Study and three Cases Report for Lumbar Spinal Stenosis Treatment Using a Combination of Acupotomy and Existing Treatments

기존치료법과 침도침 시술을 병행한 요추관협착증의 증례보고 및 분석

  • Jung, Ki-Yong (Center for Spine and Articulation, Jangdeuk Traditional Korean Medical Clinic) ;
  • Sur, Young-Chan (Center for Spine and Articulation, Jangdeuk Traditional Korean Medical Clinic) ;
  • Jang, Woo-Soon (Center for Spine and Articulation, Jangdeuk Traditional Korean Medical Clinic) ;
  • Lee, Ji-Eun (Center for Spine and Articulation, Jangdeuk Traditional Korean Medical Clinic) ;
  • Kim, Kyoung-Hoon (Center for Spine and Articulation, Jangdeuk Traditional Korean Medical Clinic) ;
  • Shin, Gwang-Soon (Center for Spine and Articulation, Jangdeuk Traditional Korean Medical Clinic) ;
  • Han, You-Sik (Center for Spine and Articulation, Jangdeuk Traditional Korean Medical Clinic)
  • 정기용 (장덕한의원 척추 관절 센터) ;
  • 서영찬 (장덕한의원 척추 관절 센터) ;
  • 장우순 (장덕한의원 척추 관절 센터) ;
  • 이지은 (장덕한의원 척추 관절 센터) ;
  • 김경훈 (장덕한의원 척추 관절 센터) ;
  • 신광순 (장덕한의원 척추 관절 센터) ;
  • 한유식 (장덕한의원 척추 관절 센터)
  • Received : 2011.10.25
  • Accepted : 2012.01.19
  • Published : 2012.02.25

Abstract

This study reports the effect of acupotomy for patients diagnosed with lumbar spinal stenosis(LSS). We treated three patients diagnosed with LSS using acupotomy. We measured the Numerical Rating Scale(NRS), Oswestry Disability Index(ODI) scores and Odom's criteria before and after treatment to assess improvements in symptoms and functions. In all patients, NRS, ODI scores and Odom's criteria were improved. We found a beneficial effect with acupotomy for three patients diagnosed with LSS. Thus, these data suggest LSS may be treated successfully with acupotomy.

