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J Acupunct Res > Volume 32(2); 2015 > Article
Shin, Kim, Choi, Lee, and Park: A Comparative Study on the Effect of Dong-qi Acupuncture for Lumbar Herniated Intervertebral Disc Patients with Piriformis Muscle Tenderness: A Retrospective Analysis

Abstract

Objectives:

The purpose of this study was to investigate the clinical effects of Dong-qi acupuncture on piriformis for herniated intervertebral disc(HIVD) of lumbar spine patients with piriformis muscles tenderness.

Methods:

This research was carried out on the 60 inpatients who received treatment for their HIVD of lumbar spine from January 1 to May 31, 2014 in DaeJeon Jaseng Hospital of Korean Medicine. We divided them into two groups; group A(n=30): common treatment on HIVD of L-spine without Dong-qi acupuncture on piriformis(acupuncture, pharmacopuncture, herb medication, Chuna and physiotherapy), and group B(n=30): common treatment on HIVD of L-spine with Dong-qi acupuncture on piriformis. We evaluated the treatment effect of each group on tenderness(checked by Algometer pressure), and with a numeric rating scale(NRS), and oswestry disability index(ODI).
The evaluations of tenderness were performed 8 times: admission day, and on the 3rd, 6th, 9th, 12th, 15th, 18th and 21st day after admission. The evaluations of NRS and ODI were performed 3 times: admission day, and on the 12th and 21st day after admission. The statistical significance was evaluated by SPSS 18.0 for Windows.

Results:

In group B, tenderness was significantly decreased compared with group A. The difference of tenderness from admission day to the 12th day showed significant reduction compared with group A.

Conclusions:

Dong-qi acupuncture is more effective in reducing piriformis muscle tenderness in the early stages of treatment. We expect that patients who receive Dong-qi acupuncture will be satisfied with Korean medical treatment and trust their doctor.

Fig. 1.
The change of piriformis muscle tenderness after treatment in group A and group B
†: treated group by common therapy on HIVD of L-spine.
‡: treated group by common therapy on HIVD of L-spine + Dong-qi acupuncture on piriformis muscle.
⊿: The difference of piriformis muscle tenderness after treatment from admission day to 12th day after admission.
*: p<0.05.
acupunct-32-2-87f1.gif
Table 1.
General Characteristics in Patients
Group A Group B Total p-value
Gender Male 16 15 31 p1=0.670
Female 14 15 29
Age 44.56±14.46 40.40±11.80 42.48±13.25 p2=0.344
NRS 8.07±1.11 8.17±1.37 8.12±1.24 p3=0.749

Values of gender are the number of patients. Values of age and NRS represent the mean±SD.

Statistically significance p1 was evaluated by Chi square test.

Statistically significance p2 was evaluated by independent samples t-test.

Statistically significance p3 was evaluated by Mann- Whitney U test.

treated group by common therapy on HIVD of L-spine.

treated group by common therapy on HIVD of L-spine + Dong-qi acupuncture.

Table 2.
The Change of Tenderness in Group A
Group A Treatment stage Pre Post Difference p-value
Tenderness (kg·f) Admission 31.59±11.97 33.05±12.86 1.46±5.20 0.017*
3 days 32.42±10.34 33.53±10.99 1.10±4.04 0.138
6 days 34.05±10.32 34.93±10.26 0.88±2.76 0.008*
9 days 38.60±11.66 39.18±11.49 0.58±2.97 0.202
12 days 39.58±14.69 39.73±14.64 0.15±0.52 0.144
15 days 39.46±14.53 40.40±14.55 0.93±2.32 0.012*
18 days 41.83±16.99 42.17±16.57 0.34±1.97 0.345
21 days 43.08±16.14 43.17±16.20 0.09±2.30 0.152

Values are mean±SD. Statistically significance was evaluated by Wilcoxon signed rank test.

Treated group by common therapy on HIVD of L-spine.

* p<0.05.

