• 척추신경추나의학회지
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• 제2권1호
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• pp.23-38
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• 2007

Objectives : The aim of this study was to understand scale of lumbar spinal stenosis. Methods : Papers including questionnaires for assessment disability, fuction, activity limitation, or prticipation restriction in adult patients with low back pain or spinal stenosis were searched in the MEDLINE. Results and Conclusions : 1. VAS, VRS, NRS were recommended to the pain scale. 2.ODI and RMDQ were recommended to the function scale. 3. ODI, RMDQ, QBPDS, LBOS, MVAS, WDI commonly used to the fuction scale.

• 척추신경추나의학회지
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• 제2권1호
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• pp.49-57
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• 2007

Objectives : This study was performed to evaluate the effect of Bee Venom Acupuncture Therapy on Lumbar Spinal Stenosis. Methods : The patient was diagnosed as Lumbar Spinal Stenosis through Lumbar spine MRI and treated with Bee Venom Acupuncture Therapy and so on and measured of VAS and ODI score to evaluate treatment effects. Results and Conclusions : ROM of Lumbar, Milgram test and sensory test has improved. VAS and ODI score were also decreased.

• 척추신경추나의학회지
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• 제3권1호
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• pp.9-18
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• 2008

Objective : The purpose of this study is to evaluate the conservative treatment for FBSS patient. Methods : We used Herbal medication, Acupuncture, burning Acupuncture, Physical Therapy for this patient. And we measured of VAS and ODI score to evaluate treatment effects. Results : Patient's sciatica and sensory test has improved. VAS and ODI score were also decreased.

• Korean Journal of Acupuncture
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• 제35권4호
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• pp.247-247
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• 2018

• 대한정형외과학회지
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• 제55권5호
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• pp.411-417
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• 2020

목적: 양방향 내시경적 감압술(unilateral biportal endoscopic decompression, UBE)의 유용성을 증명하기 위해 수술의 임상적, 영상학적 결과를 보고하고자 한다. 대상 및 방법: 요추 추간공 협착증으로 일측성 양방향 내시경적 측부 추간공 감압술(unilateral biportal endoscopic far-lateral decompression, UBEFLD)을 시행받은 20명의 환자들을 분석하였다. 임상적으로 시각통증척도(visual analogue scale, VAS), modified Macnab criteria, Oswestry Disability Index (ODI), 영상학적으로 수술 전후 단순영상을 비교하여 intervertebral angle (IVA), percentage slip, disc height index (DHI), foraminal height index (FHI)를 분석하였다. 결과: VAS는 평균적으로 술 전 6.20에서 술 후 1개월 2.05, 3개월 1.75, 1년 1.45로 호전을 보였다(p<0.001). Modified Macnab criteria는 술 후 1개월 70.0%, 3개월 80.0%, 1년 85.0%의 환자들에서 good 혹은 excellent 판정을 받았다(p=0.034). ODI는 술 전 59.8%, 1개월 35.8%, 3개월 33.2%, 1년 17.1%로 호전을 보였다(p<0.001). IVA는 술 후 평균 0.40도 증가(p=0.057), percentage slip은 술 후 0.19% 증가하였다(p=0.134). DHI는 술 전 0.49에서 술 후 0.62로 증가(p=0.359), FHI 또한 술 전 0.71에서 술 후 0.79로 증가하였다(p<0.001). 결론: UBEFLD는 임상학적 및 영상학적으로 모두 만족스러운 결과를 보였으며 종래의 척추 유합술이나 현미경 추간공 성형술의 훌륭한 대체가 될 수 있음을 의미한다.

• 대한정형외과 초음파학회지
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• 제7권2호
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• pp.113-119
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• 2014

