Background: Scoliosis is a spinal deformity and is diagnosed as Cobb angle being greater than 10°. Because it is accompanied with structural dysfunction, it can cause pain, worsen the patient's general health and quality of life. The prevalence of scoliosis has been increasing and many treatments, including surgical treatment and conservative treatment, such as observation, bracing, physiotherapy, and Chuna manual therapy (CMT), have been suggested. CMT is a manual therapy in Korean medicine that provides effective stimulation to the patient's body structure to treat structural dysfunction. After Korean national health insurance's coverage of CMT in 2019, the application of CMT for scoliosis has increased, and many studies have been reported. There have been attempts to elucidate the effectiveness of CMT on scoliosis; however, its effectiveness still remains unconfirmed. Therefore, the aim of this study is to evaluate the effectiveness and safety of CMT on scoliosis.
Methods: The published randomized controlled trials that evaluated the effectiveness and safety of CMT for scoliosis will be searched for in multiple electronic databases without the limitation of country and language. Data on characteristics of studies, interventions, comparators, outcome measures, results, and information for assessment of study quality will be extracted. The primary outcome will be the Cobb angle and the secondary outcomes will be the scales of pain, function, quality of life and disability, and adverse events. Data synthesis and analysis will be conducted using the Review Manager software for Windows (RevMan ver. 5.3.; Copenhagen; The Nordic Cochrane Center, The Cochrane Collaboration, 2014). Subgroup analysis to identify the differences between different CMT maneuvers will also be performed. For risk of bias assessment, the "risk of bias" tool from Cochrane Collaboration will be used.
Results: This study will present the clinical evidence on the effectiveness and safety of CMT on scoliosis.
Conclusion: This study will propose useful evidence for treatment, further research, and health policies in the future.
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http://dx.doi.org/10.1097/MD.0000000000024778 | DOI Listing |
Adv Clin Exp Med
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Institute of Cardiology, Jagiellonian University Medical College, Cracow, Poland.
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Environ Sci Technol
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State Key Laboratory of Marine Resources Utilization in South China Sea, School of Marine Science and Engineering, Hainan University, Haikou 570228, China.
In response to the 2023 "Action Plan for Methane Emission Control" in China, which mandates precise methane (CH) emission accounting, we developed a dynamic model to estimate CH emissions from fossil-fuel and food systems in China for the period 1990-2020. We also analyzed their socioeconomic drivers through the Logarithmic Mean Divisia Index (LMDI) model. Our analysis revealed an accelerated emission increase (850.
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SKKU Advanced Institute of Nanotechnology (SAINT), Sungkyunkwan University, Suwon, 16419, South Korea.
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Faculty of Medicine and Medical Sciences, University of Balamand, Kalhat, Lebanon.
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January 2025
Guangzhou Xinhua University, School of Resources and Planning, Guangzhou, 510520, China.
Emergency shelters are multifunctional spaces that provide safe refuge, essential life protection, and rescue command for residents in case of urban disaster. These shelters constitute crucial components of urban public safety. This study, with Tianhe District in Guangzhou City as a case study, used data from emergency evacuation sites and other socio-economic sources to construct an evaluation system for spatial suitability evaluation and layout optimization of emergency shelters.
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