[논문]급성기 족관절 염좌에 있어 자락발관법의 효과에 대한 연구:무작위 대조 실험

황종순; 임대정; 황지혜; 조현석; 김경호

급성기 족관절 염좌에 있어 자락발관법의 효과에 대한 연구:무작위 대조 실험
Study of the Effect of Blood-letting Cupping Treatment for Acute Ankle Sprain: A Randomize Controlled Trial 원문보기

大韓鍼灸學會誌= The journal of Korean Acupuncture & Moxibustion Society, v.22 no.3, 2005년, pp.243 - 252

황종순 (동국대학교 한의과대학 침구학교실) , 임대정 (동국대학교 한의과대학 침구학교실) , 황지혜 (동국대학교 한의과대학 침구학교실) , 조현석 (동국대학교 한의과대학 침구학교실) , 김경호 (동국대학교 한의과대학 침구학교실)

초록
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목적 : 급성기 족관절 염좌 환자에 있어서 자락발관법이 실제 효과가 있는지 근거 중심 의학(Evidence Based Medicine)적으로 연구된 사례가 드물어서 이를 객관적으로 검증하기 위하여 본 연구를 시행하였다. 방법 : 골절이 배제되고, 명백한 외상력이 있으며, 발병 후 1주일 이내에 내원하였으며 다른 치료를 받지 않은 환자 29명을 대상으로 무작위로 실험군과 대조군으로 나누어 자락발관법 유무의 차이를 두고 시술하였다. 치료시작점과 3회 시술 후 Ankle-Hindfood Scale(AHS)와 Numerical Rating Scale(NRS)을 평가하여 비교 분석하였다. 결과 : 29명중 19명이 최종 평가되었다. 자락발관법을 시행한 실험군(n=11)이 자락발관법을 시행하지 않은 대조군(n=8)에 대해 AHS와 NRS 모두 통계적으로 유의한 차이를 보였다(p=0.041, 0. 026). 결론 : 급성기 족관절 염좌에 있어 자락발관법의 시행은 통증을 비롯한 증상 감소에 객관적인 효과가 있다.

Abstract ▼ AI-Helper

Objective : This study was performed to investigate the effect of blood-letting cupping treatment for acute ankle sprain because there are few studies with evidence-based approach. Method : Twenty-nine patients, who had no fracture and had injured by external force and had less than 1 week passed since onset and had not been treated, were randomly divided into control or treatment group by tossing a coin. The treatment group received blood-letting cupping. After 3rd treatment, the outcomes were assessed using Ankle-Hindfoot Scale (AHS) and Numeric Rating Scale (NRS). Result : Nineteen out of 29 patients were finally assessed. The treatment group (n=11) was significantly different from the control group (n=8) in AHS and NRS (p=0.041, 0.026, respectively). Conclusion : The blood-letting cupping has an objective effect on reduing pain for acute ankle sprain.

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문제 정의

For treatment group, blood-letting cupping was applied on the legion for 5 minutes before acupuncture. There was not any differences between the treatment group and the control group except blood-letting cupping treatment and no additional treatment (e.g. medications or physical treatments) was done for closer investigation on blood-letting cupping treatment, Only short leg splint or ankle support for fixation of the ankle were of the interest in this research.

