한방재활의학과학회지 (Journal of Korean Medicine Rehabilitation)

  • 제32권3호
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  • Pages.109-117
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  • 2022
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  • 1229-1854(pISSN)
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  • 2288-4114(eISSN)
한방재활의학과학회 (The society of Korean Medicine Rehabilitation)
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교통사고로 유발된 급성 경추통 환자의 경추 후관절에 시행한 초음파 유도하 치료군과 비유도 치료군의 소염 약침 치료 효과 비교: 후향적 관찰 연구

Comparison of Ultrasound Guided Soyeom Pharmacopuncture Therapy Effect and Unguided Soyeom Pharmacopuncture Therapy Effect on Cervical Facet Joint of Acute Cervical Pain Patient Caused by Traffic Accidents: A Retrospective Study

  • 양재은 (대전대학교 한의과대학 한방재활의학교실) ;
  • 오민석 (대전대학교 한의과대학 한방재활의학교실)
  • Yang, JaeEun (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University) ;
  • Oh, Min Seok (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Daejeon University)
  • 투고 : 2022.06.17
  • 심사 : 2022.06.29
  • 발행 : 2022.07.31
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초록

Objectives To compare the therapeutic effect of ultrasound guided soyeom pharmacopuncture therapy and unguided soyeom pharmacopuncture therapy on cervical facet joint of patient who have cervical pain caused by traffic accidents. Methods The study was planned as a retrospective study that analyzes the patient's medical records. We analyzed medical records of 20 patients with acute cervical pain caused by traffic accidents from April 1, 2022 to May 31, 2022. 10 patients (Group A) were treated ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint, 10 patients (Group B) were treated unguided soyeom pharmacopuncture therapy on cervical facet joint. We used visual analogue scale (VAS) and neck disability index (NDI) to evaluate improvements in cervical functions and pain, five point Likert scale to estimate patient's satisfaction. We used the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA) for statistical analysis. Results Group A showed a significant decrease in the VAS on the 5th day of the soyeom pharmacopuncture therapy (p=0.001). However, there was no statistically significant difference of VAS between two groups (p=0.142). Group A showed significant decrease in the NDI on the 5th day of the therapy (p=0.002). Also, there was statistically significant difference on NDI between two groups (p=0.018). Difference of five point Likert scale between two groups was not statistically significant (p=0.407). Conclusions In patients of acute cervical pain caused by traffic accidents, ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint showed significant efficacy on reduction of neck disability compared with unguided therapy.

