Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Acupotomy on Pain and Functional Improvement in Acute Low Back Pain Patients: A Retrospective Study

도침치료가 급성 요추 염좌 환자의 통증 및 기능개선에 미치는 영향: 후향적 연구

  • Kim, Yeon-Hee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dae-Jeon University) ;
  • Oh, Min-Seok (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dae-Jeon University)
  • 김연희 (대전대학교 한의과대학 한방재활의학과 교실) ;
  • 오민석 (대전대학교 한의과대학 한방재활의학과 교실)
  • Received : 2018.03.18
  • Accepted : 2018.04.09
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives The aim of this study is to investigate the effect of Acupotomy on the pain reduction and functional improvement of patients with Acute low back pain. Methods We studied 60 patients with Acute low back pain with Numeric Rating Scale (NRS) 5 or higher in admission and had admitted to Department of Korean Medicine Rehabilitation of Daejeon University from March 1, 2017 to October 31, 2017. 30 patients had received Acupotomy combined Korean Medicine treatment(such as acupuncture, moxabustion, herbal medicine, etc) and the other 30 had received Korean Medicine treatment only. The analysis was conducted as a retrospective study which analyzes the patient's medical records. Statistical analysis was performed using the IBM SPSS Statistics 24 program. We used NRS to evaluate pain reduction, used Range of Motion (ROM) and Roland Morris Disability Questionnaire (RMDQ) to evaluate function improvement, and used EuroQol-5 Dimension (EQ-5D) and EuroQoL-Visual Analogue Scale (EQ-VAS) to assess quality of life. Finally, a five-point Likert scale was used to assess treatment satisfaction. Results The analysis revealed that patients who were treated with Acupotomy showed statistically significant NRS reduction, improvement of ROM and RMDQ, improvement of EQ-5D and EQ-VAS and satisfaction compared to those who just recevied Korean Medicine treatment. Conclusions In conclusion, we found that the Acupotomy showed a positive effect on pain resolving, functional rehabilitation and quality of life in patients with Acute low back pain.

