Effects of Nonsurgical Spinal Decompression Treatment on the Level of Pain and Quality of Life in Patients with Cervical or Lumbar Disc Herniation: A Retrospective Observational Study원문보기
Kim, Beom Seok
(Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
,
Lee, Ye Ji
(Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
,
Kim, Hyo Bin
(Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
,
Sung, Ki Jung
(Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
,
Jeon, Ju Hyun
(Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
,
Kim, Eun Seok
(Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
,
Kim, Young Il
(Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Daejeon University)
Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment. Methods: Of the patients who were diagnosed with the cervical or lumbar herniated interver...
Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment. Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14th to August 25th, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0. Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample t test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B. Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.
Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment. Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14th to August 25th, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0. Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample t test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B. Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.
* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.
문제 정의
However, there are no studies that statistically analyze the treatment effects of general Korean medicine treatments like acupuncture, moxibustion, cupping, and nonsurgical spinal decompression treatment for herniation of cervical and lumbar intervertebral discs considering demographic characteristics, location of the symptoms, and its treatment. Therefore, this study aimed to understand the demographics, the condition, and its treatment of patients with herniated discs who received Korean medicine treatment and decompression treatment. Treatment effects and satisfaction for Korean medicine treatment and decompression treatment were compared statistically.
제안 방법
The data for this study were collected by retrieving the relevant patient medical records and performing telephone surveys (Appendices A-C). The investigation items of the medical records and the content of the telephone surveys were based on the study of Kim et al [12], and the collected research data included evidence of the symptoms, demographics, and therapeutic characteristics, as wells as the treatment effects, quality of life scores, and satisfaction scores. The analysis was performed in consultation with Professors of Korean Medicine and Professors of Statistics at Daejeon University.
This study is unique compared to previous studies in that it comprehensively includes patients with cervical and lumbar herniated intervertebral discs, and statistically analyzes the treatment effects and satisfaction of general Korean medicine treatment and decompression treatment retrospectively. It also analyzes demographic characteristics, the condition, and the treatment to achieve more accurate results.
데이터처리
0. The differences in demographic characteristics, symptoms of the condition, , and therapeutic characteristics in each group were identified by using frequency analysis and crossover analysis (Chi-square test). To identify the difference in treatment effect and satisfaction between the groups, NRS, EQ-5D, change of EQVAS, and satisfaction scores were analyzed using the independent sample t test and analysis of covariance (ANCOVA).
To identify the difference between the groups, satisfaction scores were analyzed using independent sample t test and ANCOVA.
The differences in demographic characteristics, symptoms of the condition, , and therapeutic characteristics in each group were identified by using frequency analysis and crossover analysis (Chi-square test). To identify the difference in treatment effect and satisfaction between the groups, NRS, EQ-5D, change of EQVAS, and satisfaction scores were analyzed using the independent sample t test and analysis of covariance (ANCOVA). To identify the difference between the groups in the intention to have the treatment again, crossover analysis by Chi-square test was used.
이론/모형
Satisfaction for treatment was evaluated using the 5-point Likert scale. The satisfaction level after treatment was measured as 1 point (very unsatisfactory), 2 points (unsatisfactory), 3 points (mediocre), 4 points (satisfactory), and 5 points (very satisfactory).
The demographic characteristics of this study are consistent with the 2017 National Health Insurance Statistical Yearbook [2]. The total medical benefit expenses for people in their 50s showed that 32.
To evaluate the patients’ quality of life, the EuroQol-5 dimension (EQ-5D) questionnaire and the EuroQol visual analogue scale (EQ-VAS) were used.
To identify the difference in treatment effect and satisfaction between the groups, NRS, EQ-5D, change of EQVAS, and satisfaction scores were analyzed using the independent sample t test and analysis of covariance (ANCOVA). To identify the difference between the groups in the intention to have the treatment again, crossover analysis by Chi-square test was used. The level of significance for all statistical analyses in this study was reached when p ≤ 0.
성능/효과
However, since the change in scores of NRS, EQ-5D, EQVAS before and after treatment, and satisfaction score was affected not only by accompanying decompression treatment but also by demography, condition, treatment characteristics, ANCOVA was performed. As a result, the change in NRS, EQ-5D, EQ-VAS, and satisfaction scores showed a significant change according to whether they received decompression treatment or not (excluding effects from sex, age, occupation, admission, site of condition, stage of disc herniation, duration of condition, radiating pain, Western treatment before or after treatment, drinking or smoking history and NRS, EQ-5D, EQ-VAS scores before treatment). It showed that accompanying non-invasive decompression treatment in addition to Korean medicine treatment, helped to reduce pain in patients with cervical and lumbar herniated intervertebral disc.
The results of satisfaction scores showed that the average of the satisfaction score after treatments that either accompanied decompression treatment or not (excluding the influence of sex, age, occupation, admission rate, site of the condition, stage of disc herniation, duration of symptoms, and presence of radiating pain), was significantly different (p ≤ 0.001; Table 11).
