Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
권호 표지

Literature Consideration on Traction Therapy and Scoliosis in KyungKuen(經筋) Therapy

경근 치료방법 중 견인요법과 척추측만증에 대한 문헌적 고찰

  • Shin, Jeong-Hun (Dept. of Bio-nano Chemistry, Wonkwang University) ;
  • Hwang, Sung-Yeoun (Korea Bio Medical Science Institute) ;
  • Lee, Young-Jun (Lee Young Jun Korean Medicine Clinic) ;
  • Kim, Jae-Hyo (Dept. of Meridian and Acupoint, College of Oriental Medicine Wonkwang University) ;
  • Sohn, In-Chul (Dept. of Meridian and Acupoint, College of Oriental Medicine Wonkwang University) ;
  • Ahn, Seong-Hun (Dept. of Meridian and Acupoint, College of Oriental Medicine Wonkwang University)
  • 신정훈 (원광대학교 자연과학대학 생명나노학부) ;
  • 황성연 ((주)한국전통의학연구소) ;
  • 이영준 (이영준한의원) ;
  • 김재효 (원광대학교 한의과대학 경혈학교실) ;
  • 손인철 (원광대학교 한의과대학 경혈학교실) ;
  • 안성훈 (원광대학교 한의과대학 경혈학교실)
  • Received : 2012.05.04
  • Accepted : 2012.05.25
  • Published : 2012.06.27
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Abstract

Objectives : This study was purposed to investigate the possibility of traction therapy as treatment method of scoliosis, of which occurrence rate was increasing with teenagers in Korea. Methods : 63 literatures, history, classification, and effectiveness of traction therapy were reviewed and the occurrences rate of scoliosis with teenagers in Korea was investigated. Results : Traction therapy as a treatment method on scoliosis, was originally developed by Hippocrates(460~385 BC), based on the historical record. Traction therapy is classified according to the tools engaged, the postures, the traction methods, and the areas for traction. The opinions on the effect of traction as treatment method were different depending on whether it is in Korea or outside of the country. Within the country, 75% of reports were positive on the effects of traction therapy, while outside of the country, about 74% of reports were negative. On the other hand, the occurrence rates of scoliosis with teenagers in Korea were increasing from 1.46%(1977) to 11.08%(2008). Conclusions : Unfortunately the effects of traction therapy on scoliosis were unclear but it seems to be different in the effects of manipulative therapy and mechanical or apparatus traction therapy. Systematic studies on traction therapy are needed, because of the increasing rate of scoliosis in Korea with teenagers.

