Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

The Comparative Study of Effects between Acupotomy and its Cotreatment with Spine Decompression Therapy on HIVD Patients

요추추간판탈출증에 대한 침도요법과 침도요법 이후 감압 병행치료의 효과비교연구

  • Park, Se-Woon (Dept. of Acupuncture and Moxibustion Medicine, Sanbon Oriental Medical Hospital, Wonkwang University) ;
  • Kim, Sung-Soo (Dept. of Acupuncture and Moxibustion Medicine, Sanbon Oriental Medical Hospital, Wonkwang University) ;
  • Kim, Ji-Yoon (Dept. of Acupuncture and Moxibustion Medicine, Sanbon Oriental Medical Hospital, Wonkwang University) ;
  • Kim, Sung-Ha (Dept. of Acupuncture and Moxibustion Medicine, Kwangju Oriental Medical Hospital, Wonkwang University) ;
  • Lee, Geon-Mok (Dept. of Acupuncture and Moxibustion Medicine, Sanbon Oriental Medical Hospital, Wonkwang University)
  • 박세운 (원광대학교 부속산본한방병원 침구의학과) ;
  • 김성수 (원광대학교 부속산본한방병원 침구의학과) ;
  • 김지윤 (원광대학교 부속산본한방병원 침구의학과) ;
  • 김성하 (원광대학교 부속광주한방병원 침구의학과) ;
  • 이건목 (원광대학교 부속산본한방병원 침구의학과)
  • Received : 2012.04.27
  • Accepted : 2012.06.05
  • Published : 2012.06.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The purpose of this study is to evaluate the effectiveness acupotomy and spine decompression therapy for HIVD patients. Methods : Clinical study was conducted to 40 patients who were treated in Dept. of Acupuncture and Moxibustion, Wonkwang University Oriental Hospital from September 2011 to January 2012. We divided into two groups. The group A(20 subjects) was treated with acupotomy and spine decompression therapy, and the group B(20 subjects) was treated with acupotomy. To estimate the efficacy of treatments, all the subjects were asked to complete the VAS(Visual analogue scale) and ODI(Oswestry disability index) before and after the treatment. Results : 1. In both two groups, VAS and ODI of patients were decreased significantly in the statistics. 2. In group A, VAS and ODI of patients were decreased more significantly in the statistics than VAS and ODI of patients in group B.