Keywords

References

  1. Suk SI, Lee CK, Baek GH, Song KS, Lee MC, Lee HM, Chang JS, Han JS. Orthopedics. 7th ed. Seoul:ChoiSin Medical Publishing Co. 2013:862-3.
  2. Heo J. Donguibogam. 4th ed. Hadong:Donguibogam publishers Co. 2004:705.
  3. Yeom SC, Lee GM, Lee KS, Kim SC. A clinical study about low back pain patients based on 10 classes lumbago in Dong-Eui-Bo-Kham. The Journal of Korean Acupuncture & Moxibustion Society. 2005;22(4):95-111.
  4. Suk SI, Lee CK, Baek GH, Song KS, Lee MC, Lee HM, Chang JS, Han JS. Orthopedics. The 7th edition. Seoul:Choisin publishers Co. 2013:863.
  5. The Institute of Korean Acupotomy Medicine. Acupotomy. Seoul:Jeongdam. 2003:81-7, 113.
  6. Park SW, Kim SS, Kim JY, Kim SH, Lee GM. The Comparative study of effects between acupotomy and its cotreatment with spine decompression therapy on HIVD patients. The Journal of Korean Acupuncture & Moxibustion Society. 2012;29(3):29-39.
  7. Kim JH, Jang YJ, Park JH, You YN. The effects of Korean medical treatment combined with acupotomy on patients with a herniated intervertebral disc of the lumbar spine: a retrospective study. The acupuncture. 2015;32(1):119-26. https://doi.org/10.13045/acupunct.2015011
  8. Park MY, Kim SH, Lee SM, Lee JD, Lim JY, Kwon SY, Jung IM, Kim SC. The case report of posterior headache caused by traffic accident treated with musculoskeletal ultrasound-guided acupotomy therapy. The Journal of Korean Acupuncture & Moxibustion Society. 2011;28(2):165-72.
  9. Lee GM, Kim DH, Kim HW, Cho EH, Lim BC, Kim HS, Lee JK, Yi KH, Lee GH. The clinical study on the effect of t-shaped acupotomy in neck pain. The Journal of Korean Acupuncture & Moxibustion Society. 2008;25(4):191-6.
  10. Janet G. Travell, David G. Simons. Myofascial pain and dysfunction: the trigger point manual vol. 2. the lower extremities. 2nd ed. Yeong Mun Publishing Company. 2007:154.
  11. Kim SC. Clinical characteristics of poor responders to acupotomy and safety pretreatment management. The Journal of Korean Acupuncture & Moxibustion Society. 2008;25(4):117-25.
  12. Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS, Kind P, Kweon SS. South Korean time trade-off values for EQ-5D health states: modeling with observed values for 101 health states. Value in Health. 2009;12(8):1187-93. https://doi.org/10.1111/j.1524-4733.2009.00579.x
  13. Long DM, BenDebba M, Torgerson WS, Boyd RJ, Dawson EG, Hardy RW, Robertson JT, Sypert GW, Watts C. Persistent back pain and sciatica in the United States: Patient characteristics. Clinical Spine Surgery. 1996;9(1):40-58.
  14. Hides JA, Richardson CA, Jull GA. Multifidus muscle recovery is not automatic after resolution of acute, first-episode low back pain. Spine (Phila Pa 1976). 1996;21(23):2763-9. https://doi.org/10.1097/00007632-199612010-00011
  15. Zhu HZ. Small needle-knife therapy. Beijing:China Press. 1992:9-42.
  16. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A review of trends for acupotomy. The Acupuncture. 2014;31(3):35-43. https://doi.org/10.13045/acupunct.2014041
  17. Kim SC. Clinical characteristics of poor responders to acupotomy and safety pretreatment management. The Journal of Korean Acupuncture & Moxibustion Society. 2008;25(4):117-25.
  18. The Institute of Korean Acupotomy Medicine. Acupotomy. Seoul:Jeongdam. 2003:81-7, 111-27.
  19. Yuk DI, Song IN, Ko MK, Sung IS, Kim MJ, Lee JW, Oh YS, Jo JH, Kang WC, Hong KE. Five cases of frozen shoulder patients treated by acupotomy combined with oriental medical treatments. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2012;29(5):167-76.
  20. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A review of trends for acupotomy. The Acupuncture. 2014;31(3):35-43. https://doi.org/10.13045/acupunct.2014041
  21. Luo YF. Study of Acupoints. Shang Hai:Shang Hai Ke Xue Ji Shu Chu Ban She. 1996:235.
  22. Zhuang YM. Application of Acupoints. Tai Bei:Xiang Gang Shang Hai Yin Shu Guan. 1981:228.
  23. Lee MS, Kang KR, Woo KW, Baek SH, Ha IH, Shin MS, Lee JH. The trend review of acupoints for lumbar HIVD treatment and the literature review of anatomical location of hwatahyeopcheock. Korean Journal of Acupuncture. 2015;32(3):81-9. https://doi.org/10.14406/acu.2015.018
  24. Jun P, Liu Y, Park JE, Jung SY, Han CH. The state of clinical trials on acupotomy for lumbar disc herniation in China. Journal of Korean Medicine Rehabilitation. 2017;27(2):39-54. https://doi.org/10.18325/JKMR.2017.27.2.39
  25. Us Department of Health & Human Services. Acute pain management: operative or medical procedures and trauma. AHCPR(Agency for Health Care Policy and Research). 1992:92.
  26. Kang DJ, Kim JH. Status of use of pain assessment tools in manipulative therapists. Kor. J. Aesthet. Cosmetol. 2012;10(2):237-44.
  27. Noh SH, Kim YR, Kim KH, Lee CH, Ryu JH, Kim JK, Lee BR, Yang GY. Effects of acupuncture on acute musculoskeletal pain transferred from emergency department: case report. The Acupuncture. 2013;30(5):235-46. https://doi.org/10.13045/acupunct.2013063
  28. Lee HJ, Nam SS, Lee YH. The study of pain and functional disability scales for low back pain. The Journal of Korean Acupuncture & Moxibustion Society. 2002;19(2):137-48.
  29. Kwon YD. The health-related quality of life of obesity. Journal of Korean Oriental Association for Study of Obesity. 2004;4(1):125-37.
  30. Cho DG. A spatial analysis of sociodemographic correlates of health related quality of life. Korea Journal of Population Studies. 2009;32(3):1-20.
  31. Ryu SH, Yoon JH. The use of likert scale in community nutrition research : analysis of the articles published in Korean journal of community nutrition. Korean Journal Community Nutrition. 2009;14(5):600-7.
  32. Babbie ER. The practice of social research. 11th ed. Thomson Learning. 2007:238-9.

Cited by

  1. 늑골 골절 환자에서 초음파 유도하 흉추 주위 공간(TPVS) 소염약침 치료를 시행한 한방치료군과 촉지하 소염약침 치료를 시행한 한방치료군의 통증 및 치료만족도 비교 연구: 후향적 연구 vol.29, pp.3, 2018, https://doi.org/10.18325/jkmr.2019.29.3.103