Effect of Combined Traditional Acupuncture, Pharmacopuncture and Applied Kinesiology on Lumbar Diseases of Resident Patients
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Objectives: Recently several Korean medical doctors have begun practicing applied kinesiology (AK). Although the efficacy of combining traditional acupuncture (TA) and pharmacopuncture (PP) on lumbar diseases such as lumbar spinal stenosis (LSS) and lumbar herniation of intervertebral disk (LHID) has been examined, the possible benefits of combining TA, PP and AK approaches have not been examined. Therefore the aim of this study was to develop effective treatment for lumbar disorders by combining TA, PP, and AK treatments. Methods: Twenty-four patients hospitalized at Samse Korean Traditional Medicine Hospital between March and September 2018 with L5 or S1 root radiculopathy associated with LSS and LHID were included in this study. They were treated for 10 days with TA, PP and AK approaches that included category block, manipulation and strain/counterstrain treatments. The primary outcomes were mainly assessed using Japanese Orthopedic Association lumbar scores (JOALS). JOALS were determined before the start of treatment as well as five and 10 days after treatment started. Results: The treatments improved the lumbar condition of the patients based on JOA pain score. Conclusion: The combined TA, PP and AK treatments were effective in treating spinal diseases of resident patients. Prospective, controlled, and relevant protocols using multimodal strategies to define the role of TA, PP and AK are needed.
Abstract
Objectives: Recently several Korean medical doctors have begun practicing applied kinesiology (AK). Although the efficacy of combining traditional acupuncture (TA) and pharmacopuncture (PP) on lumbar diseases such as lumbar spinal stenosis (LSS) and lumbar herniation of intervertebral disk (LHID) has been examined, the possible benefits of combining TA, PP and AK approaches have not been examined. Therefore the aim of this study was to develop effective treatment for lumbar disorders by combining TA, PP, and AK treatments. Methods: Twenty-four patients hospitalized at Samse Korean Traditional Medicine Hospital between March and September 2018 with L5 or S1 root radiculopathy associated with LSS and LHID were included in this study. They were treated for 10 days with TA, PP and AK approaches that included category block, manipulation and strain/counterstrain treatments. The primary outcomes were mainly assessed using Japanese Orthopedic Association lumbar scores (JOALS). JOALS were determined before the start of treatment as well as five and 10 days after treatment started. Results: The treatments improved the lumbar condition of the patients based on JOA pain score. Conclusion: The combined TA, PP and AK treatments were effective in treating spinal diseases of resident patients. Prospective, controlled, and relevant protocols using multimodal strategies to define the role of TA, PP and AK are needed.
참고문헌 (39)
- Ahn YJ, "Safety of essential bee venom pharmacopuncture as assessed in a randomized controlled double-blind trial", J Ethnopharmacol, 194, pp.774~780 (2016)[DOI]
- Jinho Lee, "Effects of Shinbaro pharmacopuncture in sciatic pain patients with lumbar disc herniation: study protocol for a randomized controlled trial", Trials, 16(1) (2015), Springer Science and Business Media LLC[DOI]
- 김석희, "Trend of Pharmacopuncture Therapy for Treating Cervical Disease in Korea", Journal of Pharmacopuncture, 17(4), pp.7~14 (2014), 대한약침학회[DOI]
- Yoon Jae Lee, "Survey of integrative lumbar spinal stenosis treatment in Korean medicine doctors: preliminary data for clinical practice guidelines", BMC Complementary and Alternative Medicine, 17(1) (2017), Springer Science and Business Media LLC[DOI]
- Stux G, "Acupuncture", pp.272~ (1987), Springer- Verlag
- Ross J., "Acupuncture Point Combination", pp.192~195 (1998), Churchill Livingston
- Maciocia G., "The Practice of Chinese Medicine", pp.605~630 (2005), Churchill Livingstone
- Marcus B, "Acupuncture in the Treatment of Pain", pp.347~352 (2010), Churchill Livingston
- Joan H, "Medical Acupuncture: A Western Scientific Approach", pp.328~ (1998), Churchill Livingstone
- Fraser F., "Managing lower back pain", pp.133~ (2009), Churchill Livingstone
- Robert Gunzburg, "Lumbar Spinal Stenosis", pp.175~182 (2000), Lippimcott Williams & Wilkins
- Krupp C., "Current Medical Diagnosis & Treatment", pp.590~ (1983), Lange medical publications
- Jurgen Kramer, "Intervertebral Disk Diseases", pp.56~62 (1990), Georg Thieme
