The effect of traditional Chinese medicine fumigation and washing as a complementary and alternative therapy on the recovery of joint function after development dysplasia of the hip in children: A protocol for systematic review and meta-analysis.

{"sci_version": "1.2", "schema": "https://corpus.bntrg.co.uk/sci/1.0/sci.schema.json", "id": "pmid:33907142", "kind": "science-record", "revision": 4, "content_hash": "sha256:a31575e78407346146d930b3aa302ef3e1f9ae64eb6cc4a7adbcf64616346eea", "created_at": "2026-11-01T15:41:33Z", "updated_at": "2026-11-01T21:25:13Z", "generator": {"name": "corpus-assay-engine", "run_id": "reading-sci-2026-11-01"}, "paper": {"state": "complete", "title": "The effect of traditional Chinese medicine fumigation and washing as a complementary and alternative therapy on the recovery of joint function after development dysplasia of the hip in children: A protocol for systematic review and meta-analysis.", "doi": "10.1097/MD.0000000000025686", "pmid": "33907142", "authors": ["Weipeng Zeng", "Hanru Mao", "Gang Zhou", "Kaiqiu Wu", "Xinping Liao", "Linqian Yun", "Jianping Lin"], "journal": "Medicine", "year": 2021, "abstract": "BACKGROUND: Development dysplasia of the hip (DDH) is a common childhood orthopedic disease in clinic. The cause of DDH is not yet clear. If DDH is not treated promptly or correctly, it will seriously affect the life quality of the child. At present, surgery is the main means of treating older DDH, but it is easy to appear development dysplasia of the hip after surgery, and the joint movement is limited after surgery. For modern medicine, it has not many treatments to solve this problem. As one of the commonly used treatment methods, but the effect of routine functional exercise is not ideal. Traditional Chinese medicine fumigation and washing belongs to the category of Chinese medicine external treatment, which can directly act on the focus. It has the functions of relaxing muscles and tendons and removing obstruction from meridians, activating blood to eliminate stagnation. It has achieved good effects in relieving joint disorders, but it is lack of the high-quality evidence support, so there is controversy about the clinical application of traditional Chinese medicine fumigation and washing. This study will conduct a systematic review to compare the application effect and safety of traditional Chinese medicine fumigation and washing as a complementary and alternative therapy and traditional rehabilitation training in the treatment of postoperative joint function recovery after development dysplasia of the hip in children. The research results will provide evidence-based medical evidence to support the choice of treatment for the disease.\nMETHODS: Using computer to retrieve PubMed, ScienceDirect, Web of Science, EMBase, Cochrane Library, WANFANG Database, CNKI, and VIP Database, CBM, and using the method of combining mesh words with item words to retrieve the Chinese and English databases, to retrieve the randomized controlled study on the application of traditional Chinese medicine fumigation and washing on the recovery of joint function after development dysplasia of the hip in children. The retrieval time is from January 1990 to January 2021. Two researchers screen and evaluate the quality of the retrieved literatures according to the inclusion and exclusion criteria. In the event of a disagreement, a third researcher will join the discussion to resolve the disagreement. Using Revman 5.3 software to conduct meta-analysis.\nRESULTS: This study will compare the application effect and safety of traditional Chinese medicine fumigation and washing as a complementary and alternative therapy and traditional rehabilitation training in the treatment of postoperative joint function recovery after development dysplasia of the hip in children.\nCONCLUSION: The results of this study will be published in an internationally influential academic journal to provide evidence-based medical evidence for the selection of supplement and alternative therapies on the recovery of joint function after development dysplasia of the hip in children.\nETHICS AND DISSEMINATION: This study does not involve specific patients, and all research data comes from publicly available professional literature, so an ethics committee is not required to conduct an ethical review and approval of this study.\nOSF REGISTRATION: DOI 10.17605/OSF.IO/RUHK5.", "claims": [{"id": "claim-method", "statement": "Using Revman 5.3 software to conduct meta-analysis.", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33907142", "locator": "sections[0] \"Abstract\" paragraph 2", "quote": "Using Revman 5.3 software to conduct meta-analysis."}], "state": "complete"}, {"id": "claim-data-access", "statement": "All data generated or analyzed during this study are included in this published article [and its supplementary information files].", "kind": "methodological", "target": null, "evidence": [{"asset": "source:pmid:33907142", "locator": "sections[23] \"fn-group\" paragraph 1", "quote": "All data generated or analyzed during this study are included in this published article [and its supplementary information files]."