제안 방법

Acupuncture treatment was applied to two patients groups for 3 times per a week. The acupoint was selected by lesions.
Assessor measured Ankle-Hindfoot Scale (AHS)10) and Numerical Rating Scale (NRS)ll) in the inspection room before the treatment was initiated. This assessments were followed by three treatments.
Eventually, 11 participants out of 16 from treatment group and 8 patients out of 13 from control group took part in both of treatment piwess and assesment process. In order to acquire highly objective outcomes, it is thought to be necessary to have those 7 drop-outs, Mio were presumed to recover from their ankle injury before 3 treatments, investigated for the iiwrovement and to analyze these data statistically. As shown in Table 2, treatment group was not significantly different from control group in age, injured area, and the time taken for participants to visit hospital since the time when the initial injury happened.
Patients with a certain conditions were excluded and those conditions were; 1) fracture shown on the X-ray, 2) having been treated before visiting hospital, 3) not having injured by external force, 4) having more than 1 week passed since onset. Patients were randomly divided into two groups, control group and treatment group, by flipping a coin. The control group was treated with acupuncture only and the treatment group was treated with acupuncture and blood-letting cupping.
The methodology for this research is as follows; The participants, who visited Bundang Oriental Hospital for ankle sprain, were randomly divided into treatment and control group by having them flip the coin and were treated 3 times per a week. Blood-letting cupping treatment followed by acupuncture was applied to treatment group and control group was treated with acupuncture only.

대상 데이터

10 people were dropped out during this research. 7 were presumed to recover from their injury before 3 treatments were applied.
this research. Data taken from 19 participants out of 29 were used and, within those 19 participants, 11 patients were categorized in treatment group, where 5 people were, after all, excluded, and the rest was assigned to control group, where 5 people were also dropped out to continue participating in this research. Reasons for withdrawal is followed(Table 1)
The acupoint was selected by lesions. If patient had lateral ankle pains, G40(Quixu), B62 (Shenmai), B60(Kunlun), B61(Pucan) and G39 (Xuanzhong) points were used. In case of medial pains, Liv4(Zhongfeng), Sp5(Shanqiu), K6(Zhaohai), K3(Taixi) and G39(Xuanzhong) points were used.
Patients, who visited Bundang Oriental Hosjital of Dongguk University for ankle sprain from 24th May 2004 to 15th December 2004, were selected for this research. At th운 time of selection, those patients were suffering from the ankle sprain that w갽 s not accompanied with fracture, which was previou이y checked by X-ray.
The acupuncture needle was stainless steel needle(Dongbang acupuncture manufacture con耳)any, Seoul, Korea, 0.30mm diameter 30mm length), and was twirled after insertion in order to provide patients with response of acupunctnre(De-qi). Electroacupuncture (SONOTRON PGA300N, Neornyth Corporation, Seoul, Korea) was followed at 5mA mixed p네se (low frequency 2Hz , high frequency 8Hz).
There were 29 patients who visited Bundang Oriental Hospital of Dongguk University and participate conditions unde기ying this research. Data taken from 19 participants out of 29 were used and, within those 19 participants, 11 patients were categorized in treatment group, where 5 people were, after all, excluded, and the rest was assigned to control group, where 5 people were also dropped out to continue participating in this research.

이론/모형

Ankle-Hndfoot Scale(AHS)10) was published by American Orthopedic Foot and Ankle Society (AOFAS) at 1994 in order to suggest standardized assesment method regarding ankle and foot. Various elements associated with foot and ankle were considered in AHS, where non—numerical grading (e.

성능/효과

1. After 3rd treatment from baseline, the group, 输ich was treated with both of acupuncture and blood-letting cupping treatment, showed significant inprovement in AHS and NRS (p=0.041, 0.026) in correarison with the group, vediich was treated with acupuncture only.
Analysis regarding variations in AHS and NRS is carried out by applying Mann-Whitney test and Wlcoxon signed rank test sign test with level of significance at 5%.

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급성기 족관절 염좌에 있어 자락발관법의 효과에 대한 연구:무작위 대조 실험
Study of the Effect of Blood-letting Cupping Treatment for Acute Ankle Sprain: A Randomize Controlled Trial 원문보기

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급성기 족관절 염좌에 있어 자락발관법의 효과에 대한 연구:무작위 대조 실험 Study of the Effect of Blood-letting Cupping Treatment for Acute Ankle Sprain: A Randomize Controlled Trial 원문보기

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급성기 족관절 염좌에 있어 자락발관법의 효과에 대한 연구:무작위 대조 실험
Study of the Effect of Blood-letting Cupping Treatment for Acute Ankle Sprain: A Randomize Controlled Trial 원문보기

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