Effects of Decompression Therapy for 6 Cases with Lumbar Herniated Disc

감압치료가 요추간판탈출 6(증)례에 미치는 영향

  • Kwon, Won-An (Dept. of Physical Therapy, Wonkwang Health Science University) ;
  • Lee, Seung-Ho (Gyeongbuk Oriental Medicine) ;
  • Lee, Jae-Hong (Dept. of Physical Therapy, Daegu Health College)
  • Received : 2012.03.13
  • Accepted : 2012.05.10
  • Published : 2012.05.31


The Purpose of this study was to report magnetic resonance imaging(MRI) changes of six cases of Lumbar herniated disc which was treated with spinal decompression therapy, oriental medical therapy. 'Disc heights' were measured on sagittal view of $T_2$-weighted MRI. Size of the herniated disc was measured by MRI and 'disc herniations index'. The grading system and algorithm for 'disc degeneration' were based on MRI signal intensity, disc structure, distinction between nucleus and anulus, and disc height. Data for disc height, disc herniations index and disc degeneration grade were collected before and after the treatment together with calculation from the MRI. Case studies were showed that decompression therapy for the herniated disc has an positive effect on disc herniations index, disc regeneration, not disc heights. The clinical evidence for the use of decompression in herniated disc remains inconclusive because of limited researches. Further trials, which give attention to these areas, are needed before any firm conclusions may be made.

본 연구의 목적은 척추감압치료와 한의학적 치료법으로 치료된 요부디스크 탈출 6례에 관한 자기공명영상의 변화를 보고하는 것이다. 디스크 높이는 $T_2$-강조 자기공명영상의 시상면으로 측정되었다. 탈출된 디스크의 크기는 MRI와 디스크 탈출지수로 측정되었다. 디스크퇴행에 관한 등급체계와 연산은 MRI 신호강도, 디스크구조, 수핵과 섬유륜의 구별을 기초로 하였다. 디스크 높이, 디스크 탈출지수와 디스크 변성등급은 MRI로부터 측정하여 치료 전과 후에 수집되었다. 본 증례연구가 보여주는 것은 디스크 탈출에 대한 감압치료가 디스크 높이를 제외한 디스크 탈출지수, 디스크 재생에 긍정적인 영향을 미친다는 것이다. 디스크 탈출에 대한 감압치료의 사용에 관한 임상적 증거는 제한된 연구 때문에 미비하다. 따라서 이 분야에 주의를 기울이기 위한 더 많은 시도들은 명확한 결론을 내리기 위해서 필요할 것으로 사료된다.