목적: 제 1천추 신경근 증상을 호소하는 추간판 탈출증 환자 및 척추 협착증 환자에서 초음파를 이용한 선택적 신경근 차단술을 실시하여 고식적인 방사선 영상 증폭기를 이용한 방법과 비교하여 그 결과 및 정확성에 대해 알아보고자 하였다. 대상 및 방법: 2012년 2월부터 2013년 12월까지 요추 추간판 탈출증이나 척추 협착증으로 발생한 하지 방사통을 주소로 내원한 환자 중 제1 천추 신경근 차단술을 시술 받은 38명을 대상으로 후향적으로 평가하였다. 초음파를 이용하여 시행한 18명(A군)과 방사선 영상 증폭기를 이용한 20명(B군)을 1개월 추시 관찰하였다. 효과 판정은 통증의 변화를 평가하기 위한 도구로 시각통증척도(VAS, Visual Analogue Scale)와 기능을 평가하기 위한 도구로 요통 기능장애척도(K-MODI, Korean Modified Oswestry Disability Index)를 이용하였으며, 각 시술 소요 시간을 확인하였다. 결과: VAS 점수는 A군에서 시술 전 $7.40{\pm}0.85$, 시술 1개월 후 $4.7{\pm}1.43$로 나타났고, B군에서 시술 전 $7.39{\pm}1.02$, 시술 1개월 후 $4.36{\pm}1.64$로 두 군 모두 유의한 감소를 보였다. 소요 시간은 A군이 $477.53{\pm}115.02$초, B군이 $492.47{\pm}144.38$초로 유의한 차이를 보이지 않았다. K-MODI는 A군에서 시술 전 $72.8{\pm}12.3$에서 시술 1개월 후 $43.3{\pm}10.3$로 나타났고, B군에서 시술 전 $73.8{\pm}11.5$에서 시술 1개월 후 $44.1{\pm}11.2$로 두 군 모두 유의한 감소를 보였다. 그러나 두 군 사이에서 VAS 점수 및 K-MODI 비교는 유의한 차이는 없었다. 결론: 초음파를 이용한 제 1천추 신경근 차단술은 방사선 영상 증폭기를 이용한 고식적인 방법에 비해 임상 결과 및 소요 시간에 차이는 없으나, 외래에서 간단히 시술 할 수 있는 장점이 있어 추간판 탈출증이나 척추 협착증 환자에서 유용한 시술 방법으로 사료된다.

• 한방재활의학과학회지
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• 제27권1호
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• pp.67-75
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• 2017

The purpose of this study is to report the effectiveness of diarrhea-inducing treatment by Gamsui-mal for lumbar spinal stenosis. During hospitalization four patients with lumbar spinal stenosis were treated with diarrhea-inducing treatment by Gamsui-mal and acupuncture, herbal medicine, moxibustion, cupping treatment, Bee-venom pharmacopuncture. Before treatment, we explained in detail about diarrhea-inducing treatment by Gamsui-mal and patients agreed with treatment. The symptoms appeared in patients of diarrhea, abdominal pain, and vomiting in the treatment process. We evaluated the degree of improvement by visual analogue scale (VAS), oswestry disability index (ODI). After treatment, we found that pain was reduced and patient's symptoms were improved by visual analogue scale (VAS), oswestry disability index (ODI) score. The results show that diarrhea-inducing treatment by Gamsui-mal was rapidly improving symptoms. Further studies are needed to clarify the effect of diarrhea-inducing treatment by Gamsui-mal.

• The Korean Journal of Pain
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• 제19권1호
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• pp.72-76
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• 2006

Background: The objective of this study was to describe the extent of pain relief after an epidural steroid injection in the patients suffering from chronic low back pain from herniated disks or lumbar spinal stenosis. Methods: The study was prospectively designed for patients suffering with lumbar spinal stenosis (LSS) and herniated disks (HD) who were referred to a hospital-based pain clinic for epidural steroid injections (ESI). The pain was assessed with using a visual analog scale at baseline, two weeks after the first ESI and two weeks after the third ESI. Results: Eighty patients were enrolled, and all of them provided pain ratings before and after the injections. The LSS patients seemed to improve less than did the HD patients. The results showed no significant differences in the triamcinolone dosage and the frequency of injections for determining the efficacy of ESI. Conclusions: The LSS patients tended to have a less effective respond to ESIs than did the HD patients. The unsatisfactory response to ESI by the LSS patients underscores the need for randomized controlled trials of performing ESI in this population.

• Journal of Acupuncture Research
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• 제25권1호
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• pp.97-106
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• 2008

Objectives : This study was designed to evaluate the effects of Bee Venom Pharmacopuncture therapy in patients with lumbar spinal stenosis. Methods : We investigated 16 patients with lumbar spinal stenosis. We divided patients into two groups : Bee Venom Pharmacopuncture was performed with acupuncture therapy for one group, and the other group received acupuncture therapy only. To evaluate the effectiveness of the treatment applied to the two groups, we used the Visual Analog Scale(VAS) and the Oswestry Low-back Pain Disability Index(ODI). We compared the VAS and ODI scores of the two groups statistically. Results : The Bee Venom Pharmacopuncture group received more effective relief than the acupunctureonly group as measured by decreasedpain and disability reported on the VAS and ODI by patients with lumbar spinal stenosis. Conclusions: Bee Venom Pharmacopuncture therapy can be used in addition to acupuncture therapy for highly effective treatment of patients with lumbar spinal stenosis. Further clinical studies are needed to verify these findings.

• 척추신경추나의학회지
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• 제3권1호
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• pp.29-36
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• 2008

Objectives : the purpose of this study is to report the improvement of stenosis patients, who treated by M.S.T.(Motion Style Treatment) Methods : the clinical study was done on 2 cases of patients with lumbar stenosis who admission in Jaseng Oriental Medicine hospital. We checked VNRS score after the treatment of M.S.T.(Motion Style Treatment) each day, and checked ODI score at admission and discharge. Results : VNRS score and ODI score decreased after the treatment of M.S.T.(Motion Style Treatment)