Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Effects of Conservative Korean Traditional Medical Treatment on Lumbar Intervertebral Disc Herniation in 12 Adolescents : A Retrospective Study

청소년기 요추간판탈출증에 대한 한방 보존적 치료 12례의 후향적 분석

  • Kim, Hae Sol (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine) ;
  • Bae, Young Hyun (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine) ;
  • Kim, Ho Sun (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine) ;
  • Suh, Chang Yong (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine) ;
  • Kim, No Hyeon (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine) ;
  • Lee, Gi Bum (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine) ;
  • Yang, Kyu Jin (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
  • 김해솔 (강남자생한방병원 침구의학과) ;
  • 배영현 (강남자생한방병원 침구의학과) ;
  • 김호선 (강남자생한방병원 침구의학과) ;
  • 서창용 (강남자생한방병원 침구의학과) ;
  • 김노현 (강남자생한방병원 침구의학과) ;
  • 이기범 (강남자생한방병원 침구의학과) ;
  • 양규진 (강남자생한방병원 침구의학과)
  • Received : 2016.02.12
  • Accepted : 2016.03.08
  • Published : 2016.03.18
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Abstract

Objectives : This study was performed to assess the effectiveness of conservative Korean traditional medical treatment on lumbar intervertebral disc herniation in 12 adolescents. Methods : Data were collected from adolescent patients diagnosed with lumbar intervertebral herniation by MRI, hospitalized at Jaseng Korean Medicine Hospital from January 1, 2014 to December 31, 2015. A total of 12 patients were included in the study. Patients were treated by acupuncture, pharmacopuncture, electroacupuncture, herbal medicine, chuna manual therapy, physical therapy during hospitalization period. To measure treatment outcomes, a verbal numerical rating scale (VNRS), Oswestry disability index (ODI), range of motion (ROM), Straight leg raising test (SLR), and EQ-5D were used. Results : The average age of the participants was $16.05{\pm}1.62$. The average of duration of symptom was $19.25{\pm}26.83(weeks)$ and the average length of hospitalization was $23.8{\pm}16.4(days)$. 2 patients (17 %) suffered from only lumbar pain, while 10 patients (83 %) suffered from lumbar and leg pain. No participant suffered from only leg pain. 8 patients (67 %) were diagnosed with disc herniation in one segment, and 4 patients (33 %) were diagnosed with disc herniation in multiple segments. A total of 17 disc segments (28 %) were herniated. The most herniated lumbar level was L4-5. 3 segments were diagnosed with bulging (17 %), 6 with protrusion (35 %), and 8 with extrusion (47 %). Extrusion was the most frequent herniated type. After treatment, the average VNRS of lumbar pain significantly decreased from $5.58{\pm}1.62$ to $2.91{\pm}1.56$ (p<0.001) and the average VNRS of leg pain significantly decreased from $5.16{\pm}2.51$ to $3.08{\pm}1.8$ (p<0.001). ODI significantly decreased from $48.87{\pm}18.72$ to $28.57{\pm}15.05$ (p<0.05), and EQ-5D significantly increased $0.58{\pm}0.31$ to $0.80{\pm}0.12$ (p<0.05). Range of flexion significantly improved from $61.25{\pm}32.62$ to $68.33{\pm}26.22$ (p<0.05). Conclusion : Conservative Korean Traditional Medical Treatment may be effective in the treatment of lumbar intervertebral disc herniation in adolescence. However, more case reports and clinical research are needed.

Keywords

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