Journal of Pharmacopuncture (대한약침학회지)

KOREAN PHARMACOPUNCTURE INSTITUTE (대한약침학회)
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Clinical Study of Lumbar Spine Stenosis Treated by Using Acupotomy Combined with Oriental Medical Treatments

  • Yuk, Dong-Il (Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University) ;
  • Sung, In-Su (Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University) ;
  • Song, Da-Hyung (Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University) ;
  • Kim, Min-Jung (Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University) ;
  • Hong, Kown-Eui (Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University)
  • Received : 2013.05.31
  • Accepted : 2013.06.17
  • Published : 2013.09.30
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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 $65{\pm}10.0$ 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 $30.17{\pm}56.63$ months. The verbal numeric rating scale (VNRS) significantly decreased from 10 to an average of $7.10{\pm}2.50$ after one acupotomy, $6.30{\pm}2.60$ after two acupotomies, and $5.50{\pm}2.50$ after three acupotomies. The ODI was significantly decrease from $20.60{\pm}8.70$ to $17.80{\pm}8.60$ after once acupotomy, $17.10{\pm}8.50$ after two acupotomies, and $16.70{\pm}8.60$ 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.

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References

  1. The Korean Academy of Oriental Rehabilitation Medicine. [Oriental rehabilitation medicine]. 2nd ed. Seoul: Koonja; 2005. p. 62. Korean.
  2. Kang YH. [Anatomic consideration of lumbar spinal stenosis]. J Korean Soc Spine Surg. 2000;7(1):94-9. Korean.
  3. Chae IJ. [Lumbar spinal Stenosis]. J Korean Soc Spine Surg. 1999;6(2):220-7. Korean.
  4. The Korean Acupuncture and Moxibusion Society editers. [The acupuncture and moxibusion medicine]. Seoul: Jipmoondang; 2012. p. 514. Korean.
  5. Takahashi K, Kagechika K, Takino T, Matsui T, Miyazaki T, Shima I. Changes in epidural pressure during walking patients with lumbar spinal stenosis. Spine. 1995;20(24):2746-9. https://doi.org/10.1097/00007632-199512150-00017
  6. Kim SC. [Clinical characteristics of poor responders to acupotomy and safety pretreatment management]. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2008;25(4):1229-137. Korean.
  7. Yun JW, Kim DH, Kim HW, Kim SS, Park SW, Kim EK, et al. [The clinical effects of acupuncture and acupotomy therapy for HIVD]. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2010;27(4):85-97. Korean.
  8. Patrick D Wall, Ronald Melzack. [Textbook of pain]. Pain Compilation Committee, translator. Seoul: Jungdam; 2002. p. 483-4. Korean.
  9. Fairbank JC, Couper J, Davies JB, O'Brien JP. The Oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.
  10. Arnoldi CC, Brodsky AE, Cauchoix J, Crock HV, Dommisse GF, Edgar MA, et al. Lumbar spinal stenosis and nerve root entrapment syndromes. Definition and classification. Clin Orthop Relat Res. 1976;115:4-5.
  11. Frontera WR, Silver JK. [Essentials of physical medicine and rehabilitation]. Yun MH, translator. Seoul: Koonja; 2003. p. 300-6. Korean.
  12. Herkowitz HN. Spinal stenosis:Radiologic and electrodiagnostic evaluation. In: Rothman RH, Simeone FA, editors. The spine. 3rd ed. Philadelphia: W.B. Saunders; 1992. p. 830-57.
  13. Maigne R, Nieves WL. [Diagnosis and treatment of pain of vertebral origin]. 2nd ed. Choi H, translator. Seoul: Koonja; 2008. p. 351. Korean.
  14. Esses SI. [Textbook of spinal disorders]. Jung SH, translator. Seoul:Koonja. 2002:217-29. Korean.
  15. Cox JM. [Low back pain]. Yoo SL, translator. Seoul: Pureunsol; 1997. p. 297. Korean.
  16. Lee EY, Lee BR. [The clinical study was carried out 2 cases of patient with lumbar spinal stenosis with herniated lumbar intervertebral disc]. Hyehwa Medicine. 1998;7(1):32-51. Korean.

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