Keywords

References

  1. Lee SM, Jeong Hy, Keum KS. A study on the Kyung Keun Pyun(經筋篇) of the Young Chu(靈樞). The Journal of Korea Institute of Oriental Medical Diagnositics. 1999 ; 3 : 294-332.
  2. Lee JK, Song YK, Lim HH. Literature review on the myofascial meridian treatment. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2006 ; 1 : 31-40.
  3. Han JW, Yook TH. A comparison of meridian muscle with muscle. The Journal of Korea Acupuncture & Moxibustion Society. 1999 ; 16 : 87-106.
  4. Schiotz EH, Cyriax J. Manipulation: past and present. London(UK) : William Heinemann Medical Books. 1974.
  5. Erland P. A history of manipulative therapy. The Journal of Manual & Manipulative Therapy. 2007 ; 15 : 165-74. https://doi.org/10.1179/106698107790819873
  6. Colachis SC Jr, Strohm BR. Effects of intermittent traction on separation of lumbar vertebrae. Arch Phys Med Rehabil. 1969 ; 50 : 251-8.
  7. Mathews JA, Hickling J. Lumbar traction: a double-blind controlled study for sciatica. Rheumatol Rehabil. 1975 ; 14 : 222-5. https://doi.org/10.1093/rheumatology/14.4.222
  8. Kang MS. The effect of vertical traction treatment for exercise injury rehabilitation on lumbar extension muscle strength, spinal curvature and oswewtry disability index. Grduate School of Jeju National University Thesis. 2011.
  9. Moon JH, Park JS, Kang YS, Bae KJ, Lee HS, Kim SK. A study on usage of classroom desks and chairs by teenagers. J of Korean Acad of Rehab Med. 1998 ; 22 : 711-6.
  10. Suk SI, Cho HO, Choi IH, Limb WS. The incidence of scoliosis in Korea. Journal of The Korean Orthopaedic Association. 1977 ; 12 : 693-7.
  11. Suk SI, Choi IH. The incidence of scoliosis in Korea. Part 2 : The incidence of scoliosis in the middle and high school male students. Journal of The Korean Orthopaedic Association. 1978 ; 13 : 317-23.
  12. Jo jH, Choi JS, Cho HO, Lee YG. The prevalence of scoliosis in junior and senior high school students, Pusan. Korea J of Korean Orthop Assoc. 1984 ; 19 : 431-5.
  13. Na YM, Kang SW, Bae HS, Kang JK, Park JS, Moon JH. The analysis of spinal curvature in low back pain patients. J of Korean Acad of Rehab Med. 1996 ; 20 : 669-74.
  14. Hong YJ, Jeong BJ, Suh SW, Choi YS. Idiopathic scoliosis in Korean middle school students. The Journal of Korean Society of Aerobic Exercise. 2000 ; 4 : 87-95.
  15. Suh SW, Lee SH, Hur CY, Yoo JC, Kang CS, Wang JH. Idiopathic scoliosis in Korean middle school students -prevalence study-. J Korean Orthop Assoc. 2001 ; 36 : 33-7.
  16. Park JH, Hong SY. The study on static alignment classification based on the full Spine AP X-ray of adults aged 30∼39. J Oriental Rehab Med. 2010 ; 20 : 89-99.
  17. Gong SE, Oh MS. The review on the need for early screening of scoliosis. DaeJeon University Han-Eu-Hak-Yean-Gu-So 2011 ; 20 : 137-42.
  18. Kane WJ. Scoliosis prevalence: a call for a statement of terms. Clin Orthop Relat Res. 1977 : 43-6.
  19. Risser JC. Scoliosis: past and present. J Bone Joint Surg Am. 1964 ; 46 : 167-99.
  20. Risser JC. Changing concepts on treatment of scoliosis. Nihon Seikeigeka Gakkai Zasshi. 1964 ; 38 : 511-4.
  21. Withington ET. Hippocrates with an English translation. Cambridge(MA) : Harvard University Press. 1928.
  22. Gevitz N. The D.O.'s: osteopathic medicine in America. Baltimore(MD) : John Hopkins University Press. 1982.
  23. Palmer DD. The Chiropactor's adjuster. Portland( OR): 1910.
  24. Alex M, Joseph VP. Systematic literature review of spinal decompresssion via motorized traction for chronic discogenic low back pain. Pain Practice. 2006 ; 6 : 171-8. https://doi.org/10.1111/j.1533-2500.2006.00082.x
  25. Koller H, Zenner J, Gajic V, Meier O, Ferraris L, Hitzl W. The impact of halo-gravity traction on curve rigidity and pulmonary function in the treatment of severe and rigid scoliosis and kyphoscoliosis: a clinical study and narrative review of the literature. Eur Spine J. https://doi.org/10.1007/s00586-011-2046-5
  26. Coxhead CE, Inskip H, Meade TW, North WR, Troup JD. Multicentre trial of physiotherapy in the management of sciatic symptoms. Lancet. 1981 ; 1 : 1065-8.
