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J Acupunct Res > Volume 32(1); 2015 > Article
Kim, Jang, Park, and You: The Effects of Korean Medical Treatment Combined with Acupotomy on Patients with a Herniated Intervertebral Disc of the Lumbar Spine: a Retrospective Study※

Abstract

Objectives:

The purpose of this study was to investigate the clinical effects of Korean medical treatments combined with acupotomy on patients diagnosed with a herniated intervertebral disc of the lumbar spine.

Methods:

We reviewed the medical records of twenty in patients diagnosed with a herniated intervertebral disc of the lumbar spine. They had received Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle at Gwangju Korean Medicine Hospital of Dong-Shin University from April, 2014 to December, 2014. To evaluate the efficacy of the treatments, the twenty in patients were asked to complete the Numerical Rating Scale(NRS) and the Oswestry Disability Index(ODI) before acupotomy, the first day after acupotomy, the third day after acupotomy, and the fifth day after acupotomy.

Results:

1. NRS significantly decreased from 6.15 ± 1.27 to 3.90 ± 1.45. 2. ODI significantly decreased from 23.64 ± 8.76 to 15.95 ± 7.35.

Conclusions:

Korean medical treatment combined with acupotomy on tender points in the gluteus minimus muscle and piriformis muscle might be effective in reducing pain and improving the life quality of patients with a herniated intervertebral disc of the lumbar spine. We hope that further studies will be done to produce more clinical data and ensure effective application of these results.

Notes

This research was supported by the Dongshin University research grants

Fig. 1.
Flowchart of study selection process
acupunct-32-1-119f1.png
Table 1.
Distribution of Sex and Age, Period of Illness, Grade and Position of Herniation
N %
Sex Male 6 30
Female 14 70

Age 20~29 1 5
30~39 2 10
40~49 5 25
50~59 12 60

Period of illness 1~<7 days 3 15
7 days~<1 month 7 35
1 month~<6 months 10 50

Grade Bulging 4 20
Protrusion 11 55
Extrusion 5 25

Position L4~5 14 70
L5~S1 6 30
Table 2.
Changing Pattern of ODI
Mean SD F p-value
Base line 23.65 8.76 16.740 .000
1 day follow up 20.25 9.16
3 day follow up 17.50 6.79
5 day follow up 15.95 7.35

p-value was calculated by repeated measures ANOVA.

Table 3.
Changing Pattern of NRS
Mean SD F p-value
Base line 6.15 1.27 25.755 .000
1 day follow up 5.40 1.73
3 day follow up 4.50 1.50
5 day follow up 3.90 1.45

p-value was calculated by repeated measures ANOVA.

Table 4.
Changes on ODI
Base line 1 day follow up 3 day follow up 5 day follow up
Base line
1 day
follow up
−3.40(3.10)**
3 day
follow up
−6.15(4.03)*** −2.75(3.97)**
5 day
follow up
−7.70(4.76)*** −4.30(4.40)*** −1.55(1.64)***

Average ODI values are means ± standard deviation. p-values were calculated by repeated measures ANOVA.

* p <0.05.

** p<0.01.

*** p<0.001.

Table 5.
changes on NRS
Base line 1 day follow up 3 day follow up 5 day follow up
Base line
1 day follow up −.75(.79)***
3 day follow up −1.65(1.09)*** −.90(1.17)**
5 day follow up −2.25(1.12)*** −1.50(1.19)*** −.60(.68)**

Average ODI values are means ± standard deviation. p-values were calculated by repeated measures ANOVA.

* p<0.05.

** p<0.01.

*** p<0.001.

VI.
VI.

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