• Journal of Acupuncture Research
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• 제36권4호
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• pp.230-237
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• 2019

Background: The purpose of this study was to investigate the clinical efficacy of Korean medicine combination treatments for recurring back pain after medical procedures. Methods: This was a retrospective study performed on 311 patients admitted to Daejoen Jaseng hospital who were diagnosed with lumbar spine herniated intervertebral discs. The patients were divided into 2 groups according to whether or not they had undergone at least one medical procedure on the lumbar spine. They were assessed with Numeric Rating Scale (NRS), Oswestry Disability Index (ODI) and EuroQol-5 Dimensions Index (EQ-5D) before and after treatment. Results: Patients who experienced a medical procedure on the lumbar spine in the prehospital phase (Group A), statistically significantly improved EQ-5D and ODI scores. The NRS scores also decreased however it was not statistically significant. Patients who had not undergone a medical procedure on the lumbar spine in the prehospital phase (Group B) had statistically significantly improved ODI and NRS scores. The average EQ-5D score decreased however, there was no statistically significant difference before and after scores in Group B. There was no statistically significant difference in variation in EQ-5D, ODI, and NRS scores before and after treatment between the groups. Conclusion: The results of this study indicated that even after a bilateral procedure and surgery, when pain in patients with lumbar spine herniated intervertebral disc did not decrease, (as in failed back surgery syndrome), Korean medicine combination treatment of postoperative pain was helpful and there was improvement in daily life.

• 대한약침학회지
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• 제27권2호
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• pp.123-130
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• 2024

Objectives: Post-operative urinary retention (POUR) is a frequent complication following surgical procedures, characterized by an acute inability to void, leading to additional complications and extended hospitalization. Acupuncture has been shown to be effective in facilitating spontaneous urination and alleviating anxiety in patients experiencing poor urination. The present study aims to evaluate the effectiveness of electroacupuncture in the management of POUR in patients who have undergone lumbar spine surgery. Methods: This retrospective study conducted at the National Hospital of Acupuncture in Vietnam and reviewed the medical records of patients over 18 years old who underwent lumbar spine surgery and were diagnosed with POUR between January to December 2019. Electroacupuncture was administered at five specific acupuncture points: Qugu (CV2), Zhongji (CV3), Zhibian (BL54), Pangguanshu (BL28), and Kunlun (BL60). This study monitored key parameters related to the effectiveness of the acupuncture treatment, including the number of acupuncture treatment sessions required until a patient was successfully treated was recorded, with a maximum of three acupuncture treatment sessions per patient, the time elapsed until urination following the treatment (minutes), and urinary bladder volume before and after treatment (mL). Results: The study demonstrated a 93.3% success rate in treating POUR with electroacupuncture. A significant reduction in post-void residual volume was noted, and patients could void within 30 minutes post-treatment. No significant differences in treatment effectiveness were observed across difference genders and age groups. Conclusion: Electroacupuncture proved to be a highly effective treatment for POUR in patients post-lumbar spine surgery, with a rapid response time and substantial reduction in PVR. However, the retrospective nature of the study and single-center focus limit its generalizability. Future research incorporating randomized controlled trials or multi-center observational studies are recommended to validate these findings and explore the potential of acupuncture in POUR management on a broader scale.

• 대한추나의학회지
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• 제6권1호
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• pp.21-30
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• 2005

Objectives : This study was designed to find The characteristics of the Moire topography in patients of HIVD of Cx-spine. Methods : The Moire topography using IBS(Intek-plus Body Scanner 2000, Seoul, Korea) were obtained in 688 people of control group and 105 patients of HIVD of Cx-spine. Each values were studied to determine the difference between controls and patients. Results : There were significantly difference between controls and patients in thoracic ratio, lumbar ratio, top of the thoracic depth ratio, top of the lumbar depth ratio, Z axis distance and DZ/DY. Conclusions : There were increase of the thoracic kyphosis and lower position in top of the thoracic kyphosis in patients of HIVD of Cx-spine than controls.