  1. P. P. Raj, "Intervertebral Disc: Anatomy - Physiology - Pathophysiology - Treatment", Pain Practice: The Official Journal of World Institute of Pain, Vol.8, No.1, pp. 18-44, 2008.
  2. M. A. Adams, and P. J. Roughley, "What is Intervertebral Disc Degeneration, and What Causes It?", Spine(Phila Pa 1976), Vol.31, No.18, pp. 2,151-2,161, 2006.
  3. K. H. Lee, C. Y. Kim, K. Y. Kim, H. W. Nam, Y. H. Jung, and Y. T. Koh, "Case Report of L-Spine HIVD Treated with Spine Decompression", The Journal of the Korea CHUNA Manual Medicine for Spine & Nerves, Vol.2, No.1, pp. 39-48. 2007.
  4. H. S. Yang, "The Effects of Lumbar Traction and Decompression Traction on HIVD Patients", Unpublished Master's Thesis, Dankook University, 2007.
  5. J. G. Park, and D. D. Kim. "Effects of Decompression Therapy for the Treatment of a Herniated Lumbar Disc", Journal of the Korean Pain Society, Vol.21, No.2, pp. 143-149, 2008.
  6. K. Y. Huh, "Effects of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation", Unpublished Master's Thesis, Kyung Hee University, 2009.
  7. C. H. Pi, E. Kim, Y. S. Song, and D. E. Kim, "Clinical Case Report on Comparison between 6 Herniated Lumbar Disc Patients which were Divided into Two Groups Each Treated by Decompression Therapy and Chuna Treatment", The Journal of the Korea CHUNA Manual Medicine for Spine & Nerves, Vol.4, No.1, pp. 75-84, 2009.
  8. S. Y. Ma, "Effect of Whole Body Cryotherapy with Spinal Decompression on Lumbar Disc Herniation by Functional Assessment Measures", Journal of the Korean Data & Information Science Society, Vol.21, No.6, pp. 1,101-1,108, 2010.
  9. E. Y. Ham, D. H. Kim, S. C. Yeom, H. S. Kim, J. K. Lee, G. H. Lee, and G. M. Lee, "The Clinical Effects of Acupunture and Spine Decompression Therapy for Lumbargo", The Journal of Korean Acupuncture & Moxibustion Society, Vol.25, No.1, pp. 131-138, 2008.
  10. A. Macario, and J. V. Pergolizzi, "Systematic Literature Review of Spinal Decompression via Motorized Traction for Chronic Discogenic Low Back Pain", Pain Practice: The Official Journal of World Institute of Pain, Vol.6, No.3, pp. 171-178, 2006.
  11. H. Inoue, K. Ohmori, K. Miyasaka, and H. Hosoe, "Radiographic Evaluation of the Lumbosacral Disc Height", Skeletal Radiology, Vol.28, pp. 638-43, 1999.
  12. M. K. J. Fagerlund, U. Thelander, and S. Friberg, "Size of Lumbar Disc Hernias Measured using Computed Tomography and Related to Sciatic Symptoms", Acta radiologica, Vol.31, pp. 555-558, 1990.
  13. B. Ozturk, O. H. Gunduz, K. Ozoran, and S, Bostanoglu. "Effect of Continuous Lumbar Traction on the Size of Herniated Disc Material in Lumbar Disc Herniation", Rheumatology International, Vol.26, No.7, pp. 622-626, 2006.
  14. C. W. Pfirrmann, A. Metzdorf, M. Zanetti, J. Hodler, and N. Boos, "Magnetic Resonance Classification of Lumbar Intervertebral Disc Degeneration", Spine(Phila Pa 1976), Vol.1, No.17, pp. 1873-1878, 2001.
  15. N. Tanaka, H. S. An, T. H. Lim, A. Fujiwara, C. H. Jeon, and V. M. Haughton, "The Relationship between Disc Degeneration and Flexibility of the Lumbar Spine", The Spine Journal: Official Journal of the North American Spine Society, Vol.1, No.1, pp. 47-56, 2001
  16. M. Krause, K. M. Refshauge, M. Dessen, and R. Boland, "Lumbar Spine Traction: Evaluation of Effects and Recommended Application for Treatment", Manual Therapy, Vol.5, No.2, pp. 72-81, 2000.
  17. A. A. Harte, J. H. Gracey, and G. D. Baxter, "Current Use of Lumbar Traction in the Management of Low Back Pain: Results of a Survey of Physiotherapists in the United Kingdom", Archives of Physical Medicine and Rehabilitation, Vol.86, No.6, pp. 1164-1169, 2005.
  18. L. T. Twomey, "Sustained Lumbar Traction. An Experimental Study of Long Spine Segments", Spine(Phila Pa 1976), Vol.10, No.2, pp. 146-149, 1985.
  19. J. F. Howe, J. D. Loeser, and W. H. Calvin, "Mechanosensitivity of Dorsal Root Ganglia and Chronically Injured Axons: A Physiological Basis for the Radicular Pain of Nerve Root Compression", Pain, Vol.3, No.1, pp. 25-41, 1977.
  20. G. B. Andersson, A. B. Schultz, and A. L. Nachemson, "Intervertebral Disc Pressures during Traction", Scandinavian Journal of Rehabilitation Medicine. Supplement, Vol.9, pp. 88-91, 1983.
  21. G. Ramos, and W. Martin, "Effects of Vertebral Axial Decompression on Intradiscal Pressure", Journal of Neurosurgery, Vol.81, No.3, pp. 350-353, 1994.
  22. D. Onel, M. Tuzlaci, H. Sari, and K. Demir, "Computed Tomographic Investigation of the Effect of Traction on Lumbar Disc Herniations", Spine(Phila Pa 1976), Vol.14, No.1, pp. 82-90, 1989.
  23. L. Ombregt, P. Bisschop, and H. J. ter Veer, "A System of Orthopaedic Medicine", 2nd. Churchill Livinstone. London, pp. 823, 2005.

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