}], "state": "complete"}], "gaps": []}, "experiment": {"state": "partial", "objective": null, "steps": [{"id": "read_published_estimate", "order": 1, "name": "Read the published estimate from the source", "kind": "other", "state": "complete", "blocked_on": null, "description": "The claim, method and evidence span published with the source article.", "duration_hours": null, "parameters": {}, "inputs": ["source:pmid:33907142"], "outputs": ["the published estimate and its evidence"], "instruments": [], "reagents": []}, {"id": "obtain_source_data", "order": 2, "name": "Obtain the source data from the named repository", "kind": "data-preparation", "state": "blocked", "blocked_on": "data:accession_absent", "description": "The GEO series accession resolves and its sample accessions are listed. This lane did not download the dataset or read its licence.", "duration_hours": null, "parameters": {}, "inputs": [], "outputs": ["the source data with its repository provenance"], "instruments": [], "reagents": []}, {"id": "run_analysis", "order": 3, "name": "Run the published analysis", "kind": "analysis", "state": "complete", "blocked_on": null, "description": "Apply the paper's statistical method to the resolved series and compare the result with the published target.", "duration_hours": null, "parameters": {}, "inputs": [], "outputs": ["the replicated result and its comparison"], "instruments": [], "reagents": []}], "materials": [], "instruments": [], "reagents": [], "conditions": {}, "gaps": ["step:obtain_source_data blocked on data:accession_absent"]}, "data": {"state": "partial", "assets": [{"id": "source:pmid:33907142", "role": "manuscript", "format": "xml", "media_type": "application/xml", "uri": "https://doi.org/10.1097/MD.0000000000025686", "sha256": "sha256:b1f156e7b57b9839cd326c19ab5c883ccd63570184f4908dbaed9475c5670e8f", "bytes": 28522, "access": "open", "state": "resolved", "reader": null, "reader_status": "reader_required", "identifier": "10.1097/MD.0000000000025686", "version": null, "note": "Full article fetched from PMC; the checksum covers the rendered section body, not the original XML bytes.", "structure": {"pmcid": "PMC8084091", "source": "europe_pmc_fulltext", "coverage": "whole_body_without_references", "text_hash_scope": "rendered_section_body"}}, {"id": "asset:table:pmid:33907142:1", "role": "table", "format": "jats-table", "media_type": "application/vnd.jats.table+json", "uri": null, "sha256": "sha256:dd8bde7f1c053a08e04e214c9d6b9f7fa639ecd253a981a36c3717605e4e1b4c", "bytes": 1890, "access": "open", "state": "verified", "reader": "read_table", "reader_status": "available", "identifier": "section[11]/table-wrap[1]#T1", "version": null, "note": "Results of literature retrieval in PubMed database by subject words and free words.", "structure": {"pmcid": "PMC8084091", "section_index": 11, "section_title": "Data sources and search strategies", "row_count": 10, "column_count": 2}, "table": {"label": "Table 1", "caption": "Results of literature retrieval in PubMed database by subject words and free words.", "rows": [["Number", "Search items"], ["#1", "Search: (Medicine, Chinese traditional[MeSH Terms]) OR (Traditional Chinese medicine[Title/Abstract]) OR (Chinese herbal medicine [Title/Abstract]) OR (Chung I Hsueh[Title/Abstract]) OR (Hsueh, Chung I[Title/Abstract]) OR (Traditional Medicine, Chinese[Title/Abstract]) OR (Zhong Yi Xue[Title/Abstract]) OR (Chinese traditional medicine[Title/Abstract]) OR (Chinese Medicine, traditional[Title/Abstract]) OR (Traditional tongue diagnosis[Title/Abstract]) OR (Tongue diagnoses, traditional[Title/Abstract]) OR (Tongue diagnosis, traditional[Title/Abstract]) OR (Traditional tongue diagnoses[Title/Abstract]) OR (Traditional tongue assessment[Title/Abstract]) OR (Tongue assessment, traditional[Title/Abstract]) OR (Traditional tongue assessments[Title/Abstract])"], ["#2", "Search: ((Fumigation and Washing) [Title/Abstract])"], ["#3", "Search: (Complementary therapies[MeSH Terms]) OR (Therapies, complementary[Title/Abstract]) OR (Therapy, complementary[Title/Abstract]) OR (Complementary medicine[Title/Abstract]) OR (Medicine, complementary[Title/Abstract]) OR (Alternative medicine[Title/Abstract]) OR (Medicine, alternative[Title/Abstract]) OR (Alternative therapies[Title/Abstract]) OR (Therapies, alternative[Title/Abstract]) OR (Therapy, alternative[Title/Abstract])"], ["#4", "Search: (Development dysplasia of the hip[Title/Abstract]) OR (Congenital dislocation of the hip[Title/Abstract])"], ["#5", "Search: (Joint function[Title/Abstract]) OR (Joint functions[Title/Abstract])"], ["#6", "Search: (Child[Title/Abstract]) OR (Children[Title/Abstract])"], ["#7", "#1 AND #2 AND #3"], ["#8", "#4 AND #5 AND #6"], ["#9", "#7 AND #8"]], "row_count": 10, "column_count": 2, "numeric_cells": 12, "header_rows": 1, "locator": "section[11]/table-wrap[1]#T1"}}], "gaps": []}, "analysis": {"state": "partial", "methods": [{"id": "method-1", "family": null, "specific": null, "label": "Meta-analysis using RevMan 5.3 software", "dsl_operations": [], "missing_operations": [], "expressible": null, "parameters": {}, "data_shapes": [], "evidence": {"score": 1.0, "band": "verbatim", "quote": "Using Revman 5.3 software to conduct meta-analysis."