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참고문헌

  1. Monticone M, Cedraschi C, Ambrosini E, Rocca B, Fiorentini R, Restelli M, Gianola S, Ferrante S, Zanoli G, Moja L. Cognitive-behavioural treatment for subacute and chronic neck pain. Cochrane Database Syst Rev. 2015;26(5):CD010664.
  2. The Society of Korean Medicine Rehabilitation. Korean rehabilitation medicine. 4th ed. Seoul:Koonja Publishing. 2015:236-7.
  3. Moore KL, Dalley AF, Agur AMR. Moore clinically oriented anatomy. 7th ed. Seoul:Bioscience Publishing. 2013:442-3.
  4. Curatolo M, Bogduk N, Ivancic PC, McLean SA, Siegmund GP, Winkelstein B. The role of tissue damage in whiplash associated disorders: discussion paper 1. Spine. 2011;36(25):309-15.
  5. Chen HB, King HY, Wang ZG. Biomechanics of whiplash injury. Chinese Journal of Traumatology. 2009;12(5):305-14. https://doi.org/10.3760/cma.j.issn.1008-1275.2009.05.011
  6. Lee HE, Heo DS. An analysis of comparison between wet cupping with dry cupping -on acute cervical and lumbar sprain patients by traffic accident-. J Korean Med Rehabil. 2012;22(3):173-92.
  7. Kim MS, Park JY, Choi YJ, Yoon KJ, Lee CG, Lee EY, Roh JD. Comparative study of treatment effect between indirect moxibustion treatment with general acupuncture and general acupuncture only on treatment for neck pain caused by whiplash injury. The Journal of Korean Acupuncture & Moxibustion Society. 2011;28(6):85-91.
  8. Woo JH, Han KW, Kim ES, Lee SJ, Lee JS, Nam JH, Kim KW, Lee MJ, Yoo IS. A clinical study comparing the effects of Chuna treatment and Ouhyul herbal acupuncture on the patients with cervical pain caused by traffic accidents. The Journal of Korean Acupuncture & Moxibustion Society. 2011;28(5):9-18.
  9. Park JW, Gu JH, Ha HJ, Oh MS. A clinical study comparing the effects of supine JS cervical therapy and muscle release/strengthening technique on the patients with acute neck pain caused by traffic accidents: a retrospective study. J Korean Med Rehabil. 2020;30(3):129-39. https://doi.org/10.18325/jkmr.2020.30.3.129
  10. Kim SY, Oh SJ, Hwang KH, Jin ES, Yeom SK, Kim DW, Kim SW, Jin SR, Park MJ, Kim ES, Lee HS. A survey on acute traffic injury patient's perception on Korean herbal medicine. J Korean Med Rehabil. 2020;30(4):165-78.
  11. Song YI, Jin KS, Shin HL, Yoon IJ, Choi SH, Oh MS. The clinical analysis of traffic accident patients treated by oriental medicine. J Korean Med Rehabil. 2005;15(2):77-89.
  12. Academic Committee of Korean Pharmacopuncture Institute. Pharmacopuncture medicine laboratory. Pharmacopuncturology. 2nd ed. Seoul:Elsevier Korea. 2011:3, 179.
  13. Kim DY, Hong SH, Kim WY, Oh SH, Lee HW, Woo HS. The research trends of pharmacopuncture therapy on cervical pain caused by traffic accidents. Journal of Pharmacopuncture. 2020;23(4):201-11. https://doi.org/10.3831/KPI.2020.23.4.201
  14. Sun SD, Chang BK, Moon SH. Ultrasound-guided intervention in cervical spine. J Korean Orthop Assoc. 2015;50:77-92. https://doi.org/10.4055/jkoa.2015.50.2.77
  15. Sibbitt WL Jr, Peisajovich A, Michael AA, Park KS, Sibbitt RR, Band PA, Bankhurst AD. Does sonographic needle guidance affect the clinical outcome of intra-articular injections? The Journal of Rheumatology. 2009;36(9):1892-902. https://doi.org/10.3899/jrheum.090013
  16. Ahn K, Kim EJ, Kim JH, Park SY, Lee SC. A new method for stimulation of cervical facet joint under ultrasonographic guidance. Anesth Pain Med. 2010;5:196-200.
  17. Ho K, Spence J, Murpphy MF. Review of pain-measurement tools. Ann Emerg Med. 1996;27(4):427-32. https://doi.org/10.1016/S0196-0644(96)70223-8
  18. Younger J, McCue R, Mackey S. Pain outcomes: a brief review of instruments and techniques. Curr Pain Headache Rep. 2009;13(1):39-43. https://doi.org/10.1007/s11916-009-0009-x
  19. Song KJ, Choi BW, Kim SJ, Yoon SJ. Cross-cultural adaptation and validation of the Korean version of the neck disability index. J Korean Orthop Assoc. 2009;44:350-9. https://doi.org/10.4055/jkoa.2009.44.3.350
  20. The Road Traffic Authority. Traffic accident analysis system [Internet] 2020 [cited 2022 May 24]. Available from: URL: http://taas.koroad.or.kr/sta/acs/exs/typical.do?menuId=WEB_KMP_OVT_UAS_UDS.
  21. Healthcare Bigdata Hub. Traffic accident [Internet] 2020 [cited 2022 May 24]. Available from: URL: http://opendata.hira.or.kr/op/opc/olapAdscDamtInfo.do.
  22. Shin HR, Park KT, Yang MH, Kim YB, Yeom SR, Kwon YD. A survey on satisfaction for Korean medicine treatments in 237 traffic injury patients. J Korean Med Rehabil. 2018;28(3):67-78. https://doi.org/10.18325/jkmr.2018.28.3.67
  23. Binder A. The diagnosis and treatment of nonspecific neck pain and whiplash. Eura Medicophys. 2007;43:79-89.
  24. Kim YJ, Kim TR, Woo CH, Park JH. The retrospective analysis of traffic accident inpatients in Korean and western medicine hospital. J Korean Med Rehabil. 2016;26(4):97-105. https://doi.org/10.18325/JKMR.2016.26.4.97
  25. Cooper G, Bailey B, Bogduk N. Cervical zygapophysial joint pain maps. Pain Medicine. 2007;8(4):344-53. https://doi.org/10.1111/j.1526-4637.2006.00201.x
  26. Im JG, Lee JB, Lee HG, Lee TH, Kim JU. Original article: effects of the acupuncture therapy in combination with Soyeom pharmacopuncture therapy on acute whiplash injury by traffic accident. The Journal of Korean Acupuncture & Moxibustion Medicine Society. 2011;28(4):9-18.
  27. Na KS. Ultrasound-guided intra-articular injections. The Korean Journal of Medicine. 2015;89(6):654-62. https://doi.org/10.3904/kjm.2015.89.6.654
  28. Bekkering GE, Hendriks HJM, Lanser K, Oostendrop RAB, Scholten-Peeters GGM, Verhagen AP, Van der Windt DAWM. Clinical practice guidelines for physical therapy in patients with whiplash-associate disorders. Epidemiology. 2003;9:1-30. https://doi.org/10.1097/00001648-199801000-00001