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KMID : 03644199719970000205
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East-West Medical Research Institute Journal
1997 Volume.1997 No. 0 p.205 ~ p.220
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The Effects of Chuna Treatment on Low Back Pain Resulting from Herniated Nucleus Pulposus
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Abstract
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1. Study Design
The present study retrospectively investigated the morphologic changes on CT and clinical outcome of patients with low back pain resulting from HNP(herniated nucleus pulposus) during Chuna treatment(flexion/distraction technique).
2. Patients
The study population consisted of 50 patients(11 patients: in hospital, 39 patients: outpatient clinic) with low back pain who were already diagnosed as HNP of lumbar spine with serial MRIs(magnetic resonance imagings) or CTs(computed tomographic scans).
3. Method
All patients were treated with flexion/distraction technique, one of Chuna technique. Among them, eight cases of 11 patients in hospital were examined twice using computed tomographic scans. And the evaluation of clinical outcome was done twice during this study.
4. Results
1. In CT follow-up study of eight cases of Chuna treatment, diminution of HNP on CT has been recognized in 3-cases.
2. During this study, the common points of the patients who were observed morphologic changes on CT were as follows.
1) Young age(one was 17 years old, another was 22 years old, the other s 36 years old). {
2) Acute or subacute stage.(within 6 months)
3) Bulging (or Protrusion) disc with central protrusion at IA-5.
3. Flexion/distraction technique had a significant effect on improvement of clinical findings.
4. Cinical findings of young age were better than that of old age.
5. Cinical findings of acute stage were better than that of chronic stage, but no significant correlation was observed between morphologic changes of HNP on CT and the duration of low back pain.
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KEYWORD
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