The results of the NRS score showed that the average difference of NRS scores measured before and after treatments that either accompanied decompression treatment or not (excluding the influence of sex, age, occupation, site of the condition, stage of disc herniation, duration of the condition), significantly influenced a change in NRS scores before treatment when accompanied by Western medicine treatment, and smoking history (p < 0.01; Table 5).
The results showed that the average difference of EQ-VAS measured before and after treatments that either accompanied decompression treatment or not, (excluding the influence of sex, occupation, admission rate, site of the condition, stage of disc herniation, duration of symptoms, presence of radiating pain, accompaniment of Western treatment, and drinking and smoking history) that could have altered the EQ-VAS score before treatment, were significantly different (p < 0.001; Table 9).
참고문헌 (26)
Yook TH, No JD, Kim JH, Kim JW, Nam DW, Yang KY et al. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. Acupuncture Medicine, 4th ed. Seoul (Korea): Hanmi Medicine Publish Company; 2016. p. 485-488, p. 495-513. [in Korean].
Kim ST, Kim YI. 2017 National Health Insurance Statistical Yearbook. Health Insurance Review and Assessment Service; 2018. p. 397-675. [in Korean].
Suk SI, Lee CK, Baek GH, Song KS, Lee MC, Lee HM et al. The Korean Orthopaedic Association. Orthopaedics, 6th ed. Seoul (Korea): Newest Medicine Company; 2006. p. 584-586. [in Korean].
Kim SJ, Jung SH, Ko YS, Kwon YD, Keum DH, Kim SS, et al. Korean Society of Oriental Rehabilitation Medicine, Oriental Rehabilitation Medicine, 3rd ed. Seoul (Korea): Koonja Publishers Company; 2012. p. 56-58. [in Korean].
Macario A, Pergolizzi JV. Systematic literature review of spinal decompression via motorized traction for chronic discogenic low back pain. Pain Pract 2006;6:171-178.
Ma SY, Kwon WA, Lee JH, Min DG. The Effects of Spinal Decompression Combined with Therapeutic Modalities for Patients with Lumbar Radiculopathy. J Korea Acad Ind 2013;14:336-343. [in Korean].
Seo SK, Kim BJ, Park KJ, Kang JH, Kim SK, Seo DW. The Clinical Studied for Non Surgical Spinal Decompression Treatment on Cervical Disc Herniation. J Orient Rehabil Med 2011;21:131-143. [in Korean].
Park JK, Kim DG. Effects of Decompression Therapy for the Treatment of a Herniated Lumbar Disc. Korean J Pain 2008;21:143-149. [in Korean].
Park SH, Kim CS, Lee DG, Ahn SH. The Short Term Effects of the Decompression (KNX 7000 ® ) and Traction Device on Pain in Patients with Chronic Low Back Pain with or without Radicular Pain. J Korea Soc Phys Ther 2011;23:29-34. [in Korean].
Kim HS, Yun DH, Huh KY. Effect of Spinal Decompression Therapy Compared with Intermittent Mechanical Traction in Lumbosacral Disc Herniation. J Korean Acad Rehabil Med 2008;32:319-323. [in Korean].
Park SW, Kim SS, Kim JY, Kim SH, Lee GM. The Comparative Study of Effects between Acupotomy and its Cotreatment with Spine Decompression Therapy on HIVD Patients J Korean Acupunct Moxib Soc 2012;29:29-39. [in Korean].
kim JI, Jeong JK, Kim MK, Jeon JH, Kim ES, Kim YI. A Retrospective Statistical Analysis of Miniscalpel Needle Therapy for Herniated Intervertebral Disc or Spinal Stenosis. J Acupunct Res 2018;35:226-237.
Lee YK, Nam HS, Chuang LH, Kim KY, Yang HK, Kwon IS el al. South Korean Time Trade-Off Values for EQ-5D Health States : Modeling with Observed Values for 101 Health States. Value Health 2009;12:1187-1193.
Jang JW, Lee JW, Roh JA, Lee GE Kim HJ, Hong JS et al. Effects of Korean Medical Combination Treatment for Lumbar Spinal Herniated Intervertebral Disc : Accompanying or not High-intensive zone(HIZ). J Korea Chuna Man med Spine Nerve 2018;13:47-63. [in Korean].
Kim YH, Lee JY, Kim KH, Kim TY, Lee TG, Lee SW et al. Comparative Analysis on Disc Resorption Rate of Lumbar Disc Herniation Patients after Korean Medicine Treatment and Predictive Factors Associated with Disc Resorption. J Orient Rehabil Med 2018;28:33-41. [in Korean].
Stakey C. Therapeutic modalities, 3rd ed. Philadelphia (PA): F. A. Davis; 2004. 352 p.
Andersson GB, Schultz AB, Nachemson AL. Intervertebral disc pressure during tracton. Scand J Rehabil Med 1983;9:88-91.
Ramos G, Martin W. Effects of vertebral axial decompression on intradiscal pressure. J Neurosurg 1994;81:350-353.
※ AI-Helper는 부적절한 답변을 할 수 있습니다.