Journal of Acupuncture Research

  • 제37권2호
  • /
  • Pages.94-101
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  • 2020
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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Effect of Combined Traditional Acupuncture and Applied Kinesiology on Lumbar Diseases

  • Ahn, Chang Beohm (Samse Korean Traditional Medical Hospital) ;
  • Lee, Sang-Ju (Department of Nursing, Dongeui Institute of Technology) ;
  • Park, Yeo Bin (Department of Acupuncture and Moxibustion Medicine, Samse Korean Medicine Hospital) ;
  • Park, Yun Leong (Department of Acupuncture and Moxibustion Medicine, Samse Korean Medicine Hospital)
  • 투고 : 2019.08.15
  • 심사 : 2020.04.28
  • 발행 : 2020.05.31
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초록

Background: Several Korean medical doctors have been practicing applied kinesiology (AK), invented in 1964 by Dr. George J Goodheart, USA. Although the efficacy of traditional acupuncture (TA) and pharmacopucture treatment for lumbar conditions/diseases has been examined, the possible benefits of combining TA and AK have not been reported. Therefore, the aim of this study was to report the effects of combining TA and AK treatment for lumbar disorders using the Japanese Orthopedic Association lumbar score (JOALS) assessment. Methods: There were 21 outpatients treated at Samse Korean Traditional Hospital between March 2018 and September 2018, who presented with L4/L5 or L5/S1 root radiculopathy associated with lumbar spinal stenosis (LSS) and lumbar herniation of intervertebral disk (LHID). They were treated 10×(2 sessions per week, for 5 weeks) with TA and AK approaches that included a category block, manipulation or strain/counterstrain treatments. The primary outcome was mainly assessed using the JOALS score which was used before (0 ×), during (5 ×), and after treatment (10 ×). Results: There were 19 patients diagnosed with LSS and 2 were diagnosed with LHID. Using the JOALS assessment, TA and AK combined approaches improved the lumbar conditions of all 21 patients after 5 × treatmentsand continued to improve after 10 × treatments (p < 0.001). Conclusion: Combined TA and AK treatment was effective in treating spinal conditions/diseases. Prospective, relevant, well-controlled protocols for TA and AK therapies for various conditions are needed.

