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Kang YH, Ha WB, Geum JH, Woo H, Han YH, Park SH, Lee JH. Effect of Muscle Energy Technique on Hamstring Flexibility: Systematic Review and Meta-Analysis. Healthcare (Basel) 2023; 11:1089. [PMID: 37107922 PMCID: PMC10137847 DOI: 10.3390/healthcare11081089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 03/28/2023] [Accepted: 04/06/2023] [Indexed: 04/29/2023] Open
Abstract
Since 2005, there have been no systematic reviews on the effects of multiple manual therapies, including muscle energy technique (MET), on the hamstrings. Therefore, this systematic review aimed to provide clinical evidence for the effectiveness of the MET on hamstring flexibility. We queried 10 electronic databases (PubMed, EMBASE, The Cochrane Library, KISS, NDSL, KMBASE, KISTI, RISS, Dbpia, and OASIS) up to the end of March 2022. This study only included randomized controlled trials (RCTs) investigating the use of MET for the hamstring. The literature was organized using Endnote. Literature screening and data extraction were conducted by two researchers independently. The methodological quality of the included RCTs was evaluated using the Cochrane risk-of-bias tool 1.0, and the meta-analysis was performed using RevMan 5.4. In total, 949 patients from 19 RCTs were selected according to the inclusion criteria. During active knee extension tests, the efficacy between MET and other manipulations did not significantly differ. For sit and reach tests, MET groups had higher flexibility compared to stretching (MD = 1.69, 95% CI: 0.66 to 2.73, p = 0.001) and no treatment (MD = 2.02, 95% CI: 0.70 to 3.33, p = 0.003) groups. No significant differences were observed in the occurrence of adverse reactions. Overall, we found that MET is more efficacious for improving hamstring flexibility compared to stretching and having no treatment during sit and reach tests because it combines isometric contraction with stretching. Owing to clinical heterogeneity, uncertain risk of bias, and the small number of included studies, further high-quality studies should assess the effectiveness of MET.
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Affiliation(s)
- Yeh-Hyun Kang
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, 460 Iksan-daero, Iksan 54538, Republic of Korea
| | - Won-Bae Ha
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, 460 Iksan-daero, Iksan 54538, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan 54538, Republic of Korea
| | - Ji-Hye Geum
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, 460 Iksan-daero, Iksan 54538, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan 54538, Republic of Korea
| | - Hyeonjun Woo
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, 460 Iksan-daero, Iksan 54538, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan 54538, Republic of Korea
| | - Yun-Hee Han
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, 460 Iksan-daero, Iksan 54538, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan 54538, Republic of Korea
| | - Shin-Hyeok Park
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, 460 Iksan-daero, Iksan 54538, Republic of Korea
- Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan 54538, Republic of Korea
| | - Jung-Han Lee
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, 460 Iksan-daero, Iksan 54538, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan 54538, Republic of Korea
- Research Center of Traditional Korean Medicine, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan 54538, Republic of Korea
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Cheong MJ, Ha WB, Cho HB, Choi UJ, Woo HJ, Han YH, Kang HW. Improving the quality of life in a breast cancer patient and caregiver: Protocol for the application of the integrative medical service model. Medicine (Baltimore) 2022; 101:e32244. [PMID: 36550894 PMCID: PMC9771164 DOI: 10.1097/md.0000000000032244] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
BACKGROUND Patients with chronic diseases require ongoing treatment, and caregivers face financial burdens as well as psychological and physical difficulties. However, the current healthcare system does not provide adequate systems or services to address the difficulties that patients and caregivers face. PURPOSE The purpose of this study was to conduct an observational case study in order to evaluate and improve the application of an integrative healthcare service model developed for distress management and improved quality of life in breast cancer (BC) patients and caregivers. METHOD The integrative healthcare service model was intensively applied to a patient-caregiver pair in this observational study. This was followed by gathering feedback from participants and experts, as well as reflecting on the content of the feedback in order to improve the model further. RESULTS This study will then modify and improve the program with feedback and provide integrative medical services to a BC patient and caregiver. CONCLUSION This study used the BC patients' pain management and quality of life enhancement model, aiming to provide basic data for the establishment of a healthcare service system for patients suffering from chronic pain due to diseases such as BC by systematically integrating previously applied interventions into the current healthcare system and soliciting feedback from patients and caregivers.
