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Efficacy and Patient Satisfaction in Cases of Back Pain Treated Using Either Acupuncture or Chuna: A Comparative Study

  • Jeong, Sang Jun (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongshin University) ;
  • Yoo, Jae Hee (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongshin University) ;
  • Ko, Hong Je (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongshin University) ;
  • Shin, Jeong Cheol (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongshin University) ;
  • Kwak, Min Kyung (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongshin University) ;
  • Wei, Tung Shuen (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongshin University)
  • Received : 2018.04.07
  • Accepted : 2018.04.24
  • Published : 2018.05.30

Abstract

Background: The purpose of the present study was to evaluate efficacy and patient satisfaction of acupuncture or Chuna therapy for back pain. Methods: Amongst all the patients with back pain who had been treated at Sun-cheon korean medicine hospital, Dong-shin university, only patients that had received either acupuncture or Chuna manual therapy between September 1 and October 31, 2017 were selected and their medical charts retrospectively analyzed. A questionnaire was used in the investigation that consisted of a numeric rating scale (NRS), the Oswestry low-back pain disability index (ODI), general, emotional, conversational, and technical satisfaction. The questionnaire was completed before treatment and at weekly intervals (approximately). Treatment efficacy was analyzed using the first and last questionnaires. The last questionnaire was also used to establish patient satisfaction. The data were analyzed using SPSS for Windows version 21.0. Results: The NRS, Current degree of pain (ODI-1), and total ODI were significantly decreased in both the acupuncture and Chuna groups. The differences in NRS, ODI-1, and total ODI changes between treatment groups were not significant. There were no statistically significant differences between the acupuncture and Chuna groups in terms of general, emotional, conversational, and technical satisfaction. Conclusion: Acupuncture treatment significantly reduces NRS and ODI in patients who have back pain without structural transformation, and Chuna therapy significantly reduces NRS and ODI-1 in patients who have back pain with structural transformation. These results indicate that further studies should be conducted in more patients and over a longer period.

