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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

  • Journal of Korean Medicine Rehabilitation
  • Abbr : JKMR
  • 2016, 26(2), pp.105-121
  • Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
  • Research Area : Medicine and Pharmacy > Korean Medicine

Hyung-Jin Yoo 1 이현호 1 정성현 1 조경상 1 Gi-Eon Lee 1 이동현 1 김상민 1

1대전자생한방병원

Accredited

ABSTRACT

ObjectivesThe 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.Methods567 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 ther-apy, 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.ResultsAfter 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 improve-ment 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).ConclusionsAfter 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. (J Korean Med Rehab 2016;26(2):105-121)

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