Journal of Acupuncture Research

  • 제39권3호
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  • Pages.151-158
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  • 2022
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  • 2586-288X(pISSN)
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  • 2586-2898(eISSN)
대한침구의학회 (Korean Acupuncture & Moxibustion Medicine Society)
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The Effects of Korean Medicine Treatment for Meniscus Tears: A Retrospective Chart Review

  • Park, Ji-won (Department of Acupuncture and Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jeong, Myung-In (Department of Acupuncture and Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Jeong, Wu-Jin (Department of Acupuncture and Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Hong, Hae-Won (Department of Acupuncture and Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Koo, Ji-eun (Department of Rehabilitation Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Bae, Jun-Hyo (Department of Rehabilitation Medicine of Korean Medicine, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Kim, Su-jin (Department of Korean Medicine Obstetrics and Gynecology, Daejeon Jaseng Hospital of Korean Medicine) ;
  • Bae, Ji-eun (Daejeon Jaseng Hospital of Korean Medicine Department of Korean Internal Medicine)
  • 투고 : 2022.03.28
  • 심사 : 2022.06.23
  • 발행 : 2022.08.31
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초록

Changes in symptoms and dysfunction related to meniscus tears following the use of Korean medicine for ≥ 4 days were studied. The medical charts of 53 cases of diagnosed meniscus tears (magnetic resonance imaging) with an admission Numeric Rating Scale (NRS) score ≥ 4, between 2017 and 2022 were retrospectively reviewed. Treatments included acupuncture, pharmacopuncture, herbal treatment, Chuna therapy, and physiotherapy. The NRS, Western Ontario and McMaster Universities Osteoarthritis Index, and European Quality of Life 5 Dimensions were performed at admission and discharge. There were 42 females and 11 males in this study. Patients were more likely to be in their 60s (38.18%), have an unknown etiology (81.13%), and have complex tears (50.94%). After receiving a combination of alternative Korean medicine during hospitalization, the mean NRS score improved from 6.82 ± 1.19 to 3.66 ± 1.83 (p < 0.001), the Western Ontario and McMaster Universities Osteoarthritis Index score improved from 46.47 ± 20.99 to 37.98 ± 19.23 (p < 0.001), and the mean European Quality of Life Five Dimensions score improved from 0.61 ± 0.18 to 0.68 ± 0.14 (p < 0.001) after treatment. These results suggest that Korean medicine treatment of meniscus tears alleviated pain and improved physical function.

