추나를 포함한 수기요법의 소아 발열에 대한 임상적 효과: 체계적 문헌고찰 및 메타분석

The Analysis of Clinical Effect of Manual Therapy including Chuna for Fever in Children: Systemic Review and Meta-Analysis

Objectives This study aimed to systematically review the effect of manual therapy including Chuna for fever in children. Methods Randomized controlled trials(RCTs) on the treatment of Chuna therapy for fever in children were selected among studies published until May 2024 in six databases. Cochrane’s risk of bias tool was used to evaluate the quality of selected studies and Revman 5.4.1 was used for the synthesis of results. Results 26 RCTs were finally selected and analyzed. The meta analysis showed ex - cellent clinical effectiveness of manual therapy including Chuna. The total effective rate(TER) of manual therapy including Chuna and Chuna with conventional treatment is statistically higher than control group of conventional treatment. And, time until fe- ver disappear of manual therapy including Chuna and Chuna with conventional treat- ment is statistically shorter than control group and daily amount and frequency of us- ing ibuprophen is also statistically lower than control group. Conclusions This systemic review and meta analysis shows reliability, clinical ef- fectiveness and significance of Chuna treatment for fever in children. However, the quality of the studies were somewhat low and there are some uncertainties in the re - sult analysis due to heterogeneity between studies. More high quality clinical trials would be required.