Keywords

References

  1. Watters III, W.C., Baisden, J., Gilbert, T.J., Kreiner, S., Resnick, D.K., Bono, C.M., Ghiselli, G., Heggeness, M.H., Mazanec, D.J., O'Neill, C., Reitman, C.A., Shaffer, W.O., Summers, J.T., Toton, J.F. Degenerative lumbar spinal stenosis: an evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis. Spine J. 8: 305-310, 2008. https://doi.org/10.1016/j.spinee.2007.10.033
  2. Genevay, S., Atlas, S.J. Lumbar Spinal Stenosis. Best Pract Res Clin Rheumatol. 24(2):253-265, 2010.
  3. Steurer, J., Nydegger, A., Held, U., Brunner, F., Hodler, J., Porchet, F., Min, K., Mannion, A.F., Michel, B. LumbSten: The lumbar spinal stenosis outcome study. BMC musculoskeletal Disorders. 11: 254-259, 2010. https://doi.org/10.1186/1471-2474-11-254
  4. Kalichman, L., Cole, R., Kim, D.H., Li, L., Suri, P., Guermazi, A., Hunter, D.J. Spinal stenosis prevalence and association with symptoms: the Framingham Study. Spine J. 9: 545-550, 2009. https://doi.org/10.1016/j.spinee.2009.03.005
  5. 徐彪炳, 柴芳芳. 腰椎管狭窄症的中西医治疗进展. 中国医药指南. 9(15):200-202, 2011.
  6. 한상원. 退行性 變化로 因한 腰椎管狹窄症에 對한 臨床的 考察. 대한침구학회지 12(2):351-359, 1995.
  7. 황재연, 도원석. 요추관협착증의 한의학적 보존적 치료에 대한 임상적 고찰. 대한침구학회지 17(3):116-124, 2000.
  8. 조재희, 이효은, 문자영, 임명장, 강 인, 이 한, 정호석, 김지형. 요추 척추관 협착증 환자 118례에 대한 임상적 고찰. 척추신경추나학회지 3(2):77-86, 2008.
  9. 冯 穗, 苟凌云, 郑红波. 针刀治疗腰椎管狭窄症临床观察. 现代中西医结合杂志. 18(12):1389-1390, 2009.
  10. 劉海帆, 劉小衛. 小針刀治療腰椎管狭窄症的临床研究. 中國医藥導報. 2(7):58-59, 2010.
  11. 朱汉章. 小針刀療法. 中國 北京, 中國中医藥出版社, pp 9-42, 1992.
  12. 정혜윤, 강성길, 고형균. 小鍼刀療法에 관한 文獻的 考察. 대한침구학회지 19(1):244-261, 2002.
  13. Oriental Medical Advanced Searching Integrated System (Oasis). Available at: URL: http://oasis.kiom.re.kr. Accessed at Oct. 4th. 2011.
  14. 박경수, 정석희. 요추 척추관 협착증의 평가척도에 대한 고찰. 척추신경추나학회지 2(1):23-38, 2007.
  15. 전창훈, 김동재, 김동준, 이환모, 박희전. 한국어판 Oswestry Disability Index[장애지수]의 문화적 개작. 대한척추외과학지 12(2):146-152, 2005.
  16. Odom, G.L., Finney, W., Woodhall, B. Cervical disk lesions. JAMA. 4;166(1):23-28, 1958. https://doi.org/10.1001/jama.1958.02990010025006
  17. 龐继光 主编. 針刀医學基础与臨床. 中國 深圳, 深圳.海天出版社, pp 8, 421-427, 439-448, 2006.
  18. 任月林, 任旭飛. 實用針刀医學治療學. 中國 北京, 人民衛生出版社, pp 298-299, 2005.
  19. Sirvanci, M., Bhatia, M., Ganiyusufoglu, K.M., Duran, C., Tezer, M., Ozturk, C., Aydogan, M., Hamzaoglu, A. Degenerative lumbar spinal stenosis: correlation with Oswestry Disability Index and MR Imaging. Eur Spine J. 17: 679-685, 2008. https://doi.org/10.1007/s00586-008-0646-5
  20. de Graaf, I., Park, A., Bierma-Zeinstra, S., Thomas, S., Peul, W., Koes, B. Diagnosis of lumbar spinal stenosis: a systemic review of the accuracy of diagnostic tests. Spine J. 31: 1168-1176, 2006. https://doi.org/10.1097/01.brs.0000216463.32136.7b
  21. Konno, S.I., Kikuchi, S.I., Tanaka, Y., Yamazaki, K., Shimada, Y.I., Takei, H., Yokoyama, T., Okada, M., Kokubun, S.I. A diagnostic support tool for lumbar spinal stenosis: a self-administered, self-reported history questionnaire. BMC musculoskeletal Disorders. 8: 102-110, 2007. https://doi.org/10.1186/1471-2474-8-102
  22. 곽병민, 홍권의. 침도침 시술을 통한 요추추간판탈출증 환자 4명의 증례보고. 대한침구학회지 25(4):149-156, 2008.
  23. 이건목, 김도호, 김현욱, 염승철, 김형수, 김동은, 윤미진, 송동섭, 이경희. 침도침 치료를 이용한 요추추간판탈출증에 대한 연구 및 임상증례. 대한침구학회지 25(4):183-190, 2008.
  24. 윤주영, 김도호, 김현욱, 김성수, 박세운, 김언국, 이건휘, 이건목. 요추 추간판 탈출증 환자의 침도요법의 효과에 대한 임상적 고찰. 대한침구학회지 27(4):85-97, 2010.