KMID : 0615720080250020151
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Jouranl of Korean Acupuncture and Moxibustion society 2008 Volume.25 No. 2 p.151 ~ p.164
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Comparative Study of Effects of ¡¯Intramuscular Bee Venom Herbal Acupuncture¡¯ and ¡¯Intracutaneous Bee Venom Herbal Acupuncture¡¯ in Knee Osteoarthritis Patients
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Kim Haeng-Bum
Kim Jong-In Lee Yun-Ho Lee Jae-Dong Lee Ro-MIn Lee Min-Ho Choi Yang-Sik
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Abstract
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Objectives : This study was designed to compare the effects on Korean Western Ontario and McMaster Universities Osteoarthritis Index(KWOMAC), 36-ltems Short-Form Health Survey(SF-36), Visual Analog Scale(VAS) and Nine Point Scale between ¡¯Intramuscular Bee Venom Herbal Acupuncture¡¯ and ¡¯Intracutaneous Bee Venom Herbal Acupuncture¡¯ in knee osteoarthritis patients for 4weeks.
Methods : All the voluntary subject were diagnosed as knee osteoarthritis. Patients were randomly assigned either to two groups : Intramuscular bee venom herbal acupuncture treatment group(IM-BV group) or Intracutaneous bee venom herbal acupuncture treatment group(IC-BV group). The IM-BV group received bee venom herbal acupuncture intramuscularly on muscles closest to the pathologic site on ultrasonography. The IC-BV group received bee venom herbal acupuncture intracutaneously on LE110, LE201, ST35, ST36 and LR8. Bee venom herbal acupuncture was applied twice a week for 4 weeks by an oriental medical doctor at Kyung-hee Oriental Medical Hospital. Both groups were checked of pathologic site by ultrasonography before treatment and follow up after four-week treatment. The patients were assessed by KWOMAC and SF-36 before and after four-week treatment. The changes in patients¡¯ pain was measured by VAS before treatment and after one-, two-, three- and four-week treatment. The patients¡¯ overall treatment outcome assesment was measured by Nine Point Scale after four-week treatment.
Results : The results were as follows ; 1. The IM-BV group showed significant improvement on total, pain, stiffness and physical function in KWOMAC, and the IC-BV group showed significant improvement on total and physical function in KWOMAC after 4weeks compared to the pre-treatment. In KWOMAC, the IM-BV group showed more improvement on average compared to the IC-BV group, but there were no significant difference between two groups. 2. The IM-BV group showed significant improvement on VAS after one-week treatment. The IC-BV group showed significant improvement on VAS after two-week treatment. But there were no significant difference between two groups. 3. The IM-BV group showed significant improvement on physical functioning(PF) and bodily pain(BP) in SF-36, and the IC-BV group showed significant improvement on vitality(VT) and bodily pain(BP) in SF-36 after 4weeks compared to the pre-treatment. But there were no significant difference between two groups. 4. 88.2% of IM-BV group and 93.3% of IC-BV group graded their improvement as ¡¯Fair¡¯ or better on Nine Point Scale. But there were no significant difference between two groups.
Conclusions : This study suggests that in the treatment of knee osteoarthtitis patients, effects of ¡¯Intramuscular Bee Venom Herbal Acupuncture¡¯ were not different from ¡¯Intracutaneous Bee Venom Herbal Acupuncture¡¯ statistically. But both treatment showed effects on pain and physical function in knee osteoarthtitis patients.
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KEYWORD
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intramuscular bee venom herbal acupuncture, intracutaneous bee venom herbal acupuncture, knee osteoarthritis, KWOMAC, SF-36, Nine Point Scale, ultrasonography
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