• Journal of Yeungnam Medical Science
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• 제19권2호
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• pp.73-91
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• 2002

Method of management of the spine injury should be determined, based on the status of neurological injury as well as on the presence of traumatic instability. At the thoracic and lumbar spine, patterns of neurological injury are different from the cervical spine due to their neuro-anatomical characteristics. Especially, at the thoracolumbar junction, neurological injury patterns with their respective prognosis vary from the complete cord injury or conus medullaris syndrome to the cauda equina syndrome according to the injury level. The concept of Holdsworth's instability based on the posterior ligament complex theory has evolved into the current 3-column theory of Denis. Flexion-rotation injury and fracture-dislocation are well known to be unstable that surgical fixation is frequently needed for these injuries. However, there have been some controversies for the stability of burst fractures and their treatment, such as indirect or direct decompression and anterior or posterior approach. In this article, current concepts and management of traumatic instabilities at the thoracic and lumbar spine have been reviewed and summarized.

• 척추신경추나의학회지
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• 제6권1호
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• pp.53-61
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• 2011

Objective: The purpose of this study is to evaluate the disc block subluxation for lumbar scoliosis and herniation of nucleus pulpous (HNP). Methods: We used AP & Lateral view X-ray for patients. And we measured of disc wedge angle, vertebral body rotation to evaluate the typical and atypical disc block subluxation. Results: On the analysis of the lateral view X-ray, 4th lumbar intervertebral disc angle (I.V.D angle) showed $4^{\circ}$, $5^{\circ}$, $3^{\circ}$, $0^{\circ}$ in the cases. On the 4th lumbar analysis of the AP view X-ray, lumbar scoliosis showed right disc wedge angle was $11^{\circ}$ (case 1), $17^{\circ}$ (case 2) and left vertebral body rotation was 13mm, 6mm. Lumbar HNP showed left disc wedge angle was $5^{\circ}$ (case 3), $4^{\circ}$ (case 4) and left vertebral body rotation was 2mm, 4mm. Conclusions: Disc block subluxation has been in lumbar scoliosis, but not been in lumbar HNP.

• 한국방사선학회논문지
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• 제11권2호
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• pp.145-155
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• 2017

본 연구는 최근 6개월 이내에 특별한 식이 요법이나 정기적으로 약물을 복용하지 않고 규칙적인 신체활동을 하지 않은 폐경 전 성인여성이 복합운동에 따른 신체조성 및 골밀도의 변화를 비교, 분석하고자 수행되었으며 이 결과는 폐경 전 성인여성의 건강 및 운동실시에 대한 중요성을 인식시킬 수 있을 뿐만 아니라 한번 발생하게 되면 치료나 완치가 어려운 골다공증 예방교육을 조기에 실시하고 관리능력을 배양하는 교육프로그램 개발을 위한 기초자료를 제공하고자 한다. 연구대상자의 30대 평균 연령은 35.44세, 신장은 30대 평균 158.89 cm이고, 40대 평균 연령은 41.89세, 40대 평균 신장은 160.78 cm를 차지했다. 신체 조성에서 근육 량, BMI, 체지방률의 평균은 30대에서 높았고, 골무기질, 제지방량, 골격근량, 체중, 체지방량, 허리둘레의 평균은 40대에서 높았다. 요추골밀도 및 대퇴골밀도는 30대가 40대보다 높았다. 폐경 전 성인여성의 연령별 복합운동에 의한 30대 신체조성은 근육량, 골격근량, 제지방량은 증가하였고, 체지방량, 체중, 체지방률, 허리둘레는 감소하였다. 40대 신체조성 중 근육량은 증가 하였으며, 체중, 체지방량, 체지방률, BMI는 감소하였다. 30대 골밀도 변화는 요추골밀도는 요추 1번, 요추2번, 요추3번, 요추전체, 대퇴골밀도는 대퇴 각 부위에서 증가하였고, 40대 골밀도 변화는 요추골밀도는 요추 각 부위, 대퇴골밀도는 대퇴 각 부위에서 증가하였다. 사후분석 결과에서 신체조성의 변화는 복합운동 후 근육량, 체중, 체지방량, BMI는 감소하여 통계적으로 유의하게 나타났으며, 골밀도의 변화에서 요추골밀도는 요추1번, 요추2번, 요추3번, 요추전체에서 유의하게 증가하였고, 대퇴골밀도는 대퇴삼각과 대퇴전체에서 증가하여 통계적으로 유의한 결과가 나타났다.