- "Japanese Orthopaedic Association", J of JOA, 60, pp.391~394 (1986)
- Bond MR, "The subjective assessment of pain and its relationship to the administration of analgesics in patients with advanced cander", Psychosomat Res, 10(2), pp.203~208 (1996)
- Gronblad M, "Intercorrelation and test-retest reliability of the pain disability index (PDI) and the oswestry disability questionnaire (ODQ) and their correlation with pain intensity in low back pain patients", Clin. J. Pain, 9(3), pp.189~195 (1993)
- Imasato H, "Objective evaluation of pain in various spinal diseases : neuropeptide immunoreactivity in the cerebrospinal fluid", Spinal Cord, 35(11), pp.757~762 (1997)
- Love A., "Chiropractic chronic low back pain sufferers and self-report assessment methods. Part 1. A reliability study of the visual analogue scale, the pain drawing and the McGill pain questionnaire", J. Manip. Physio. Therapeu, 12, pp.21~25 (1989)
- Ogon M, "Chronic low back pain measurement with visual analogue scales in different settings", Pain, 64(3), pp.425~428 (1996)
- Suzuki T, "The relationship between visual analogue pain scale and daily performance status in the patients with postherpetic neuralgia", Pain Res, 12, pp.79~83 (1997)
- Masao Nakamura, "Difference in evaluation of patients with low back pain using the Japanese Orthopaedic Association Score for Back Pain and the Japanese Version of the Roland-Morris Disability Questionnaire", Journal of Orthopaedic Science, 14(4), pp.367~373 (2009)
- Fakouri B, "When is the appropriate time for surgical intervention of the herniated lumbar disc in the adolescent?", Journal of Clinical Neuroscience, 16(9), pp.1153~ (2009)
- WHO standard acupuncture point locations in the Western Pacific Region, "World Health Organization", WHO Western Pacific Region, 111~113 (2008)
- Korean Medicine Clinical Practice Guideline for Lumbar Herniated Intervertebral Disc in Adults, "Evidence-based Korean Medicine Clinical Practice Guideline Development Committee for Lumbar Herniated Intervertebral Disc (Korea Institute of Oriental Medicine and the Society of Korean Medicine Rehabilitation).", Korea Institute of Oriental Medicine, ~ (2014)
- Kwon KK, "Pharmacopuncturology", pp.231~238 (2012), Elsevier
- Davis Walter, "Applied Kinesiology Synopsis", pp.109~115 (2000), Triad of Health Publishing
- Yuichi Tsuyuguchi, "Atlas of Orthopaedic Physical Examination", pp.353~ (2004), Bungangdang
- James N. Parker, "The Official Patient’s Sourcebook on Spinal Stenosis", pp.10~21 (2002), An ICON Health Publication
- David D Borenstein, "Low Back Pain", pp.191~206 (1995), W. B. Saunders Company
- Shin JS, "The Short-Term Effect of Integrated Complementary and Alternative Medicine Treatment in Inpatients Diagnosed with Lumbar Intervertebral Disc Herniation : A Prospective Observational Study", J Altern Complement Med, 22(7), pp.533~543 (2016)[DOI]
- Kim KH, "Acupuncture for lumbar spinal stenosis : a systematic review and meta-analysis", Complement Ther Med, 21(5), pp.535~556 (2013)
- Hiroyuki Oka, "A comparative study of three conservative treatments in patients with lumbar spinal stenosis: lumbar spinal stenosis with acupuncture and physical therapy study (LAP study)", BMC Complementary and Alternative Medicine, 18(1) (2018), Springer Science and Business Media LLC[DOI]
- Mohammad J. Hadianfard, "Effect of Acupuncture on Pain and Quality of Life in Patients with Lumbar Spinal Stenosis: A Case Series Study", Journal of Acupuncture & Meridian Studies, 9(4), pp.178~182 (2016), 사단법인약침학회[DOI]
- Ohtori S, "Evaluation of low back pain using the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire for lumbar spinal disease in a multicenter study: differences in scores based on age, sex, and type of disease", J Orthop Sci, 15(1), pp.86~91 (2010)[DOI]
- Kyoung-Sim Jung, "The reliability and validity of the Korean version of the Japanese orthopaedic association back pain evaluation questionnaire", Journal of Physical Therapy Science, 29(7), pp.1250~1253 (2017), Society of Physical Therapy Science[DOI]
- J. S. Han, "Acupuncture : neuropeptide release produced by electrical stimulation of different frequencies", Trends Neurosci, 26(1), pp.17~22 (2003)
- Pomeranz, "Scientific research into acupuncture for the relief of pain", J Altern Complement Med, 2, pp.53~60 (1996)
- Gabriel Stux, "Richard Hammerschlag. Clinical Acupuncture Scientific Basis", pp.122~123 (2001), Springer
- Zongshi Qin, "Efficacy of acupuncture for degenerative lumbar spinal stenosis: protocol for a randomised sham acupuncture-controlled trial", BMJ Open, 6(11), pp.e012821~ (2016), BMJ[DOI]