Keywords

References

  1. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture medicine. Seoul (Korea): Hanmi Medical;2016. p.488-489. [In Korean]
  2. Kim KC. Back pain management strategies for primary physicians. Korean J Fam Med 1999;20:634-646. [In Korean]
  3. Berman BM, Langevin HM, Witt CM, Dubner R. Acupuncture for chronic low back pain. N Engl J Med 2010; 363: 454-461. https://doi.org/10.1056/NEJMct0806114
  4. Cho JK. Investigation of Korean medicine use and herbal medicine consumption situation. Seoul (Korea): Korea Institute for Health and Social Affairs (KiHASA);2011:12. Report No. 2001-48. 554 p. [In Korean]
  5. Young DC, Su JJ, Chan YJ, Kim KS, Lee SD. Alternation of Topical Heat and Cold for Chronic Low Back Pain : A Randomized Controlled Pilot Trial. J Acupunct Res 2016;33:77-87. https://doi.org/10.13045/acupunct.2016018
  6. Yoo DY, Kim KJ, Choi YS, Kim WY, Lee HJ. Three Cases of Low back pain who was treated herbal medicine for Buqi. J Int Korean Med 2009;30:289-300. [In Korean]
  7. Lee BW. Frequency Analysis of Clinical Prescriptions in the Korean Medicine Hospital, Pusan National University based on Herb Weight Ratio (3) - Focusing on Back Pain and Nape Pain. JKMH 2015;28:93-102. [In Korean]
  8. Chang DH, Bae UY, Jung JH, Lee IS. The Effects of Burning Acupuncture Therapy with Chuna Therapy for Low Back Pain Patients. JORM 2011;21:21-32. [In Korean]
  9. Ryu HS, Park KS. The effects of moxibustion on chronic back pain and activities of daily living in aged. Korean J Rehabil Nurs 2015;18:38-45. [In Korean] https://doi.org/10.7587/kjrehn.2015.38
  10. Jeong MJ, Kwon OG, Woo CH, An HD. Dose dependent effects of Jungsongouhyul Pharmacopuncture on Low Back Pain. J Pharmacopunct 2011;14:45-52. [In Korean] https://doi.org/10.3831/KPI.2011.14.2.045
  11. Kim TH, Park WH, Cha YY. Comparative Study of Effects on Bee Venom Pharmacopuncture and Ouhyul Herbal Acupuncture in Low Back Pain Caused by Traffic Accident. JORM 2015;22:177-184. [In Korean]
  12. Kim TH, Jeong SH, Yoon TK, Lee SJ, Shin SJ, Kwon OJ et al. Comparison of the Effect of Shinbaro Pharmacopuncture and Jakyakgamcho Decoction Pharmacopuncture Treatments in Patients with Low Back Pain Caused by Traffic Accidents: A Retrospective, Case Series Observational Study. J Acupunct Res 2015;32:157-165. [In Korean] https://doi.org/10.13045/acupunct.2015070
  13. Kim HS, Kim SY, Kim HJ, Kim ES, Kim YI. The Effect of Acupotomy on Lumbar Herniated Intervertebral Disc: Report of a Case Series. J Acupunct Res 2015;3: 185-195. [In Korean]
  14. Kim KW, Yoo JH, Kim HH, Kim JH, Im SH, Chung IT et al. A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Balanced Acupuncture on Treatment of Herniated Intervertebral Disc of Lumbar Spine Patients. J Acupunct Res 2013;30:139-149. [In Korean]
  15. Kim SW, Shin JC. The Effects of Korean Medical Treatment Combined with Embedding Acupuncture on Patients with Chronic Lower Back Pain: a Retrospective Study. J Acupunct Res 2016;33:165-171.
  16. Kim SJ, Lee H, Jung HS, Kim ES, Woo JH, Han KW et al. A Clinical Study on Effect of Electro-acupuncture Treatment for Lumbago Patients Caused by Traffic Accident. J Acupunct Res 2010;27:117-123. [In Korean]
  17. Hwang EH, Kim JY. The study on the asymmetry ratio of surface EMG in low back pain groups - before and after flexion-distraction technique. JKCMSN 2004;5:243-249. [In Korean]
  18. Song YK, Lim HH. Clinical Observation of Lumbar Disc Herniation Patients Treated with Chuna Therapy. JORM 1997;7:84-95. [In Korean]
  19. Lee BR, Kim YJ. A Clinical Study on Conservative Treatment with Chuna Therapy in Patients with Lumbago and Sciatica. J Haehwa Med 1998;6:649-658. [In Korean]
  20. Korean Society of Chuna Manual Medicine for Spine & Nerve. Chuna manual medicine. Seoul (Korea): Korean Society of Chuna Manual Medicine for Spine & Nerve;2013. p.228-236.
  21. Kim DG, Cha YY. Satisfaction Questionnaire, VAS and ODI Scale of Chuna Manual Therapy in Patients with Low Back Pain(LBP). KORM 2007;17:133-150. [In Korean]
  22. Dimatteo MR, Hays R. The significance of patient's perception of physician conduct-A study of patient satisfaction in a family practice center. J Community Health 1980;6:18-34. https://doi.org/10.1007/BF01324054
  23. Shim SY, Park HJ, Lee JM, Lee HS. An Overview of Pain Measurements. Korean J Acupunct 2007;24:77-97. [In Korean]
  24. Jeon CH, Kim DJ, Kim DJ, Lee HM, Park HJ. Cross-cultural Adaptation of the Korean Version Of the Oswestry Disability Index (ODI). Journal of Korean Spine Surg 2005;12:146-152. [In Korean] https://doi.org/10.4184/jkss.2005.12.2.146
  25. Knowles JH. The responsibility of the individual. Daedalus. 1977;106:57-80.
  26. Lim SY, Yoo SM, Bae KY, Lee YH, Jung JJ. Research on the Effect and Satisfaction between Independenced and Parallelism Treatment of Acupuncture and Physical of Lumbago Patients. J Acupunct Res 2005;22:75-84. [In Korean]
  27. Choi BS. The Effect of The Daoyin Exercise Therapy on Pain and Function improvement of Low Back pain patients: A Retrospective Observational Study. Daejeon(Korea): Daejeon University;2017. [In Korean] [Dissertation]
  28. Lee JY, Park SH, Han SY, Park JY, Lee HJ. A Case-control Study of The Effect of Cotreatment with Sinseon Moxibustion on Low Back Pain of HIVD Patients. J Acupunct Res 2011;28:77-83. [In Korean]
  29. Lee SY, Ryu SH, Kim HG, Ryoo DW, Kim SJ, Jeong SM et al. The Effect of Traditional Korean Medical Treatment on Low Back Pain during Pregnancy: a Report on Three Cases. J Acupunct Res 2016;33:197-205. [In Korean] https://doi.org/10.13045/acupunct.2016047
  30. Jeong SY, Park JW, Shin JM, Kim JY, Youn IY. The Comparative Study of Effectiveness between Acupuncture and its Cotreatment with Calculus Bovis.Fel Ursi.Moschus Pharmacopuncture on the Treatment of Acute Low Back Pain. J Acupunct Res 2011;28:105-110. [In Korean]
  31. Cha JD, Jung SM, Kim KO, Kim KS, Kim NO. The Comparison of Effectiveness between Acupuncture and Its Cotreatment with Bee Venom Acua-Acupuncture Therapy on the Treatment of Herniation of Nucleus Pulpous. J Acupunct Res 2004;21:149-158. [In Korean]