DOI QR코드

DOI QR Code

Comparative Study on the Clinical Trial of Acupotomy Treatment for Lumbar Disk Herniation

  • Beom Seok Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Ju Hyun Jeon (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Tae Yong Park (Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Hong Kyoung Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University) ;
  • Young Il Kim (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
  • Received : 2023.06.28
  • Accepted : 2023.08.15
  • Published : 2023.08.31

Abstract

Background: The primary aim of this study is to statistically analyze and compare the difference in treatment outcomes based on the frequency and duration of acupotomy treatment for lumbar disk herniation. Methods: The evaluation of efficacy and safety involved using visual analog scale (VAS), numeric rating scale (NRS), Roland Morris disability questionnaire (RMDQ), EuroQol 5-dimention (EQ-5D), and similar parameters. This was achieved through the establishment of a comparable cohort using propensity score matching. Group A comprised 46 patients who underwent 4 sessions of acupotomy treatment for 2 weeks, while Group B consisted of 15 patients who received 6 acupotomy sessions for 3 weeks. Results: For Group A, the average amount of change in VAS values at weeks 4 and 6 was significantly decreased. However, the average amount of change in RMDQ values was not significant. Notably, the average amount of change of EQ-5D values at week 6 increased significantly. As for Group B, the average amount of change of NRS values in weeks 2 and 3 was significantly decreased. Conversely, the average amount of change in RMDQ and EQ-5D values was not significant. In comparing the 2 groups at the final follow-up, the average amount of change in all evaluation values was not significant. Further, no significant interaction effect was observed in the changes over time in all evaluation values between the 2 groups. Conclusion: This study establishes that there was no statistically significant difference in pain reduction, functional impairment, and quality of life improvement between 2 group.

Keywords

Acknowledgement

This work was supported by clinical research grant from Daejeon Korean Medicine Hospital of Daejeon University in 2021.

References

  1. Kim JH, Kim JW, Nam DW, Roh JD, Yook TH, Yang KY, et al.; Korean Acupuncture & Moxibustion Medicine Society. Acupuncture medicine. Hanmi Medical Publishing Company. 2016:485-488, 495-513. 
  2. Kim SM, Kim YI. 2020 National health insurance statistical yearbook. Wonju: Health Insurance Review & Assessment Service; 2021 Oct. Report No.: 920006. 
  3. Kwon YD, Kum DH, Kim SJ, Kim SJ, Kim JH, Yoon IJ, et al.; Society of Korean Medicine Rehabilitation. Oriental rehabilitation medicine. 3rd ed. Koonja. 2011:56-58. 
  4. Sarwark JF. Essentials of musculoskeletal care. 4th ed. Park JH, Lee YJ, Kim IS, Yoon JK, Lee KC, Lee SY, translators. Panmunedu. 2013:657. 
  5. Gugliotta M, da Costa BR, Dabis E, Theiler R, Juni P, Reichenbach S, et al. Surgical versus conservative treatment for lumbar disc herniation: a prospective cohort study. BMJ Open 2016;6:e012938. doi: 10.1136/bmjopen-2016-012938 
  6. Hutchinson AJ, Ball S, Andrews JC, Jones GG. The effectiveness of acupuncture in treating chronic non-specific low back pain: a systematic review of the literature. J Orthop Surg Res 2012;7:36. doi: 10.1186/1749-799X-7-36 
  7. Liang YD, Li Y, Zhao J, Wang XY, Zhu HZ, Chen XH. Study of acupuncture for low back pain in recent 20 years: a bibliometric analysis via CiteSpace. J Pain Res 2017;10:951-964. doi: 10.2147/JPR.S132808 
  8. Yoon SH, Kim YS, Kwon MG, Kwon CY. Randomized controlled trials of miniscalpel acupuncture for lumbar spinal stenosis cited in the China National Knowledge Infrastructure Database. Acupuncture 2017;34:59-69. doi: 10.13045/acupunct.2017093 
  9. Kim HJ, Jeon JH, Kim YI. Clinical effect of acupotomy combined with Korean medicine: a case series of a herniated intervertebral disc. J Acupunct Meridian Stud 2016;9:31-41. doi: 10.1016/j.jams.2015.09.001 
  10. Kim HS, Kim SY, Kim HJ, Kim ES, Kim YI. The Effect of acupotomy on lumbar herniated intervertebral disc: report of a case series. Acupuncture 2015;32:185-195. doi: 10.13045/acupunct.2015050 
  11. Kim SY, Kim HJ, Ji YS, Lee SM, Kim YI. The effect of acupotomy on lumbar and cervical spine combined with oriental medical treatment: report of five cases. Acupuncture 2014;31:183-193. doi: 10.13045/acupunct.2014036 
  12. Jeong JK, Kim E, Yoon KS, Jeon JH, Kim YI, Lee H, et al. Acupotomy versus manual acupuncture for the treatment of back and/or leg pain in patients with lumbar disc herniation: a multicenter, randomized, controlled, assessor-blinded clinical trial. J Pain Res 2020;13:677-687. doi: 10.2147/JPR.S234761 
  13. Ogon M, Krismer M, Sollner W, Kantner-Rumplmair W, Lampe A. Chronic low back pain measurement with visual analogue scales in different settings. Pain 1996;64:425-428. doi: 10.1016/0304-3959(95)00208-1 
  14. 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 Suppl 11:S240-S252. doi: 10.1002/acr.20543 
  15. Lee JS, Lee DH, Suh KT, Kim JI, Lim JM, Goh TS. Validation of the Korean version of the Roland-Morris Disability Questionnaire. Eur Spine J 2011;20:2115-2119. doi: 10.1007/s00586-011-1788-4 
  16. Seong SS, Choi CB, Sung YK, Park YW, Lee HS, Uhm WS, et al. Health-related quality of life using EQ-5D in Koreans. J Korean Rheum Assoc 2004;11:254-262. 
  17. Lee SI. Validity and reliability evaluation for EQ-5D in Korea. Korea Centers for Disease Control and Prevention. 2011:40-59. 
  18. Guo C, Liu N, Li X, Sun H, Hu B, Lu J, et al. Effect of acupotomy on nitric oxide synthase and beta-endorphin in third lumbar vertebrae transverse process syndrome model rats. J Tradit Chin Med 2014;34:194-198. doi: 10.1016/s0254-6272(14)60078-9 
  19. Song SO, Kim SY, Lee SY. Correlations between numerical rating scale and visual analog scale pain scores in the assessment of postoperative pain. Korean J Anesthesiol 2003;45:238-243. doi: 10.4097/kjae.2003.45.2.238