  27. Macario A, Pergolizzi JV. Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Pract. 2006 ; 6 : 171-8. https://doi.org/10.1111/j.1533-2500.2006.00082.x
  28. Tsung-min L, Chiang-hua W, Chen-chung Y, Kuo-Hsiu C, Kuei-fu T. Vertical suspension traction with manipulation in lumbar intervertebral disc protrusion. Tropical doctor. 1980 ; 10 : 109-12.
  29. Robinson WH. Neck traction in the horizontal position. Arch Phys Med Rehabil. 1951 ; 32 : 346-7.
  30. Pal B, Mangion P, Hossain MA, Diffey BL. A controlled trial of continuous lumbar traction in the treatment of back pain and sciatica. Br J Rheumatol. 1986 ; 25 : 181-3. https://doi.org/10.1093/rheumatology/25.2.181
  31. Graham N, Gross AR, Goldsmith C, Group CO. Mechanical traction for mechanical neck disorders: a systematic review. Journal of Rehabilitation Medicine. 2006 ; 38 : 145-52. https://doi.org/10.1080/16501970600583029
  32. Diane UJ, Jeffrey EF, Catherine T. Effect of intermittent, supine cervical traction on the myoelectric activity of the upper trapezius muscle in subjects with neck pain. Physical Therapy. 1985 ; 65 : 1173-6.
  33. 김호봉. 견인요법의 이론과 실제. 물리치료회보. 2-5.
  34. Shim Jh, Oh Dw. Traction effects for the treatment of scoliosis. KAUTPT. 1996 ; 3 : 12-23.
  35. Kim SD, Kim MY, Lim YE, Shin BC, Kwon YD, Song YS, et al. A clinical study on the effect of chuna and traction to herniated cervical disc patients. J Oriental Rehab Med. 2001 ; 12 : 39-48.
  36. Lee Dh, Park Ej, Shin Jc, Na Gh, Wei Ts, Lee Sr, et al. The clinical effects of low back pain and sciatica with traction treatment. The Journal of Korean Acupunture & Moxibustion Society. 2004 ; 21 : 163-74.
  37. Lee KJ, Heo KH, Park YH, Keum DH. Radiological changes on spondylolisthesis using cox techique and acupuncture therapy treatment: clinical cases. J Oriental Rehab Med. 2007 ; 17 : 229-42.
  38. Lidstrom A, Zachrisson M. Physical therapy on low back pain and sciatica. An attempt at evaluation. Scand J Rehabil Med. 1970 ; 2 : 37-42.
  39. Kim HS, Ha JW, Park JO, Park HW, Han DY, Hur JH. Ruptured lumbar disc in patients undergoing manipulation of the lumbar spine. J of Korean Orthop Assoc. 1998 ; 33 : 1326-33.
  40. Kim YM, Won CH, Seo JB, Choi ES, Lee HS, Ko SW, et al. Lumbar disc herniation with cauda equina syndrome after self traction therapy - a case report -. Journal of Korean Spine Surg. 1999 ; 6 : 469-74.
  41. Larsson U, Choler U, Lidstrom A, Lind G, Nachemson A, Nilsson B, et al. Auto-traction for treatment of lumbago-sciatica. A multicentre controlled investigation. Acta Orthop Scand. 1980 ; 51 : 791-8. https://doi.org/10.3109/17453678008990875
  42. Zylbergold RS, Piper MC. Cervical spine disorders. A comparison of three types of traction. Spine(Phila Pa 1976). 1985 ; 10 : 867-871 https://doi.org/10.1097/00007632-198512000-00001
  43. Bihaug O. Autotraksjon for ischialgpasienter: en kontrollert sammenlikning mellom effekten av Auto-traksjon-B og isometriske ovelser ad modum Hume endall og enkins. Fysioterapeuten. 1978 ; 45 : 377-9.
  44. Gionis TA, Greteke E. Spinal decompression. Orthopedic Technol Rev. 2003 ; 5 : 36-9.
  45. Gose EE, Naguszewski WK, Naguszewski RK. Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: an outcome study. Neurol Res. 1998 ; 20 : 186-90.
  46. Naguszewski WK, Naguszewski RK, Gose EE. Dermatomal somatosensory evoked potential demonstration of nerve root decompression after VAX-D therapy. Neurol Res. 2001 ; 23 : 706-14. https://doi.org/10.1179/016164101101199216
  47. Geert JvdH, Anna JB, Bart WK, Willem JA, Henrica CdV, Lex MB. The efficacy of traction for back and neck pain: a systematics, blinded review of randomized clinical trial methods. Physical Therapy. 1995 ; 75 : 93-104.
  48. van der Heijden G, Bouter LM, Terpstra- Lindeman E. De effectiviteit van tractie bij lage rugklachten: de resultaten van een pilotstudy. Ned T Fysiotherapie. 1991 ; 101: 37-
  49. Mathews JA, Mills SB, Jenkins VM, Grimes SM, Morkel MJ, Mathews W, et al. Back pain and sciatica: controlled trials of manipulation, traction, sclerosant and epidural injections. Br J Rheumatol. 1987 ; 26 : 416-23. https://doi.org/10.1093/rheumatology/26.6.416