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Affiliation(s)
- Moon Joo Cheong
- Rare Diseases Integrative Treatment Research Institute, Wonkwang University Jangheung Integrative Medical Hospital, Anyang-myeon, Jangheung-gun, Jeollanam-do, Republic of Korea
| | - Won-Bae Ha
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University, Iksan-si, Jeollabuk-do, Republic of Korea
| | - Han-Baek Cho
- Department of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Wonkwang University, Iksan-si, Jeollabuk-do, Republic of Korea
| | - Un-jong Choi
- Department of Surgery, Wonkwang University School of Medicine, Iksan-si, Jeollabuk-do, Republic of Korea
| | - Hyeon-Jun Woo
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University, Iksan-si, Jeollabuk-do, Republic of Korea
| | - Yun-Hee Han
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Wonkwang University, Iksan-si, Jeollabuk-do, Republic of Korea
| | - Hyung Won Kang
- Rare Diseases Integrative Treatment Research Institute, Wonkwang University Jangheung Integrative Medical Hospital, Anyang-myeon, Jangheung-gun, Jeollanam-do, Republic of Korea
- Department of Korean Neuropsychiatry Medicine, College of Korean Medicine, Wonkwang University, Iksan-si, Jeollabuk-do, Republic of Korea
- * Correspondence: Hyung Won Kang, Department of Neuropsychiatry of Korean Medicine, College of Korean Medicine, Wonkwang University, #460 Iksan-si, Jeollabuk-do 54538, Republic of Korea (e-mail: )
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Kim JW, Geum JH, Ha WB, Woo HJ, Han YH, Park SH, Lee JH. The efficacy, effectiveness, and safety of Kyung-ok-ko: A narrative review. Medicine (Baltimore) 2022; 101:e31311. [PMID: 36397335 PMCID: PMC9666190 DOI: 10.1097/md.0000000000031311] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Kyung-ok-ko (KOK), a traditional medicinal formula in East Asia, has been recently studied across various fields. However, comprehensive reviews of clinical applications of KOK targeting clinical and experimental studies are lacking. Therefore, the application of KOK is being limited to the range of tonic medicines. To overcome this limitation, we aim to investigate the effectiveness, mechanism, and safety of KOK to obtain evidence regarding its effects in clinical applications. We searched for clinical and experimental articles in 11 databases (PubMed, Cochrane Library, Excerpta Medica dataBASE, China National Knowledge Infrastructure, Google Scholar, Research Information Sharing Service, Oriental Medicine Advanced Searching Integrated System, Koreanstudies Information Service System, Korean Medical Database, DBpia, and ScienceON). We selected 54 studies based on the inclusion criteria. Three clinical studies used KOK for a consumptive disease and health promotion. Fifty-one experimental studies reported the antioxidant activity, neuroprotective activity, anticancer effect, anti-inflammatory activity, immunological activity, growth promotion, impacts on cardiovascular system diseases, gastrointestinal system diseases, respiratory system diseases, and metabolic bone disease, hepatoprotective function, and antifatigue function of KOK, which were considered effective and safe in consumptive, chronic, metabolic, inflammatory, and immune diseases. We identified the effectiveness of KOK in the treatment of a wide range of diseases. However, further clinical studies are warranted in the future.
