Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation: An Observational Study

Ji Hoon Choi; Sun Ho Lee; Sang Min Kim; Hyun Joong Kim; Ja Sung Koo; Hyun Ho Lee; Seong Hyun Jung; Deok Won Youn

doi:10.13045/acupunct.2016013

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Choi, Lee, Kim, Kim, Koo, Lee, Jung, and Youn: Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation: An Observational Study

Original Article

Acupuncture 2016; 33(2): 11-20.

DOI: https://doi.org/10.13045/acupunct.2016013

Effects of Korean Medical Combination Treatment for 102 Cases of Cervical Disc Herniation: An Observational Study

Ji Hoon Choi^1,^*, Sun Ho Lee¹, Sang Min Kim¹, Hyun Joong Kim¹, Ja Sung Koo², Hyun Ho Lee³, Seong Hyun Jung³, Deok Won Youn⁴

¹Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine

²Department of Oriental Internal Medicine, Daejeon Jaseng Hospital of Korean Medicine

³Department of Oriental Rehabilitation Medicine, Daejeon Jaseng Hospital of Korean Medicine

⁴Department of Acupuncture & Moxibusion Medicine, Haeundae Jaseng Hospital of Korean Medicine

^*Corresponding author: Department of Acupuncture & Moxibusion Medicine, Daejeon Jaseng Hospital of Korean Medicine, 644, Tanbang-dong, Seo-gu, Daejeon, 302-859, Republic of Korea,
Tel: +82-10-3064-1078, E-mail: jh0931@naver.com

Received April 14, 2016 Revised May 06, 2016 Accepted May 17, 2016

See the Original "".

Abstract

Objectives:

The purpose of this study is to investigate the clinical effectiveness of Korean medical combination treatment for cervical disc herniation.

Methods:

This is an observational study. 102 patients diagnosed with cervical disc herniation by MRI (Magnetic Resonance Imaging) were investigated from January, 2015 through to December, 2015 at Daejeon Jaseng Hospital of Korean Medicine. They were sorted according to the distribution of sex, age, causing factor, the period of disease, admission day and pain area. All patients were treated with acupuncture, Chuna treatment, and herbal therapy and physical therapy during the admission period. After treatment, NRS (Numeric Rating Scale), NDI (Neck Disability Index) and EQ-5D were assessed to evaluate the treatment efficacy.

Results:

There were more females than Males with a ratio of 1: 1.37, the age of fifty was the most with 35.29 %, reason unknown was the most with 72.55 % and the subacute stage was the most with 38.24 %. According to disc herniation types, patients with protruded disc types were the most with 66.67 % and a lesion of C5/6 was the most with 41.18 %. For patients diagnosed with cervical disc herniation, neck and shoulder pain NRS decreased from 6.43 ± 1.77 to 3.96 ± 1.96(p<0.001) and radiating pain NRS decreased from 5.64 ± 1.96 to 3.57 ± 1.88 (p<0.001). NDI decreased from 41.72 ± 14.04 to 30.84 ± 15.34(p<0.001), and the EQ-5D index increased from 0.68 ± 0.17 to 0.79 ± 0.14(p<0.001) after treating cervical disc patients.

Conclusion:

Korean medical combination treatment might be effective in decreasing pain and raising the life quality of patients with cervical disc herniation.

Key Words: Cervical Disc Herniation; Observational study; NRS(Numeric Rating Scale); NDI(Neck Disability Index); EQ-5D; Korean Medicine.

Table 1

Distribution of Sex and Age

		N	%
Sex	Male	43	42.16
Sex	Female	59	57.84

Age	20 ~ 29	3	2.94
	30 ~ 39	21	20.59
	40 ~ 49	34	33.33
	50 ~ 59	36	35.29
	60 ~	8	7.84

Total		102	100

Table 2

Distribution of causes

	N	%
Reason unknown	74	72.55
Overwork	15	14.71
Trauma	4	3.92
Slip down	9	8.82

Total	102	100

Table 3

Distribution of Period of Illness

	N	%
Hyperacute stage	13	12.75
Acute stage	27	26.47
subacute stage	39	38.24
Chronic stage	23	22.55

Total	102	100

Table 4

Distribution of Admission Days

	N	%
1 ~ 10	26	25.49
11 ~ 20	31	30.39
21 ~ 30	19	18.63
31 ~ 40	20	19.61
41 ~ 50	2	1.96
50 ~	4	3.92

Total	102	100

Table 5

Distriibution of Numbers Grade and Position of Herniation

		N	%
Numbers	1	8	7.84
	2	21	20.59
	3	30	29.41
	4	28	27.45
	5	11	10.78
	6	4	3.92

Grade	Bulging	15	14.71
	Protrusion	68	66.67
	Extrusion	19	18.63

Position	C2 / 3	0	0
	C3 / 4	10	9.80
	C4 / 5	26	25.49
	C5 / 6	42	41.18
	C6 / 7	23	22.55
	C7 / T1	1	0.98