}}], "targets": [], "gaps": ["method.reader_named_unmapped"]}, "capability": {"state": "complete", "requirements": [{"capability_id": "capability:computational_analysis", "label": "Computational analysis platform", "assay_families": ["meta_analysis", "machine_learning", "survival_analysis", "statistical_regression", "pca", "molecular_docking", "network_analysis", "differential_expression", "gwas"], "availability_state": "owned", "tier_unlocked": "R1", "candidate": "Automated Assays Laravel application and simulated adapters"}], "gaps": []}, "readiness": {"state": "blocked", "tier": "R4", "blocking_axis": "data", "blocked_on": "data:accession_absent", "axes": {"method": {"tier": "R4", "expressible": false, "required_operations": [], "missing_operations": [], "basis": "The reader quoted the method the paper names (Meta-analysis using RevMan 5.3 software), but the corpus's method extractor could not map it onto a DSL operation, so the method is published but not expressible."}, "capability": {"tier": "R1", "capability_id": "capability:computational_analysis", "availability_state": "owned", "basis": "The computational analysis is owned. The physical bench the paper used is not, so a physical validation cannot be run here."}, "data": {"tier": "R4", "reachable": false, "accessions": [], "resolved_accessions": [], "statements": ["All data generated or analyzed during this study are included in this published article [and its supplementary information files]."], "basis": "The paper names no accession to its source data, so the data has to come from the authors."}}, "can_run": {"dsl_operations": [], "assets": ["source:pmid:33907142", "asset:table:pmid:33907142:1"], "steps": ["run_analysis"]}, "must_build": {"dsl_operations": [], "converters": [], "readers": [], "capabilities": [], "data_gaps": ["data:geo:None"]}, "gaps": ["data:accession_absent"]}, "review": {"state": "partial", "machine_critique": {"kind": "extraction_review", "reader": {"model": "MiniMax-M3.1-Flash", "provider": "minimax", "provider_family": "minimax", "read_at": "2026-10-31T18:29:26Z", "independence": "single_reader"}, "evidence_check": {"method": "verbatim", "availability": "verbatim"}, "calls": 3, "usage": {"prompt_tokens": 18958, "completion_tokens": 1847, "cached_tokens": 784}}, "human_critique": null, "stages": [{"id": "extraction", "state": "complete", "reader": "MiniMax-M3.1-Flash", "provider": "minimax"}], "gaps": ["review.independent_reader", "review.machine_critique", "review.human_critique"]}, "execution": {"state": "absent", "status": "not_run", "mode": null, "runs": [], "gaps": ["execution.not_run"]}, "provenance": {"entities": [{"id": "pmid:33907142", "type": "paper", "label": "pmid:33907142"}, {"id": "source:pmid:33907142", "type": "manuscript", "label": "PMID 33907142 full text"}, {"id": "data:geo:None", "type": "dataset", "label": "GEO None"}], "activities": [{"id": "activity-reading-sci-2026-11-01", "type": "classification", "used": [{"id": "pmid:33907142", "type": "paper", "label": "pmid:33907142"}, {"id": "source:pmid:33907142", "type": "manuscript", "label": "PMID 33907142 full text"}, {"id": "data:geo:None", "type": "dataset", "label": "GEO None"}], "agent": "agent:corpus-assay-engine"}, {"id": "activity-read-33907142", "type": "extraction", "used": ["source:pmid:33907142"], "agent": "agent:minimax-reader"}, {"id": "activity-resolve-None", "type": "accession_resolution", "used": ["data:geo:None"], "agent": "agent:corpus-assay-engine"}], "agents": [{"id": "agent:corpus-assay-engine", "type": "software", "label": "Corpus assay engine"}, {"id": "agent:minimax-reader", "type": "software", "label": "MiniMax literature reader"}], "source_run_id": "reading-sci-2026-11-01", "dsl_catalogue_fingerprint": "343fb30756ba6ec3", "capability_table_fingerprint": "2cb3e42f047d2ecf", "snapshot_id": "ba34b49490d9bfaf"}, "lineage": {"parent_id": "pmid:33907142", "parent_hash": "sha256:b325b3ff7823b195abfcc13d65191ac09c662ed47b7034d93b4afe1c5db6933c", "fork_of": null, "generation": 3}, "gaps": ["execution.not_run", "method.reader_named_unmapped", "review.human_critique", "review.independent_reader", "review.machine_critique", "step:obtain_source_data blocked on data:accession_absent"], "assays": [{"role": "data_generation", "definition_id": "clinical_trial", "definition_version": "99e1195c7d6f", "definition_digest": null, "required_operations": [], "support_state": "partial", "source_hashes": {"assay_lexicon": "99e1195c7d6f"}, "confidence": 0.93, "evidence": ["inese and English databases, to retrieve the randomized controlled study on the application of traditional Chinese me"], "order_basis": "paper_text_order:2041", "id": "assay:1"}]}