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Affiliation(s)
- Ji-Woo Kim
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
| | - Ji-Hye Geum
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- Department of Rehabilitation Medicine of Korean Medicine, Iksan-Jeil Korean Medicine Hospital, Iksan, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
| | - Won-Bae Ha
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
| | - Hyeon-Jun Woo
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
| | - Yun-Hee Han
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
| | - Shin-Hyeok Park
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
| | - Jung-Han Lee
- Chuna Manual Medicine Research Group, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- Research Center of Traditional Korean Medicine, College of Korean Medicine, Won-Kwang University, Iksan, Republic of Korea
- *Correspondence: Jung-Han Lee, Department of Korean Medicine Rehabilitation, College of Korean Medicine, Won-Kwang University, 895 Muwang-ro, Iksan, Jeollabuk-do 54538, Republic of Korea (e-mail: )
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Kim S, Lee S, Ha WB, Lee JH, Jung HJ, Chu HM, Yang SB, Choi S, Son MJ, Kim JH, Jeon Y. Development of an ultrasound-imaging procedure and acquisition of ultrasound images of acupuncture points for safety and accuracy of needle insertion. Integr Med Res 2017; 6:427-433. [PMID: 29296570 PMCID: PMC5741397 DOI: 10.1016/j.imr.2017.09.003] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Revised: 08/29/2017] [Accepted: 09/01/2017] [Indexed: 11/19/2022] Open
Abstract
Background Acupuncture is a relatively safe, commonly used “alternative” medical treatment for various symptoms. However, adverse effects can occur, including trauma, pneumothorax, and central-nervous-system injury. Our objective was to develop a reliable and practical procedure for ultrasound imaging of acupuncture points to improve safety during needling, and to acquire ultrasound images of several (44) acupuncture points, especially those in high-risk areas, according to an in-house standard operating procedure. Methods We created the standard operating procedure for ultrasound imaging for acupuncture, and collected ultrasound images of acupuncture points in clinical trials. Results Ultrasound images for 44 acupuncture points considered as high-risk points were collected from 85 healthy people who were classified by body-mass index, and high-quality, clear representative images of all 44 points were obtained. Conclusion These baseline images could be helpful for understanding the anatomy under the skin at acupuncture points, which would allow for an enhanced safety and more accurate needling.
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Affiliation(s)
- Sungha Kim
- Research & Development, Korea Institute of Oriental Medicine, Daejeon, Korea
| | - Sanghun Lee
- Research & Development, Korea Institute of Oriental Medicine, Daejeon, Korea
| | - Won-Bae Ha
- Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Wonkwang University, Iksan, Korea
| | - Jung-Han Lee
- Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Wonkwang University, Iksan, Korea
| | - Hyun-Jong Jung
- Department of Diagnostics, College of Korean Medicine, Wonkwang University, Iksan, Korea
| | - Hong-Min Chu
- Department of Meridian & Acupoint, College of Korean Medicine, Wonkwang University, Iksan, Korea
| | - Seung-Bum Yang
- Department of Medical Non-Commissioned Officer, Wonkwang Health Science, Iksan, Korea
| | - Sunmi Choi
- Research & Development, Korea Institute of Oriental Medicine, Daejeon, Korea
| | - Mi Ju Son
- Research & Development, Korea Institute of Oriental Medicine, Daejeon, Korea
| | - Jae Hyo Kim
- Department of Meridian & Acupoint, College of Korean Medicine, Wonkwang University, Iksan, Korea
- Corresponding authors. Department of Meridian & Acupoint, College of Korean Medicine, Wonkwang University, 460, Iksan-daero, Iksan 54538, South Korea; Research & Development, Korea Institute of Oriental Medicine, 1672 Yuseong-daero, Yuseong-gu, Daejeon 34054, South Korea.Department of Meridian & AcupointCollege of Korean MedicineWonkwang UniversityIksanKorea
| | - Youngju Jeon
- Research & Development, Korea Institute of Oriental Medicine, Daejeon, Korea
- Corresponding authors. Department of Meridian & Acupoint, College of Korean Medicine, Wonkwang University, 460, Iksan-daero, Iksan 54538, South Korea; Research & Development, Korea Institute of Oriental Medicine, 1672 Yuseong-daero, Yuseong-gu, Daejeon 34054, South Korea.Department of Meridian & AcupointCollege of Korean MedicineWonkwang UniversityIksanKorea
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