Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

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

DOI QR Code

Case Series Study of Liver-Tonification Acupuncture Treatment for Muscle Cramp of Middle-aged and Elderly

중·노년층의 전근증상에 대한 간정격 활용의 증례군 분석

  • Lee, Deuksoo (Graduate School of Urban Public Health, University of Seoul) ;
  • Lee, Kyou-Young (Department of Ophthalmology and Otorhinolaryngology and Dermatology, College of Korean Medicine, Sangji University) ;
  • Park, Sangshin (Graduate School of Urban Public Health, University of Seoul)
  • 이득수 (서울시립대학교 도시보건대학원) ;
  • 이규영 (상지대학교 한의과대학 한방안이비인후피부과학교실) ;
  • 박상신 (서울시립대학교 도시보건대학원)
  • Received : 2019.12.23
  • Accepted : 2020.01.13
  • Published : 2020.01.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives The aim of this study was to investigate the effects of liver-tonification acupuncture (LTA) on periodic muscle cramps (MC). Methods We retrospectively reviewed medical records of 28 patients treated for periodic MC with LTA in a Korean medicine clinic. Patients were treated with (A) LTA alone, (B) LTA and treatments for myofascial meridian, or (C) LTA and treatments for other diseases. We mainly investigated effectiveness of treatments, the number of treatments, the number of relapses, and time to relapse. Results After treatments, periodic MC disappeared in all patients except two in group C. The number of treatments in group C was significantly greater than that of group A (p<0.05). Periodic MC recurred in one patient in each of groups A and C, but symptoms disappeared after re-treatments. Periodic MC did not recur for a median of 7.0, 8.5, and 5.0 weeks in groups A, B, and C, respectively. Conclusions We found some therapeutic effects of LTA treatments for periodic MC in middle-aged and elderly patients.

