment, vol. 27, no. 06, pp. 1110-1111, 2016 (Chinese). View at Publisher · View at Google Scholar
  77. Z. J. Yang, Clinical Research on Surgical Neck of The Humerus Fracture Treated by Manipulated Relocation with External Plastic Splint Fixation, Hunan University of Traditional Chinese Medicine, 2004 (Chinese).
  78. H. Z. Pan, “Comparative research of manual reduction and open reduction treatment for Senile unstable distal radius fractures,” Journal of Qiqihar University of Medicine, vol. 36, no. 19, pp. 2868-2869, 2015 (Chinese). View at Google Scholar
  79. Y. M. Li, “Observation of curative effect of manual reduction combined with small splint external fixation for radius fracture,” Journal of New Chinese Medicine, vol. 48, no. 07, pp. 97–99, 2016 (Chinese). View at Google Scholar
  80. M. H. Ding, G. Q. Xu, Y. Li, and D. F. Huang, “Manipulation in patients with tennis elbow: a randomized controlled trial,” Proceeding of Clinical Medicine, vol. 19, no. 01, pp. 28–30, 2010 (Chinese). View at Publisher · View at Google Scholar
  81. X. J. Gao and W. F. Yan, “Clinical observation of non-invasive positive pressure ventilation and Angong Niuhuang Pill in treating with pulmonary encephalopathy patients,” Journal of New Chinese Medicine, vol. 46, no. 09, pp. 89–91, 2014 (Chinese). View at Google Scholar
  82. M. Tian, Clinical Research on The Treatment of Knee Osteoarthritis by Rub Together Method Massage, Shandong University of Traditional Chinese Medicine, 2010 (Chinese).
  83. G. Chen, Clinical Observation on Knee Osteoarthritis by One Finger Pushing And Pulling Method, Guangzhou University of Chinese Medicine, 2015 (Chinese).
  84. C. H. Jin, “Clinical study on tibial clipping and elbow pushing and knee pulling Tuina method in treatment of knee osteoarthritis,” Journal of Liaoning University of Traditional Chinese Medicine, vol. 17, no. 02, pp. 170-171, 2015 (Chinese). View at Google Scholar
  85. H. N. Li, F. Ma, Y. Wu, W. Zhang, X. H. Hai, and J. H. Wang, “Effects of ‘Songjin Yigu’ ointment massage in combination with abdominal massage on knee osteoarthritis: a RCT Study,” China Journal of Traditional Chinese Medicine and Pharmacy, vol. 31, no. 10, pp. 4142–4145, 2016 (Chinese). View at Google Scholar · View at MathSciNet
  86. Z. H. Ren, “Comparison of the effect of surgical treatment and manual reduction of traditional Chinese medicine in the treatment of trimalleolar fracture,” For all Health, vol. 8, no. 23, pp. 259-260, 2014 (Chinese). View at Google Scholar
  87. C. Z. Zhao, Z. Q. Xu, J. J. Hou, H. W. Pan, Q. B. Li, and J. J. Miao, “Effect of manipulative reduction combined with small splint external fixation for treatment of Sanders type II calcaneal fracture,” Guangdong Medical Journal, vol. 37, no. 17, pp. 2591–2594, 2016 (Chinese). View at Google Scholar
  88. Z. L. Chen and C. Q. Tang, “Clinical study on traction and bone setting manipulation treatment of cervical spondylotic radiculopathy,” Journal of New Chinese Medicine, vol. 45, no. 06, pp. 138-139, 2013 (Chinese). View at Google Scholar
  89. R. Zhang and X. H. Hai, “Clinical research of massage combined with cervical electric intermittent traction on cervical curvature abnormality,” Tianjin Journal of Traditional Chinese Medicine, vol. 33, no. 07, pp. 403–405, 2016 (Chinese). View at Publisher · View at Google Scholar
  90. H. Dong and J. G. Wang, “Randomized control study on syndrome differentiation Tuina therapy in rreatment of lumbar intervertebral disc protrusion,” Liaoning Journal of Traditional Chinese Medicine, vol. 41, no. 07, pp. 1505–1507, 2014 (Chinese). View at Google Scholar
  91. H. M. Song, N. Xie, K. M. Zhang, C. H. Li, Y. Chen, and H. M. Wang, “Clinical study on the therapy with spine-massage method for lumbar intervertebral disc protrusion,” Modern Journal of Integrated Traditional Chinese and Western Medicine, vol. 24, no. 01, pp. 5–7, 2015 (Chinese). View at Google Scholar
  92. Z. G. Yin, L. Z. Cao, X. G. Zhang, and M. Song, “Clinical observation of Professor Song Guijie's Three steps and three positions technique combined with medication in treating lumbar disc derived low back pain,” Chinese Journal of Clinical Research, vol. 28, no. 03, pp. 374–376, 2015 (Chinese). View at Google Scholar
  93. C. Y. Wu, T. Lin, Z. G. Zheng, and H. M. Zhang, “The effect of abdominal massage and electric traction on VAS, IgG and IgM of lumbar disc herniation,” Guangming Journal of Chinese Medicine, vol. 31, no. 09, pp. 1289–1291, 2016 (Chinese). View at Publisher · View at Google Scholar
  94. Q. Zhang, M. Zhang, Z. R. Huang, Z. H. Zhang, and G. Wang, “Analysis of feasibility of percutaneous pedicle fixation combined with closed manipulative reduction in the treatment of thoracolumbar spinal fractures,” Modern Medicine Journal of China, vol. 23, no. 16, pp. 83–85, 2016 (Chinese). View at Google Scholar
