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Effects of Acupotomy and Selective Cryolysis including Herbal Medicine Treatment on Thigh Circumference: Case Series

한약치료를 포함한 도침치료와 냉각요법이 허벅지둘레에 미치는 영향: 증례군보고

  • Received : 2017.11.10
  • Accepted : 2017.11.27
  • Published : 2017.12.30

Abstract

The aim of this study is to investigate the combined effect of acupotomy, selective cryolysis and herbal medicine therapy for treating regional fat accumulation of thigh. Twenty-four patients were selected for the study. A session of selective cryolysis and acupotomy treatments were performed on both thighs once a week, for four weeks, with administration of herbal medicine. Thigh circumference, weight, body mass index (BMI), skeletal muscle mass, and body fat rate were measured before and after the procedure. Statistical significance (P<0.05) was determined using the paired t-test. After treatments, thigh circumference was significantly reduced by $3.57{\pm}1.41cm$ in 4 weeks (P<0.001). Weight, BMI, skeletal muscle mass, and body fat rate too were significantly reduced (P<0.001). Of the 24 patients, 1 reported an adverse event of frostbite. We assume this combined therapy can be useful when dealing with localized fat accumulation. Long-term evaluation and further studies are required to identify the specific effect size.

도침치료와 냉각치료, 한약치료를 병행한 복합한방치료를 24명을 대상으로 4주간 시행한 결과, 허벅지둘레, 체중, BMI, 체지방률 등 비만지표가 모두 통계적으로 유효하게 감소하였다. 또한 중등도의 부작용 발생률은 1.04%로 나타났다.