Keywords

References

  1. 석세일. 척추외과학. 서울 : 최신의학사. 2004 : 218-219.
  2. 송봉근. 요추추간판탈출증의 보존적 치료에 관한 연구. 대한한의학회지. 1995 ; 16(2) : 62-78.
  3. 신경외과학회. 신경외과학. 진수출판사. 1989 : 408-409.
  4. 김영훈, 문동언, 박종민, 윤재원. 요추추간판탈출증의 자연적 흡수. 대한통증의학회지. 2005 : 18(1) : 56-59.
  5. 朱漢章. 小鍼刀療法. 北京 : 中國中醫藥出版社. 1992 : 9-42.
  6. Ramos G, Martin W. Effects of vertebral axial decompression on intradiscal pressure. Neurosurgery. 1994 ; 81 : 350-353. https://doi.org/10.3171/jns.1994.81.3.0350
  7. Shealy CN, Leoy P. New concepts in back pain management: decompression, reduction, and stabilization. In: Weine R ed. Pain Management: A Practical Guide for Clinicians. Bocaraton, Fla : St Lucie Press. 1998 : 239-257.
  8. Pal B, Mangion P, Hossain MA et al. A controlled trial of continuous lumbar traction in back pain and sciatica. Be J Rheumatol. 1986 ; 25 : 181-183. https://doi.org/10.1093/rheumatology/25.2.181
  9. Weber H. Traction theraphy in sciatica due to disc prolapse. J Oslo City Hosp. 1973 ; 23(10) : 167-176.
  10. Alex Macario, Joseph V Pergolizzi. Systematic literature Review of spinal decompression via motorized traction for chronic discogenic low back pain. The official journal of world injstitute of pain. 2006 ; 6 : 171-178. https://doi.org/10.1111/j.1533-2500.2006.00082.x
  11. 이건목, 김도호, 김현욱, 염승철, 김형수, 김동은, 윤미진, 송동섭, 이경희. 침도침치료를 이용한 요추추간판탈출증에 대한 연구 및 임상증례. 대한침구학회지. 2008 ; 25(4) : 183-190.
  12. 곽병민, 홍권의. 침도침 시술을 통한 요추추간판탈 출증 환자 4명의 증례보고. 대한침구학회지. 2008 ; 25(4) : 149-156.
  13. 장은하, 김성철, 임나라, 나원민, 임승일, 신진봉, 이건목. 요추추간판탈출증에 관한 침도 침술의 유효성에 관한 임상증례보고. 대한침구학회지. 2008 ; 25(4) : 171-181.
  14. 윤주영, 김도호, 김현욱, 김성수, 박세운, 김언국, 이건휘, 이건목. 요추 추간판 탈출증 환자의 침도 요법의 효과에 대한 임상적 고찰. 2010 ; 27(4) : 85-97.
  15. 張瑾, 樂俊明, 劑遠華. 腰椎間盤突出症針刀診治探 討. 廣州 : 科學之友雜志社. 2008 : 98-100.
  16. 김성철. 침도시술시 부작용과 예방법에 관한 연구. 대한침구학회지. 2008 ; 25(4) : 117-125.
  17. 허수영. 요통환자의 동통평가에 대한 고찰. 동서의학. 1999 ; 24(3) : 17-29.
  18. Fairbank JCT, Davis J, Couper J, O'Brien J. The Oswestry Disability Questionnaire. Physiotherapy. 1980 ; 66 : 271-273.
  19. Frymoyer JW, Pope MH, Clements JH, Wilder DG, MacPherson B, Ashikaga T. Risk factors in low-back pain. An epidemiological survey. J Bone Joint Surg Am. 1983 ; 65(2) : 213-218.
  20. Robert JG, Peter BP, Tom GM. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995 ; 20(24) : 2072-2079.
  21. 최종립. 근긴장성 요통의 치료에 대한 새로운 소견. 대한통증의학회지. 1993 ; 6(1) : 83-95.
  22. 대한신경외과학회. 신경외과학. 제6판. 서울 : 중앙 문화사. 1989 : 403-413.
  23. 대한정형외과학회. 정형외과학. 제6판. 서울 : 최신 의학사. 2006 : 617-630.
  24. 채상진, 김남옥, 박영철, 손성세. 요추추간판탈출증 환자의 체질침과 체침에 의한 자각적 통증 감소 비교. 대한침구학회. 2001 ; 18(3) : 48-55.
  25. Shvatsman L, Weingarten E, Sherry H, Levin C, Persaud A. Cost-effectness analysis of extended conservative theraphy versus surgical intervention in management of HIVD. Spine. 1992 ; 17(2) : 176-182. https://doi.org/10.1097/00007632-199202000-00010
  26. You JW. Lumbar Disc Disease. The Journal of Korean Spine Surg. 1999 ; 6(2) : 210-211.
  27. Hurme M, Alaranta H. Factors predicting the results of surgery for lumbar intervertebral disc herniation. Spine. 1982 ; 12(9) : 933-938.
  28. 이현, 황우준. 요각통 28례의 체침요법과 사암침법 정용에 대한 임상적 고찰. 대한침구학회지. 1999 ; 16(1) : 1-16.
  29. 정혜윤, 강성길, 고형균. 소침도요법에 관한 문헌적 고찰. 대한침구학회지. 2002 ; 19(1) : 244-261.
  30. 劉玉倩, 田惠林, 趙斌. 小針刀治療運動性傷病的硏 究現狀和發展趨勢. 河北師範大學學報(自然科學版). 2001 ; 25(3) : 411-413.
  31. Yong-Hing K, Kirkaldy-Wills WH. The pathophysiology of degenerative disease of the lumbar spine. Orthop Clin North Am. 1983 ; 14 : 501-503.
  32. Mathews J. The effects of spinal traction. Physiology. 1972 ; 58 : 64-66.
  33. Goldfish G. Lumbar traction. In : Tollison CD, Kriegel M, eds. Interdisciplinary Rehabilitation of Low back pain. Baltimore : Williams & Wilkins. 1989.