Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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A Review of Korean Medicine Treatment for Managing the Thoracolumbar Compression Fractures: A Retrospective Observational Study

흉요추 압박골절 치료에 대한 한의복합치료 고찰: 후향적 관찰 연구

  • Min-Jin Cho (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongguk University) ;
  • Jiyun Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongguk University) ;
  • Myeong-Jong Lee (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongguk University) ;
  • Hojun Kim (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongguk University) ;
  • Kyungsun Han (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Dongguk University)
  • 조민진 (동국대학교 한의과대학 한방재활의학교실) ;
  • 이지윤 (동국대학교 한의과대학 한방재활의학교실) ;
  • 이명종 (동국대학교 한의과대학 한방재활의학교실) ;
  • 김호준 (동국대학교 한의과대학 한방재활의학교실) ;
  • 한경선 (동국대학교 한의과대학 한방재활의학교실)
  • Received : 2023.09.21
  • Accepted : 2023.10.14
  • Published : 2023.10.31
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Abstract

Objectives This study aims to find out effect of Korean medicine treatment on managing thoracolumbar compression fractures through retrospective observational study. Methods Among hospitalized patients at the Department of Korean Medicine Rehabilitation from January 1st, 2018 to February 28th, 2023, a total of 24 inpatients who were diagnosed with thoracolumbar compression fractures and received Korean medicine treatment were included in this study. Numeric rating scale (NRS) was used for pain assessment and clinical variables such as sex, symptoms, age, thoracolumbar injury classification and severity (TLICS) scores were collected. For subgroup analysis to analyze factors affecting treatment response, we divided patients into responders and non-responders according to NRS change. For statistical analysis, we compared before/after hospitalization and analyzed distinct features between two groups. Results Most of the patients were in their 70s and 83.33% were female. Average hospitalization period was 24.54±11.91 days. All patients had back pain as their chief complaint and only 2 patients received surgeries. In TLICS, only 1 patient got score 6, which represented surgery indication. After Korean medicine treatment, NRS of almost every patient got lower significantly at the time of discharge (3.02±1.93) than admission (5.52±1.95). Comparing two groups, responders had lower NRS at the time of discharge and TLICS score of them were lower than non-responders. Conclusions Our results show that Korean medicine treatment for thoracolumbar compression fractures was effective in reducing pain. There were distinct clinical features such as age, past history, surgeries between those with significant improvement in pain scores and those who did not.

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References

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