Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study
Background This study was designed to evaluate the clinical effectiveness of traditional Korean medicine treatment for lumbar spinal stenosis as assessed by radiological criteria. Methods This was an observational study of 122 patients who were diagnosed with lumbar spinal stenosis and admitted to J...
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| Format: | Article |
| Language: | English |
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MEDrang Inc.
2017-11-01
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| Series: | Journal of Acupuncture Research |
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| Online Access: | http://www.e-jar.org/upload/pdf/jar-34-4-172.pdf |
| _version_ | 1797204482562457600 |
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| author | Hyun-Joong Kim Sun-Ho Lee Ji-Hoon Choi Je-Heon Noh Min-Young Kim Jae-Won Jang Do-Hyung Ha |
| author_facet | Hyun-Joong Kim Sun-Ho Lee Ji-Hoon Choi Je-Heon Noh Min-Young Kim Jae-Won Jang Do-Hyung Ha |
| author_sort | Hyun-Joong Kim |
| collection | DOAJ |
| description | Background This study was designed to evaluate the clinical effectiveness of traditional Korean medicine treatment for lumbar spinal stenosis as assessed by radiological criteria. Methods This was an observational study of 122 patients who were diagnosed with lumbar spinal stenosis and admitted to Jaseng Hospital between January 2016 and June 2017. They were analyzed according to sex, age, cause of disease, disease stage, length of admission, type of stenosis, morphological grade, and dural sac cross-sectional area. All patients were treated with traditional Korean medicine. Patients were assessed with the Numeric Rating Scale (NRS), Oswestry Disability Index (ODI) and EQ-5D before and after treatment. Results Regarding the distribution of the factors analyzed, these were of note: more females than males (1:3.52); and highest proportions were age more than 70 years (37.70%), cause of lumbar spinal stenosis unknown (67.21%), and subacute stage (42.62%). Comparing before and after treatment, the NRS score for low back and pelvic pain decreased from 6.14 ± 1.71 to 4.28 ± 1.91 (p < 0.001), and the NRS score for radiating pain and numbness decreased from 6.27 ± 1.61 to 2.02 ± 1.54 (p < 0.001). ODI decreased from 46.86 ± 19.40 to 33.63 ± 18.66 (p < 0.001), and gait-related ODI decreased from 3.34 ± 1.23 to 2.80 ± 1.11 (p < 0.001). There were no statistically significant differences in improvement of the NRS, ODI, gait-related ODI, and EQ-5D for morphological grade and dural sac cross-sectional area. Conclusions Traditional Korean medicine is effective treatment for patients with lumbar spinal stenosis. Even in patients with severe radiological findings, it is possible to reduce pain and improve quality of life. |
| first_indexed | 2024-04-24T08:35:56Z |
| format | Article |
| id | doaj.art-b0fb1286657941009927bf5eb9618f98 |
| institution | Directory Open Access Journal |
| issn | 2586-288X 2586-2898 |
| language | English |
| last_indexed | 2024-04-24T08:35:56Z |
| publishDate | 2017-11-01 |
| publisher | MEDrang Inc. |
| record_format | Article |
| series | Journal of Acupuncture Research |
| spelling | doaj.art-b0fb1286657941009927bf5eb9618f982024-04-16T17:01:04ZengMEDrang Inc.Journal of Acupuncture Research2586-288X2586-28982017-11-0134417217910.13045/jar.2017.022152385Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational StudyHyun-Joong Kim0Sun-Ho Lee1Ji-Hoon Choi2Je-Heon Noh3Min-Young Kim4Jae-Won Jang5Do-Hyung Ha6 Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine, Daejeon, Korea Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine, Daejeon, Korea Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine, Daejeon, Korea Department of Acupuncture & Moxibustion Medicine, Daejeon Jaseng Hospital of Korean Medicine, Daejeon, Korea Department of Korean Medicine Obstetrics and Gynecology, Daejeon Jaseng Hospital of Korean Medicine, Daejeon, Korea Department of Korean Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine, Daejeon, Korea Department of Acupuncture & Moxibustion Medicine, Bundang Jaseng Hospital of Korean Medicine, Seongnam, KoreaBackground This study was designed to evaluate the clinical effectiveness of traditional Korean medicine treatment for lumbar spinal stenosis as assessed by radiological criteria. Methods This was an observational study of 122 patients who were diagnosed with lumbar spinal stenosis and admitted to Jaseng Hospital between January 2016 and June 2017. They were analyzed according to sex, age, cause of disease, disease stage, length of admission, type of stenosis, morphological grade, and dural sac cross-sectional area. All patients were treated with traditional Korean medicine. Patients were assessed with the Numeric Rating Scale (NRS), Oswestry Disability Index (ODI) and EQ-5D before and after treatment. Results Regarding the distribution of the factors analyzed, these were of note: more females than males (1:3.52); and highest proportions were age more than 70 years (37.70%), cause of lumbar spinal stenosis unknown (67.21%), and subacute stage (42.62%). Comparing before and after treatment, the NRS score for low back and pelvic pain decreased from 6.14 ± 1.71 to 4.28 ± 1.91 (p < 0.001), and the NRS score for radiating pain and numbness decreased from 6.27 ± 1.61 to 2.02 ± 1.54 (p < 0.001). ODI decreased from 46.86 ± 19.40 to 33.63 ± 18.66 (p < 0.001), and gait-related ODI decreased from 3.34 ± 1.23 to 2.80 ± 1.11 (p < 0.001). There were no statistically significant differences in improvement of the NRS, ODI, gait-related ODI, and EQ-5D for morphological grade and dural sac cross-sectional area. Conclusions Traditional Korean medicine is effective treatment for patients with lumbar spinal stenosis. Even in patients with severe radiological findings, it is possible to reduce pain and improve quality of life.http://www.e-jar.org/upload/pdf/jar-34-4-172.pdfdural sac cross-sectional arealumbar spinal stenosismorphological gradenumeric rating scaleOswestry disability indextraditional Korean medicine |
| spellingShingle | Hyun-Joong Kim Sun-Ho Lee Ji-Hoon Choi Je-Heon Noh Min-Young Kim Jae-Won Jang Do-Hyung Ha Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study Journal of Acupuncture Research dural sac cross-sectional area lumbar spinal stenosis morphological grade numeric rating scale Oswestry disability index traditional Korean medicine |
| title | Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study |
| title_full | Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study |
| title_fullStr | Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study |
| title_full_unstemmed | Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study |
| title_short | Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study |
| title_sort | effects of traditional korean medicine treatment on lumbar spinal stenosis and assessing improvement by radiological criteria an observational study |
| topic | dural sac cross-sectional area lumbar spinal stenosis morphological grade numeric rating scale Oswestry disability index traditional Korean medicine |
| url | http://www.e-jar.org/upload/pdf/jar-34-4-172.pdf |
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