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J Acupunct Res > Volume 33(2); 2016 > Article
Choi, Lee, Kim, Kim, Koo, Lee, Jung, and Youn: Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation: An Observational Study

Abstract

Objectives:

The purpose of this study is to investigate the clinical effectiveness of Korean medical combination treatment for cervical disc herniation.

Methods:

This is an observational study. 102 patients diagnosed with cervical disc herniation by MRI (Magnetic Resonance Imaging) were investigated from January, 2015 through to December, 2015 at Daejeon Jaseng Hospital of Korean Medicine. They were sorted according to the distribution of sex, age, causing factor, the period of disease, admission day and pain area. All patients were treated with acupuncture, Chuna treatment, and herbal therapy and physical therapy during the admission period. After treatment, NRS (Numeric Rating Scale), NDI (Neck Disability Index) and EQ-5D were assessed to evaluate the treatment efficacy.

Results:

There were more females than Males with a ratio of 1: 1.37, the age of fifty was the most with 35.29 %, reason unknown was the most with 72.55 % and the subacute stage was the most with 38.24 %. According to disc herniation types, patients with protruded disc types were the most with 66.67 % and a lesion of C5/6 was the most with 41.18 %. For patients diagnosed with cervical disc herniation, neck and shoulder pain NRS decreased from 6.43 ± 1.77 to 3.96 ± 1.96(p<0.001) and radiating pain NRS decreased from 5.64 ± 1.96 to 3.57 ± 1.88 (p<0.001). NDI decreased from 41.72 ± 14.04 to 30.84 ± 15.34(p<0.001), and the EQ-5D index increased from 0.68 ± 0.17 to 0.79 ± 0.14(p<0.001) after treating cervical disc patients.

Conclusion:

Korean medical combination treatment might be effective in decreasing pain and raising the life quality of patients with cervical disc herniation.

Table 1
Distribution of Sex and Age
N %
Sex Male 43 42.16
Female 59 57.84

Age 20 ~ 29 3 2.94
30 ~ 39 21 20.59
40 ~ 49 34 33.33
50 ~ 59 36 35.29
60 ~ 8 7.84

Total 102 100
Table 2
Distribution of causes
N %
Reason unknown 74 72.55
Overwork 15 14.71
Trauma 4 3.92
Slip down 9 8.82

Total 102 100
Table 3
Distribution of Period of Illness
N %
Hyperacute stage 13 12.75
Acute stage 27 26.47
subacute stage 39 38.24
Chronic stage 23 22.55

Total 102 100
Table 4
Distribution of Admission Days
N %
1 ~ 10 26 25.49
11 ~ 20 31 30.39
21 ~ 30 19 18.63
31 ~ 40 20 19.61
41 ~ 50 2 1.96
50 ~ 4 3.92

Total 102 100
Table 5
Distriibution of Numbers Grade and Position of Herniation
N %
Numbers 1 8 7.84
2 21 20.59
3 30 29.41
4 28 27.45
5 11 10.78
6 4 3.92

Grade Bulging 15 14.71
Protrusion 68 66.67
Extrusion 19 18.63

Position C2 / 3 0 0
C3 / 4 10 9.80
C4 / 5 26 25.49
C5 / 6 42 41.18
C6 / 7 23 22.55
C7 / T1 1 0.98

Total 102 100
Table 6
Distribution of Pain Area
N %
Just Neck and Shoulder pain 12 11.76
Neck and shoulder pain with Radiating pain 90 88.23

Total 102 100
Table 7
Neck and shoulder pain NRS Difference before and after Treatment
N NRS
p-value
Before After
Sex Male 43 6.06 ± 1.70 3.44 ± 1.93 p<0.001*
Female 59 6.69 ± 1.78 4.33 ± 1.92

Age <40 24 6.29 ± 2.09 4.00 ± 2.08
≥40 78 6.47 ± 1.67 3.94 ± 1.94

Period of disease Most Acute stage 13 7.07 ± 1.11 4.46 ± 1.94
Acute stage 27 6.44 ± 1.92 3.81 ± 2.00
Subacute stage 39 6.17 ± 1.76 4.00 ± 1.87
Chronic stage 23 6.47 ± 1.90 3.78 ± 2.17

Total 102 6.43 ± 1.77 3.96 ± 1.96

Average NRS values are means ± standard deviation.

p-value by paired t–test in before and after NRS.

* p<0 001.

Table 8
Radiating pain NRS Difference before and after Treatment
N NRS
p-value
Before After
Sex Male 38 5.36 ± 1.66 3.26 ± 1.63 p<0.001
Female 52 5.84 ± 2.14 3.80 ± 2.02

Age <40 20 5.00 ± 2.33 3.10 ± 2.10 0.002
≥40 70 5.82 ± 1.81 3.71 ± 1.81 p<0.001

Period of disease Most Acute stage 11 5.90 ± 2.11 3.72 ± 1.48 0.010*

Acute stage 24 5.37 ± 2.16 3.37 ± 2.20 p<0.001

Subacute stage 34 5.73 ± 1.54 3.82 ± 1.66

Chronic stage 21 5.66 ± 2.33 3.33 ± 2.08

Total 90 5.64 ± 1.96 3.57 ± 1.88

Average NRS values are means ± standard deviation.

p-value by paired t-test in before and after NRS.

* p<0.05.

p<0.01.

p<0.001.

Table 9
NDI Difference before and after Treatment
N ND
p-value
Before After
Sex Male 43 36.32 ± 11.44 25.67 ± 13.27 p<0.001
Female 59 45.66 ± 14.53 34.61 ± 15.74

Age <40 24 37.83 ± 12.60 28.10 ± 12.94
≥40 78 42.92 ± 14.32 31.68 ± 15.98

Period of disease Most Acute stage 13 44.76 ± 15.43 29.89 ± 12.77 0.002*

Acute stage 27 39.86 ± 15.06 27.30 ± 16.38 p<0.001

Subacute stage 39 41.75 ± 14.98 33.22 ± 17.68

Chronic stage 23 42.13 ± 10.49 31.49 ± 10.38

Total 102 41.72 ± 14.04 30.84 ± 15.34

Average NRS values are means ± standard deviation.

p-value by paired t-test in before and after NDI.

* p<0.01.

p<0.001.

Table 10
EQ-5D Index Difference before and after Treatment
N EQ-5D Index
p-value
Before After
Sex Male 43 0.73 ± 0.12 0.83 ± 0.11 p<0.001
Female 59 0.65 ± 1.96 0.76 ± 1.55

Age <40 24 0.73 ± 0.13 0.82 ± 0.12
≥40 78 0.67 ± 0.18 0.78 ± 0.14

Period of disease Most Acute stage 13 0.60 ± 028 0.77 ± 0.23 0.028*

Acute stage 27 0.68 ± 0.13 0.82 ± 0.09 p<0.001

Subacute stage 39 0.69 ± 0.15 0.79 ± 0.11

Chronic stage 23 0.73 ± 0.16 0.77 ± 0.16 0.015*

Total 102 0.68 ± 0.17 0.79 ± 0.14 p<0.001

Average NRS values are means ± standard deviation.

p-value by paired t-test in before and after NDI.

* p<0.01.

p<0.001.

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