Journal of Acupuncture Research

  • 제33권2호
  • /
  • Pages.77-87
  • /
  • 2016
  • /
  • 2586-288X(pISSN)
  • /
  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
권호 표지
DOI QR코드

DOI QR Code

Alternation of Topical Heat and Cold for Chronic Low Back Pain : A Randomized Controlled Pilot Trial

  • Choi, Young Doo (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Jo, Su Jeong (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Jung, Chan Yung (College of Korean Medicine, Dongguk University) ;
  • Kim, Kap Sung (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital) ;
  • Lee, Seung Deok (Department of Acupuncture & Moxibustion, Dongguk University Ilsan International Hospital)
  • 투고 : 2016.05.10
  • 심사 : 2016.06.01
  • 발행 : 2016.06.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : This is a pilot study for a large randomized controlled trial to investigate the efficacy and safety of a newly developed contrast therapy device-- alternating topical heat and cold -- for patients with chronic low back pain. The main objective of this study is to confirm the feasibility of the study design. Methods : The design was a randomized, 2-arm, parallel-group, single-blind, placebo controlled trial. Patients in each group received real or sham contrast therapy in an acupuncture point 10 times over four weeks. The primary outcome measure was pain intensity on a 100-mm visual analogue scale (VAS). The secondary outcomes were back-related dysfunction based on the Oswestry Disability Index (ODI), the Roland-Morris disability questionnaire (RMDQ), and range of motion of lumbar spine based on the modified Schober test (mSchober test), Finger-to-Floor distance (FTF distance), and Finger-to-Thigh distraction (FTT distraction). Results : A total of 30 subjects with chronic low back pain were randomly assigned to a contrast therapy group (n＝15) or a sham group (n＝15). A repeated-measures analysis of variance showed statistically significant group time interaction for VAS, RMDQ, mSchober test and FTF distance (p<0.05). The treatment group showed significant improvement in pain intensity and functional disability as compared to the sham group. Conclusion : Contrast therapy may be an effective and safe treatment for chronic low back pain.

