J Korean Acupunct Moxib Soc Search

CLOSE


J Acupunct Res > Volume 30(4); 2013 > Article
Kim, Yoo, Kim, Kim, Im, Chung, Kim, Lee, and Choi: A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Balanced Acupuncture on Treatment of Herniated Intervertebral Disc of Lumbar Spine Patients
See the Original "".

Abstract

Objectives :

The aim of this study was to observe the effect of balanced acupuncture on herniated intervertebral disc of lumbar spine patients.

Methods :

We investigated 23 cases of in-patients with acute & subacute herniated intervertebral disc of lumbar spine in oriental hospital, and divided patients into two groups. We treated one group(12 people) by complex oriental medical treatment with Balanced acupuncture, and the other group(11 people) by complex oriental medical treatment without Balanced acupuncture. To evaluate the effectiveness of treatment applied for two groups, we used visual analog scale(VAS) and rating scale for low back pain at admission and discharge.

Results :

  1. In balanced acupuncture group and control group, compared with baseline and final. VAS was significantly improved.

  2. In Balanced acupuncture group and control group, compared with baseline and final. Rating scale for low back pain was significantly improved.

  3. VAS and rating scale for low back pain improvement rate in balanced acupuncture group were no statistical significance compared with control group.

Conclusions :

Balanced acupuncture might be used for relieving symptoms related with herniated intervertebral disc of lumbar spine, but it's no statistical significance.

Fig. 1.
Recruitment of study participants
acupunct-30-4-139-14-f1.gif
Table 1.
Comparison of baseline values
Group A* Group B p-value
Number 12 11 -
Age 42.50±12.79 46.36±10.13 0.566
Sex(male/female) 3/9 3/8 -
Duration until treatment(week) 4.42±5.30 8.18±7.72 0.487
Duration of admission(day) 14.67±12.58 17.18±8.57 0.211
MRI findings Bulging 1 1 -
Protrusion 5 5
Extrusion 5 3
Protrusion & extrusion 1 2

Values are mean±SD.

*: treatment with balanced acupuncture

†: treatment without balanced acupuncture

‡: by Mann-Whitney U test.

Table 2.
Comparison of VAS in Group A and Group B
Group A Group B Comparison of group A & B
Pre-treatment 65.33±21.95 63.59±20.16 0.910
Post-treatment 23.71±22.50 33.59±23.36 -
Variation* 41.63±21.32 30.00±11.18 0.288
p-value 0.001 0.003

*: pre-treatment of VAS - post-treatment of VAS, values are mean±SD.

†: by Wilcoxon signed rank test.

‡: by Mann-Whitney U test.

Table 3.
Comparison of Rating Scale for Lw Back Pain in Group A and Group B
Group A Group B Comparison of group A & B
Pre-treatment 38.42±19.32 50.91±11.63 0.091
Post-treatment 68.92±14.43 70.55±7.58 -
Variation* 30.50±13.27 19.64±9.95 0.032
Improvement rate** 56.99±19.35 45.79±16.88 0.316
p-value 0.001 0.005

*: post-treatment of rating scale for low back pain - pre-treatment of rating scale for low back pain, values are mean±SD. 30.50±13.27, 19.64±9.95

**: (post-treatment of rating scale for low back pain - pre-treatment of Rating scale for low back pain) / (93 - pre-treatment of rating scale for low back pain)×100(%)

†: by Wilcoxon signed rank test.

‡: by Mann-Whitney U test.

VI. Reference

1. The Korean Orthopaedic Association. Orthopedics. 6th. Seoul: Newest Medicine Company. 2006:617–30.

2. Park CY, Moon JH. Rehabilitation. 2nd. Seoul: Hanmibook. 2008:908.

3. The Korean Academy of Oriental Rehabilitation Medicine. Oriental Rehabilitation. 3rd. Seoul: Koonja. 2011:56.

4. The National Health Insurance Service. Benefits by Frequency of Disease(2011_Total). 2012;
pmid
5. The National Health Insurance Service. Top 20 Highly Frequent Diseases Submitted to Surgery (2011). 2012;
pmid
6. The National Health Insurance Service. Benefits by Frequency of Disease(2011_O.H&C). 2012;
pmid
7. Song BK. Study on the Conservative Treatment of Herniated Lumbar Intervertebral Disc. The Journal of Korean Medicine. 1995;16(2):62–78.

