DOI QR코드

DOI QR Code

A Retrospective Chart Review of 114 Patients with Knee Pain at a Korean Medicine Hospital Who Had Been Involved in a Traffic Accident

  • Park, Ji Won (Department of Acutuncture and Moxibustion Medicine, BucheonJaseng Hospital of Korean Medicine) ;
  • Shin, Won Bin (Department of Acutuncture and Moxibustion Medicine, BucheonJaseng Hospital of Korean Medicine) ;
  • Choi, Hyo Jung (Department of Acutuncture and Moxibustion Medicine, BucheonJaseng Hospital of Korean Medicine) ;
  • Back, Hye Kyung (Department of Acutuncture and Moxibustion Medicine, BucheonJaseng Hospital of Korean Medicine) ;
  • Kim, Doo Ri (Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation)
  • 투고 : 2020.09.28
  • 심사 : 2021.01.08
  • 발행 : 2021.05.31

초록

Background: This study aimed to investigate the demographic characteristics of patients with knee pain caused by traffic accidents and test the effectiveness of Korean medicine (KM) treatment. Methods: The medical charts of 114 inpatients with knee pain caused by a traffic accident were reviewed from July 1, 2019 to October 31, 2019 at Bucheon Jaseng Hospital of KM. The patients' demographics including gender, age, period of hospitalization, and type of pharmacopuncture and herbal medicine prescribed were reviewed. The Numeric Rating Scale scores and Western Ontario and McMaster Universities Osteoarthritis Index scores were used to assess subjective knee pain. Results: There were more females (55%) than males in this study. Patients were more likely to be in their 30s (27.2%), be hospitalized for 11-14 days (41.2%), treated with Hwangryunhaedok pharmacopuncture (78.1%), and be prescribed Hwalhyeoljitong decoction (62.3%).The mean Numeric Rating Scale score for patients with knee pain caused by a traffic accident decreased significantly from 4.26 ± 1.39 to 2.53 ± 1.60 (p < 0.001), and the mean Western Ontario and McMaster Universities Osteoarthritis Index score also decreased significantly from 32.72 ± 18.36 to 23.40 ± 15.80 (p < 0.001) following KM treatment. Conclusion: As a result of analyzing 114 hospitalized patients with knee joint pain due to TAs, inpatients were more likely to be female (55%), a patient in their 30s (27.2%), and be a patient hospitalized for 11-14 days (41.2%). KM treatment of traumatic knee injury using pharmacopuncture therapy and herbal medicine can be an may be effective at reducing pain, and healing functional disorders of the knee.

키워드

참고문헌

  1. KoROAD [Internet]. 2019 Traffic Accident Analysis System. Available from: http://taas.koroad.or.kr/sta/acs/exs/typical.do?menuId=WEB_KMP_OVT_UAS_PDS.
  2. KoROAD [Internet]. Definition of Traffic Accident Terms. Available from: http://taas.koroad.or.kr/sta/acs/exs/wordArngPopup.do.
  3. The Society of Korean Medicine Rehabilitation. Oriental Rehabilitation Medicine, 3rd ed. Seoul (Korea): Koonja Publisher; 2003. p. 210-211. [in Korean].
  4. Do HJ, Shin YS, Kim CE, Song HS, Shin JK, Gang BG et al. Clinical Analysis of 2,048 Musculoskeletal Patients Who Visited the Traffic Accident Clinic of a Korean Medicine Hospital. J Korea Chuna Man Med Spine Nerv 2016;11:11-23. [in Korean].
  5. Health Insurance Review and Assessment Service [Internet]. Statistics of Car Insurance Medical Expenses. Available from: http://www.hira.or.kr/sViewer/index.do?ebookSn=591.
  6. The Society of Korean Medicine Rehabilitation. Oriental Rehabilitation Medicine, 3rd ed. Seoul (Korea): Koonja Publisher; 2003. p. 124-125. [in Korean].
  7. The Korean Orthopedic Association. Essential orthopedics, 2nd ed. Seoul (Korea): Choesin-uihagsa; 2015. 161 p. [in Korean].
  8. Choi SH, Oh MS, Song TW. Clinical Studies On 52 Cases of Patient with Cervical Pain Caused by Traffic Accident. J Korean Med Rehabil 2000;10:45-55.
  9. Jang SY, Cha JH, Jung KH, Lee TH, Hwang HS, Yu JS et al. The Clinical Study of Herbal Acupuncture for Neck Pain Caused by Whiplash Injury. J Korean Acupunct Moxib Soc 2007;24:35-41. [in Korean].
  10. Kim TH, Jeong SH, Yoon TK, Lee SJ, Shin SJ, Kwon OJ et al. A Comparison of the Effect of Shinbaro Pharmacopuncture and Jakyakgamcho Decoction Pharmacopuncture Treatments in Patients with Low Back Pain Caused by Traffic Accidents: A Retrospective, Case Series Observational Study. Acupunct 2015;32:157-165. [in Korean]. https://doi.org/10.13045/acupunct.2015070
  11. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res 2011;63:S240-S252. https://doi.org/10.1002/acr.20543
  12. Johannes MG, David FH, Bernhard J, Henrik B, Karlmeinrad G. WOMAC, EQ-5D and knee society score thresholds for treatment success after total knee arthroplasty. J Arthroplasty 2015;30:2154-2158. https://doi.org/10.1016/j.arth.2015.06.012
  13. Korean Pharmacopuncture Institute. Pharmacopuncturology. Seoul (Korea): Elsevier Korea; 2008. 3 p.
  14. Korean Acupuncture and Moxibustion Medicine Society. Korean Acupuncture and Moxibustion Medicine. Seoul (Korea): Jipmoon; 2012. 231 p. [in Korean].
  15. Yang HJ, Joo HA, Back SC, Park JS, Hong SH. Anti-inflammatory effects of Hwangnyeonhaedok-tang and Fermented Hwangnyeonhaedok-tang. J Korean Med Ophthalmol Otolaryngol Dermato 2011;24:1-15. [in Korean].
  16. Kim WK, Chung HJ, Pyee Y, Choi TJ, Park HJ, Hong JY et al. Effects of intra-articular Shinbaro treatment on monosodium iodoacetateinduced osteoarthritis in rats. Chin Med 2016;11:17. https://doi.org/10.1186/s13020-016-0089-6
  17. The Korean Medicine Pharmacology Textbook Compilation Committee. Korean medicine pharmacology, 3rd ed. Seoul (Korea): Shinilbooks; 2005. p. 345-489. [in Korean].
  18. Park YS. Pharmacological Commentary of Oriental Medicine, 2nd ed. Seoul (Korea): Academy books; 2002. p. 418-421. [in Korean].