Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
권호 표지

Analysis of the Efficacy of Acupuncture for Chronic Low Back Pain Based on the Relationship Between Trunk Flexors and Extensors

요부 굴곡과 신전운동의 관점에서 분석한 만성요통의 침치료 효과

  • Kim, Eu-Gene (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Sangji University) ;
  • Park, Won-Hyung (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Sangji University) ;
  • Cha, Yun-Yeop (Department of Oriental Rehabilitation Medicine, College of Oriental Medicine, Sangji University)
  • 김유진 (상지대학교 한의과대학 한방재활의학과교실) ;
  • 박원형 (상지대학교 한의과대학 한방재활의학과교실) ;
  • 차윤엽 (상지대학교 한의과대학 한방재활의학과교실)
  • Received : 2012.07.02
  • Accepted : 2012.07.30
  • Published : 2012.08.25
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to examine the effect of acupuncture on trunk flexors compared with trunk extensors in patients with chronic low back pain. The experimental group was treated with acupuncture on trunk flexors. The control group was treated with acupuncture on trunk extensors. Acupuncture treatment was performed 12 sessions over the course of 6 weeks. Volunteers who satisfied the requirements were enrolled in the study. Chronic low back pain was evaluated based on the VAS for bothersomeness, VAS for pain intensity at every treatment and 8, 12 and 24 weeks after starting the treatments, and ODI, SF-36 and BDI before and after treatments and 8, 12 and 24 weeks after starting the treatments. The VAS score for bothersomeness significantly decreased after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for bothersomeness in the experimental group decreased more rapidly than that of the control group with statistical significance (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI significantly improved after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI in the experimental group showed more rapid improvement than those of the control group. But, there were no statistical significances. Treating trunk flexors using acupuncture was more effective in decreasing the degree of bothersomeness caused by chronic low back pain than treating trunk extensors with acupuncture. There is a need to perform further studies.

