DOI QR코드

DOI QR Code

Retrospective Statistical Analysis of Patients with Disc Herniation Treated with Cervical or Lumbar Decompression Treatment

경·요추 감압치료를 시행한 추간판탈출증 환자에 대한 후향적 통계 분석

  • Lee, Ye Ji (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Jeong il (Department of Statistics, College of H-Liveral Arts, Daejeon University) ;
  • Jeon, Ju Hyun (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Kim, Eunseok (Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kim, Young Il (Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • 이예지 (대전대학교 한의과대학 침구학교실) ;
  • 김정일 (대전대학교 혜화리버럴아츠칼리지대학 통계학과) ;
  • 전주현 (대전대학교 한의과대학 침구학교실) ;
  • 김은석 (부산대학교 한방병원 침구의학과) ;
  • 김영일 (대전대학교 한의과대학 침구학교실)
  • Received : 2021.01.29
  • Accepted : 2021.04.06
  • Published : 2021.06.01

Abstract

Objectives: The purpose of this study was to confirm the relavance between the dependent variables and the treatment effects of nonsurgical spinal decompression(NSD). Methods: 105 patients suffering from disc herniation and treated with NSD were investigated and analyzed. Results: The intention of retreatment showed a tendency to be higher in having occupation, western treatment only before NSD(WTB) and non-western treatment(WTN) group. As the number of NSD increased, satisfaction score and the Numeric Rating Scale(NRS) difference increased and the NRS after NSD decreased. On the other hand, as western treatment after NSD increased, satisfaction score and the NRS difference decreased and the NRS after NSD increased. The odds ratio of having intention of retreatment was lower in western treatment only after NSD(WTA) group than WTN group. The NRS difference showed a high tendency in the age group of 20s, 60s, and 70s and older. The NRS difference of group with NSD more than 10 times was higher than that of the group with less than 10 times. Satisfaction score of WTN and WTB group was higher than that of WTA group. Adjusted NRS after NSD was the lowest in non-western treatment group and the highest in WTA group. Adjusted NRS after NSD was the lowest in the group with NSD over 21 times, and the NRS after NSD increased as the number of NSD decreased. Conclusion: This study included patients with cervical or lumbar disc herniation and showed that occupation, the number of NSD, western treatment and age statistically affected the treatment effect.