8. Seok SI. Spinal Surgery. 1st. Seoul: Newest Medicine Company. 2004:218–47.

9. Kraemer J. Presidental address: natural course and prognosis of intervertebral disc disease. Spine. 1995;20(6):635–9.
crossref pmid
10. Saal JA, Saal JS. Non-operated treatment of herniate lumber intervertebral disc with radiculopathy: An outcome study. Spine. 1989;14(4):431–7.
crossref pmid
11. Saal JA, Saal JS, Herzog RJ. The natural history of lumbar intervertebral disc extrusions treated non-operatively. Spine. 1990;15(7):683–6.
crossref pmid
12. Cavaller M, Budget C, Laredo J, et al. Lumbar disc herniation: Computed tomography scan changes after conservative treatment of nerve root compression. Spine. 1992;17(8):927–32.
crossref pmid
13. Maigne J, Rime B, Deliignet B. Computed tomography follow-up study of 48 cases of non-operatively treated lumbar intervertebral disc herniation. Spine. 1992;17(9):1071–4.
crossref pmid
14. Bush K, Cowan N, Katz DE, Gishen P. The natural history of siatica associated with disc pathology. Spine. 1992;17(10):1205–12.
crossref pmid
15. Lee EK, Choi EH, Lee JE, et al. The Clinical Study on 137 Cases of Herniated Lumbar Disc Patients. The Journal of Korean Acupuncture and Moxibustion Society. 2008;25(3):127–38.

16. Kim SJ, Lee H. The Clinical Study on 193 Cases with Herniated Lumbar Disc. Journal of the Institute of Oriental Medicine of Daejeon University. 2010;19(1):119–28.

17. Jung JH, Kim WW, Seong IH, et al. The Study on Effectiveness of Oriental Medicine Treatment for Lumbar Disc Herniation Inpatients on 208 Cases. The Journal of the Korean Academy of Oriental Rehabilitation Medicine. 2013;23(1):77–86.

18. Cho HJ, Sul JS, Shin MS. Research Trends on the Treatment of Lumbar Herniated Intervertebral Disc in Korean Medicine. Korean Journal of Acupuncture. 2012;29(4):501–18.

19. Chang BS, Jin KS, Kim JW, et al. Clinical Study On The Remedial Effect of Oriental Medicine Used EAV(Meridian). The Journal of Korean Acupuncture and Moxibustion Society. 2002;19(6):80–96.

20. Joon-Shik Shin, In-Hyuk Ha, Jinho Lee, et al. Effects of motion style acupuncture treatment in acute low back pain patients with severe disability: A multicenter, randomized, controlled, comparative effectiveness trial. Pain. 2013;154(7):1030–7.
crossref pmid
21. Han JC, Song HS. The Effect of Sa-am Acupuncture and Dongssi Acupuncture Treatment on a HIVD Patient. The Journal of the Association of the Spine & Joint Korean Medicine. 2005;2(1):97–101.

22. Yoon KS, Lee H, Kang JH, Choi JY. Comparison Study on 30 Cases of HIVD Patients with Restricted on SLRT by Sa-Am Acupuncture Bang-gwangjeonggyeok(acupunct-30-4-139-14-i1.gif) and General Acupuncture. The Journal of Korean Acupuncture and Moxibustion Society. 2010;27(5):79–87.

23. Chae SJ, Kim NO, Park YC, Son SS. Comparison of the Improvement of Subjective Symptoms between Body Acupuncture Group & 8 Constitution Acupuncture Group. The Journal of Korean Acupuncture and Moxibustion Society. 2001;18(3):48–55.

24. Jang SG, Kim YH, Kang JH, et al. A Clinical Report on 30 Cases with HIVD by Scalp Acupuncture. The Journal of Korean Acupuncture and Moxibustion Society. 2003;20(5):252–60.

25. Yoon KB, Cho MLN, Jung H. The clinical Study on the Efficiency of the A-Shi Point. The Journal of Korean Acupuncture and Moxibustion Society. 2001;18(1):226–36.

26. Yu SM, Lee JY, Kwon KR, Lee HS. Comparative Study of Acupuncture, Bee Venom Acupuncture, and Bee Venom Pharmacopuncture on the Treatment of Herniation of Nucleus Pulpous. The Journal of Korean Acupuncture and Moxibustion Society. 2006;23(5):39–54.

27. Shin HY, Lee SM, Kim JH, et al. Comparative Study of Effects on Intracutaneous Bee Venom Pharmacopuncture and Intramuscular Bee Venom Pharmacopuncture in Lumbar Disc Herniation. The Journal of Korean Acupuncture and Moxibustion Society. 2011;28(3):1–11.

28. Song HG, Choi JY, Kang JH, Lee H. The Effect of the Acupuncture Therapy in Combination with Soyeom Pharmacopuncture Therapy on the Improvement of the Symptoms of the Patients with Herniated Intervertebral Disk of L-spine in His Initial Stage of Hospitalization. The Journal of Korean Pharmacopuncture Institute. 2009;12(4):25–41.
crossref
29. Jun BC, Kim ES, Kim DS, Kim TH, Kim JY. Effectiveness of ShinBaro Pharmacopuncture on Lumbar Spinal Herniated Intervertebral Disc : A Randomized Controlled Trial. The Journal of Korean Society of Chuna Manual Medicine for Spine & Nerve. 2011;6(2):109–19.