Table 3.
The Change of Tenderness in Group B
Group B Treatment stage Pre Post Difference p-value
Tenderness (kg·f) Admission 33.86±12.25 39.79±12.89 5.93±5.06 p<0.01*
3 days 41.32±21.12 48.75±24.01 7.44±6.24
6 days 42.90±20.73 52.17±25.65 9.27±8.42
9 days 45.89±19.55 54.84±20.86 8.94±9.81
12 days 50.44±20.95 59.36±21.95 8.92±5.94
15 days 47.80±20.63 59.13±23.13 11.32±6.73
18 days 53.77±19.38 57.24±18.74 3.48±4.64 p=0.01*
21 days 59.90±19.74 60.84±20.98 0.94±5.54 p=0.78

Values are mean±SD. Statistically significance was evaluated by Wilcoxon signed rank test.

treated group by common therapy on HIVD of L-spine + Dong-qi acupuncture.

* p<0.05.

Table 4.
The Changes of NRS and ODI in Group A
Group A Treatment stage
Admission
(n=30)
12th
(n=30)
21st
(n=30)
NRS 7.87+1.20 5.70+1.42 3.80+1.42
Difference 2.17+1.09 1.90+1.18
p-value <0.001* <0.001*
ODI 34.57±7.47 26.60±7.98 22.30±9.62
Difference 7.97+4.65 4.30+12.35
p-value <0.001* 0.056

Values are mean±SD.

Statistically significance was evaluated by Wilcoxon signed rank test.

treated group by common therapy on HIVD of L-spine.

* p<0.05

Table 5.
The Changes of NRS and ODI in Group B
Group B Treatment stage
Admission
(n=30)
12th
(n=30)
21st
(n=30)
NRS 8.03±1.40 5.87±1.43 3.56±1.10
Difference 2.17±1.51 2.30±1.29
p-value <0.001* <0.001*
ODI 35.93±6.39 27.67±7.73 20.57±7.64
Difference 8.27±5.11 7.10±8.18
p-value <0.001* <0.001*

Values are mean±SD.

Statistically significance was evaluated by Wilcoxon signed rank test.

treated group by common therapy on HIVD of L-spine + Dong-qi acupuncture.

* p<0.05.

Table 6.
The Difference of Tenderness between Group A and Group B
Treatment stage Group A(n=30) Group B(n=30) p-value
Tenderness (kg·f) Admission 33.05±12.86 39.79±12.89 0.000
Difference 6.68±18.74 19.57±25.10 0.035*
Twelfth(12 days) 39.73±14.64 59.36±21.95 0.000
Difference 3.44±22.43 1.47±27.07 0.813
Twenty-first(21 days) 43.17±16.20 60.84±20.98 0.001

Values are mean±SD.

Statistically significance was evaluated Mann-Whitney U test.

treated group by common therapy on HIVD of L-spine.

treated group by common therapy on HIVD of L-spine + Dong-qi acupuncture.

* p<0.05.

Table 7.
The Difference of NRS between Group A and Group B
Treatment stage Group A(n=30) Group B(n=30) p-value
NRS Admission 7.87±1.20 8.03±1.40 0.596
Difference 2.17±1.09 2.17±1.51 0.690
Eleventh(11 days) 5.70±1.42 5.87±1.43 0.631
Difference 1.90±1.18 2.30±1.29 0.250
Twenty-first(21 days) 3.80±1.42 3.56±1.10 0.658

Values are mean±SD.

Statistically significance was evaluated Mann-Whitney U test.

treated group by common therapy on HIVD of L-spine.

treated group by common therapy on HIVD of L-spine + Dong-qi acupuncture.

Table 8.
The Difference of ODI between Group A and Group B
Treatment stage Group A(n=30) Group B(n=30) p-value
ODI Admission 34.57±7.47 35.93±6.39 0.614
Difference 7.97±4.65 8.27±5.11 0.865
Eleventh(11 days) 26.60±7.98 27.67±7.73 0.562
Difference 4.30±12.35 7.10±8.18 0.328
Twenty-first(21 days) 22.30±9.62 20.57±7.64 0.553

Values are mean±SD.

Statistically significance was evaluated Mann-Whitney U test.

treated group by common therapy on HIVD of L-spine.

treated group by common therapy on HIVD of L-spine + Dong-qi acupuncture.