  50. Weber H. Traction therapy in sciatica due to disc prolapse(does traction treatment have any positive effect on patients suffering from sciatica caused by disc prolapse?). J Oslo City Hosp. 1973 ; 23 : 167-76.
  51. Reust P, Chantraine A, Vischer TL. Treatment of lumbar sciatica with or without neurological deficit using mechanical traction. A double-blind study. Schweiz Med Wochenschr. 1988 ; 118 : 271-4.
  52. Walker L, Svenkerud T, Weber H. Traksjonsbehadling ved lumbago-ischias: en kontrollert undersolske med Spina-trac. Fystoterapeuten. 1982 ; 49 : 161-3.
  53. Goldie I, Landquist A. Evaluation of the effects of different forms of physiotherapy in cervical pain. Scand J Rehabil Med. 1970 ; 2 : 117-21.
  54. Medicine BAoP. Pain in the neck and arm: a multicentre trial of effects of physiotherapy. BMJ. 1966 ; I : 253-8.
  55. Weber H, Ljunggren AE, Walker L. Traction therapy in patients with herniated lumbar intervertebral discs. J Oslo City Hosp. 1984 ; 34 : 61-70.
  56. Ljunggren AE, Weber H, Larsen S. Autotraction versus manual traction in patients with prolapsed lumbar intervertebral discs. Scand J Rehabil Med. 1984 ; 16 : 117-24.
  57. Werners R, Pynsent PB, Bulstrode CJ. Randomized trial comparing interferential therapy with motorized lumbar traction and massage in the management of low back pain in a primary care setting. Spine(Phila Pa 1976). 1999 ; 24 : 1579-84. https://doi.org/10.1097/00007632-199908010-00012
  58. Beurskens AJ, de Vet HC, Koke AJ, Regtop W, van der Heijden GJ, Lindeman E, et al. Efficacy of traction for nonspecific low back pain. 12-week and 6-month results of a randomized clinical trial. Spine(Phila Pa 1976). 1997 ; 22 : 2756-62. https://doi.org/10.1097/00007632-199712010-00011
  59. Sherry E, Kitchener P, Smart R. A prospective randomized controlled study of VAXD and TENS for the treatment of chronic low back pain. Neurological Research. 2001 ; 23 : 780-4. https://doi.org/10.1179/016164101101199180
  60. Borman P, Keskin D, Bodur H. The efficacy of lumbar traction in the management of patients with low back pain. Rheumatology International. 2003 ; 23 : 82-6.
  61. Young IA, Michener LA, Cleland JA, Aguilera AJ, Snyder AR. Manual therapy, exercise, and traction for patients with cervical radiculopathy: a randomized clinical trial. Phys Ther. 2009 ; 89 : 632-42. https://doi.org/10.2522/ptj.20080283
  62. Schimmel JJP, de Kleuver M, Horsting PP, Spruit M, Jacobs WCH, van Limbeek J. No effect of traction in patients with low back pain: a single centre, single blind, randomized controlled trial of Intervertebral Differential Dynamics Therapy(R). European Spine Journal. 2009 ; 18 : 1843-50. https://doi.org/10.1007/s00586-009-1044-3
  63. Assendelft WJ, Bouter LM, Knipschild PG. Complications of spinal manipulation: a comprehensive review of the literature. J Fam Pract. 1996 ; 42 : 475-80.
  64. 맥플러스. 청소년 체형 조사 및 현황. 서울2011.
  65. Shin JM, Kang MS, Song YK. A case report on HDV patient treated by conservative oriental medical treatment with kyungkuen chuna. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2008 ; 3 : 83-94.
  66. Song HS, Kang MJ, Lim JE, Kwon SJ, Kang MS, Lee SN, et al. The effect of meridian tendino-musculature acupuncture and release therapy on acute lumbar sprain. The Journal of Korea Acupuncture & Moxibustion Society. 2001 ; 18 : 1-13.
  67. Weinberger LM. Trauma or treatment? The role of intermittent traction in the treatment of cervical soft tissue injuries. J Trauma. 1976 ; 16 : 377-82. https://doi.org/10.1097/00005373-197605000-00010
  68. Clarke J, van Tulder M, Blomberg S, de Vet H, van der Heijden G, Bronfort G. Traction for low back pain with or without sciatica: an updated systematic review within the framework of the Cochrane collaboration. Spine (Phila Pa 1976). 2006 ; 31 : 1591-9. https://doi.org/10.1097/01.brs.0000222043.09835.72
  69. Harte AA, Baxter GD, Gracey JH. The effectiveness of motorised lumbar traction in the management of LBP with lumbo sacral nerve root involvement: a feasibility study. Bmc Musculoskeletal Disorders. 2007 ; 8.