키워드

참고문헌

  1. Hoy D, Bain C, Williams G et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012 ; 64(6) : 2028-37. https://doi.org/10.1002/art.34347
  2. Gaul C, Schmidt T, Czaja E, Eismann R, Zierz S. Attitudes towards complementary and alternative medicine in chronic pain syndromes : a questionnaire-based comparison between primary headache and low back pain. BMC Complement Altern Med. 2011 ; 11(1) : 89. https://doi.org/10.1186/1472-6882-11-89
  3. Melzack R, Vetere P, Finch L. Transcutaneous Electrical Nerve Stimulation for Low Back Pain A Comparison of TENS and Massage for Pain and Range of Motion. Phys Ther. 1983 ; 63(4) : 489-93. https://doi.org/10.1093/ptj/63.4.489
  4. Lehmann TR, Russell DW, Spratt KF et al. Efficacy of electroacupuncture and TENS in the rehabilitation of chronic low back pain patients. Pain. 1986 ; 26(3) : 277-90. https://doi.org/10.1016/0304-3959(86)90057-6
  5. Ghoname ES, Craig WF, White PF et al. Percutaneous electrical nerve stimulation for low back pain : a randomized crossover study. JAMA. 1999 ; 281(9) : 818-23. https://doi.org/10.1001/jama.281.9.818
  6. Ghoname ES, Craig WF, White PF et al. The effect of stimulus frequency on the analgesic response to percutaneous electrical nerve stimulation in patients with chronic low back pain. Anesth Analg. 1999 ; 88(4) : 841-6. https://doi.org/10.1213/00000539-199904000-00030
  7. Hamza MA, Ghoname EA, White PF et al. Effect of the duration of electrical stimulation on the analgesic response in patients with low back pain. Anesthesiology. 1999 ; 91(6) : 1622-7. https://doi.org/10.1097/00000542-199912000-00012
  8. Yokoyama M, Sun X, Oku S et al. Comparison of percutaneous electrical nerve stimulation with transcutaneous electrical nerve stimulation for long-term pain relief in patients with chronic low back pain. Anesth Analg. 2004 ; 98(6) : 1552-6.
  9. Lehmann JF, de Lateur BJ. Therapeutic heat. Therapeutic heat and cold. Baltimore : Williams & Wilkins. 1990 : 417-23.
  10. French SD, Cameron M, Walker BF, Reggars JW, Esterman AJ. A Cochrane review of superficial heat or cold for low back pain. Spine. 2006 ; 31(9) : 998-1006. https://doi.org/10.1097/01.brs.0000214881.10814.64
  11. Prentice W. Therapeutic modalities in sports medicine. 4th edition. Bostaon : WCB/McGraw Hill. 1999 : 187-189.
  12. van Middelkoop M, Rubinstein SM, Kuijpers T et al. A systematic review on the effectiveness of physical and rehabilitation interventions for chronic non-specific low back pain. Eur Spine J. 2011 ; 20(1) : 19-39. https://doi.org/10.1007/s00586-010-1518-3
  13. McCaffery M. Nursing approaches to nonpharmacological pain control. Int J Nurs Stud. 1990 ; 27(1) : 1-5. https://doi.org/10.1016/0020-7489(90)90018-E
  14. Fritzell P, Hagg O, Wessberg P, Nordwall A. 2001 Volvo Award Winner in Clinical Studies : Lumbar fusion versus nonsurgical treatment for chronic low back pain : a multicenter randomized controlled trial from the Swedish Lumbar Spine Study Group. Spine. 2001 ; 26(23) : 2521-32. https://doi.org/10.1097/00007632-200112010-00002
  15. Roland M, Fairbank J. The Roland-Morris disability questionnaire and the Oswestry disability questionnaire. Spine. 2000 ; 25(24) : 3115-24. https://doi.org/10.1097/00007632-200012150-00006
  16. Feeley N, Cossette S, CoteJ et al. The importance of piloting an RCT intervention. Can J Nurs Res. 2009 ; 41(2) : 85-99.
  17. Gorenberg M, Schiff E, Schwartz K, Eizenberg E. A novel image-guided, automatic, high-intensity neurostimualtion device for the treatment of nonspecific low back pain. Pain Res Treat. 2011 ; 2011 : 152307.
  18. Nadler SF, Steiner DJ, Erasala GN, Hengehold DA, Abeln SB, Weingand KW. Continuous lowlevel heatwrap therapy for treating acute nonspecific low back pain. Arch Phys Med Rehabil. 2003 ; 84(3) : 329-34. https://doi.org/10.1053/apmr.2003.50102
  19. Nadler SF, Weingand K, Kruse RJ. The physiologic basis and clinical applications of cryotherapy and thermotherapy for the pain practitioner. Pain physician. 2004 ; 7(3) : 395-9.
  20. Turner JA, Deyo RA, Loeser JD, Von Korff M, Fordyce WE. The importance of placebo effects in pain treatment and research. JAMA. 1994 ; 271(20) : 1609-14. https://doi.org/10.1001/jama.1994.03510440069036
  21. Nelson JM, Walmsley RP, Stevenson JM. Relative lumbar and pelvic motion during loaded spinal flexion/extension. Spine. 1995 ; 20(2) : 199-204. https://doi.org/10.1097/00007632-199501150-00013
  22. Aure OF, Nilsen JH, Vasseljen O. Manual therapy and exercise therapy in patients with chronic low back pain : a randomized, controlled trial with 1-year follow-up. Spine. 2003 ; 28(6) : 525-31. https://doi.org/10.1097/01.BRS.0000049921.04200.A6

피인용 문헌

  1. Efficacy and Patient Satisfaction in Cases of Back Pain Treated Using Either Acupuncture or Chuna: A Comparative Study vol.35, pp.2, 2016, https://doi.org/10.13045/jar.2018.00073