  95. H. Y. Yu, K. W. Xu, and S. L. Qiang, “Clinical observation on manipulative reduction combining percutaneous kyphoplasty in treating 26 patients with osteoporotic vertebral compression fracture,” Journal of Gansu University of Chinese Medicine, vol. 33, no. 05, pp. 40–43, 2016 (Chinese). View at Google Scholar
  96. W. Sun, L. G. Zhu, J. H. Gao, K. X. Yang, M. S. Feng, and C. Y. Gao, “Clinical research on spine manipulati on combined with Eperisone in the treatment of degenerative scoliosis,” Chinese Journal of Traditional Medical Traumatology & Orthopedics, vol. 24, no. 04, pp. 18–21, 2016 (Chinese). View at Google Scholar
  97. J. Jia and M. B. Sha, “Clinical observation of Bushentongdu massage on 60 cases with ankylosing spondylitis,” Tianjin Journal of Traditional Chinese Medicine, vol. 32, no. 08, pp. 484–487, 2015 (Chinese). View at Publisher · View at Google Scholar
  98. H. D. Zhang, “Effect analysis of treating scaplohumeral periathritis with massage and drug acupoint injection,” Journal of Liaoning University of Traditional Chinese Medicine, vol. 17, no. 08, pp. 178–180, 2015 (Chinese). View at Publisher · View at Google Scholar
  99. L. Shen, L. Chou, K. R. Zhao, H. Kang, and J. Ji, “Curative effect of strong stimulation on tenderness points through manipulation combined with drug injection for scapulohumeral periarthritis,” Shanghai Medical Journal, vol. 38, no. 06, pp. 493–496, 2015 (Chinese). View at Google Scholar
  100. J. N. Wu, The Study of Clinical Effect by Proprioceptive Sensibility Reflexotherapy in Patients with External Humeral Epicondylitis, Guangzhou University of Chinese Medicine, 2011 (Chinese).
  101. Y. J. Xiao, “Effect evaluation of traditional Chinese massage in the adjunctive treatment of degenerative osteoarthritis,” China Modern Medicine, vol. 23, no. 16, pp. 143–145, 2016 (Chinese). View at Publisher · View at Google Scholar
  102. Q. Zhang and X. L. Deng, “Massage therapy in orthopedic patients pain,” Hebei Medicine, vol. 18, no. 10, pp. 1458–1460, 2012 (Chinese). View at Google Scholar
  103. J. H. Wang, G. Shi, and Y. Zhao, “A randomized controlled trial of the effect of tuina treatment for knee joint Kaschin Beck disease,” Chinese Journal of Control of Endemic Diseases, vol. 31, no. 06, pp. 674-675, 2016 (Chinese). View at Google Scholar
  104. N.-H. Wang, J.-T. Yan, W.-Q. Sun et al., “Effects of early application of Tuina treatment on quadriceps surface myoelectricity in patients after total knee arthroplasty: a randomized controlled trial,” Journal of Chinese Integrative Medicine, vol. 10, no. 11, pp. 1247–1253, 2012 (Chinese). View at Publisher · View at Google Scholar · View at Scopus
  105. C. M. Sousa, D. Coimbra, J. Machado, and H. J. Greten, “Effects of self-administered exercises based on Tuina techniques on musculoskeletal disorders of professional orchestra musicians: a randomized controlled trial,” Journal of Integrative Medicine, vol. 13, no. 5, pp. 314–318, 2015. View at Publisher · View at Google Scholar · View at Scopus
  106. Y. Ko, J. Lee, E. Hwang et al., “A Study to Provide of Health Insurance for Chuna Manual Therapy,” The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, vol. 7, no. 2, pp. 1–14, 2012. View at Google Scholar
  107. 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 Publisher · View at Google Scholar · View at Scopus
  108. 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, p. b1805, 2009. View at Publisher · View at Google Scholar · View at Scopus
  109. X. Wei, S. Wang, L. Li, and L. Zhu, “Clinical evidence of chinese massage therapy (Tui Na) for cervical radiculopathy: a systematic review and meta-analysis,” Evidence-Based Complementary and Alternative Medicine, vol. 2017, Article ID 9519285, 10 pages, 2017. View at Publisher · View at Google Scholar
  110. M. Egger, P. Juni, C. Bartlett, F. Holenstein, and J. Sterne, “How important are comprehensive literature searches and the assessment of trial quality in systematic reviews? Empirical study,” Health Technology Assessment, vol. 7, no. 1, pp. 1–76, 2003. View at Google Scholar · View at Scopus
  111. K. F. Schulz, L. Chalmers, R. J. Hayes, and D. G. Altman, “Empirical evidence of bias: Dimensions of methodological quality associated with estimates of treatment effects in controlled trials,” Journal of the American Medical Association, vol. 273, no. 5, pp. 408–412, 1995. View at Publisher · View at Google Scholar · View at Scopus
  112. R. A. Moore, D. Gavaghan, M. R. Tramèr, S. L. Collins, and H. J. McQuay, “Size is everything—large amounts of information are needed to overcome random effects in estimating direction and magnitude of treatment effects,” PAIN, vol. 78, no. 3, pp. 209–216, 1998. View at Publisher · View at Google Scholar · View at Scopus
  113. “R. R, "Heterogeneity and subgroup analyses in Cochrane Consumers and Communication Group reviews: planning the analysis at protocol stage," Cochrane Consumers and Communication Review Group,” 2016.