Study on the Change of the Autonomic Nervous System by HRV Test in Musculoskeletal Pain Patients Treated with Acupuncture

근골격계 통증 환자에서 침 치료 후 심박수 변이도(Heart rate variability) 변화에 관한 연구

  • Kim, Dae-Feel (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Heo, Kwang-Ho (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Park, Young-Hoi (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Keum, Dong-Ho (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University)
  • 김대필 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 허광호 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 박영회 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 금동호 (동국대학교 한의과대학 한방재활의학과교실)
  • Received : 2005.03.25
  • Accepted : 2005.04.22
  • Published : 2005.04.30

Abstract

Objectives : This study was designed to evaluate the changes of autonomic nervous system by heart rate variability(HRV) test on the musculoskeletal pain patients treated with acupuncture on the Back-su points and the unfixed points, and untreated healthy adults. Methods : This clinical study have been carried out with 64 cases of musculoskeletal pain patients and 26 healthy adults. 35 patients were treated with acupunctureon on the Back-su points(Group I) and 26 patients were treated on the Unfixed points(GroupII), and two groups were tested by HRV at pre and post acupuncture treatment. 26 healthy adults(GroupIII) were tested twice by HRV without any stimulation. Results : In Group I, VAS was decresased $5.83{\pm}1.62$ to $5.17{\pm}1.89$ significantly(p<0.05) after acupuncture treatment, and LF/HF ratio was decreased significantly(p<0.05) as compared with healthy control Group. In GroupII, SDNN & RMSSD were increased singnificantly(p<0.05) as compared with other Groups. in Group I & II, MHRT was decreased significantly(p<0.05) as compared with healthy control Group. Conclusions : These results suggest that acupuncture treatment on the Back-su points was able to reduce the pain, suppress the sympathetic activities and enhance the parasympathetic activities in musculoskeletal patients.

Keywords

References

  1. 통증의 평가방법 김수근
  2. 최신정신의학 민성길
  3. 연부조직의 통증 및 장애의 기전과 치료 강세윤(외 12인譯)
  4. Am J Physiol. v.248 Assessment of autonomic function in humans by heart rate spectral analysis Pomeranz, B.;Macaulay, R.;Caudill, M.;Kuts, I.;Adam, D.;Gordon, D.(et al.)
  5. Am J physiol. v.249 Hemodynamic regulation: Investigation by spectral analysis Akselrod, S.;Gordon, D.;Madwed, J.B.;Snidman, N.C.;Shannon, D.C.;Cohen, K.J.
  6. 침구학(상) 전국한의과대학 침구${cdot}$경혈학교실(編)
  7. 경혈학총서 안영기
  8. 대한한의정보학회지 v.9 no.2 교감신경계의 배부분포와 背兪穴의 비교연구 금동호
  9. 대한한의진단학회지 v.5 no.2 연령별 맥박변이도 표준화에 관한 연구 남동현;박영배
  10. 대한한의진단학회지 v.5 no.2 통계기법을 활용한 변증정량화 연구 박영재;박영배
  11. 침구학(하) 전국한의과대학 침구${cdot}$경혈학교실(編)
  12. 대한신경과학회 춘계보수교육 침술요법과 통증 조절 김용석
  13. 대한통증의학회지 v.5 no.1 침을 이용한 전기자극 통증치료 신근만;홍순용;최영룡
  14. 한국전통의학연구소 v.8 no.1 오장배수혈 부위의 신경영역 및 혈위 특성에 대한 연구 손인철;안성훈;배주동;박정준;하성희
  15. western J Nursing Res. v.17 Measurement of heart rate variability Cowan, M.J.
  16. Stroke v.25 Cardiovascular autonomic reflexes in brain infarction Korpelainen, J.T.;Sotanjemi, K.A.;Suominen, K,;Tolonen, U.;Myllyla, V.V.
  17. Am J physiol. v.256 Transfer function analysis of autonomic regulation Breger, R.D.;Saul, J.P.;Cohen, R.J.
  18. Eur Heart J. v.17 no.3 Heart rate variability. Standard of measurement, physiological interpretation, and clinical use Task Force of the European Sociey of Cardiology and the North American Society of Pacing and Electrophyiology
  19. 대한재활의학회지 v.22 no.4 뇌졸중 환자에서 심박변동의 Power spectrum 분석에 의한 자율신경기능 평가 전중선;전세일;안준;박승현;백소영;강윤주;도원수
  20. 순환기 v.23 no.1 급성심근경색증 환자에서 퇴원전기의 심박수 변이도의 재현성 및 일중변동 채성철;강승완;우언조;전재은;박의현
  21. 신경정신의학 v.38 no.4 기능성 위장관장애 환자의 자율신경계기능과 음양체질 특성에 관한 연구 이정호;송지영;황의완;정두훈;김영미
  22. 대한재활의학회지 v.22 no.1 당뇨병 환자에서의 자율신경 기능평가 박주현;양승한;김용석
  23. 대한내과학회지 v.53 no.3 강경변증 환자에서 24시간 심박동수변이를 이용한 자율신경 장애 측정 김철우;이창원;안혜숙;이홍순;김학산;유수웅;이무용;채민수;조영중;장덕환;권재구
  24. 한방재활의학과학회지 v.12 no.3 요통환자의 한방재활의학과와 한방신경정신과와의 협진관계 모색 방법론 이명종
  25. J Auton Nerv Syst. v.79 no.1 Effect of sensory stimulation (acupuncture) on sympathetic and parasympathetic activities in healthy subjects Haker, E.;Egekvist, H.;Bjerring, P.
  26. Am J Chin Med. v.27 no.1 Change of pulse rate and skin temperature evoked by electroacupuncture stimulation with different frequency on both Zusanli acupoints in humans Hsieh, C.L.;Lin, J.G.;Li, T.C.;Chang, Q.Y.
  27. Auton Neuro-sci. v.100 no.1-2 An alternative method go enhance vagal activities and suppress sympathetic activities in humans Wang, J.D.;Kuo, T.B.;Yang, C.C.
  28. Neurosci Lett. v.227 no.3 Decreased heart rate by acupuncture stimulation in humans via facilitation of cardiac vagal activity and suppression of cardiac sympathetic nerve Nishijo, K.;MOri, H.;Yosikawa, K.;Yazawa, K.