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참고문헌

  1. McNulty AL, Guilak F. Mechanobiology of the meniscus. J Biomech 2015;48:1469-1478. https://doi.org/10.1016/j.jbiomech.2015.02.008
  2. Wadhwa V, Omar H, Coyner K, Khazzam M, Robertson W, Chhabra A. ISAKOS classification of meniscal tears-illustration on 2D and 3D isotropic spin echo MR imaging. Eur J Radiol 2016;85:15-24. https://doi.org/10.1016/j.ejrad.2015.10.022
  3. Englund M, Guermazi A, Gale D, Hunter DJ, Aliabadi P, Clancy M et al. Incidental meniscal findings on knee MRI in middle-aged and elderly persons. NEJM 2008;359:1108-1115. https://doi.org/10.1056/NEJMoa0800777
  4. Kim S, Bosque J, Meehan JP, Jamali A, Marder R. Increase in Outpatient Knee Arthroscopy in the United States: A Comparison of National Surveys of Ambulatory Surgery, 1996 and 2006. J Bone Joint Surg 2011;93:994-1000. https://doi.org/10.2106/JBJS.I.01618
  5. Salzler MJ, Lin A, Miller CD, Herold S, Irrgang JJ, Harner CD. Complications After Arthroscopic Knee Surgery. Am J Sports Med 2014;42:292-296. https://doi.org/10.1177/0363546513510677
  6. Friberger PK, Turkiewicz A, Englund M. Update on the risks of complications after knee arthroscopy. BMC Musculoskelet Disord 2018;19:179. https://doi.org/10.1186/s12891-018-2102-y
  7. Bernstein J. Not the Last Word: Safety Alert: One in 200 Knee Replacement Patients Die Within 90 Days of Surgery. Clin Orthop Relat Res 2017;475:318-323. https://doi.org/10.1007/s11999-016-5197-1
  8. Abram SGF, Judge A, Beard DJ, Price AJ. Adverse outcomes after arthroscopic partial meniscectomy: A study of 700 000 procedures in the national Hospital Episode Statistics database for England. Lancet 2018;392:2194-2202. https://doi.org/10.1016/S0140-6736(18)31771-9
  9. Herrlin SV, Wange PO, Lapidus G, Hallander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc 2013;21:358-364. https://doi.org/10.1007/s00167-012-1960-3
  10. Neogi DS, Kumar A, Rijal L, Yadav CS, Jaiman A, Nag HL. Role of nonoperative treatment in managing degenerative tears of the medial meniscus posterior root. J Orthop Traumatol 2013;14:193-199. https://doi.org/10.1007/s10195-013-0234-2
  11. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken) 2011;63:240-252. https://doi.org/10.1002/acr.20345
  12. Wolfe F, Kong SX. Rasch analysis of the Western Ontario MacMaster questionnaire (WOMAC) in 2205 patients with osteoarthritis, rheumatoid arthritis, and fibromyalgia. Ann Rheum Dis 1999;58:563-568. https://doi.org/10.1136/ard.58.9.563
  13. Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Qual Life Res 2011;20:1727-1736. https://doi.org/10.1007/s11136-011-9903-x
  14. McDermott ID and Amis AA. The consequences of meniscectomy. J Bone Joint Surg Br 2006;88:1549-1556. https://doi.org/10.1302/0301-620X.88B12.18140
  15. Nguyen JC, De Smet AA, Graf BK, Rosas HG. MR imaging-based diagnosis and classification of meniscal tears. Radiographics 2014;34:981-999. https://doi.org/10.1148/rg.344125202
  16. Chhabra A, Ashikyan O, Hlis R, Cai A, Planchard K, Xi Y et al. The International Society ofArthroscopy, Knee Surgery and Orthopaedic Sports Medicine classification of knee meniscus tears: Three-dimensional MRI and arthroscopy correlation. Eur Radiol 2019;29;6372-6384. https://doi.org/10.1007/s00330-019-06220-w
  17. Karia M, Ghaly Y, Al-Hadithy N, Mordecai S, Gupte C. Current concepts in the techniques, indications and outcomes of meniscal repairs. Eur J Orthop Surg Traumatol 2019;29:509-520. https://doi.org/10.1007/s00590-018-2317-5
  18. Mordecai SC, Al-Hadithy N, Ware HE, Gupte CM. Treatment of meniscal tears: An evidence-based approach. World J Orthop 2014;5:233-241. https://doi.org/10.5312/wjo.v5.i3.233
  19. Kornaat PR, Bloem JL, Ceulemans RY, Riyazi N, Rosendaal F, Nelissen R et al. Osteoarthritis of the Knee: Association between Clinical Features and MR Imaging Findings. Radiology 2006;239:811-817. https://doi.org/10.1148/radiol.2393050253
  20. Pelletier JP, Raynauld JP, Berthiaume MJ, Abram F, Choquette D, Haraoui B et al. Risk factors associated with the loss of cartilage volume on weight-bearing areas in knee osteoarthritis patients assessed by quantitative magnetic resonance imaging: A longitudinal study. Arthritis Res Ther 2007;9:R74. https://doi.org/10.1186/ar2272
  21. Kilcoyne KG, Dickens JF, Haniuk E, Cameron KL, Owens BD. Epidemiology of meniscal injury associated with ACL tears in young athletes. Orthopedics 2012;35:208-212. https://doi.org/10.3928/01477447-20120222-07
