Browse > Article
http://dx.doi.org/10.13045/jar.2020.00465

Treatment of Cervical Myelopathy with Acupotomy Combined with Korean Medicine Treatments: Two Clinical Cases  

Park, Yu-Kyeong (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
Woo, Sangha (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
Kim, Jae Hoon (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
Lee, Jung Hee (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
Lee, Yun-Kyu (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
Lee, Hyun-Jong (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
Kim, Jae Soo (Department of Acupuncture and Moxibustion, College of Korean Medicine, Daegu Haany University)
Publication Information
Journal of Acupuncture Research / v.38, no.1, 2021 , pp. 79-84 More about this Journal
Abstract
The degenerative spinal cord disease cervical spondylotic myelopathy (CSM), and cervical myelopathy caused by trauma, can result in debilitating symptoms affecting quality of life. This study used acupotomy and other Korean medicine treatments (acupuncture, herbal medicine, and physical therapy) to improve the symptoms of CSM and cervical myelopathy. The visual analog scale, the modified Japanese Orthopaedic Association scale (mJOA scale), the Nurick grading system, and the American Spinal Injury Association impairment scale were used as the evaluation criteria to determine the effectiveness of treatment. The functional status of both patients improved from mild to moderate, with improved gait, local sensation, and level of pain. The degree of spinal cord injury remained the same. The findings of this study suggest that combined Korean medicine treatments including acupotomy may be helpful in the treatment of CSM and cervical myelopathy.
Keywords
acupotomy; cervical spondylosis; conservative treatment; Korean traditional medicine; myelopathy;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Al-Mefty O, Harkey LH, Middleton TH, Smith RR, Fox JL. Myelopathic cervical spondylotic lesions demonstrated by magnetic resonance imaging. J Neurosurg 1988;68:217-222.   DOI
2 The Textbook Compilation Committee of The Korean Acupuncture and Moxibustion Society. The Acupuncture and Moxibustion, 2nd ed. Seoul (Korea): Jipmoon-Dang; 2012. p. 501, 635-637.
3 Ghogawala Z, Benzel EC, Riew KD, Bisson EF, Heary RF. Surgery vs conservative care for cervical spondylotic myelopathy: Surgery is appropriate for progressive myelopathy. Neurosurgery 2015;62:56-61.   DOI
4 Kadanka Z, Bednarik J, Novotny O, Urbanek I, Dusek L. Cervical spondylotic myelopathy: Conservative versus surgical treatment after 10 years. Eur Spine J 2011;20:1533-1538.   DOI
5 Kim JK, Cho J, Nam D, Kang J, Lee S. Integrative korean medicine as a possible conservative treatment for mild cervical spondylotic myelopathy: One-year follow-up case report (CARE-compliant). Medicine (Baltimore) 2018;97:e12249.   DOI
6 Kim JR, Lee JH, Gong HM, Jun SA, Chung YJ, Park CA et al. Miniscalpel acupuncture points of the cervical region: A review. Acupunct 2017;34:91-100.   DOI
7 Byun DY, Lee GE, Roh JA, Kim HJ, Huh SW, Han SH. A review of the korean traditional medicine for cervical spondylotic myelopathy. J Korean Med Rehabil 2019;29:149-158.
8 Carlsson AM. Assessment of chronic pain. I. aspects of the reliability and validity of the visual analogue scale. Pain 1983;16:87-101.   DOI
9 Tetreault L, Kopjar B, Nouri A, Arnold P, Barbagallo G, Bartels R et al. The modified Japanese orthopaedic association scale: Establishing criteria for mild, moderate, and severe impairment in patients with degenerative cervical myelopathy. Eur Spine J 2017;26:78-84.   DOI
10 Revanappa KK, Rajshekhar V. Comparison of Nurick grading system and modified Japanese orthopaedic association scoring system in evaluation of patients with cervical spondylotic myelopathy. Eur Spine J 2011;20:1545-1551.   DOI
11 Kirshblum SC, Burns SP, Biering-Sorensen F, Donovan W, Graves DE, Jha A et al. International standards for neurological classification of spinal cord injury (revised 2011). J Spinal Cord Med 2011;34:535-546.   DOI
12 Badhiwala JH, Ahuja CS, Akbar MA, Witiw CD, Nassiri F, Furlan JC et al. Degenerative cervical myelopathy-update and future directions. Nat Rev Neurol 2020;16:108-124.   DOI
13 Kim KT, Kim YB. Cervical radiculopathy due to cervical degenerative diseases: Anatomy, diagnosis, and treatment. J Korean Neurosurg Soc 2010;48:473-479.   DOI
14 Ellenberg MR, Honet JC, Treanor WJ. Cervical radiculopathy. Arch Phys Med Rehabil 1994;75:342-352.   DOI