Browse > Article
http://dx.doi.org/10.13045/acupunct.2016010

Effects of Conservative Korean Traditional Medical Treatment on Lumbar Intervertebral Disc Herniation in 12 Adolescents : A Retrospective Study  

Kim, Hae Sol (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
Bae, Young Hyun (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
Kim, Ho Sun (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
Suh, Chang Yong (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
Kim, No Hyeon (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
Lee, Gi Bum (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
Yang, Kyu Jin (Department of Acupuncture and Moxibustion Medicine, Gang-Nam Jaseng Hospital of Korean Medicine)
Publication Information
Journal of Acupuncture Research / v.33, no.1, 2016 , pp. 103-116 More about this Journal
Abstract
Objectives : This study was performed to assess the effectiveness of conservative Korean traditional medical treatment on lumbar intervertebral disc herniation in 12 adolescents. Methods : Data were collected from adolescent patients diagnosed with lumbar intervertebral herniation by MRI, hospitalized at Jaseng Korean Medicine Hospital from January 1, 2014 to December 31, 2015. A total of 12 patients were included in the study. Patients were treated by acupuncture, pharmacopuncture, electroacupuncture, herbal medicine, chuna manual therapy, physical therapy during hospitalization period. To measure treatment outcomes, a verbal numerical rating scale (VNRS), Oswestry disability index (ODI), range of motion (ROM), Straight leg raising test (SLR), and EQ-5D were used. Results : The average age of the participants was $16.05{\pm}1.62$. The average of duration of symptom was $19.25{\pm}26.83(weeks)$ and the average length of hospitalization was $23.8{\pm}16.4(days)$. 2 patients (17 %) suffered from only lumbar pain, while 10 patients (83 %) suffered from lumbar and leg pain. No participant suffered from only leg pain. 8 patients (67 %) were diagnosed with disc herniation in one segment, and 4 patients (33 %) were diagnosed with disc herniation in multiple segments. A total of 17 disc segments (28 %) were herniated. The most herniated lumbar level was L4-5. 3 segments were diagnosed with bulging (17 %), 6 with protrusion (35 %), and 8 with extrusion (47 %). Extrusion was the most frequent herniated type. After treatment, the average VNRS of lumbar pain significantly decreased from $5.58{\pm}1.62$ to $2.91{\pm}1.56$ (p<0.001) and the average VNRS of leg pain significantly decreased from $5.16{\pm}2.51$ to $3.08{\pm}1.8$ (p<0.001). ODI significantly decreased from $48.87{\pm}18.72$ to $28.57{\pm}15.05$ (p<0.05), and EQ-5D significantly increased $0.58{\pm}0.31$ to $0.80{\pm}0.12$ (p<0.05). Range of flexion significantly improved from $61.25{\pm}32.62$ to $68.33{\pm}26.22$ (p<0.05). Conclusion : Conservative Korean Traditional Medical Treatment may be effective in the treatment of lumbar intervertebral disc herniation in adolescence. However, more case reports and clinical research are needed.
Keywords
Adolescence; Juvenile; Teenager; Lumbar intervertebral disc herniation; Korean Traditional Medicine;
Citations & Related Records
Times Cited By KSCI : 5  (Citation Analysis)
연도 인용수 순위
1 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(9) : 1153-6.   DOI
2 Chung JY, Seo HY, Kim HJ. Comparative Study of Arthroscopic and Microscopic Discectomy of Lumbar Disc Herniation in Teenagers. Journal of Korean Spine Surg. 2002 ; 9(4) : 322-31.   DOI
3 Lee KS, Jeon SS. Analysis of MRI Findings of Adolescent Lumbar Disc Herniation (Comparision with Adult Lumbar Disc Herniation Findings). Journal of Korean Spine Surg. 2000 ; 7(1) : 44-52.
4 Park BM, Kim NH, Jeong IH, Kim SJ. Conservative and Operative Treatment In Lumbar Disc Disease. J of Korean Med Assoc. 1978 ; 21(3) : 203-5.