• Journal of Acupuncture Research
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• 제31권2호
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• pp.183-193
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• 2014

Objectives : The purpose of this study is to report the improvement in patients with lumbar, cervical or radiating pain to the extremity by means of acupotomy. Methods : We treated 5 patients who have a disease related with lumbar or cervical spine with acupotomy combined with oriental medical treatment. We checked numeric rating scale(NRS), oswestry low back pain disability index(ODI) or neck disability index(NDI), and range of motion(ROM). Results : NRS and ODI/NDI were decreased, and ROM improved at all cases. Conclusions : This study shows acupotomy has a meaningful effect when applied on lumbar and cervical spine.

• 대한정형도수물리치료학회지
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• 제23권2호
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• pp.33-44
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• 2017

Background: Lumbar stabilization exercise and gluteal muscle strengthening exercises are widely used to treat for lower back pain patient. The present study aimed to compare the effects of lumbar stabilization exercise and gluteal muscle strengthening exercises on chronic lower back pain with lumbar spine instability, with regard to pain intensity, disability, and psychosocial factors. Methods: Among 53 patients with chronic lower back pain, those with spine instability were selected using 5 examination tests. The selected 28 patients were randomly assigned to lumbar stabilization exercise group (LSE, n=15) and gluteal strengthening exercise group (GSE, n=13). Each group performed the corresponding exercise for 40 minutes, twice a week for 4 weeks. To analyze and compare the effects, pain intensity, the level of low back disability, and psychosocial factors were assessed before and after intervention. Results: There was significant difference in lower back pain intensity between the two groups before and after intervention. The change in low back disability was significant in the GSE group alone following intervention (p<.05), but no other significant difference was found between the groups. Among psychosocial factors, the changes in the fear-avoidance beliefs questionnaire (FABQ)-physical activity and FABQ-total were significant in the LSE group alone following intervention (p<.05). However, no significant difference were found in these factors between the two groups before and after intervention. Conclusions: LSE and GSE for lower back pain with lumbar spine instability showed no significant difference for pain intensity, physical disability, or psychosocial functioning.

• 한국정밀공학회:학술대회논문집
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• 한국정밀공학회 2004년도 추계학술대회 논문집
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• pp.1207-1210
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• 2004

As many humans age, degenerative lumbar spinal stenosis (DLSS) becomes a major cause of lower limb discomfort and disability. By surgical treatment method of DLSS, the existing surgical treatment methods using internal fixation have showed degeneration changes of an adjacent vertebrae and loss of lumbar spine lordosis-kyphosis due to eliminating a motion. For solving the problems of internal fixation, a novel interspinous spacer has been developed to treat DLSS by surgical treatment method. In this study, we evaluated the biomechanical effects of the interspinous spacer on the kinematics of the porcine lumbar spine before and after insertion of the implant. For this purpose, a device that is capable of measuring 3-D motions were built based on direct linear transformation (DLT) algorithm written with MATLAB program. Results showed that in extension, a change of the mean angle between the intact and the implanted specimens at L4-L5 was 1.87 degree difference and the implant reduced the extension range of motion of the L4-L5 (p＆lt;0.05). But the range of motion in flexion, axial rotation and lateral bending at the adjacent segments was not statistically affected by the implant. In conclusion, we thought that interspinous spacer may have remedical value for DLSS by flexing human lumbar spine.

• 척추신경추나의학회지
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• 제6권1호
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• pp.1-9
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• 2011

Object : This study was planned to show the influences of MET(muscle energy techniques) treatment and acupuncture treatment on iliopsoas muscles of sprain and strain of lumbar spine patients. Method : This study was carried out on the 39 patients who had been treated for their sprain and strain of lumbar spine from March 2 to October 15, 2010 in the department of oriental rehabilitaion medicine, Dongsuwon oriental medicine hospital. And 22 out of 39 patients had a tenderness and pain in their iliopsoas muscles. And we divided those 22 patients into 2 groups by blocked randomization; group A took near acupuncture point needling treatment on the iliopsoas muscles, group B took MET(muscle energy techniques) treatment on the iliopsoas muscles. To evaluate the efficiency of each treatment, all patients were examined with VAS(visual analogue scale) before treatment and after the 3rd, 5th treatment. Result : On the VAS, it was decreased significantly after treatment in all groups. And it didn't show the clear difference between two groups. Conclusion : In this study, it did not show statistical difference in VAS between two groups.