Journal of Acupuncture Research

  • 제37권4호
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  • Pages.259-269
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  • 2020
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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Effects of Nonsurgical Spinal Decompression Treatment on the Level of Pain and Quality of Life in Patients with Cervical or Lumbar Disc Herniation: A Retrospective Observational Study

  • Kim, Beom Seok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Lee, Ye Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Hyo Bin (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Sung, Ki Jung (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Jeon, Ju Hyun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Eun Seok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Young Il (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • 투고 : 2020.06.26
  • 심사 : 2020.10.18
  • 발행 : 2020.11.30
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초록

Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment. Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14th to August 25th, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0. Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample t test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B. Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.

키워드

참고문헌

  1. Yook TH, No JD, Kim JH, Kim JW, Nam DW, Yang KY et al. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 485-488, p. 495-513. [in Korean].
  2. Kim ST, Kim YI. 2017 National Health Insurance Statistical Yearbook. Health Insurance Review and Assessment Service; 2018. p. 397-675. [in Korean].
  3. Suk SI, Lee CK, Baek GH, Song KS, Lee MC, Lee HM et al. The Korean Orthopaedic Association. Orthopaedics, 6th ed. Seoul (Korea): Newest Medicine Company; 2006. p. 584-586. [in Korean].
  4. Kim SJ, Jung SH, Ko YS, Kwon YD, Keum DH, Kim SS, et al. Korean Society of Oriental Rehabilitation Medicine, Oriental Rehabilitation Medicine, 3rd ed. Seoul (Korea): Koonja Publishers Company; 2012. p. 56-58. [in Korean].
  5. Macario A, Pergolizzi JV. Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Pract 2006;6:171-178. https://doi.org/10.1111/j.1533-2500.2006.00082.x
  6. Ma SY, Kwon WA, Lee JH, Min DG. The Effects of Spinal Decompression Combined with Therapeutic Modalities for Patients with Lumbar Radiculopathy. J Korea Acad Ind 2013;14:336-343. [in Korean].
  7. Seo SK, Kim BJ, Park KJ, Kang JH, Kim SK, Seo DW. The Clinical Studied for Non Surgical Spinal Decompression Treatment on Cervical Disc Herniation. J Orient Rehabil Med 2011;21:131-143. [in Korean].
  8. Park JK, Kim DG. Effects of Decompression Therapy for the Treatment of a Herniated Lumbar Disc. Korean J Pain 2008;21:143-149. [in Korean]. https://doi.org/10.3344/kjp.2008.21.2.143
  9. Park SH, Kim CS, Lee DG, Ahn SH. The Short Term Effects of the Decompression (KNX 7000®) and Traction Device on Pain in Patients with Chronic Low Back Pain with or without Radicular Pain. J Korea Soc Phys Ther 2011;23:29-34. [in Korean].
  10. Kim HS, Yun DH, Huh KY. Effect of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation. J Korean Acad Rehabil Med 2008;32:319-323. [in Korean].
  11. Park SW, Kim SS, Kim JY, Kim SH, Lee GM. The Comparative Study of Effects between Acupotomy and its Cotreatment with Spine Decompression Therapy on HIVD Patients J Korean Acupunct Moxib Soc 2012;29:29-39. [in Korean].
  12. kim JI, Jeong JK, Kim MK, Jeon JH, Kim ES, Kim YI. A Retrospective Statistical Analysis of Miniscalpel Needle Therapy for Herniated Intervertebral Disc or Spinal Stenosis. J Acupunct Res 2018;35:226-237. https://doi.org/10.13045/jar.2018.00276
  13. Kim MJ, Lee MS. Effects of Rumba Sports Dances on the ROM of Patients with Chronic Low Back Pain. J Naturopathy 2014;3:61-66. [in Korean].
  14. Hawker GA, Mian S, Kendzerska T, French M. Measures of Adult Pain. Arthritis Care Res 2011;63:240-252. https://doi.org/10.1002/acr.20345
  15. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS el al. South Korean Time Trade-Off Values for EQ-5D Health States : Modeling with Observed Values for 101 Health States. Value Health 2009;12:1187-1193. https://doi.org/10.1111/j.1524-4733.2009.00579.x
  16. Whynes DK. Correspondence between EQ-5D health state classifications and EQ-VAS scores. Health Qual Life Outcomes 2008;6:94. https://doi.org/10.1186/1477-7525-6-94
  17. Earl RB. The Practice of Social Research, 11th ed. Boston (MA): Thomson Learning; 2007. p. 238-239.
  18. Rubin DI. Epidemiology and risk factors for spine pain. Neurol Clin 2007;25:353-371. https://doi.org/10.1016/j.ncl.2007.01.004
  19. Wheeler AH, Murrey DB. Chronic lumbar spine and radicular pain: Pathophysiology and treatment. Curr Pain Headache Rep 2002;6:97-105. https://doi.org/10.1007/s11916-002-0005-x
  20. Frymoyer JW, Cats-Baril WL. An overview of incidences and costs of low back pain. Orthop Clin North Am 1991;22:263-271. https://doi.org/10.1016/S0030-5898(20)31652-7
  21. Fast A. Low back disorders: conservative management. Arch Phys Med Rehabil 1988 ; 69:880-891.
  22. Jang JW, Lee JW, Roh JA, Lee GE Kim HJ, Hong JS et al. Effects of Korean Medical Combination Treatment for Lumbar Spinal Herniated Intervertebral Disc : Accompanying or not High-intensive zone(HIZ). J Korea Chuna Man med Spine Nerve 2018;13:47-63. [in Korean]. https://doi.org/10.30581/jkcmm.2018.13.2.47
  23. Kim YH, Lee JY, Kim KH, Kim TY, Lee TG, Lee SW et al. Comparative Analysis on Disc Resorption Rate of Lumbar Disc Herniation Patients after Korean Medicine Treatment and Predictive Factors Associated with Disc Resorption. J Orient Rehabil Med 2018;28:33-41. [in Korean].
  24. Stakey C. Therapeutic modalities, 3rd ed. Philadelphia (PA): F. A. Davis; 2004. 352 p.
  25. Andersson GB, Schultz AB, Nachemson AL. Intervertebral disc pressure during tracton. Scand J Rehabil Med 1983;9:88-91.
  26. Ramos G, Martin W. Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg 1994;81:350-353. https://doi.org/10.3171/jns.1994.81.3.0350