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KMID : 0895820160260020105
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Journal of Oriental Rehabilitation Medicine
2016 Volume.26 No. 2 p.105 ~ p.121
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The Study on Correlation between the Degree of Herniated Intervertebral Lumbar Disc at L4∼5 Level and Improvement of Low Back Pain Treated by Korean Medicine Therapy
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Yoo Hyung-Jin
Lee Hyun-Ho
Jeong Seong-Hyun
Jo Kyeong-Sang
Lee Gi-Eon
Lee Dong-Hyun
Kim Sang-Min
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Abstract
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Objectives : The purpose of this study was to compare the effects between the degree of herniated intervertebral lumbar disc (HIVD) at L4-5 level and improvement of low back pain treated by Korean Medicine therapy.
Methods : 567 patients who received inpatient treatment from May 2014 to December 2015 in the Daejeon-Jaseng of Korean Medicine Hospital were divided into 6 groups by the degree of HIVD at L4-5 level confirmed with a Lumbar spine magnetic resonance imaging. All patients received a combination of treatment including acupunture, chuna manual therapy, pharmacopunture, herbal medication. They were compared and analyzed on the basis of improvement between measuring Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index) as they were hospitalized and as they were discharged. The statistically significance was evaluated by SPSS 23.0 for windows.
Results : After treatment, Normal stage on Intervertebral Lumbar Disc at L4-5 level group`s Numeric Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-5 Dimension Index (EQ5D Index) improvement was 1.30±1.62, 4.52±11.82 and 0.04±0.11 respectively. Bulging group`s improvement was 3.25±2.81, 8.28±13.02 and 0.09±0.17 respectively. Spinal canal occupying ratio (SOR) less than 20 group`s improvement was 2.15±1.92, 11.79±17.81 and 0.13±0.23 respectively. SOR 20 to less than 40 stage group`s improvement was 2.13±1.92. 10.79±15.93 and 0.10±0.26 respectively. SOR 40 to less than 60 group`s improvement was 2.16±2.24, 9.80±16.62 and 0.15±0.25 respectively. Surgery group`s improvement was 2.47±2.21, 11.64±18.53 and 0.15±0.27 respectively (p＜ 0.03). But there was no statistically significance between 6 group`s improvement after treatment (p＞0.05).
Conclusions : After inpatient treatment by Korean Medicine therapy, Most patient`s pain, disability and Health Related Quality of Life was improved significantly. But there was no statistically correlation between the degree of HIVD at L4-5 level and improvement of low back pain. So We think that future research of higher quality and correct statistics shall be necessary.
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KEYWORD
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Herniated intervertebral lumbar disc, HIVD, Low back pain, LBP, Non-surgical treatment, Korean Medicine
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