5 Jeong CH, Lee KH, Kim YS et al. Juvenile Lumbar Intervertebral Disc Herniation-Five Cases Report-. J Korean Orthop Assoc. 2005 ; 40(2) : 224-47.   DOI
6 Ozgen S, Konya D, Toktas OZ, Dagcinar A, Ozek MM. Lumbar disc herniation in adolescence. Pediatr Neurosurg. 2007 ; 43(2) : 77-81.   DOI
7 Seo YW, Park HS, KIM MC et al. Korean Medicinal Combination Treatments for Failed Back Surgery Syndrome : A Retrospective Case Series. The Acupuncture. 2015 ; 32(2) : 217-27.   DOI
8 Patrick D, Ronald M. Text book of pain. Seoul : Jungdam Media. 2002 : 483-4.
9 Jeon CH, Kim DJ, Kim DJ, Lee HM, Park HJ. Cross-cultural Adaptation of the Korean Version Of the Oswestry Disability Index(ODI). Journal of Korean Spine Surg. 2005 ; 12(2) : 146-52.   DOI
10 Kim TS, Kim SW, Lee SD, Choi HJ, Kang BS, Bae SC. Follow up study about health-related quality of life in injury patients. J Korean Soc Emerg Med. 2006 ; 17(6) : 637-45.
11 O'Connell JE.A. Intervertebral disk protrusion in childhood and adolescence. Br J Surg. 1960 ; 47(206) : 611-6.   DOI
12 Sward L, Hellstrom M, Jacobsson B, Nyman R, Peterson L. Disc degeneration and associated abnormalities of the spine in elite gymnasts. Spine. 1991 ; 16(4) : 437-43.   DOI
13 Epstein JA, Epsten NE, Marc J, Rosenthal AD, Lavine LS. Lumbar intervertebral disk herniation in teenage children : recognition and management of associated anomalies. Spine. 1984 ; 9(4) ; 427-32.   DOI
14 Chen G, Yang S. Practical diagnostics and therapeutics of integrated traditional Chinese and western medicine. Seoul : Iljoongsa. 1992 : 1602.
15 Wahren H. Herniated nucleus pulposus in a child of twelve years. Acta Orthop Scand. 1945 ; 16(1) : 40-2.   DOI
16 Park BM, Choi CH, Suk KS. Herniated Intervertebral Disc of Lumbar Spine in Adolescent. J Korean Orthop Assoc. 1993 ; 28(5) : 1582-8.
17 Lee EK, Choi EH, Lee JE et al. The clinical study on 137 cases of herniated lumbar disc patients. The Acupuncture. 2008 ; 25(3) : 127-38.
18 Kim HS, Kim SY, Kim HJ, Kim ES, Kim YI. The Effect of Acupotomy on Lumbar Herniated Intervertebral Disc : Report of a Case Series. The Acupuncture. 2015 ; 2(3) : 185-95.
19 Kim JS, Kim YJ, Hong JR, Kim MC, Park HS, Kim SY. Effects of Integrative Korean Medical Treatment for a Failed Epidural Steroid Injections to L-spine Disk Herniation : A etrospective Case Series. The Acupuncture. 2015 ; 32(4) : 203-11.   DOI
20 Tsuchiya K. A long term follow up study of transperitoneal anterior vertebral fusion for lumbar disc herniation, especially on the infulence of vertebral body fusion upon the lumbar vertebral column. J Jpn Orthop. 1973 ; 47(1) : 731-67.
21 Lee JY, Sohn SK, Kim KT, Lee KY, Kim BH. Herniated intervertebral disc of lumbar spine in the teenager. J. of Koren Ortop. Assoc. 1995 ; 30(2) : 327-33.
22 Kurihara A, Kataoka O. Lumbar disc herniation in children and adolescents. A review of 70 operated cases and their minimum 5-year followup studies. Spine. 1980 ; 5(5) : 443-51.   DOI
23 Lim JW, Lee TJ, Joeng HS, Kim HS. Adolescent Lumbar Disc Herniation Misdiagnosed As Knee Injury. J Korean Orthop Soc Sports Med. 2012 ; 11(1) : 66-8.