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The Study on Correlation between the KL-Grade and Improvement of Knee Pain Treated by Korean Medicine Therapy

KL-Grade의 정도와 슬관절 통증의 한의학적 치료 효과의 상관성 연구

  • Lee, Gi-eon (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Huh, Suk-won (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Lee, Hyun-ho (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jeong, Seong-hyun (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jo, Kyeong-sang (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Han, Si-hoon (Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Choi, Ji-hoon (Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Roh, Ji-ae (Department of Oriental Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine)
  • 이기언 (대전자생한방병원 한방재활의학과) ;
  • 허석원 (대전자생한방병원 한방재활의학과) ;
  • 이현호 (대전자생한방병원 한방재활의학과) ;
  • 정성현 (대전자생한방병원 한방재활의학과) ;
  • 조경상 (대전자생한방병원 한방재활의학과) ;
  • 한시훈 (대전자생한방병원 한방재활의학과) ;
  • 최지훈 (대전자생한방병원 침구의학과) ;
  • 노지애 (대전자생한방병원 한방내과)
  • Received : 2017.06.22
  • Accepted : 2017.06.30
  • Published : 2017.07.31

Abstract

Objectives The purpose of this study is to compare the effects between the KL-Grade and improvement of knee pain treated by Korean Medicine therapy. Methods 114 patients who received inpatient treatment from July 2014 to May 2017 in the Daejeon Jaseng of Korean Medicine Hospital were divided into 5 groups by the KL-Grade. All patients received a combination of treatment including acupunture, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 23.0 for windows. Results After treatment, KL-Grade 0 group's Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index) improvement was $2.02{\pm}1.69$, $7.50{\pm}9.67$ and $0.11{\pm}0.15$ respectively. KL-Grade 1 group's improvement was $2.09{\pm}1.23$, $11.75{\pm}13.99$ and $0.12{\pm}0.13$ respectively. KL-Grade 2 group's improvement was $1.60{\pm}1.07$ and $14.70{\pm}14.19$ respectively. But In this group, EQ-5D Index has decreased by $0.01{\pm}0.10$. KL-Grade 3 group's improvement was $1.88{\pm}1.31$, $7.81{\pm}13.35$ and $0.13{\pm}0.20$ respectively (p<0.034). In the case of KL-Grade 4, the population was not statistically significant (N=2) and therefore excluded from statistical significance. And there was no statistically significance between 4 group's improvement after treatment (p>0.05). Conclusions The above study showed that Korean medicine treatments showed significant therapeutic effects on knee pain and degenerative knee joints, but there was no significant difference in the effectiveness of degenerative arthritis (KL-Grade).

Keywords

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