Yuk, Dong-Il
(Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University)
,
Sung, In-Su
(Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University)
,
Song, Da-Hyung
(Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University)
,
Kim, Min-Jung
(Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University)
,
Hong, Kown-Eui
(Department of Acupuncture & Moxibustion, Oriental Hospital of Daejeon University)
Objectives: The aim of this study is to evaluate the effect of acupotomy in patients with degenerative lumbar spine stenosis. Methods: A total of 437 patients who had been diagnosed as having lumbar spine stenosis and who had been admitted to Daejeon Oriental hospital from June 1, 2008, to September...
Objectives: The aim of this study is to evaluate the effect of acupotomy in patients with degenerative lumbar spine stenosis. Methods: A total of 437 patients who had been diagnosed as having lumbar spine stenosis and who had been admitted to Daejeon Oriental hospital from June 1, 2008, to September 31, 2012, were included in this study. The patients underwent acupotomy once, twice or three times on the lumbar spine, according to their symptoms. Then, the patients were asked to complete the verbal numeric rating scale (VNRS) and the oswestry disability index (ODI) before and after acupotomy and underwent a global assessment. The resulting data were analyzed. Results: The gender ratio of the participants was 1:1.54, and the mean age was $65{\pm}10.0$ yr. The number of patients over the age of 65 yr was less than that of the patients under the age of 65 yr in the ratio of 1:1.3. The average disease period was $30.17{\pm}56.63$ months. The verbal numeric rating scale (VNRS) significantly decreased from 10 to an average of $7.10{\pm}2.50$ after one acupotomy, $6.30{\pm}2.60$ after two acupotomies, and $5.50{\pm}2.50$ after three acupotomies. The ODI was significantly decrease from $20.60{\pm}8.70$ to $17.80{\pm}8.60$ after once acupotomy, $17.10{\pm}8.50$ after two acupotomies, and $16.70{\pm}8.60$ after three acupotomies. High scores were also observed on the global assessment. Conclusion: These results provide evidence that acupotomy is effective to relieve pain and to improve quality of life in patients with degenerative lumbar spinal stenosis.
Objectives: The aim of this study is to evaluate the effect of acupotomy in patients with degenerative lumbar spine stenosis. Methods: A total of 437 patients who had been diagnosed as having lumbar spine stenosis and who had been admitted to Daejeon Oriental hospital from June 1, 2008, to September 31, 2012, were included in this study. The patients underwent acupotomy once, twice or three times on the lumbar spine, according to their symptoms. Then, the patients were asked to complete the verbal numeric rating scale (VNRS) and the oswestry disability index (ODI) before and after acupotomy and underwent a global assessment. The resulting data were analyzed. Results: The gender ratio of the participants was 1:1.54, and the mean age was $65{\pm}10.0$ yr. The number of patients over the age of 65 yr was less than that of the patients under the age of 65 yr in the ratio of 1:1.3. The average disease period was $30.17{\pm}56.63$ months. The verbal numeric rating scale (VNRS) significantly decreased from 10 to an average of $7.10{\pm}2.50$ after one acupotomy, $6.30{\pm}2.60$ after two acupotomies, and $5.50{\pm}2.50$ after three acupotomies. The ODI was significantly decrease from $20.60{\pm}8.70$ to $17.80{\pm}8.60$ after once acupotomy, $17.10{\pm}8.50$ after two acupotomies, and $16.70{\pm}8.60$ after three acupotomies. High scores were also observed on the global assessment. Conclusion: These results provide evidence that acupotomy is effective to relieve pain and to improve quality of life in patients with degenerative lumbar spinal stenosis.
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제안 방법
After admission, participants took acupuncture twice a day and acupotomy once a day using 0.25 × 0.30 ㎜ and 0.35 × 0.50 ㎜ stainless-steel disposable acupuncture needles (Dongbang, Korea).
Despite the overall effectiveness of acupotomy, the effect of acupotomy on lumbar spinal stenosis has been less studied. Therefore, this study included a total of 437 patients who had been diagnosed with lumbar spinal stenosis and who had undergone acupotomy from June 1, 2008, to September 31, 2012, and used the verbal numeric rating scale (VNRS), the oswestry disability index (ODI) and global assessments to investigate the effect of acupotomy on lumbar spinal stenosis.
대상 데이터
A total of 437 patients who had been diagnosed with lumbar stenosis from June 1, 2008, to September 31, 2012, by using magnetic resonance imaging (MRI) and for whom surgery had been recommended participated in this study. Participants were admitted to Daejeon Oriental Hospital.
Among the 437 participants, 172 men and 265 women participated in this study, and gender ratio of 1:1.54. Ages ranged from 38 yr old to 94 yr old.
A total of 437 patients who had been diagnosed with lumbar stenosis from June 1, 2008, to September 31, 2012, by using magnetic resonance imaging (MRI) and for whom surgery had been recommended participated in this study. Participants were admitted to Daejeon Oriental Hospital. Oriental treatment and acupotomy were treated in parallel, and patients underwent acupotomy from one to three times depending on the degree of stenosis and their physical condition (Fig.
The ODI is one of the principal condition-specific outcome measures used in the management of spinal disorders. The ODI, which was made by Fairbank, is comprised of 10 items, including standing, walking, sitting, bending etc. Each of the 10 items is scored from 0 to 5, so the maximum number of points is 50 [9].
데이터처리
We statistically analyzed demographic data and we present quantitative data as means ± standard deviations. To evaluate the effect of acupotomy, we used the paired t-test. Values of P < 0.
성능/효과
The differences in the ODI scores for the two age groups between admission day and the 1st, 2nd, and 3rd acupotomies were statistically significant (P < 0.05).
The differences in the VNRSs of the two age groups between admission day, and the 1st, 2nd, and 3rd acupotomies were statistically significant (P < 0.05).
The gender differences in the ODI scores between admission day and the 1st, 2nd, and 3rd acupotomies were statistically significant (P < 0.0001).
There were statistically significant differences between the ODI scores after the 1st and the 2nd acupotomies, and between the ODI scores after the 1st and the 3rd acupotomies (P < 0.0001), but there was no statistically significant difference between the ODI scores after the 2nd and the 3rd acupotomies (Fig. 2).
후속연구
Furthermore acupotomy is a good treatment therapy for improving patient’s quality of life. Continued research is thought to be needed to further increase the effectiveness of acupotomy. Long-term follow up studies are also needed.
In this study, there were no control group, and this was not a prospective, long-term study. Therefore, further studies are needed.
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