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참고문헌

  1. Maciocia G. The Practice of Chinese Medicine. Edinburgh (UK): Churchill Livingstone; 2005. p. 605-630.
  2. Marcus B, Michael GH. Acupuncture in the Treatment of Pain, 1st ed. Edinburgh (UK): Churchill Livingston; 2010. p. 347-352.
  3. Joan H. Acupuncture in the pain clinic. In: Jacqueline F, Adrian W, eds. Medical Acupuncture: A Western Scientific Approach. Edinburgh (UK): Churchill Livingstone; 1998. 328 p.
  4. Fraser F. Managing lower back pain, 1st ed. Edinburgh (UK): Churchill Livingstone; 2009. 133 p.
  5. Szpalski M, Gunzburg R. Lumbar Spinal Stenosis. Philadelphia (PA): Lippincott Williams and Wilkins; 2000. p. 175-182.
  6. Hardy RW. Lumbar Disc Disease, 2nd ed. New York (NY): Raven Press; 1993. p. 17-24
  7. Kramer J. Intervertebral Disk Diseases. NewYork (NY): Thieme Medical Publishers; 1990. p. 56-62.
  8. Kim K, Isu T. An Overview of Clinical Scoring Systems Applicable for Lumbar Spine Surgery. Spine Surg 2015:29:18-25. https://doi.org/10.2531/spinalsurg.29.18
  9. Bond MR, Pilowsky I. Subjective assessment of pain and its relationship to the administration of analgesics in patients with advanced cancer. J Psychosom Res 1966;10:203-208. https://doi.org/10.1016/0022-3999(66)90064-X
  10. Gronblad M, Hupil M, Wennerstrand P, Jarvinem E, Lukinmae A, Kouri JP et al. Intercorrelation and test-retest reliability of the pain disability index (PDI) and the Oswestry disability questionnaire (ODQ) and their correlation with pain intensity in low back pain patients. Clin J Pain 1993;9:189-195. https://doi.org/10.1097/00002508-199309000-00006
  11. Imasato H, Nagata K, Hashimoto S, Komori H, Inoue A. Objective evaluation of pain in various spinal diseases: neuropeptide immunoreactivity in the cerebrospinal fluid. Spinal Cord 1997;35:757-762. https://doi.org/10.1038/sj/sc/3100537
  12. LoveA, Leboeuf C, Crisp TC. Chiropractic chronic low back pain sufferers and self-report assessment methods. Part 1. A reliability study of the visual analogue scale, the pain drawing and the McGill pain questionnaire. J Manip Physiol Ther 1989;12:21-25.
  13. Ogon M, Krismer M, Sollner W, Kantner-Romplmair W, Lampe A. Chronic low back pain measurement with visual analogue scales in different settings. Pain 1996;64:425-428. https://doi.org/10.1016/0304-3959(95)00208-1
  14. Chiarotto A, Maxwell LJ, Ostelo RW, Boers M, Tugwell P, Terwee CB. Measurement Properties of Visual Analogue Scale, Numeric Rating Scale, and Pain Severity Subscale of the Brief Pain Inventory in Patients With Low Back Pain: A Systematic Review. J Pain 2019;20:245-263. https://doi.org/10.1016/j.jpain.2018.07.009
  15. Nakamura M, Miyamoto K, Shimizu K. Difference in evaluation of patients with low back pain using the Japanese Orthopedic Association Score for Back Pain and the Japanese Version of the Roland-Morris Disability Questionnaire. J Orthop Sci 2009;14:367-373. https://doi.org/10.1007/s00776-009-1348-5
  16. Fakouri B, Nnadi C, Boszczyk B, Kunsky A, Cacciola F. When is the appropriate time for surgical intervention of the herniated lumbar disc in the adolescent? J Clin Neurosci 2009;16:1153-1156. https://doi.org/10.1016/j.jocn.2009.01.023
  17. World Health Organization, Regional Office for the Western Pacific. WHO standard acupuncture point locations in the Western Pacific Region. Manila (Philippines): World Health Organization; 2008. p. 111,113,119,186,188.
  18. Evidence-based Korean Medicine Clinical Practice Guideline Development Committee for Lumbar Herniated Intervertebral Disc (Korea Institute of Oriental Medicine and the Society of Korean Medicine Rehabilitation) Korean Medicine Clinical Practice Guideline for Lumbar Herniated Intervertebral Disc in Adults. Daejeon (Korea): Korea Institute of Oriental Medicine; 2014.
  19. Walter D. Applied Kinesiology Synopsis, 1st ed. Seoul (Korea): Deseong Medical Publication; 2002. p. 161-167,280
  20. Frost R, Goodheart GJ Jr DC. Applied Kinesiology, Revised Edition: A Training Manual and Reference Book of Basic Principles and Practices. North Atlantic Book; 2013.
  21. Tsuyuguchi Y, Masada Y. Atlas of Orthopaedic Physical Examination, 2nd ed. Tokyo (Japan): Bungangdang; 2004. 353 p.
  22. Parker JN, Parker PM. The Official Patient's Sourcebook on Spinal Stenosis. San Diego (CA): ICON Health Publication; 2002. p. 10-21.
  23. BorensteinDG, Wiesel SW, Boden SD. Low BackPain. Medical Diagnosis and Comprehensive Management, 2nd ed. Philadelphia(PA): WB Saunders; 1995. p. 191-206.
  24. Shin JS, Lee J, Kim MR, Jung J, Shin BC, Lee MS et al. The Short-Term Effect of Integrated Complementary and Alternative Medicine Treatment in Inpatients Diagnosed with Lumbar Intervertebral Disc Herniation: A Prospective Observational Study. J Altern Complement Med 2016;22:533-543. https://doi.org/10.1089/acm.2014.0368
  25. Stux G, Hammerschlag R. Clinical Acupuncture. Berlin (Germany): Springer; 2001. p. 122-123.
  26. Qin Z, Ding Y, Wu J, Zhou J, Yang L, Liu X at al. Efficacy of acupuncture for degenerative lumbar spinal stenosis: Protocol for a randomized sham acupuncture-controlled trial. BMJ Open 2016;6:e012821. https://doi.org/10.1136/bmjopen-2016-012821
  27. Kim KH, Kim TH, Lee BR, Kim JK, Son DW, Lee SW et al. Acupuncture for lumbar spinal stenosis: Asystematic review and meta-analysis. Complement Ther Med 2013;21:535-556. https://doi.org/10.1016/j.ctim.2013.08.007
  28. Oka H, Matsudaira K, Takano Y, Kasura D, Niiya M, Tonosu J et al. A comparative study of three conservative treatments in patients with lumbar spinal stenosis: Lumbar spinal stenosis with acupuncture and physical therapy study (LAP study). BMC Complement Altern Med 2018;18:19-25. https://doi.org/10.1186/s12906-018-2087-y
  29. Hadianfard MJ, Aminlari A, Daneshian A, Safarpour AR. Effect of Acupuncture on pain and quality of Life in Patients with Lumbar spinal Stenosis: A Case Series Study. J Acupunt Meridian Stud 2015;9:178-182.
  30. Ohtori S, Ito T, Yamashita M, Murata Y, Morinaga T, Hirayama J et al. Evaluation of low back pain using the Japanese Orthopedic Association Back Pain Evaluation Questionnaire for lumbarspinal disease in a multicenter study: differences in scores based on age, sex, and type of disease. J Orthop Sci 2010;15:86-91. https://doi.org/10.1007/s00776-009-1426-8
  31. Jung KS, Jung JH, Jang SH, Bang HS. The reliability and validity of the Korean version of the Japanese orthopedic association back pain evaluation questionnaire. J Phys Ther Sci 2017;29:1250-1253. https://doi.org/10.1589/jpts.29.1250
  32. Leaf D. Applied Kinesiology Flowchart Manual, 4th ed. International College of Applied Kinesiology - USA. p. 157-164.
  33. Kim KM, Yuk DI, Kim JH, Kim YI, Jeon JH. A Case of Cauda Equina Syndrome Cared with Acupuncture, Sweet Bee Venom Pharmacopuncture, Herbal Medicine Combined Treatments. Acupunct 2013:13:91-102.
  34. Kim KW, Yoo JH, Kim HH, Kim JH, Im SH. A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Balanced Acupuncture on Treatment of Herniated Intervertebral Disc of Lumbar spine Patients. Acupunct 2013;30:139-149.
  35. Kim K, Jeong Y, Youn Y, Choi J, Kim J, Chung W et al. Nonoperative Korean Medicine Combination Therapy for Lumbar Spinal Stenosis: A Retrospective Case-Series Study. Evid Based Complement Alternat Med 2015;2015:263898.

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