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Lumbar Lordotic Angle Improvement by Combining Korean Medicine Treatment with Chuna Manual Therapy: Case Report

추나요법을 동반한 한방복합치료로 호전된 요추 전만각 1례: 증례보고

  • Kim, Nam Hoon (Department of Korean Medicine Rehabilitation, Daejeon Korean Medicine Hospital, Daejeon University) ;
  • Lee, Jung Min (Department of Korean Medicine Rehabilitation, Daejeon Korean Medicine Hospital, Daejeon University) ;
  • Kim, Byung-Jun (Department of Korean Medicine Rehabilitation, Daejeon Korean Medicine Hospital, Daejeon University)
  • 김남훈 (대전대학교 대전한방병원 한방재활과) ;
  • 이정민 (대전대학교 대전한방병원 한방재활과) ;
  • 김병준 (대전대학교 대전한방병원 한방재활과)
  • Received : 2022.05.20
  • Accepted : 2022.06.07
  • Published : 2022.06.30

Abstract

Objectives To introduce a case of a traffic accident trauma in a patient with lumbar kyphosis and straightened lumbar curvature, where the Korean medicine treatment with Chuna manual therapy (CMT) improved lumbar lordotic angle(LLA) and lower back pain. Methods Chuna manual therapy and other Korean medicine treatments; were provided to patient with a flat back posture and low back pain due to the trauma from a traffic accident. Cobb's angle to evaluate LLA and numeric rating scale (NRS) to evaluate pain were compared before and after the treatment. Results There was a significant increase in LLA to reach the normal range and a decrease in low back pain NRS after Korean medicine treatment with CMT for 9 days of admission treatment and 3 weeks of outpatient treatment. Conclusions This study suggests that Korean medicine treatment, including CMT, may improve low back pain as well as LLA of straightened lumbar curvatures in patients.

Keywords

References

  1. Korean Rehabilitation Medicine Society. Korean Rehabilitation Medicine. 5th ed. Paju:Globooks. 2020:47-50.
  2. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna manual medicine. 2.5th ed. Seoul:Korean Society of Chuna Manual Medicine for Spine&Nerves. 2017:54-64, 166-71, 177-8.
  3. Jun JY, Lee JS, Lee SJ, Nam JH, Lee MJ, Kim KW, Lim SJ, Song JH, Moon JY, Yeom SC, Lee SC. A Relationship study of lumbar lordortic angle and herniation of intervertebral disc. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2012;7(2):83-90.
  4. Kim SJ, Kim SW, Choung JH, Kim MY, Choi YI, Cho TY. The study of relationship between lumbar angle and low back pain patterns. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2013;8(1):15-26.
  5. Han SB, Kim ES, Kim HJ, Jo HI, Kim MH, Lee NW, Han JH, Park BH, Son JM, Kang DH, Min TW, Lee HJ, Ahn JS, Lee HS. Association between prognosis of low back pain patients with severity of abnormal lumbar lordosis. J Korean Med Rehabil. 2020;30(4):143-54. https://doi.org/10.18325/jkmr.2020.30.4.143
  6. Choi YI, Kim MY, Choi HS, Kim CY, Kim SJ, Kim SW. Three cases on flat-back posture patients with lumbar disc herniation - Treated by Mckenzie exercise and muscle energy techniques -. J Sports Korean Med. 2012;12(1): 85-98.
  7. Harrison DE, Oakley PA. Non-operative correction of flat back syndrome using lumbar extension traction: a CBP case series of two. J. Phys. Ther. Sci. 2018;30: 1131-7. https://doi.org/10.1589/jpts.30.1131
  8. Kim WM, Seo YG, Park YJ, Cho HS, Lee CH. Effect of different exercise types on the cross-sectional area and lumbar lordosis angle in patients with flat back syndrome. International Journal of Environmental Research and Public Health. 2021;18:10923. https://doi.org/10.3390/ijerph182010923
  9. Ha IH, Park WS, Woo I, Kim HN, Koh DH, Yoon YS. Correlation between horizontal visual analogue scale, vertical visual analogue scale and numerical rating scale for pain measurement - in the hospitalized patients who complain lower back pain and low extremity pain. J Oriental Rehab Med. 2006;16(4):125-33.
  10. Choi Bm, Lee JM, Kim HS. A study on correlation between power of trunk flexors, extensors and lumbar lordotic angle in normal adults. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2012;7(2):39-52.
  11. Kim SY, Lumbo-pelvic stabilization approach for lower back dysfunction. The Journal of Korean Academy of Orthopaedic Manual Physical Therapy. 1998;4(1):7-20.
  12. Yim MY, Park HB, Kim JS, Lee HJ, Lim SC, Lee YK. A review of studies on chuna manual therapy for low back pain through Korean database search. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2021;16(2):55-67. https://doi.org/10.30581/jcmm.2021.16.2.55
  13. Koo JP, Jeong JR, Um KM. Effect of central posteroanterior mobilization on the pain, myotonia, flexibilty of trunk flexion, and lumbar lordosis in patient with chronic back pain: A case study. J Int Acad Phys Ther Res. 2017;8(3):1266-9. https://doi.org/10.20540/jiaptr.2017.8.3.1266
  14. Kwon HJ, Kim MJ, Choi YD. The influence in lumbosacral angle, lumbar lordosis, pelvic level and symptoms by standing lumbar traction on HIVD patients. The Journal of Korean Academy of Orthopaedic Manual Physical Therapy. 1999;5(1):5-16.
  15. Park SJ, Moon JH, Shin YA. Change of pain, lumbar sagittal alignment and multifidus after sling exercise therapy for patients with chronic low back [ain. J Kor Phys Ther. 2018:30(5):173-180. https://doi.org/10.18857/jkpt.2018.30.5.173
  16. Kim DM, Kim YS, Baek YH, Nam SS. The effects of acupuncture and Bee-venom acupuncture on lumbar hypolordosis. The Journal of Korean Acupuncture & Moxibustion Society. 2008;25(1):155-67.