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

  • 제10권2호
  • /
  • Pages.87-95
  • /
  • 2015
  • /
  • 1975-535X(pISSN)
  • /
  • 2982-6136(eISSN)
척추신경추나의학회 (Korean Society of Chuna manual Medicine for Spine and Nerves)
권호 표지

하지 비증을 주소증으로 한 요추 추간판 탈출증 환자에 대한 척수 자극 침술의 임상 증례 보고

A Case Study of Spinal Cord Stimulation Acupuncture for Lower Limb Numbness Induced by Lumbar Herniated Intervertebral Disc

  • 서하라 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 박정오 (대전대학교 한의과대학 한방재활의학과교실) ;
  • 이한길 (대전대학교 한의과대학 한방재활의학과교실)
  • Seo, Ha-Ra (Dept. of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Park, Jung-Oh (Dept. of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dae-Jeon University) ;
  • Lee, Han-Gil (Dept. of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dae-Jeon University)
  • 투고 : 2015.11.17
  • 심사 : 2015.12.10
  • 발행 : 2015.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : The purpose of this study was to evaluate the effects of spinal cord stimulation acupuncture therapy for lower limb numbness resulting from lumbar herniated intervertebral disc(HlVD). Methods : From 8th August, 2015 to 30th October, 2015, 1 male patient diagnosed as herniated intervertebral disc at L5/S1(Diffuse bulging disc with smooth ventral thecal sac indentation at L5-S1) was treated with spinal cord stimulation acupuncture and general Korean medicine therapy(acupuncture, herbal injection). Numerical Rating Scale(NRS) and Oswestry Disability Index(ODI) were recorded during the treatment. Results : 1. The patient's chief complaints were remarkably improved - Rt. lower limb numbness remained 15% compared before treatment, Rt. lower limb paresthesia and gait disturbance almost disappeared after 25 times of treatment during 3 months. 2. NRS score decreased from 7 to 3, ODI decreased from 16 to 7. Conclusions : This study demonstrates that spinal cord stimulation acupuncture therapy with Korean medicine treatment has notable effect in improving lower limb numbness induced by lumbar HlVD.

키워드

참고문헌

  1. Lee GM, Lee GC, Hwang YJ. Collaborative study of oriental-western medicine on HIVD. The Acupuncture. 2000;17:1-10.
  2. 박수영, 안수기. 腰椎間板脫出症의 電鍼治療와 單純 刺針治療의 臨床的 比較 硏究. 대한침구학회지. 1995;12:273-80.
  3. 이건목, 이강창, 황유진. 요추추간판탈출증의 동서의학적 협진연구. 대한침구학회지. 2000;17:1-10.
  4. Shin WS, Park WH, CHa YY. The research trends on the acupuncture treatment of lumbar herniated intervertebral disc using pubmed database. Journal of Korean Medicine Rehabilitation. 2014;24;501-18.
  5. Yuk DI, Kim KM, Jeon JH, Kim YI, Kim JH. A review of trends for acupotomy. The Acupuncture. 2014;31;35-43.
  6. 신승우, 정석희, 이종수 외. 통증의 임상적 평가법에 관한 고찰. 동국한의연구소논문집. 2000;18:25-46.
  7. Eiman M. An anatomical study of the human lumbar ligamentum flavum. Neurosciences. 2008;13(1):15.
  8. Fairbank, JCT, Davis J, Couper J, O'Brien J. The Oswestry Disability Qusetionaire. Physiotherapy. 1980;66:271-3.
  9. 채상진, 김남옥, 박영철, 손성세. 요추추간판탈출증 환자의 체질침과 체침에 의한 자각적 통증 감소 비교. 대한침구학회지. 2001;18:48-55.
  10. 朱漢章. 小針刀療法. 北京:中國中醫藥出版社. 1992:9-42.
  11. 박희수. 韓醫療法匯通. 서울:새천년. 2000: 223-7.
  12. 김영수, 만성 통증에 대한 척수자극술 치료법. Hanyang Medical Reviews. 2011;31:86.
  13. 안재석, 한석희, 김태형, 박하수, 임영진, 이상철. 대상포진 후 신경통에 시행된 실험적 척수자극술시 예측치 못한 추간판 탈출증 증상의 개선. 대한통증학회지. 2001;14:110-3.
  14. 김영수, 만성 통증에 대한 척수자극술 치료법. Hanyang Medical Reviews. 2011;31:87.
  15. Turner JA, Loeser JD, Deyo RA, Sanders SB, Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: a systematic review of effectiveness and complications. Pain. 2004;108:137-47. https://doi.org/10.1016/j.pain.2003.12.016
  16. Holsheimer J, den Boer JA, Struijk JJ, Rozeboom AR: MR assessment of the normal position of the spinal cord in the spinal canal. Am J. Neuroradiol. 1994; 15:951-9.
  17. Barolat G, Zeme S, Ketcik B: Multifactorial analysis of epidural spinal cord stimulation. Stereotact Funct. Neurosurg. 1991;56: 77-103. https://doi.org/10.1159/000099395
  18. 이청, 조정하, 양헌주, 이종혁, 우성창, 김영주, 박동호, 정지현. 척수자극술을 이용한 특발성 횡단성 척수염 환자에서의 신경병증 통증 치료. Korean J Anesthesiol. 2009;56:358-61. https://doi.org/10.4097/kjae.2009.56.3.358
  19. Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine(PhilaPa 1976). 2005;30:1331-4. https://doi.org/10.1097/01.brs.0000164099.92112.29
  20. Ostelo RW, Deyo RA, Stratford P, et al. Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change. Spine(PhilaPa 1976). 2008;33:90-4. https://doi.org/10.1097/BRS.0b013e31815e3a10