  22. Hagino T, Ochiai S, Senga S, Yamashita T, Wako M, Ando T et al. Meniscal tears associated with anterior cruciate ligament injury. Arch Orthop Trauma Surg 2015;135:1701-1706. https://doi.org/10.1007/s00402-015-2309-4
  23. Zanetti M, Pfirrmann CW, Schmid MR, Romero J, Seifert B, Hodler J. Patients with suspected meniscal tears: Prevalence of abnormalities seen on MRI of 100 symptomatic and 100 contralateral asymptomatic knees. AJR Am J Roentgenol 2003;181:635-641. https://doi.org/10.2214/ajr.181.3.1810635
  24. Zhang Q, Yue J, Golianu B, Sun Z, Lu Y. Updated Systematic Review and Meta-Analysis of Acupuncture for Chronic Knee Pain. Acupunct Med 2017;35:392-403. https://doi.org/10.1136/acupmed-2016-011306
  25. Hinman RS, McCrory P, Pirotta M, Relf I, Forbes A, Crossley KM et al. Acupuncture for chronic knee pain: A randomized clinical trial. JAMA 2014;312;1313-1322. https://doi.org/10.1001/jama.2014.12660
  26. Liao Y, Li X, Li N, Zhou J. Electroacupuncture Protects against Articular Cartilage Erosion by Inhibiting Mitogen-Activated Protein Kinases in a Rat Model of Osteoarthritis. Acupunct Med 2016;34:290-295. https://doi.org/10.1136/acupmed-2015-010949
  27. Park JM, Lee HS, Shin BC, Lee MS, Kim BY, Kim JI. Pharmacopuncture in Korea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med 2016;2016:4683121.
  28. Kim TH, Yoon SJ, Lee WC, Kim JK, Shin JS, Lee SH et al. Protective effect of GCSB-5, an herbal preparation, against peripheral nerve injury in rats. J Ethnopharmacol 2011;136:297-304. https://doi.org/10.1016/j.jep.2011.04.037
  29. Lee JH, Ha IH, Kim MR, Kim MJ, Lee JW, Lee IH et al. Multiple-dose Intramuscular Toxicity Study of Shinbaro Pharmacopuncture in Sprague-Dawley Rats over a 4-week period. Acupunct 2015;32:77-89.
  30. Zhang S, Liu Y, Ye Y, Wang XR, Lin LT, Xiao LY et al. Bee venom therapy: Potential mechanisms and therapeutic applications. Toxicon 2018;148:64-73. https://doi.org/10.1016/j.toxicon.2018.04.012
  31. Kwon YB, Lee JD, Lee HJ, Han HJ, Mar WC, Kang SK et al. Bee venom injection into an acupuncture point reduces arthritis associated edema and nociceptive responses. Pain 2001;90:271-280. https://doi.org/10.1016/S0304-3959(00)00412-7
  32. Lu J, Wang JS, Kong LY. Anti-inflammatory effects of Huang-lian-jie-du decoction, its two fractions and four typical compounds. J Ethnopharmacol 2011;134:911-918. https://doi.org/10.1016/j.jep.2011.01.049
  33. Ryoo DW, Kim HG, Kim SJ, Baek SW, Jeong SM, Yoon JY, et al. Systematic review of hominis placenta pharmacopuncture in English and Korean literature. J Acupunct Res 2017;34:153-158. https://doi.org/10.13045/jar.2017.02236
  34. Lee NW, Kim GH, Heo I, Kim KW, Ha IH, Lee JH. Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med 2017;2017:8218139.
  35. Buhrmann C, Honarvar A, Setayeshmehr M, Karbasi S, Shakibaei M, Valiani A. Herbal Remedies as Potential in Cartilage Tissue Engineering: An Overview of New Therapeutic Approaches and Strategies. Molecules 2020;25:3075. https://doi.org/10.3390/molecules25133075
  36. Lee GE, Byun DY, Han SH, Yoo HJ, Lee JH. Korean Medicine Therapy to Ruptured Anterior Cruciate Ligament with Meniscal Tears: Report of 4 Cases. J Korean Med Rehabil 2018;28;175-184. [in Korean]. https://doi.org/10.18325/jkmr.2018.28.1.175
  37. Jeon YH, Kim DR, Moon HY, Park JW, Lee YH, Chai JW et al. Effects of Korean Medicine Treatment on Medial Collateral Ligament Tear with Meniscal Tears: Report of 3 Cases. J Korea Chuna Man Med Spine Nerves 2019;14;89-100. [in Korean]. https://doi.org/10.30581/jkcmm.2019.14.2.89
  38. Hong NR, Jang YS, Oh DY, Lee SJ, Kim JH. The Effect of Korean Medical Treatments including Shinbaro Pharmacopuncture for Medial Meniscus Tear Patients: Five Cases Report. J Korea Chuna Man Med Spine Nerves 2020;15;55-62. [in Korean]. https://doi.org/10.30581/jcmm.2020.15.2.55
  39. van de Graaf VA, Wolterbeek N, Scholtes VAB, Mutsaerts ELAR, Poolman RW. Reliability and Validity of the IKDC, KOOS, and WOMAC for Patients with Meniscal Injuries. Am J Sports Med 2014;42:1408-1416. https://doi.org/10.1177/0363546514524698
  40. King MF, Bruner GC. Social desirability bias: A neglected aspect of validity testing. Psychol Marketing 2000;17:79-103. https://doi.org/10.1002/(SICI)1520-6793(200002)17:2<79::AID-MAR2>3.0.CO;2-0