• Title, Summary, Keyword: acupotomy

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The Study on Post Acupotomy Headache (침도 침술 후 나타나는 두통에 대한 임상적 고찰)

  • Ko, Min-Kyung;Kim, Jung-Ho;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.27 no.2
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    • pp.89-95
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    • 2010
  • Objectives : This study was designed to investigate incidence rate, clinical features and treatment of headache followed after acupotomy. And based on that, we study correlating between post acupotomy headache and post-lumbar puncture headache(PLPH). Methods : From September 1st, 2007 to December 31st, 2007, the 73 inpatients who admitted to Daejeon Oriental hospital and underwent acupotomy on lumbar spine and cervical spine etc. more than once were observed. Then 9 inpatients who occurred headache after acupotomy was analyzed according to incidence rate, gender, age, clinical features. Results : We investigated clinical features of post acupotomy headache and made comparative study of post acupotomy headache and PLPH. The average frequency of post acupotomy headache was about 12.3%. The risk factors are undergoing acupotomy on lumbar spine, young age. Gender does not affect the incidence of post acupotomy headache. Patients complain of headache which worsen when the patients is upright and improve after the patients lie back down in a few minutes. Those clinical features are similar to PLPH. Conclusions : Although two type of headache have significant similarities, there is no enough evidence to support this study. In addition, the cause and treatment of post acupotomy headache are still unclear. Thus, based on the above study, more studies have to be investigated.

The Clinical Study on the Effect of Acupotomy in Shoulder Disease (침도침 시술이 견관절 질환에 미치는 영향에 관한 임상적 고찰)

  • Kim, Yeon-Mi;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.141-148
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    • 2008
  • Objectives : The purpose of this study is to report the effect of acupotomy for patients with shoulder disease. Methods : We treated Five patients who have shoulder disease with acupotomy. To check the effect and satisfaction of acupotomy we used visual analog scale(VAS) and Five-point Likert scale. At the same time, we measured Change of shoulder range of motion(ROM). Results : After treatment pain were improved, VAS score decreased significantly to 2.5. The Likert scale point were checked 4.4, the patients were satisfied with the effect of acupotomy. Conclusions : This study shows acupotomy has useful effect on shoulder disease. An acupotomy is an alternative effective treatment modality for shoulder disease.

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The Comparison between Acupotomy Therapy and Epidural Neuroplasty(Lumbar Vertebra) (침도(도침)침술과 경막외 신경성형술의 비교 연구)

  • Song, In;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.27 no.4
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    • pp.9-18
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    • 2010
  • Objectives : This study will broaden understanding of acupotomy therapy through comparison of side effects and complication which can be caused by the mechanism of treatment, surgical methods, and procedure by acupotomy therapy and epidural neuroplasty. Moreover, through an in-depth analysis of headache affected by two procedures, this research is supposed to find prospective cures for headache after acupotomy therapy. Methods : To compare acupotomy therapy with epidural neuroplasty this research was done using a comparative analysis eight theses about acupotomy therapy since 1995, as well as eleven theses about epidural neuroplasty since 2000. Other theses and data were used as references in the process of comparative analysis. Results : Acupotomy therapy and epidural neuroplasty, new treatments of damaged discs in the spine and stenosis made in 1990s, have the mechanism of treatment in common in that adhesion, a node or scar caused by the soft tissue damage is removed by putting catheter or acupuncture into the lesions. Epidural neuroplasty has additional injection into the lesions, which is different from acupotomy therapy in the process of surgical procedure. There are various reports of positive effects about curative effect in these two treatments. The two procedures may cause various complications. Headache may be a complication after surgery. The headache after acupotomy therapy is characterized as being an ache in the body, which is similar to that of post-dural puncture headache in the outbreaks and symptom. Headache after percutaneous epidural neuroplasty appears in general, which is similar to a headache as a result of the increased pressure of the brain spinal cord regardless of posture. Conclusions : Although they are alike in the mechanism of treatment, surgical methods and side effects, and complication after they are carried out as a result of analyzing theses related to acupotomy therapy and percutaneous epidural neuroplasty, there is a difference in aspects and mechanism of headaches experienced after the procedure.