Keywords

References

  1. Korean Acupuncture and Moxibustion Medicine Society. Acupuncture Medicine, Seoul : Hanmi Medical Publishing Company. 2016: 495-6.
  2. Castro WHM, Grossman TW, Jerosch J. Examination and diagnosis of musculoskeletal disorders II. Seoul : Hanmi Medical Publishing Company. 2002: 520, 532.
  3. Yang H, Liu H, Li Z, Zhang K, Wang J, Wang H, et al. Low back pain associated with lumbar disc herniation: role of moderately degenerative disc and annulus fibrous tears. Int J Clin Exp Med. 2015; 8: 1634-44.
  4. Kim SM, Kim YI. 2019 National Health Insurance Statistical Yearbook. National Health Insurance Service, Health Insurance Review & Assessment Service. 2020: 654-68, 686-97.
  5. Esses SI. Textbook of spinal disorders. Seoul(Korea): Koonja; 2008: 194, 202-3.
  6. Fast A. Low back disorders: conservative management. Arch Phys Med Rehabil. 1988; 69: 880-91.
  7. Macario A., Pergolizzi J. V. Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Practice. 2006; 6, 171-8. https://doi.org/10.1111/j.1533-2500.2006.00082.x
  8. Lee KH, Kim HY, Kim KY, Nam HW, Jung YH, Koh YT. Case Report of L-spine HIVD treated with Spine Decompression. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007; 21: 39-47.
  9. Won JK, Park DS, Pi CH, Song YS, Kwon YM, Park TY. The Clinical Effects of Non Surgical Spinal Decompression Treatment on HIVD. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2007; 2(2): 41-8.
  10. Seo SK, Kim BJ, Park KJ, Kang JH, Kim SK, Seo DW. The Clinical Studies for Non Surgical Spinal Decompression Treatment on Cervical Disc Herniation. J Oriental Rehab Med. 2011; 21(4): 131-43.
  11. Ma SY, Kwon WA, Lee JH, Min DG. The Effects of Spinal Decompression Combined with Therapeutic Modalities for Patients with Lumbar Radiculopathy. Journal of the Korea Academia-Industrial cooperation Society. 2013; 14(1): 336-43. https://doi.org/10.5762/KAIS.2013.14.1.336
  12. Huh KY. Effect of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation. Master's degree, Graduate School, Kyung Hee University, 2009.
  13. Oh KO. The Effects of Manual Theapy and Decompression Therapy for Treatment of Lumbar Herniation Disk. Master's degree, Graduate School of Pubic Health, Inje University, 2016.
  14. 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. J Korean Acupunct Moxib Soc. 2012; 29(3): 29-39.
  15. Kim JI, Jeong JK, Kim MK, Jeon JH, Kim ES, Kim YI. A Retrospective Statistical Analysis of Miniscalpel Needle Therapy for Herniated Intervertebral Disc or Spinal Stenosis. J Acupunct Res. 2018; 35(4): 225-37.
  16. Jeong JK, Kim MK, Park GN, Kim JH, Kim YI. A descriptive statistical analysis of inpatients with lumbar disc herniation at a Korean medicine hospital in 2014. The Acupuncture. 2017; 34(2): 19-38. https://doi.org/10.13045/acupunct.2017080
  17. Kim MJ, Lee MS. Effects of Rumba Sports Dances on the ROM of Patients with Chronic Low Back Pain. Journal of Naturopathy 2014; 3(1): 61-6.
  18. Hawker GA, Mian S, Kendzerska T, French M. Measures of Adult Pain. Arthritis Care Res (Hoboken). 2011; 63: 240-52. https://doi.org/10.1002/acr.20345
  19. Seok SI. Textbook of spinal surgery. 4st edit; Seoul(Korea): Newest Medical Company, 2016: 123, 354-7.
  20. Kim BJ, Ko HS, Seo JG, Choo SK, Kim JH. Surgical Treatment of Cervical Disc Herniation. J. of Korean Orthop. Assoc. 1995; 30(3): 545-50. https://doi.org/10.4055/jkoa.1995.30.3.545
  21. Lee JE, Lee HJ, Hong YK, Kang S, Yoon BC, Lee SH. Comparison between the Effect of Transforaminal Steroid Injection and Transforaminal Steroid Injection Combined with Spinal Decompressor on Lumbar Disc Herniation. J Korean Acad Rehab Med. 2007; 31(5): 590-5.
  22. The Korean Orthopaedic Association. Orthopaedics. 5th edit; Seoul(Korea); Newest Medical Company, 1999: 449-55.
  23. Lee HE, Cho JH, Moon JY, Kim MJ, Kang I, Lee H, et al. The Clinical Study on 88 Patients of Cervical Disc Herniation. J Korean Acupunct Moxib Soc. 2008; 25(6): 145-52.
  24. You JW. Lumbar Dsc Disease. Journal of Korean Spine Surg. 1999; 6(2): 208-19.
  25. Weber H. Lumbar disc herniation : A controlled prospective study with ten years of observation. SAS Journal. 2009; 3(1): 30-40. https://doi.org/10.1016/s1935-9810(09)70005-2
  26. Jeong JD, Roh SC. Cervical HIVD Related to Long-Herm Whole Body Vibration and Awkward Posture. Korean J Occup Environ Med. 2009; 21(4): 396-405. https://doi.org/10.35371/kjoem.2009.21.4.396
  27. Korea Institute of Oriental Medicine. KMCPG-Lumbar Herniated Intervertebral Disc (HIVD). Seoul (Korea): Elsevier Korea L.L.C.; 2015: 38.