The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
권호 표지

A Case Report of 2 Failed Back Surgery Syndrome Patients Treated by Chuna Cranio-Sacral Therapy with Korean medical treatments

두개천골추나요법을 한의학적 치료에 병행하여 호전된 척추수술실패증후군 환자 치험 2례

  • Lee, Jong-Hoon (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Chang, Dong-Ho (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Kim, Jung-Sup (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Kim, Dong-Eun (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Park, Sang-Eun (Department of Korean Internal Medicine, College of Korean Medicine, Dong-Eui University) ;
  • Cho, Sung-Woo (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dong-Eui University)
  • 이종훈 (동의대학교 한의과대학 한방재활의학과교실) ;
  • 장동호 (동의대학교 한의과대학 한방재활의학과교실) ;
  • 김정섭 (동의대학교 한의과대학 한방재활의학과교실) ;
  • 김동은 (동의대학교 한의과대학 한방재활의학과교실) ;
  • 박상은 (동의대학교 한의과대학 한방내과교실) ;
  • 조성우 (동의대학교 한의과대학 한방재활의학과교실)
  • Received : 2015.11.17
  • Accepted : 2015.12.03
  • Published : 2015.12.30
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Abstract

Objectives : The purpose of this study is to show the effectiveness of Chuna Cranio-Sacral Therapy for remaining pain and muscle strength decrease after herniated intervertebral disc surgery. Methods : Two patients with Failed Back Surgery Syndrome(FBSS) were hospitalized and treated by Korean medical treatments with Chuna Cranio-Sacral Therapy. The Range of Motion(ROM) of the lumbar spine and Manual Muscle Test(MMT) were adopted to measure the resulting motor recovery after treatment. And the Numerical Rating Scale(NRS) was adopted to measure changes of pain level. Two patients both had Chuna Cranio-Sacral Therapy category III disorder with short right leg. We applied category III blocking technique everyday for 20 minutes with Korean medical treatments. Results : In both cases, the range of motions were improved and the pain level decreased. And in case 1, muscle strength also showed improvements. Conclusions : We suggest Chuna Cranio-Sacral Therapy is effective for pain decrease and motor recovery of FBSS patients. Further studies are needed to set up an Korean medical protocol for FBSS.

Keywords

References

  1. Chan CW, Peng P. Review article failed back surgery syndrome. Pain Medicine. 2011;12(4):577-606. https://doi.org/10.1111/j.1526-4637.2011.01089.x
  2. Kim JK, Lim KJ, Kim C, Kim HS. Intralmuscular Stimulation Therapy on Failed Back Surgery Syndrome Patients. The Korean journal of Pain. 2003;16(1):60-7.
  3. Hoffman BM, Papas RK, Chatkoff DK, Kerns RD. Meta-analysis of psychological interventions for chronic low back pain. Health Psychology. 2007;26(1):1-9. https://doi.org/10.1037/0278-6133.26.1.1
  4. Coleman SD, Mackey S. Spinal cord stimulation compared with medical management for failed back surgery syndrome. Current Pain and Headache Reports. 2009;13(1):1-2. https://doi.org/10.1007/s11916-009-0001-5
  5. Hayek SM, Helm S, Benyamin RM, Singh V, Bryce DA, Smith HS. Effectiveness of spinal endoscopic adhesiolysis in post lumbar surgery syndrome: a systematic review. Pain Physician. 2009;12(2):419-35.
  6. Terao T, Ishii T, Tani S, Abe T. Combination therapy of radiofrequency lumbar facet joint denervation and epidural spinal cord stimulation for failed back surgery syndrome. Neurologia Medicochirurgica. 2011;51(11):805-09.
  7. Rodrigues FF, Doza DC, Oliveira CR, Castro RG. Failed back surgery syndrome: casuistic and etiology. Arq Neuropsiquiatr. 2006;64(3-B):757-61. https://doi.org/10.1590/S0004-282X2006000500011
  8. Kim JU, Park MJ, Sung SM, Hwang MS, Yun CH, Park MJ. Clinical Study on a Case of Herniation of Nucleus Pulposus with Sacro-Occipital Technique. The Journal of Chuna Manual Medicine for Spine&Nerves. 2005;6(1):189-96.
  9. Lee DW, Shin MS. Case series of 5 failed back surgery syndrome patients who were treated by direct moxibustion therapy. The Acupuncture. 2011;28(3):233-44.
  10. Lee JH, Min KS, Kim SY, Kim SJ. The case report on 3 cases of conservative treatment on failed back surgery syndrome. The Journal of Chuna Manual Medicine for Spine&Nerves. 2010;5(2): 57-68.
  11. Cho E, Kang JH, Choi JY, Yoon KS, Lee H. The clinical study on effects of Bee Venom pharmacopuncture therapy in patients with FBSS. The Acupuncture. 2011;28(5):77-86.
  12. Seo YW, Park HS, Kim MC, Kim SY, Seo YH, Lee SM, Kim YJ, Hong JR, Kim JS, Kim KO, Kim TH. Korean Medical combination treatments for failed back surgery syndrome: A retrospective case series. The Acupuncture. 2015;32(2): 217-27. https://doi.org/10.13045/acupunct.2015032
  13. Park CH. Applied Sacro-Occipital Technique. Seoul:DKBooks. 2008:165-245.
  14. Shin SU, Chung SH, Lee JS, Shin HD, Kim SS. The study for clinical measurement of pain. Dongguk J. The Institute of Oriental Medicine. 2000;8(2):25-46.
  15. Neo Intern Handbook Editing Committee. Neo Intern Handbook. Seoul:Koonja. 2012:45-6.
  16. Carlayne EJ. Clinical Approach to Muscle Diseases. Semin Neurol. 2008;28(2): 228-40. https://doi.org/10.1055/s-2008-1062266
  17. 오민석, 곽중문. 요추 추간판탈출증환자에 대한 추나요법의 임상적 고찰. 대전대학교 한의학연구소 논문집. 1998;6(2):669-77.
  18. Larsson O., Cholder U., Lidstrom A. Auto Traction for Treatment of Lumbago Sciatica: A Multicenter Controlled Investigation. Acta Orihop Sacand. 1980;51:791-8. https://doi.org/10.3109/17453678008990875
  19. Halder NM., Cartis P., Gillings DB. A Benefit of Spinal Manipulation as Adjuvant Therapy for Acute Low Back Pain: A Stratified Controlled Trial. Spine. 1987; 12:702-6.
  20. Posstachini F., Faccini M.,Palieri P. Efficacy of Various Forms of Conservative Treatment in Low Back Pain: A Comparative Study. International Society for the Study of the Lumbar Spine. 1987.
  21. Kim HS, Ha JW, Park JO, Park HW, Han DY, Hur JH. Ruptured Lumbar Disc in Patients Undergoing Manipulation of the Lumbar Spine. J. of Korean Orthop. 1998;33(5):1331-2.
  22. Upledger John E. Craniosacral Therapy1. Korean Society of Chuna Medicine for Spine&Nerves. 1998:12-153.
  23. Hochman JI. The Effect of Sacro-Occipital Technique Category II Blocking on Spinal Ranges of Motion: A Case Series. J Manipulative Physiol Ther. 2005;28(9):719-23. https://doi.org/10.1016/j.jmpt.2005.09.002