The Clinical Study on the Effect of Acupotomy on Chronic Arthritis of Ankle (침도침 시술을 시행한 만성 족관절 염좌 환자 2례에 대한 증례보고)

  • Kim, Min-Jung;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.157-162
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    • 2008
  • Objectives : The purpose of this study is to report the effect of acupotomy for patients with chronic arthritis of ankle. Methods : We treated Two patients who have chronic arthritis of ankle with acupotomy. To check the effect and satisfaction of acupotomy we used visual analog scale(VAS) and Five-point Likert scale. At the same time, we measured Change of ankle range of motion(ROM). Results : As a result of evaluation by using VAS, after treatment VAS score decreased(VAS3, VAS5). ROM of ankle widened. And the Likert scale point were checked 3 and 4. Conclusions : This study shows acupotomy has useful effect on chronic arthritis of ankle. An acupotomy is an alternative effective treatment modality for chronic arthritis of ankle.

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The Clinical Study on Effects of Acupotomy Therapy in Patients with Cervical Herniated Intervertebral Disc (경추 추간판 탈출증 환자의 침도요법(鍼刀療法) 치료 효과에 대한 임상적 연구)

  • Kim, Eon-Kuk;Kim, Hyun-Wook;Lee, Geon-Hui;Lee, Geon-Mok
    • Journal of Acupuncture Research
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    • v.26 no.1
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    • pp.67-79
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    • 2009
  • Objectives : The study on Acupotomy therapy has recently become a popular academic field as proven to be an great alternative to the limitation of Western medical treatment. However, there has been little study examining acupotomy therapy on treating Cervical Herniated Intervertebral Disc. Thus, this study aims to investigate the sense of improvement and satisfaction from the Cervical Herniated Intervertebral Disc patients treated with acupotomy therapy. Methods : A total of 23 subjects that consists of Cervical Herniated Intervertebral Disc patients were participated in this study. They were treated with acupotomy therapy and acupuncture. All the subjects were asked to answer Odom's degree, VAS(visual analogue scale), NDI(neck disability index) and JOA score before and after the treatment. Results : The results of the Odom's degree, VAS, NDI and JOA score of analysis groups, show that the improvement of neck pain in acupotomy and acupuncture treatment group is significantly effective. Conclusions : It is suggested that acupotomy therapy has development-effectiveness on Cervical Herniated Intervertebral Disc.

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Clinical Study of Acupotomy Treatment for Tarsal Tunnel Syndrome

  • Fu, Xinyi;Lee, Mira;Guo, Changqing
    • Journal of Acupuncture Research
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    • v.37 no.2
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    • pp.118-122
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    • 2020
  • Background: Compared with conventional closed therapy, acupotomy has the advantages of lower cost, convenient application, and better single and long-term effects. The aim of this study was to explore the clinical effect of acupotomy in the treatment of Tarsal Tunnel syndrome. Methods: There were 80 patients enrolled into the study who were randomly assigned to either the acupotomy or closed therapy group, with 40 patients in each group. The acupotomy group was treated once every 6 days, on 3 occasions for the duration of treatment, and the closed therapy group was treated twice a week, for 3 weeks as the course of treatment. The effects of treatment were analyzed and evaluated according to the standard of curative effect. Results: The "cure rate" of the number of patients in the acupotomy group whose symptoms had completely disappeared (13 patient out of 39) was higher than the closed therapy group (1 patient out of 39), and this difference was significant (p < 0.01). The number of patients in the acupotomy group who did not benefit from the therapy (5 patients) was significantly lower than the closed therapy group (15 patients; p < 0.05). The total number of patients in the acupotomy group who benefitted from the therapy (34 patients) resulted in an effective rate of 87.18%, which was higher than the closed therapy group (24 patients; 61.53%). The difference was statistically significant (p < 0.05). Conclusion: Acupotomy is effective in the treatment of Tarsal Tunnel syndrome, was superior to traditional closed therapy, and is worthy of clinical application.

A Case Report of Congestive Heart Failure Treated with Acupotomy Therapy (심부전으로 인한 호흡곤란 환자에게 시행한 침도침 시술 1례 보고)

  • Kim, Min-Jung;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.26 no.2
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    • pp.207-212
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    • 2009
  • Objectives : The purpose of this report is to report the effect of acupotomy for patients with congestive heart failure. Methods: We treated 1 patient who has dyspnea due to congestive heart failure with acupotomy. To check the effect and satisfaction of acupotomy we used New York Heart Association class(NYHA class), Modified Borg Scalw Dyspnea Index(Borg Index), Baseline Dyspnea Index(BDI), Five-point Likert scale. Results : After 1 month of treatment, the patient felt much better in breathing, and had better score in NYHA class, Borg Index, BDI. Conclusions : This report demonstrates that acupotomy therapy has useful effect on congestive heart failure, but the more cases and researches are needed.