VI.
VI.

References

1. The Korean Orthopaedic Association. Orthopaedics. Seoul: Choisin Medical Books. 2006:625.

2. Suk SI. Spinal surgery. Seoul: Choisin Medical Books. 2004:218–47.

3. Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet. 1973;18(2):359–62.
crossref
4. Choi SY. Pain treatment manual 2. Seoul: Shinheung Med Science. 2013:104–5.

5. Sin MS, Roh HD, Choi SW, Lee DH, Song BY, Yook TH. Clinical studies on ruptured intervertebral discs. The Acupuncture. 2001;18(6):84–92.

6. Oh SK. The clinical study on the effect of conservative treatment for patients with herniated intervertebral disc of lumbar spine. The Journal of Korea Chuna Manual Medicine for Spine & Nerves. 2005;6(1):41–9.

7. Ahn MS, Park JS, Kwon YM, et al. The relationship between reduction of musculoskeletal pain and quality of life treated with korean traditional medicine. The Acupuncture. 2010;27(5):35–42.

8. Yang WJ. Yangweijiequanji 1. Gyeonggi: Daesung Publishin Co. 2003:29–42, 74–5.

9. Wang WH, Lim JK, Ahn KB, Jang HS, Shin JS. Clinical observations of temporomandibular disorder patients used Dong-qi acupuncture. The Acupuncture. 2001;18(5):110–21.
pmid
10. Kim KH, Lim HH, Hwang HS, et al. The study of effect and safety related to Dong-gi acupuncture(dga) and complex therapy on lumbago due to blood stasis and sprain. The Acupuncture. 2002;19(3):107–14.

11. Yoon HS, Kims SH, Jeong KS, Park SK, Ahn HJ. The study on the effects of Dong-qi acupuncture therapy for the patient with ankle sprain. The Acupuncture. 2005;22(4):65–72.

12. Yoon WS, Park YJ, Park YB. Dong-qi therapy of Dong-si acupuncture to movement system impairment syndrome of lumbar spine and knee. The Acupuncture. 2013;30(1):13–22.
crossref
13. Lee JY, Lee SW, Kim DH, Koo ST, Lee I. Research trend on the clinical application of Dong-gi acupuncture treatment: focusing on korean and chinese journals. KJOMPP. 2012;26(5):599–609.

14. Kim DH, Yoo YJ, Kim MJ, Choi HH. The effect of manual therapy on piriformis syndrome. Jr of KAOMT. 2000;6(1):5–13.

15. Park WH, Lee SW, Cha YY, We JS. Clinical research on 1 case of piriformis syndrome treated by acupuncture and ischemic compression on piriformis muscle. JORM. 2004;14(1):169–76.

16. Min KS, Lee JH, Kim SY. A clinical report on 3 cases of piriformis syndrome treated with motion style treatment. J Oriental Sports Med. 2010;10(1):101–8.

17. Yun JM, Lee JH. Clinical case study on piriformis syndrome after traffic accident. KJOMPP. 2010;24(5):898–902.

18. Choi YH, Yoon IJ. A clinical case study on piriformis syndrome with oriental medical treatment and muscle energy techniques. JORM. 2010;20(2):209–17.

19. Ahn SG, Lee SR, Yang YS. The treatise research on Hua-Tuo-Jia-Ji-Xue. The Acupuncture. 2000;17(4):139–48.

20. Jeon CH, Kim DJ, Kim SK, Kim DJ, Lee HM, Park HJ. Validation in the cross-cultural adaptation of the Korean version of the oswestry disability index. J Korean Med Sci. 2006;21(6):1092–7.
crossref pmid pmc
21. Lee H, Hwang WJ. The clinical study on the efficiency of the Sa-am acupuncture treatment. The Acupuncture. 1999;16(1):1–16.

22. Weber H. Lumbar disc herniation: a controlled prospective study with ten years of observation. Spine. 1983;8(2):131–40.
crossref pmid
23. Korean Acupuncture & Moxibustion Medicine Society. Acupuncture and Moxibustion Medicine. Gyeonggi: Jipmoondang. 2012:5.



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