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J Acupunct Res > Volume 32(4); 2015 > Article
Jung, Sung, Lim, Lee, and Lee: The Comparative Study on the Effect of Fire Needling Therapy and General Acupuncture with Other Korean Traditional Medical Treatment for the Patient with Lumbar Herniated Intervertebral Disc: A Randomized Assessor Blinded Two Arm Trial※

Abstract

Objectives:

The purpose of this study is to compare the efficacy of fire needling therapy and general acupuncture for the patient with lumbar herniated intervertebral disc.

Methods:

We observed 20 lumbar herniated intervertebral disc patients from March, 2014 to October, 2015. This study was randomized and assessor blinded. The patients were divided into two groups: one group(group A) was treated by general acupuncture only, and the other group(group B) was treated by fire needling therapy and general acupuncture We evaluated the treatment effect experienced by each group using the visual analogue scale(VAS) and Oswestry disability index(ODI).

Results:

  1. In group A VAS and ODI from before treatment to treatment 4, 8, 12, 16 were significantly improved in statistics.

  2. In group B. VAS from before treatment to treatment 4, 8, 12, 16 was significantly improved but ODI was significantly improved in statistics only from before treatment to treatment 12, not in treatment 4, 8, 16.

  3. As a result of comparisons between group A and B, there were no statistical significance in VAS and ODI.

Conclusions:

This study was not able to determine statistical significance between the group treated by general acupuncture only and the group treated by fire needling therapy and general acupuncture so further studies are required in the future.

Table 1
Sex and Age Distribution in Patients with Lumbar HIVD
Group A Group B p-value
N* Before Treatment 10 10
Treatment 4 10 10
Treatment 8 8 10
Treatment 12 7 10
Treatment 16 7 8
Sex(male / female) 4 / 6 2 / 8
Age 45.30±8.79 41.30±10.51 0.363

* Number of patients

Group A: group treated with general acupuncture only

Group B: group treated with fire needling therapy and general acupuncture

Values are represented as mean±standard deviation.

p-value<0.05 by Mann-Whitney U test

Table 2
Changes of VAS and ODI from Before Treatment to Treatment 4, 8, 12, 16
Group A Before Treatment (N* = 10) Treatment 4 (N* = 10) Treatment 8 (N* = 8) Treatment 12 (N* = 7) Treatment 16 (N* = 7)
VAS 69.70±15.41 48.00±11.30 35.63±13.06 31.29±15.48 33.57±27.40
p-value 0.005 0.012 0.018 0.028
ODI 24.00±7.48 21.60±7.06 20.50±5.45 19.57±6.48 17.00±7.51
p-value 0.011 0.018 0.018 0.017
Group B Before Treatment (N* = 10) Treatment 4 (N* = 10) Treatment 8 (N* = 8) Treatment 12 (N* = 7) Treatment 16 (N* = 7)
VAS 68.10±13.66 49.50±13.38 38.70±18.87 28.00±20.52 26.75±21.62
p-value 0.012 0.007 0.007 0.012
ODI 20.10±7.02 16.70±5.79 16.00±6.73 14.80±7.16 15.63±6.02
p-value 0.089 0.075 0.028 0.068

* Number of patients

Group A: group treated with general acupuncture only

Group B: group treated with fire needling therapy and general acupuncture

VAS: Visual Analogue Scale

ODI: Oswestry Disability Index

Values are represented as mean±standard deviation.

p-value <0.05 by Wilcoxon signed rank test

Table 3
Comparisons of VAS and ODI from Before Treatment to Treatment 4, 8, 12, 16 between Two Groups
Group A Group B p-value
Before Treatment ~Treatment 4 N* = 10 N* = 10
VAS 21.70±12.07 18.60±20.95 0.690
ODI 2.40±2.55 3.40±5.75 0.622
Before Treatment ~Treatment 8 N* = 8 N* = 10
VAS 37.50±15.14 29.40±23.41 0.411
ODI 5.38±3.93 4.10±7.45 0.668
Before Treatment ~Treatment 12 N* = 7 N* = 10
VAS 39.29±14.59 40.10±23.63 0.937
ODI 6.14±4.95 5.30±8.04 0.810
Before Treatment ~Treatment 16 N* = 7 N* = 8
VAS 37.00±27.20 39.88±25.67 0.837
ODI 8.71 ±7.99 2.75±3.81 0.082

* Number of patients

Group A: group treated with general acupuncture only

Group B: group treated with fire needling therapy and general acupuncture

VAS: Visual Analogue Scale

ODI: Oswestry Disability Index

Values are represented as mean±standard deviation.

p-value <0.05 by independent samples t-test

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