30. Kim JH, Cho MR, Chae WS. The clinical effects of chuna treatment for HNP. The Journal of Korean Acupuncture and Moxibustion Society. 2003;20(3):229–37.

31. Lee KH, Kim CY, Kim KY, Nam HW, Jung YH, Koh YT. Case Report of L-spine HIVD treated with Spine Decompression. The Journal of Korean Society of Chuna Manual Medicine for Spine & Nerve. 2007;2(1):39–47.

32. Yu S, Lee MJ. A Clinical Case Study using only Flexion-Distraction Technique for Reptured Intervertebral Lumbar Disc. The Journal of the Korean Academy of Oriental Rehabilitation Medicine. 2004;14(1):177–83.

33. Hwang HJ, Heo KH, Keum DH. Two Cases on Tortipelvis caused by Lumbar Disc Herniation - Using Mckenzie Method Treatment. The Journal of Korean Society of Chuna Manual Medicine for Spine & Nerve. 2007;2(1):85–97.

34. Lee JY, Park SH, Han SY, Park JY, Lee HJ. A Case-control Study of The Effect of Cotreatment with Sinseon Moxibustion on Low Back Pain of HIVD Patients. The Journal of Korean Acupuncture and Moxibustion Society. 2011;28(4):77–83.

35. Kim MS, Park JY, Choi YJ, et al. Clinical Effects of Indirect Moxibustion Treatment with General Acupuncture on HIVD Patients in Comparison with General Acupuncture Only. The Journal of Korean Acupuncture and Moxibustion Society. 2011;28(1):65–75.

36. Rho EJ, Lee JH. A Clinical Study on 5 Cases of Herniated Lumbar Intervertebral Disc treated with Sipjo-tang(Shizao-tang). The Journal of Bokchi Medical Society. 2010;2(1):25–41.

37. Kim KW, Chung IT, Lee MJ, Lee SM, Yoo JH, Lee SH. Effects of Pyung-Hyung acupuncture on low back pain patients in a Korean Medicine hospital emergency room. The Journal of the Association of the Spine & Joint Korean Medicine. 2012;9(1):65–73.

38. Yoo JH, Kim KW, Kim DH, et al. A Controlled Trial on the Effect of Complex Oriental Medical Treatment with or without Pyung-Hyung Acupuncture on the Treatment of Peripheral Facial Palsy. The Journal of Korean Acupuncture and Moxibustion Society. 2012;29(3):121–8.

39. Lee HS, Park JB, Seo JC, Park HJ, Lee HJ. Standards for Reporting Interventions in Control led Trials of Acupuncture: The STRICTA Recommendations. The Journal of Korean Acupuncture and Moxibustion Society. 2002;19(6):134–54.

40. Wang MW. The Balanced Acupuncture. 1st. Seoul: Esdang. 2011:3:47, 53, 56, 178, 198, 202, 207, 542.

41. Choe IS, Choe YT. Study of records consideration of Oriental Medicine concerning the Acupuncture and Moxibustion treatment of low back pain. Kyung-Hee University Journal of the Institute of Oriental Medicine. 1978;1(1):159–87.

42. Wi J, Ryu MS, Lee JE, Yun YC, Kim JH, Park YH. The Clinical Study on Hua-Tuo-Jia-Ji-Xue Acupuncture Treatment to Patient with Herniation of Nucleus Pulposus. The Journal of Korean Acupuncture and Moxibustion Society. 2009;26(1):59–66.

43. Lee TH, Hwang HS, Chang SY, et al. The Comparison of Effectiveness between Bee Venom and Sweet Bee Venom Therapy on Low back pain with Radiating pain. The Journal of Korean Pharmacopuncture Institute. 2007;10(3):85–89.
crossref
44. Lee SH, Kang MW, Lee H, Lee SY. Effectiveness of Bee-venom Acpuncture and Ouhyul Herbal Acpuncture in Herniation of Nucleus Pulposus-comparison with Acpuncture Therapy Only. The Journal of Korean Acupuncture and Moxibustion Society. 2007;24(5):197–205.

45. Kim NH, Lee HM. Rating Scale for Low Back Pain. The Journal of the Korean Orthopaedic Association. 1990;25(3):927–32.
crossref
46. Kwak HW, Park CH, Lee TY, Kim MS, Jin YS. Experimental Psychology Terminology Dictionary. 1st. Seoul: Sigmapress. 2008:316.



Article and Issues
For this Journal
For Authors
Ethics
Submit Manuscript
Editorial Office
Gil Korean Medical Hospital, Gachon University
Keunumul-Ro, Chung-Ku, Inchoen 22138, Korea
Tel: +82-70-7606-6353,4    Fax: +82-32-232-3334    E-mail: jared@e-jar.org                

Copyright © 2021 by Korean Acupuncture & Moxibustion Medicine Society. All rights reserved.

Developed in M2community

Close layer
prev next