Comparison of concordance between chuna manual therapy diagnosis methods (palpation, X-ray, artificial intelligence program) in lumbar spine: An exploratory, cross-sectional, prospective observational study protocol.

Journal: Medicine
PMID:

Abstract

INTRODUCTION: Chuna manual therapy (CMT) is a type of manual medicine practiced by Korean medical doctors in South Korea. Spinal diagnosis in CMT uses a system that applies manual diagnostic and X-ray tests to detect specific vertebral malpositions, based on the relative alignment across vertebral bodies. Recently, artificial intelligence (AI) programs have been developed to assist in the radiological diagnosis of CMT using X-ray images. Nevertheless, a few clinical studies have reported on the concordance between diagnosticians, diagnostics methodologies, and the use of AI programs for diagnosing CMT. At present, the evidence to support CMT diagnosis is insufficient. This study thus aims to overcome such limitations by collecting and comparing CMT diagnostic data from experts and non-experts through manual diagnosis, X-ray test, and images obtained using an AI program. The study aims to search for CMT diagnosis methods with more outstanding rationality and consistency and to explore the potential use of AI-based CMT diagnosis programs.

Authors

  • Jin-Hyun Lee
    Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea.
  • Hyeon-Jun Woo
    Department of Korean Rehabilitation Medicine, Wonkwang University College of Korean Medicine, Iksan, South Korea.
  • Jung-Han Lee
    Department of Korean Rehabilitation Medicine, Wonkwang University College of Korean Medicine, Iksan, South Korea.
  • Joong-Il Kim
    Digital Health Research Division, Korea Institute of Oriental Medicine, Daejeon, South Korea.
  • Jun-Su Jang
    Digital Health Research Division, Korea Institute of Oriental Medicine, Daejeon, South Korea.
  • Young Cheol Na
    Department of Neurosurgery, Catholic Kwandong University International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, South Korea.
  • Kwang-Ryeol Kim
    Department of Neurosurgery, International St. Mary's Hospital, Catholic Kwandong University, Incheon, South Korea.
  • Tae-Yong Park
    Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital, Incheon, South Korea.