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Survey of integrative lumbar spinal stenosis treatment in Korean medicine doctors: preliminary data for clinical practice guidelines.

Abstract Considering that large variations exist amongst practitioners in lumbar disorder management and the significant costs that lumbar disorders incur, determining clinical practice patterns to provide preliminary data for standardization should be given higher priority. Lumbar spinal stenosis (LSS) is commonly treated using integrative non-surgical methods by Korean medicine doctors (KMDs) in Korea, and this is the first study to assess current Korean medicine practice trends for LSS.
PMID
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Authors

Mayor MeshTerms

Combined Modality Therapy

Keywords

Complementary therapies

Health surveys

Integrative medicine

Spinal Stenosis

Journal Title bmc complementary and alternative medicine
Publication Year Start




PMID- 28851418
OWN - NLM
STAT- MEDLINE
DA  - 20170830
DCOM- 20170913
LR  - 20170913
IS  - 1472-6882 (Electronic)
IS  - 1472-6882 (Linking)
VI  - 17
IP  - 1
DP  - 2017 Aug 29
TI  - Survey of integrative lumbar spinal stenosis treatment in Korean medicine
      doctors: preliminary data for clinical practice guidelines.
PG  - 425
LID - 10.1186/s12906-017-1942-6 [doi]
AB  - BACKGROUND: Considering that large variations exist amongst practitioners in
      lumbar disorder management and the significant costs that lumbar disorders incur,
      determining clinical practice patterns to provide preliminary data for
      standardization should be given higher priority. Lumbar spinal stenosis (LSS) is 
      commonly treated using integrative non-surgical methods by Korean medicine
      doctors (KMDs) in Korea, and this is the first study to assess current Korean
      medicine practice trends for LSS. METHODS: A survey on KMD diagnosis, treatment, 
      prognosis and decision-making in LSS treatment was developed in a 3-step
      procedure of preliminary drafting, revision based on extramural expert opinion,
      and final editing. The survey was conducted at the internal conference of a
      spine-specialty Korean medicine hospital on January 25th, 2015. RESULTS: The
      response rate was high at 79.19% (n = 118/149). Participants replied that they
      treated 7.3 +/- 6.8 LSS patients/day using a multimodal treatment method
      consisting of acupuncture, pharmacopuncture, herbal medicine, Chuna manipulation,
      and electroacupuncture. Acupuncture mainly used Ashi points and MSAT, and
      pharmacopuncture mainly Shinbaro solution. The most frequently prescribed herbal 
      medicine was Chungpa-jun, and the most commonly applied Chuna techniques were
      sidelying lumbar extension dysfunction correction technique, and prone
      lumbosacral joint distraction method. Radiological findings were mainly referred 
      to for diagnosis, and clinical symptoms, age, radiological findings, and medical 
      history were regarded to be important for prognosis. Participants replied that
      7.8 +/- 3.3 weeks were required for 50% reduction in pain, and 16.1 +/- 7.7 weeks
      for 80% reduction. CONCLUSIONS: These results suggest that KMDs in Korea combine 
      a conventional approach to LSS and a Korean medicine approach to low back pain
      for integration of empirical- and evidence-based diagnosis and treatment. The
      findings may contribute in bridging the divide between evidence and clinical
      practice guidelines for Korean medicine treatment of LSS and real-world clinical 
      practice in future research.
FAU - Lee, Yoon Jae
AU  - Lee YJ
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea.
FAU - Shin, Joon-Shik
AU  - Shin JS
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea.
FAU - Lee, Jinho
AU  - Lee J
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea.
FAU - Kim, Me-Riong
AU  - Kim MR
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea.
FAU - Ahn, Yong-Jun
AU  - Ahn YJ
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea.
FAU - Shin, Ye-Sle
AU  - Shin YS
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea.
FAU - Park, Ki Byung
AU  - Park KB
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea.
FAU - Shin, Byung-Cheul
AU  - Shin BC
AD  - Division of Clinical Medicine, School of Korean Medicine, Pusan National
      University, Yangsan, Republic of Korea.
FAU - Lee, Myeong Soo
AU  - Lee MS
AD  - Medical Research Division, Korea Institute of Oriental Medicine, Daejeon,
      Republic of Korea.
FAU - Kim, Joo-Hee
AU  - Kim JH
AD  - Medical Research Division, Korea Institute of Oriental Medicine, Daejeon,
      Republic of Korea.
FAU - Cho, Jae-Heung
AU  - Cho JH
AD  - Department of Korean Rehabilitation Medicine, College of Korean Medicine, Kyung
      Hee University, Seoul, Republic of Korea.
FAU - Ha, In-Hyuk
AU  - Ha IH
AUID- ORCID: http://orcid.org/0000-0002-5020-6723
AD  - Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 858
      Eonju-ro, Gangnam-gu, Seoul, Republic of Korea. [email protected]
LA  - eng
PT  - Journal Article
DEP - 20170829
PL  - England
TA  - BMC Complement Altern Med
JT  - BMC complementary and alternative medicine
JID - 101088661
RN  - 0 (Plant Preparations)
SB  - IM
MH  - Acupuncture Therapy
MH  - Adult
MH  - Aged
MH  - *Combined Modality Therapy
MH  - Female
MH  - Humans
MH  - Integrative Medicine
MH  - Low Back Pain/diagnosis/physiopathology/*therapy
MH  - Lumbar Vertebrae/physiopathology
MH  - Male
MH  - Middle Aged
MH  - Physicians
MH  - Plant Preparations/administration & dosage
MH  - Practice Guidelines as Topic
MH  - Practice Patterns, Physicians'
MH  - Republic of Korea
MH  - Spinal Stenosis/diagnosis/drug therapy/physiopathology/*therapy
MH  - Surveys and Questionnaires
PMC - PMC5574237
OTO - NOTNLM
OT  - Complementary therapies
OT  - Health surveys
OT  - Integrative medicine
OT  - Spinal Stenosis
EDAT- 2017/08/31 06:00
MHDA- 2017/09/14 06:00
CRDT- 2017/08/31 06:00
PHST- 2017/03/14 [received]
PHST- 2017/08/21 [accepted]
AID - 10.1186/s12906-017-1942-6 [doi]
AID - 10.1186/s12906-017-1942-6 [pii]
PST - epublish
SO  - BMC Complement Altern Med. 2017 Aug 29;17(1):425. doi: 10.1186/s12906-017-1942-6.