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The Clinical Study of Acupotomy and Oriental Medicine on Multiple Osteonecrosis of Femur and Tibia (대퇴골과 경골의 다발성 골괴사 환자에 대한 침도치료 및 한방치료 증례연구)

  • Sung, In-Su;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.28 no.5
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    • pp.153-159
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    • 2011
  • Objectives : Osteonecrosis is a disease where there is the cellular death of bone components due to interruption of the blood supply. In these days, the clinical study and research about osteonecrosis are increased, however the study on osteonecrosis in oriental medical way is hardly studied yet. Thus, we report the significant effect of acupotomy and oriental medicine on osteonecrosis which occurred in femur and tibia. Methods : We observed recovery of symptoms and decrease of osteonecrosis region in femur and tibia by MRI. Results : During five times of acupotomy, pain on right side thigh in rest time and knee joint pain during walk were decresed after 1st, 2nd, and 3rd acupotomy. In MRI, we observed decrease of osteonecrosis region in femur and tibia, that made the patient could return to daily life. Conclusions : Acupotomy and Oriental medicine have an significant effect on osteonecrosis by pain relief and osteonecrosis region decrease.

Four Case of HIVD-Lumbar Spine Patient Treated with Acupotomy (침도침 시술을 통한 요추추간판탈출증 환자 4명의 증례보고)

  • Kwak, Byung-Min;Hong, Kwon-Eui
    • Journal of Acupuncture Research
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    • v.25 no.4
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    • pp.149-156
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    • 2008
  • Objectives : The purpose of this study is to report the effect of acupotomy for patients with Lumbar intervertebral disc Herniation. Methods : We treated Four patients who have HIVD of L-spine with acupotomy. Visual analog scores(VAS) and Oswestry Low-back pain Disabiliby Index(ODI) were compared before-treatment with after-tretment. When the patients is discharged, the satisfaction of acupotomy were graded by Five-point Likert scale. Results : VAS and ODI were decreased at all case. Likert scale point were cheked as grade 4 at all case. Conclusions : This study shows acupotomy has useful effect on HIVD of L-spine.

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Safety and Effectiveness of Fluoroscopy-Guided Acupotomy for Carpal Tunnel Syndrome: Protocol for a Pilot Randomized, Patient-Assessor Blind, Parallel Clinical Trial

  • Yang, Muhack;Kim, Jae Kyoun;Park, Gun Woo;Cha, Eunhye;Jang, Jongwon;Seo, Jihye;Lee, Sangkwan;Kim, Sungchul
    • Journal of Acupuncture Research
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    • v.36 no.2
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    • pp.100-106
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    • 2019
  • Background: In Korean medicine, carpal tunnel syndrome is treated by stimulating the acupoints around the wrist. Although a deep understanding of anatomy and guidance is needed to stimulate these acupoints to avoid undesirable side-effects, currently there are no published guidelines for acupotomy treatment. The aim of this study is to evaluate the effectiveness and safety of fluoroscopy-guided acupotomy compared with conventional acupotomy treatment. Methods: This is a randomized, patient-assessor, patient blind, parallel clinical trial. A total of 30 patients will be enrolled at Wonkwang University Gwangju Hospital, and will be allocated to either an experimental group or a control group. The experimental group will be treated using fluoroscopy-guided acupotomy and the control group will be treated using the conventional acupotomy method. Results: The primary outcome measure will be identification of a cross-section area of the median nerve measured by ultrasonography, and the secondary outcome measure will be the alleviation of pain measured by the Visual Analogue Scale, improvement in the Nerve Conduction Study, Tinel test, Phalen's test, EuroQol 5-dimension scale, and Boston Carpal Tunnel Questionnaire score. Safety components will be measured by monitoring vital signs, electrocardiographs, blood tests, general chemical tests, urine tests and pregnancy tests. In addition, observations for adverse effects will be performed during the trial. Conclusion: This study will provide a more effective, and less harmful way of treating carpal tunnel syndrome compared with conventional acupotomy. Fluoroscopy-guided acupotomy will help practitioners to be accurate in direction and depth of the needle for treating carpal tunnel syndrome.