Total		102	100

Table 6

Distribution of Pain Area

	N	%
Just Neck and Shoulder pain	12	11.76
Neck and shoulder pain with Radiating pain	90	88.23

Total	102	100

Table 7

Neck and shoulder pain NRS Difference before and after Treatment

		N	NRS		p-value
		N	Before	After	p-value
Sex	Male	43	6.06 ± 1.70	3.44 ± 1.93	p<0.001^*
Sex	Female	59	6.69 ± 1.78	4.33 ± 1.92

Age	<40	24	6.29 ± 2.09	4.00 ± 2.08
Age	≥40	78	6.47 ± 1.67	3.94 ± 1.94

Period of disease	Most Acute stage	13	7.07 ± 1.11	4.46 ± 1.94
	Acute stage	27	6.44 ± 1.92	3.81 ± 2.00
	Subacute stage	39	6.17 ± 1.76	4.00 ± 1.87
	Chronic stage	23	6.47 ± 1.90	3.78 ± 2.17

Total		102	6.43 ± 1.77	3.96 ± 1.96

Average NRS values are means ± standard deviation.

p-value by paired t–test in before and after NRS.

^* p<0 001.

Table 8

Radiating pain NRS Difference before and after Treatment

		N	NRS		p-value
		N	Before	After	p-value
Sex	Male	38	5.36 ± 1.66	3.26 ± 1.63	p<0.001^‡
Sex	Female	52	5.84 ± 2.14	3.80 ± 2.02	p<0.001^‡

Age	<40	20	5.00 ± 2.33	3.10 ± 2.10	0.002^†
Age	≥40	70	5.82 ± 1.81	3.71 ± 1.81	p<0.001^‡

Period of disease	Most Acute stage	11	5.90 ± 2.11	3.72 ± 1.48	0.010^*

	Acute stage	24	5.37 ± 2.16	3.37 ± 2.20	p<0.001^‡

	Subacute stage	34	5.73 ± 1.54	3.82 ± 1.66

	Chronic stage	21	5.66 ± 2.33	3.33 ± 2.08

Total		90	5.64 ± 1.96	3.57 ± 1.88

Average NRS values are means ± standard deviation.

p-value by paired t-test in before and after NRS.

^* p<0.05.

^† p<0.01.

^‡ p<0.001.

Table 9

NDI Difference before and after Treatment

		N	ND		p-value
		N	Before	After	p-value
Sex	Male	43	36.32 ± 11.44	25.67 ± 13.27	p<0.001^†
Sex	Female	59	45.66 ± 14.53	34.61 ± 15.74

Age	<40	24	37.83 ± 12.60	28.10 ± 12.94
Age	≥40	78	42.92 ± 14.32	31.68 ± 15.98

Period of disease	Most Acute stage	13	44.76 ± 15.43	29.89 ± 12.77	0.002^*

	Acute stage	27	39.86 ± 15.06	27.30 ± 16.38	p<0.001^†

	Subacute stage	39	41.75 ± 14.98	33.22 ± 17.68

	Chronic stage	23	42.13 ± 10.49	31.49 ± 10.38

Total		102	41.72 ± 14.04	30.84 ± 15.34

Average NRS values are means ± standard deviation.

p-value by paired t-test in before and after NDI.

^* p<0.01.

^† p<0.001.

Table 10

EQ-5D Index Difference before and after Treatment

		N	EQ-5D Index		p-value
		N	Before	After	p-value
Sex	Male	43	0.73 ± 0.12	0.83 ± 0.11	p<0.001^†
Sex	Female	59	0.65 ± 1.96	0.76 ± 1.55

Age	<40	24	0.73 ± 0.13	0.82 ± 0.12
Age	≥40	78	0.67 ± 0.18	0.78 ± 0.14

Period of disease	Most Acute stage	13	0.60 ± 028	0.77 ± 0.23	0.028^*

	Acute stage	27	0.68 ± 0.13	0.82 ± 0.09	p<0.001^†

	Subacute stage	39	0.69 ± 0.15	0.79 ± 0.11

	Chronic stage	23	0.73 ± 0.16	0.77 ± 0.16	0.015^*

Total		102	0.68 ± 0.17	0.79 ± 0.14	p<0.001^†

Average NRS values are means ± standard deviation.

p-value by paired t-test in before and after NDI.

^* p<0.01.

^† p<0.001.

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