Clinical Study of Lumbar Spine Stenosis Treated by Using Acupotomy Combined with Oriental Medical Treatments
3
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objectives: The aim of this study is to evaluate the effect of acupotomy in patients with degenerative lumbar spine stenosis. Methods: A total of 437 patients who had been diagnosed as having lumbar spine stenosis and who had been admitted to Daejeon Oriental hospital from June 1, 2008, to September 31, 2012, were included in this study. The patients underwent acupotomy once, twice or three times on the lumbar spine, according to their symptoms. Then, the patients were asked to complete the verbal numeric rating scale (VNRS) and the oswestry disability index (ODI) before and after acupotomy and underwent a global assessment. The resulting data were analyzed. Results: The gender ratio of the participants was 1:1.54, and the mean age was 65 ± 10.0 yr. The number of patients over the age of 65 yr was less than that of the patients under the age of 65 yr in the ratio of 1:1.3. The average disease period was 30.17 ± 56.63 months. The verbal numeric rating scale (VNRS) significantly decreased from 10 to an average of 7.10 ± 2.50 after one acupotomy, 6.30 ± 2.60 after two acupotomies, and 5.50 ± 2.50 after three acupotomies. The ODI was significantly decrease from 20.60 ± 8.70 to 17.80 ± 8.60 after once acupotomy, 17.10 ± 8.50 after two acupotomies, and 16.70 ± 8.60 after three acupotomies. High scores were also observed on the global assessment. Conclusion: These results provide evidence that acupotomy is effective to relieve pain and to improve quality of life in patients with degenerative lumbar spinal stenosis.
Abstract
Objectives: The aim of this study is to evaluate the effect of acupotomy in patients with degenerative lumbar spine stenosis. Methods: A total of 437 patients who had been diagnosed as having lumbar spine stenosis and who had been admitted to Daejeon Oriental hospital from June 1, 2008, to September 31, 2012, were included in this study. The patients underwent acupotomy once, twice or three times on the lumbar spine, according to their symptoms. Then, the patients were asked to complete the verbal numeric rating scale (VNRS) and the oswestry disability index (ODI) before and after acupotomy and underwent a global assessment. The resulting data were analyzed. Results: The gender ratio of the participants was 1:1.54, and the mean age was 65 ± 10.0 yr. The number of patients over the age of 65 yr was less than that of the patients under the age of 65 yr in the ratio of 1:1.3. The average disease period was 30.17 ± 56.63 months. The verbal numeric rating scale (VNRS) significantly decreased from 10 to an average of 7.10 ± 2.50 after one acupotomy, 6.30 ± 2.60 after two acupotomies, and 5.50 ± 2.50 after three acupotomies. The ODI was significantly decrease from 20.60 ± 8.70 to 17.80 ± 8.60 after once acupotomy, 17.10 ± 8.50 after two acupotomies, and 16.70 ± 8.60 after three acupotomies. High scores were also observed on the global assessment. Conclusion: These results provide evidence that acupotomy is effective to relieve pain and to improve quality of life in patients with degenerative lumbar spinal stenosis.
참고문헌 (16)
- The Korean Academy of Oriental Rehabilitation Medicine, "Oriental rehabilitation medicine", pp.62~ (2005), Koonja
- Kang YH, "Anatomic consideration of lumbar spinal stenosis", J Korean Soc Spine Surg, 7(1), pp.94~99 (2000)
- Chae IJ, "Lumbar spinal Stenosis", J Korean Soc Spine Surg, 6(2), pp.220~227 (1999)
- The Korean Acupuncture and Moxibusion Society, "The acupuncture and moxibusion medicine", pp.514~ (2012), Jipmoondang
- Takahashi K, "Changes in epidural pressure during walking patients with lumbar spinal stenosis", Spine, 20(24), pp.2746~2749 (1995)
- 김성철, "침도 침술시 부작용과 예방법에 관한 연구", 대한침구의학회지, 25(4), pp.119~127 (2008), 대한침구의학회
- 윤주영, "요추 추간판 탈출증 환자의 침도요법의 효과에 대한 임상적 고찰", 대한침구의학회지, 27(4), pp.85~98 (2010), 대한침구의학회
- Patrick D Wall, "Textbook of pain", pp.483~484 (2002), Jungdam
- Fairbank JC, "The Oswestry low back pain disability questionnaire", Physiotherapy, 66(8), pp.271~273 (1980)
- Arnoldi CC, "Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification", Clin Orthop Relat Res, 115, pp.4~5 (1976)
- Frontera WR, "Essentials of physical medicine and rehabilitation", pp.300~306 (2003), Koonja
- Herkowitz HN, "Spinal stenosis:Radiologic and electrodiagnostic evaluation, In The spine", pp.830~857 (1992), W.B. Saunders
- Maigne R, "Diagnosis and treatment of pain of vertebral origin", pp.351~ (2008), Koonja
- Esses SI, "Textbook of spinal disorders", pp.217~229 (2002), Koonja
- Cox JM, "Low back pain", pp.297~ (1997), Pureunsol
- Lee EY, "The clinical study was carried out 2 cases of patient with lumbar spinal stenosis with herniated lumbar intervertebral disc", Hyehwa Medicine, 7(1), pp.32~51 (1998)