Keywords

References

  1. Textbook Compilation Committee for Korean Acupuncture Society. The acupuncture and moxibustion. 3rd ed. Paju:Jibmoondang. 2008:200.
  2. Schwellnus MP. Skeletal muscle cramps during exercise. Phys Sportsmed. 1999;27(12):109-15. https://doi.org/10.3810/psm.1999.11.1116
  3. Lee JH, Lim JY. Muscle cramps in old adults: clinical features and pathophysiology. J Korean Geriatr Soc. 2013;17(4):171-7. https://doi.org/10.4235/jkgs.2013.17.4.171
  4. Naylor JR, Young JB. A general population survey of rest cramps. Age and Ageing. 1994;23(5):418-20. https://doi.org/10.1093/ageing/23.5.418
  5. Blyton F, Chuter V, Walter KE, Burns J. Non-drug therapies for lower limb muscle cramps. Cochrane Database Syst Rev. 2012;1(1):CD008496.
  6. Healthcare Bigdata Hub. Health Insurance review & Assessment service [Internet], 2019 [cited 2019 Nov 22]. Available from: http://opendata.hira.or.kr/op/opc/olap4thDsInfo.do.
  7. Mehta SS, Fallon MB. Muscle cramps in liver disease. Clin Gastroenterol Hepatol. 2013;11(11):1385-91. https://doi.org/10.1016/j.cgh.2013.03.017
  8. El-Tawil S, Al Musa T, Valli H, Lunn MPT, Brassington R, El-Tawil T, Weber M. Quinine for muscle cramps. Cochrane Database Syst Rev. 2015;(4):CD005044.
  9. Zhou K, West HM, Zhang J, Xu L, Li W. Interventions for leg cramps in pregnancy. Cochrane Database Syst Rev. 2015;(8):CD010655.
  10. Blyton F, Chuter V, Burns J. Unknotting night-time muscle cramp: a survey of patient experience, help-seeking behaviour and perceived treatment effectiveness. J Foot Ankle Res. 2012;5(1):7. https://doi.org/10.1186/1757-1146-5-7
  11. Garrison SR, Allan GM, Sekhon RK, Musini VM, Khan KM. Magnesium for skeletal muscle cramps. Cochrane Database Syst Rev. 2012;(9):CD009402.
  12. Baltodano N, Gallo BV, Weidler DJ. Verapamil vs quinine in recumbent nocturnal leg cramps in the elderly. Arch Intern Med. 1988;148(9):1969-70. https://doi.org/10.1001/archinte.1988.00380090055015
  13. Young JB, Connolly MJ. Naftidrofuryl treatment for rest cramp. Postgrad Med J. 1993;69(814):624-6. https://doi.org/10.1136/pgmj.69.814.624
  14. Kim DH, Yoon DM, Yoon KB. The effects of myofascial trigger point injections on nocturnal calf cramps. J Am Board Fam Med. 2015;28(1):21-7. https://doi.org/10.3122/jabfm.2015.01.140151
  15. Kwon CY, Lee B, Cho JH. Conventional Western medicine and complementary and alternative medicine on leg cramps: a literature review. J Korean Med. 2017;38(3):13-29. https://doi.org/10.13048/jkm.17022
  16. Inoue H, Tani M, Takada A, Iizuka T, Suzuki T, Wakayama I, Yosida S. Effect of acupuncture therapy in 2 patients with writer's cramp. J Kansai Phys Ther. 2003;3:127-31.
  17. Inoue H, Tani M, Nishimura E, Takada A, Suzuki T, Yosida S. Effect of acupuncture therapy in a patient with dystonic writer's cramp. J Kansai Phys Ther. 2007;7:97-104.
  18. Kim SM, Kwak MA, Joo JH, Kim KS, Shin IH, Lee CH. Pilot study: effects of acupuncture on the muscle cramps of liver cirrhosis patients. J Int Korean Med. 2018;39(3):293-301. https://doi.org/10.22246/jikm.2018.39.3.293
  19. Lee CH, Kim BS, Kim KS, Kwak MA, Kim SM. Effects of electroacupuncture on the muscle cramps of liver cirrhosis patients: a randomized controlled study. J Int Korean Med. 2018;39(4):511-9. https://doi.org/10.22246/jikm.2018.39.4.511
  20. Yin Y, Gu X, Hao S, Dou ZW, Li YC. Case of intractable spasm. Chinese Acupuncture and Moxibustion. 2019;39(1):108.
  21. Tu X, Deng Y, Sun H, Lu Q. Efficacy observation on acupoint injection at Yanglingquan (GB34) in treating spasm of gastrocnemius. Shanghai J Acu-mox. 2012;31(12):914-5. https://doi.org/10.3969/j.issn.1005-0957.2012.12.914
  22. Cho SH. Systematic study of Saam acupuncture. Seongnam: Seongbosa. 2008:9,41-2,49.
  23. Park JY, Lee SH, Kim SY, P ark HJ. Literature review and network analysis on the pain disease approach of saam acupuncture method. Korean J Acupunct. 2017;34(2):88-99. https://doi.org/10.14406/acu.2017.011
  24. Lee JK, Lim HH, Song YK. Literature review on the myofascial meridian treatment. J Korean Chuna Man Med Spine Nerves. 2006;1(2):31-9.
  25. Myers TW. Anatomy trains myofascial meridians for manual and movement. Seoul:Elsevier Korea. 2014:35, 348-52.
  26. You TS, Ko HK, Kim CH. A study of the meridian muscle theory for the clinical application. The Acupunct. 1991;8(1):47-69.
  27. Park BM, Yang KY, Lee BR, Yim YK. Assignment of muscles in lower limb to meridians based on the location of acupoints and muscular function. Korean J Acupunct. 2008;25(4):17-29.
  28. Giuriato G, Pedrinolla A, Schena F, Venturelli M. Muscle cramps: a comparison of the two-leading hypothesis. J Electromyogr Kinesiol 2018;41:89-95. https://doi.org/10.1016/j.jelekin.2018.05.006
  29. Schwellnus MP, Derman EW, Noakes TD. Aetiology of skeletal muscle 'cramps' during exercise: a novel hypothesis. J Sports Sci. 1997;15(3):277-85. https://doi.org/10.1080/026404197367281
  30. Lee BH, An TlB, Jeoog JG, Cho JG, Hwang MH, Lee KM, Park JH. A research on the meaning of liver supplementation acupuncture (Ganjeonggyeok) through the prescription of Donguibogam. Korean J Oriental Medicine. 2011;17(1):11-30.
  31. Gootnick A. Night cramps and quinine. Arch Intern Med(Chic). 1943;71(4):555-62. https://doi.org/10.1001/archinte.1943.00210040114012
  32. Dokura J, Takahashi Y, Maeda H, Yoshinaga R, Inoue H, Yano H, Inuzuka H, Kawaguchi S, Tahara E. Review of 33 patients in whom Sokeikakketsuto was used to treat recurrent cramps of the calf. Kampo Med. 2017;68(1):40-6. https://doi.org/10.3937/kampomed.68.40
  33. Li GY, Wang RX, Li HJ, Yuan SQ, Li L. 53 cases of siwu decoction treatment for intractable spasm. Chinese Journal of Woman and Child Health Research. 2016;27(2):554-5.
  34. Zhang RY, He B. 42 cases of wuyanmugua decoction gan shen tongzhi for lower leg spasm. Jiangxi Journal of Traditional Chinese Medicine. 2009;(5):47.
  35. Bordoni B, Sugumar K, Varacallo M. Muscle Cramps. StatPearls [Internet] StatPearls Publishing; 2019 [cited 2019 Nov 22]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499895/.