Keywords

References

  1. Han SH, Choi SK, Moon BK, Park JS, Cho BM. Survey about perception of body shape and about the current state of and satisfaction with popular diet programs in female university students. Korean J Health Promot. 2003 ; 3(3) : 195.
  2. Song MY, Myeong JL, Kim HJ. The review on the evidence: effects on non-surgical localized fat treatments. J Korean Med Obes Res. 2006 ; 6(1) : 1-10.
  3. Krueger N, Mai SV, Luebberding S, Sadick NS. Cryolipolysis for noninvasive body contouring: clinical efficacy and patient satisfaction. Clin Cosmet Investig Dermatol. 2014 ; 7 : 201.
  4. Zelickson BD, Kist D, Bernstein E, Brown DB, Ksenzenko S, Burns J, et al. Histological and ultrastructural evaluation of the effects of a radiofrequency-based nonablative dermal remodeling device: a pilot study. Arch Dermatol. 2004 ; 140(2) : 204-9. https://doi.org/10.1001/archderm.140.2.204
  5. Shalom A, Wiser I, Brawer S, Azhari H. Safety and tolerability of a focused ultrasound device for treatment of adipose tissue in subjects undergoing abdominoplasty: a placebo-control pilot study. Dermatol Surg. 2013 ; 39(5) : 744-51. https://doi.org/10.1111/dsu.12123
  6. Manstein D, Laubach H, Watanabe K, Farinelli W, Zurakowski D, Anderson R. Selective cryolysis: a novel method of noninvasive fat removal. Lasers Surg Med. 2008 ; 40(9) : 595-604. https://doi.org/10.1002/lsm.20719
  7. McRae E, Boris J. Independent evaluation of low-level laser therapy at 635 nm for non-invasive body contouring of the waist, hips, and thighs. Lasers Surg Med. 2013 ; 45(1) : 1-7. https://doi.org/10.1002/lsm.22113
  8. Dierickx CC, Mazer JM, Sand M, Koenig S, Arigon V. Safety, tolerance, and patient satisfaction with noninvasive cryolipolysis. Dermatol Surg. 2013 ; 39(8) : 1209-16. https://doi.org/10.1111/dsu.12238
  9. Hsu CH, Hwang KC, Chao CL, Chang HH, Chou P. Electroacupuncture in obese women: a randomized, controlled pilot study. J Women Health. 2005 ; 14(5) : 434-40. https://doi.org/10.1089/jwh.2005.14.434
  10. Song MY, Kim HJ. Review on clinical trials of catgut embedding for obesity treatment. J Korean Medr Obes Rese. 2012 ; 12 : 1-7.
  11. Roh SS, Kim JS, Yim SC. The efficacy of Eriobotryae folium pharmacopuncture on local fat of high fat diet induced obesity mice. Acupunct. 2013 ; 30(3) : 15-25. https://doi.org/10.13045/acupunct.2013002
  12. Yoon SH, Mun YJ, Cho KH. Effect of acupotomy with selective cryolysis for localized fat: case report. J Korean Med Obes Res. 2015 ; 15(2) : 149-52. https://doi.org/10.15429/jkomor.2015.15.2.149
  13. Zhu HZ. Summarization of acupotomology system. Eng Sci. 2006 ; 8(7) : 1-15.
  14. Yoon SH, Kim YS, Kwon MG, Kwon CY. Randomized controlled trials of miniscalpel acupuncture for lumbar spinal stenosis cited in the China national knowledge infrastructure database. Acupunct. 2017 ; 34(3) : 59-69.
  15. Liu T, Peng Y, Zhu S, Chen H, Li F, Hong P, et al. Effect of miniscalpel-needle on relieving the pain of myofascial pain syndrome: a systematic review. J Tradit Chin Med. 2015 ; 35(6) : 613-19. https://doi.org/10.1016/S0254-6272(15)30148-5
  16. Kan LL, Wang HD, Liu AG. Meta-analysis of needle-knife treatment on cervical spondylosis. Zhongguo Gu Shang Chin J Orthop Traumatol. 2013 ; 26 : 935-9.
  17. Chen M, Shi XY, Xu B, Gu YH, Dong Q, Xu LF, et al. Clinical observation on acupotomy for treatment of simple obesity. Chin Acupunct Moxib. 2011 ; 31(6) : 539-42.
  18. National Cancer Institute. Grading: general characteristics of the CTCAE (Common Terminology Criteria for Adverse Events) Grading (Severity) Scale [Internet]. Washington D.C, : U.S. Department of Health and Human Services; [cited 2012]. Available from: https://evs.nci.nih.gov/ftp1/CTCAE/ CTCAE_4.03_2010-06-14_QuickReference_5x7.pdf.
  19. World Health Organization (WHO)-Uppsala Monitoring Centre. The use of the WHO-UMC system for standardized case causality assessment [Internet]. Uppsala: World Health Organization Uppsala Monitoring Centre; [cited 2012]. Available from: http://www.who.int/medicines/areas/quality_safety/safety_efficacy/WHOcausality_assessment.pdf.
  20. Anuurad E, Shiwaku K, Nogi A, Kitajima K, Enkhmaa B, Shimono K, et al. The new BMI criteria for Asians by the regional office for the western pacific region of WHO are suitable for screening of overweight to prevent metabolic syndrome in elder Japanese workers. J Occup Health. 2003 ; 45(6) : 335-43. https://doi.org/10.1539/joh.45.335
  21. Pitanguy I. Evaluation of body contouring surgery today: a 30-year perspective. Plast Reconstr Surg. 2000 ; 105(4) : 1499-514. https://doi.org/10.1097/00006534-200004000-00038
  22. The American Society for Aesthetic Plastic Surgery. 2016 Plastic Surgery Statistics Report Annual Statistics [Internet]. New York: The American Society for Aesthetic Plastic Surgery; [cited 2017 Oct 27]. Available from: http://www.plasticsurgery.org/news/ plastic-surgery-statistics/2016-plastic-surgery-statistics.html.
  23. Lehnhardt M, Homann HH, Daigeler A, Hauser J, Palka P, Steinau HU. Major and lethal complications of liposuction: a review of 72 cases in Germany between 1998 and 2002. Plast Reconstr Surg. 2008 ; 121(6) : 396-403. https://doi.org/10.1097/PRS.0b013e318170817a
  24. Barillo DJ, Cancio LC, Kim SH, Shirani KZ, Goodwin CW. Fatal and near-fatal complications of liposuction. South Med J. 1998 ; 91(5) : 487-92. https://doi.org/10.1097/00007611-199805000-00018
  25. Tong L, Yuanyuan P, Shipeng Z, Huan C, Fuyun L, Peixin H, et al. Effect of miniscalpel-needle on relieving the pain of myofascial pain syndrome: a systematic review. J Tradit Chin Med. 2015 ; 35(6) : 613-9. https://doi.org/10.1016/S0254-6272(15)30148-5
  26. Adjadj L, SidAhmed-Mezi M, Mondoloni M, Meningaud JP, Hersant B. Assessment of the efficacy of cryolipolysis on saddlebags: a prospective study of 53 patients. Plast Reconstr Surg. 2017 ; 140(1) : 50-7. https://doi.org/10.1097/PRS.0000000000003433
  27. Choong WL, Wohlgemut HS, Hallam MJ. Frostbite following cryolipolysis treatment in a beauty salon: a case study. J Wound Care. 2017 ; 26(4) : 188-90. https://doi.org/10.12968/jowc.2017.26.4.188
  28. Rossi AB, Vergnanini AL. Cellulite: a review. J Eur Acad Dermatol Venereol. 2000 ; 14(4) : 251-62. https://doi.org/10.1046/j.1468-3083.2000.00016.x
  29. Yu JN, Guo CQ, Hu B, Liu NG, Sun HM, Xu H. Effects of acup uncture knife on inflammatory factors and pain in third lumbar vertebrae transverse process syndrome model rats. Evid-Based Complement Altern Med. 2014 ; 892406. http://dx.doi.org/10.1155/2014/892406 [Epub ahead of print].
  30. Kim HJ, Jeon JH, Kim YI. Clinical effect of acupotomy combined with Korean medicine: a case series of a herniated intervertebral disc. J Acupunct Meridian Stud. 2016; 9(1) : 31-41. https://doi.org/10.1016/j.jams.2015.09.001
  31. Sandberg M, Lundeberg T, Lindberg LG, Gerdle B. Effects of acupuncture on skin and muscle blood flow in healthy subjects. Eur J Appl Physiol. 2003 ; 90(1-2) : 114-9. https://doi.org/10.1007/s00421-003-0825-3
  32. Min DL, Lee YH, Go NG. A Clinical report on facial atrophic scars treatment with acupotomy. J Korean Med. 2015 ; 36(3) : 144-53. https://doi.org/10.13048/jkm.15027

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