Browse > Article
http://dx.doi.org/10.13045/jar.2019.00136

A Patient with Ankylosing Spondylitis Treated with Acupotomy and Traditional Korean Medicine  

Kim, Beom Seok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Kim, Jae Ik (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Kim, Hyo Bin (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Lee, Ye Ji (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Sung, Ki Jung (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Jeon, Ju Hyun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Kim, Eunseok (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Kim, Young Il (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Publication Information
Journal of Acupuncture Research / v.36, no.3, 2019 , pp. 172-181 More about this Journal
Abstract
This case report relates to a 40-year old male patient diagnosed with ankylosing spondylitis who was treated with acupotomy and traditional Korean medicine. He showed a significant improvement in joint range of motion (ROM) in cervical and lumbar vertebrae, and in pain and functional disorder symptoms. The patient received acupotomy, acupuncture, pharmacopuncture, herbal medicine and physical therapy (November 26, 2018 to December 17, 2018). Joint ROM for cervical and lumbar vertebrae was measured, and the pain level was assessed using a numerical rating scale. The functional disorder and quality of life scales were also assessed using the Bath Ankylosing Spondylitis Functional Index, Bath Ankylosing Spondylitis Disease Activity Index, Korean Health Assessment Questionnaire, and Modified Health Assessment Questionnaire. After applying acupotomy and traditional Korean medicine, the patient exhibited increased joint ROM and reduced pain, also in conjunction with improved responses in functional disorder and quality of life.
Keywords
acupotomy; ankylosing spondylitis; Korean traditional medicine; questionnaire;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
연도 인용수 순위
1 Suk SI, Lee CK, Baek GH, Song KS, Lee MC, Lee HM et al. The Korean Orthopaedic Association. Orthopaedics, 7th ed. Seoul (Korea): Newest Medicine Company; 2013. p. 312-315. [in Korean].
2 Sjef L, Desiree H. Ankylosing spondylitis: clinical features. Rheum Dis Clin North Am 1998;24:663-676.   DOI
3 Kim TH, Lee IH, Kim BY, Bae SC, Yoo DH, Park CY et al. A Clinical Study of 78 Cases of Ankylosing Spondylitis. Korean J Med 1991;41:73-80. [in Korean].
4 Yook TH, No JD, Kim JH, Kim JW, Nam DW, Yang KY et al. Korean Acupuncture & Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 173-180, 204-228 472-474, 487, 491-494, 510-512. [in Korean].
5 Lv Z, Zhou X, Chen A. Acupuncture Therapy versus Disease-modifying Antirheumatic Drugs for the Treatment of Ankylosing Spondylitis-a Metaanalysis. Forsch Komplementmed 2015;22:395-402. [in German].
6 Seo DM, Lee SH, Lee JD, Choi DY, Kim CH, Lee YH et al. Effect of herbal acupuncture on ankylosing spondylitis and its evaluation of functional scale. J Korean Acupunct Moxib Soc 2002;19:234-246. [in Korean].
7 Sun TC, Jang HJ, Sun JK. A case Report of Chengsim Yeunja-Tang for Ankylosing Spondylitis associated with Severe Ulcerative Colitis. Korean J Intern Med 2005;26:685-691. [in Korean].
8 You YQ, Chen CX, Xu CC, Li ZQ, Cai MM, Liu LQ. Clinical Observation on the Treatment of Ankylosing Spondylitis with Sacroiliac Joint Acupotomy. Rheum Arthritis 2016;5:14-18. [in Chinese].
9 Gwak JI, Suh SY. The Assessment Tools in Palliative Medicine. Korean J Hosp Palliat Care 2009;12:177-193. [in Korean].   DOI
10 Calin A, Garrett S, Whitelock H, Kennedy LG, O'Hea J, Mallorie P et al. A new approach to defining functional ability in ankylosing spondylitis: The development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 1994;21:2281-2285.
11 Garrett S, Jenkinson T, Kennedy LG, Whitelock H, Gaisford P, Calin A. A new approach to defining disease status in ankylosing spondylitis: The Bath Ankylosing Spondylitis Disease Activity Index. J Rheumatol 1994;21:2286-2291.
12 Daltroy LH, Larson MG, Roberts NW, Liang MH. A modification of the Health Assessment Questionnaire for the spondyloarthropathies. J Rheumatol 1990;17:946-950.
13 Bae SC, Cook EF, Kim SY. Psychometric evaluation of a Korean Health Assessment Questionnaire for clinical research. J Rheumatol 1998;25:1975-1979.
14 Choi SJ, Park MH. HLA-B27 frequency in Korean patients with ankylosing spondylitis. Seoul J Med 1987;28:247-250.
15 Yoo MC, Lee SE, Kim KT, Lee HK, Cho JH. Clinical and Radiological Features of Ankylosing Spondylitis. J Korean Soc Spine Surg 1995;2:72-80. [in Korean].
16 Suk KS, Kim KT, Kim JM, Chung KH. Significance of chin-brow Vertical Angle in Correction of Kyphotic Deformity of Ankylosing Spondylitis Patients. J Korean Soc Spine Surg 2002;9:115-120. [in Korean].   DOI
17 Yoon SH, Jeong SY, Kwon CY, Jo HG, Kim YI. A Proposal for Standardization of Acupotomy Terms and Definition Among Korean Researchers. J Korean Med 2018;39:13-28. [in Korean].
18 Spiegel JS, Leake B, Spiegel TM, Paulus HE, Kane RL, Ward NB et al. What are we measuring? An examination of self-reported functional status measures. Arthritis Rheumatol 1988;31:721-728.   DOI
19 Meenan RF, Mason JH, Anderson JJ, Guccione AA, Kazis LE. AIMS2. The content and properties of a revised and expanded Arthritis Impact Measurement Scales Health Status Questionnaire. Arthritis Rheum 1992;35:1-10.   DOI
20 Dougados M, Gueguen A, Nakache JP, Nguyen M, Mery C, Amor B. Evaluation of a functional index and an articular index in ankylosing spondylitis. J Rheumatol 1988;15:302-307.