A Comparative Study with Lumbar Disc Herniation under Conservative Treatment according to the Duration

요추 추간판탈출증 환자의 발병시기에 따른 보존적 치료 결과 비교 연구

  • Youn, You-Suk (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Lee, Jong-Soo (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Ha, In-Hyuk (Dept. of Oriental Rehabilitation Medicine, Ja-Seng Oriental Medicine Hospital) ;
  • Kim, Joo-Won (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Kyung-Hee University) ;
  • Kwon, Hyeok-Joon (Dept. of Oriental Rehabilitation Medicine, Ja-Seng Oriental Medicine Hospital)
  • 윤유석 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 이종수 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 하인혁 (자생한방병원 한방재활의학과) ;
  • 김주원 (경희대학교 한의과대학 한방재활의학과교실) ;
  • 권혁준 (자생한방병원 한방재활의학과)
  • Received : 2008.07.01
  • Accepted : 2008.10.16
  • Published : 2008.10.31
  • 38 0


Abstract

Objectives : To investigate therapeutic outcomes of back pain modalities in patients with disc herniation according to the duration by treated with herbal medicine, chuna, acupuncture, bee-venom acupuncture. Methods : We separated 36 patients with disc herniation into three group according to duration; acute patients within 4 week, subacute patients within 5-12 week, and chronic group within 13-24 week. 36 patients with lumbar disc herniation were treated with chuna therapy, acupuncture, bee-venom acupuncture one times a week and took herbal medicine after a meal two times daily. The patients' symptoms were assessed 1 week, 2 week, 4 week, 8 week by Visual analogue scale(VAS), Oswestry disability index(ODI), 36-Item short-form health survey(SF-36). Results : 1. ODI of disability of daily activities showed significantly decreased in acute stage group compared to subacute and chronic stage groups(P<0.05). 2. Physical functioning(PF), bodily pain(BP), social functioning(SF) score of SF-36 showed significantly increased in acute stage group compared to subacute and chronic stage groups(P<0.05). Conclusions : This study suggests that acute stage group compared to subacute and chronic stage groups in patients with lumbar disc herniation is the more effective to improve symptoms treated with herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture.