Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Clinical Study of Chuna Combination Therapy for Patients with Persistent Pain and Dysfunction after Total Knee Arthroplasty

슬관절 전치환술 후 지속 통증 및 기능 장애가 있는 환자에 대한 추나병행치료 임상연구

  • Lee, Woong-Jin (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University) ;
  • Lee, Jin-Hyun (Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Park, Tae-Yong (Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Park, Jung-Sik (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University) ;
  • Song, Yun-Kyung (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University)
  • 이웅진 (가천대학교 한의과대학 한방재활의학교실) ;
  • 이진현 (가톨릭관동대학교 국제성모병모병원 한의과) ;
  • 박태용 (가톨릭관동대학교 국제성모병모병원 한의과) ;
  • 박정식 (가천대학교 한의과대학 한방재활의학교실) ;
  • 송윤경 (가천대학교 한의과대학 한방재활의학교실)
  • Received : 2022.03.21
  • Accepted : 2022.04.14
  • Published : 2022.04.30
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Abstract

Objectives This study was conducted to evaluate the clinical efficacy and safety of the chuna combination treatment for patients who complain of functional impairment and pain even 3 months after total knee arthroplasty. Methods 24 patients who had 3 months of surgery and who had knee joint pain with a score of 4 or higher on the numerical rating scale (NRS) for more than a week were selected as subjects. The test group received usual care and Chuna treatment and the control group received the administration of drugs as usual care. And then the clinical efficacy and safety were compared and evaluated. Follow-up was performed 1 month after the end of treatment. Results As a result of the analysis, it was confirmed that the primary parameter Korean Western Ontario and McMaster Universities (K-WOMAC) showed statistical significance in the amount of change in visit 2-visit 10 (V2-V10) in the pain domain and in the amount of change in visit 2-follow 1 (V2-FU1) in the functional domain and total score domain. The secondary parameter (NRS, risk of fall, and range of motion) showed a tendency to decrease in the degree of discomfort, but statistical significance could not be confirmed. Conclusions Because this study did not have enough study subjects, it is difficult to use the results as confirmatory evidence. However, it was confirmed that the 4-week Chuna treatment had a significant effect and safety in patients who underwent total knee arthroplasty. Therefore, this study is meaningful as a prior research data to prepare confirmatory evidence in the future.

Keywords

Acknowledgement

본 연구는 보건복지부의 재원으로 한국보건산업진흥원의 보건의료기술연구개발사업 지원으로 이루어진 것임(과제고유번호: HB16C0011).

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