Keywords

References

  1. 박정율. 만성요통의 진단과 치료. 가정의학회지 22(9):1349-1358, 2001.
  2. 강세윤. 요통재활치료. 대한의학학회지 35(8):968-975, 1992.
  3. 최익선, 최용태. 요통증의 침구요법에 관한 문헌적 고찰. 경희한의대논문집, 1(1):159-187, 1978.
  4. Panjabi, M.M. Clinical spinal instability and low back pain. Journal of Electromyography and Kinesiology. 13: 371-379, 2003. https://doi.org/10.1016/S1050-6411(03)00044-0
  5. O'Sullivan, P.B., Twomey, L., Allison, G.T. Altered abdominal muscle recruitment in patients with chronic low back pain following a specific exercise intervention. The Journal of Orthopaedic and Sports Physical Therapy. 27(2):114-124, 1998.
  6. 李梴. 醫學入門. 서울, 醫藥社, p 382, 416, 1978.
  7. 許浚. 東醫寶鑑. 서울, 법인문화사, pp 710-719, 1999.
  8. 김창균. 운동생리학의 이해와 적용. 서울, 대경북스, p 104, 2008.
  9. 전국한의과대학 침구경혈학교실. 침구학(상). 서울, 집문당, pp 382, 412-413, 639-642, 2001.
  10. Revill, S.I., Robinson, J.O., Rosen, M., Hogg, M.I. The reliability of a linear analogue for evaluating pain. Anaesthesia. 31(9):1191-1198, 1976. https://doi.org/10.1111/j.1365-2044.1976.tb11971.x
  11. Carlsson, A.M. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 16(1):87-101, 1983. https://doi.org/10.1016/0304-3959(83)90088-X
  12. Patrick, D.L., Deyo, R.A., Atlas, S.J., Singer, D.E., Chapin, A., Keller, R.B. Assessing health-related quality of life in patients with sciatica. Spine. 20(17):1899-1908, 1995. https://doi.org/10.1097/00007632-199509000-00011
  13. Roland, M., Fairbank, J. The Roland Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine. 25(24):3115-3124, 2000. https://doi.org/10.1097/00007632-200012150-00006
  14. Roland, M., Morris, R. A Study of the natural history of back pain. Part I: development of a reliable and sensitive measure of disability in low back pain. Spine. 8(2):141-144, 1983. https://doi.org/10.1097/00007632-198303000-00004
  15. Jeon, C.H., Kim, D.J., Kim, D.J., Lee, H.M., Park, H.J. Cross-cultural adaptation of the Korean version of the Oswestry Disability Index(ODI). Journal of Korean Spine Surg. 12(2):145-152, 2005.
  16. Brazier, J.E. Validation the SF-36 health survey questionnaire: new outcome measure for primary care. BMJ. 305(6846):160-164, 1992. https://doi.org/10.1136/bmj.305.6846.160
  17. Ware JE Jr., Sherbourne, C.D. The MOS 36-item short form health survey(SF-36) I: Conceptual frame-work and item selection. Med Care. 30(6):473-483, 1992. https://doi.org/10.1097/00005650-199206000-00002
  18. Nam, B.H., Lee, S.W. Testing the validity of the Korean SF-36 health survey. Journal of the Korean Society of Health Statistics. 28(2):3-24, 2003.
  19. Lee, Y.H., Song, J.Y. A study of reliability and the validity of the BDI, SDS, and MMPI-D scales. Korea Journal of Clinical Psychology. 10(1):98-113, 1991.
  20. Beck, A.T., Ward, C.H., Mendelson, M., Mock, J., Erbaugh, J. An inventory for measuring depression. Arch Gen Psychiatry. 4: 561-571, 1961. https://doi.org/10.1001/archpsyc.1961.01710120031004
  21. Hart, L., Deyo, R., Cherkin, K. Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national survey. Spine. 20(1):11-19, 1995. https://doi.org/10.1097/00007632-199501000-00003
  22. Waddell G. A new clinical model for the treatment of low back pain. Spine. 12(7):632-644, 1987. https://doi.org/10.1097/00007632-198709000-00002
  23. Craig Liebenson. Rehabilitation of the spine. 서울, 푸른솔, pp 15-24, 2000.
  24. Thomas W. Myers. 근막경선해부학 2판. 서울, 엘스비어코리아, pp 94-145, 333-341, 2010.
  25. 송윤경, 임형호. 기능적인 움직임 치료를 위한 經筋의 임상활용에 대한 연구(I). 대한추나의학회지 3(1):65-83, 2002.
  26. Leon Chaitow. 최신 근에너지 기법 제3판. 서울, 군자출판사, pp 17-18, 2008.
  27. Donald A. Neumann. 근골격계의 기능해부 및 운동학. 서울, 정담미디어, pp 444-448, 2004.
  28. Kapandji. I.A. 관절생리학 3권. 서울, 현문사, pp 98-99, 102-105, 1998.
  29. Carol A. Oatis. 임상운동학: 인체 운동의 역학과 병태역학 중심으로. 서울, 영문출판사, pp 631-655, 758, 2008.
  30. 김유진, 차윤엽. 한방치료를 통한 복근군의 근막이완으로 호전된 만성기침환자 치험 2례. 한방재활의학과학회지 19(3): 123-134, 2009.
  31. David G. Simons, Janet G. Travell, Lois S. Simons. 통증유발점의 기전과 치료 제1권. 서울, 영문출판사, pp 178-228, 953, 2003.
  32. 한방재활의학과학회. 한방재활의학. 서울, 군자출판사, p 46, 2007.
  33. Shirley A. Sahrmann. 운동손상 증후군의 진단과 치료. 서울, 정담미디어, p 99, 2005.
  34. 손지형 외. Visual Analogue Scale을 사용하여 분석한 전침시행 요통환자의 통증 호전에 대한 임상연구. 대한침구학회지 21(5):27-44, 2004.
  35. Orvieto, R., Rand, N., Kev, B., Wiener, M., Nehama, H. Low back pain and body mass index. Mil Med. 159(1):37-38, 1994.
  36. 김완희. 한의학원론. 서울, 성보사, pp 135-138, 1999.
  37. 전국한의과대학 비계내과학교실. 비계내과학. 서울, 한성기획, pp 29-35, 2000.