Received : 2020. 04. 27 Reviewed : 2020. 06. 03 Accepted : 2020. 06. 04 Five Cases of Nonstructural Scoliosis with Lumbar Herniated Intervertebral Disc Treated by Complex Korean Medicine Treatment with Chuna Manual Therapy: Case Report Jin Namgoong, K.M.D. 1, Bo-Kyung Hwang, K.M.D. 1, Won-Bin Shin, K.M.D. 2, Hyo-Jung Choi, K.M.D. 2 Hye-Kyung Baek, K.M.D. 2, Yun-Ha Lee, K.M.D. 3, Dong-Joo Choi, K.M.D. 3 1 Department of Obstetrics & Gynecology of Korean Medicine, Bucheon Jaseng Korean Medicine Hospital 2 Department of Korean Acupuncture and Moxibustion Medicine, Bucheon Jaseng Korean Medicine Hospital 3 Department of Rehabilitation Medicine of Korean Medicine, Bucheon Jaseng Korean Medicine Hospital Objectives : This case report describes the management of five patients suffering from nonstructural scoliosis with lumbar herniated intervertebral disc all treated with complex Korean medicine treatment. Methods : Five patients were hospitalized and treated with herbal medicine, acupuncture, pharmacopuncture, cupping, and Chuna manual therapy. Patients were assessed for Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), EuroQol-FiveDimensions (EQ-5D), and Cobb s angle. Results : In all patients, NRS, ODI, and Cobb s angle decreased, while the EQ-5D score increased. Conclusions : As seen in these five cases, complex Korean medicine treatment with Chuna manual therapy has effects on the management of nonstructural scoliosis. Key words : Case report, Nonstructural Scoliosis, Lumbar Herniated Intervertebral Disc, Korean Medicine Treatment, Chuna Manual Therapy 121
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Fig. 1. Whole spine standing x-ray(case 1). Fig. 2. Sagittal and axial view. Level L5/S1 (Case 1). 127
척추신경추나의학회지 제15권 제1호 Fig. 3. Whole spine standing x-ray(case 2). Fig. 5. Whole spine standing x-ray(case 3). 128 Fig. 4. Sagittal and axial view. Level L5/S1 (Case 2). Fig. 6. Sagittal and axial view. Level L5/S1 (Case 3).
추나요법을 적용한 한방복합치료로 호전된 요추 추간판 탈출증으로 인한 비구조적 척추측만증 5례: 증례보고 Fig. 7. Whole spine standing x-ray(case 4). Fig. 8. Sagittal and axial view. Level L4/5(Case 4). Fig. 9. Whole spine standing x-ray(case 5). Fig. 10. Sagittal and axial view. Level L3/4(Case 5). 129
Table. The Change of Cobb s Angle Before treatment ( ) After treatment ( ) Case 1 14.25 7.33 Case 2 12.54 3.13 Case 3 10.81 3.73 Case 4 13.88 4.36 Case 5 21.22 2.12 Table. The Change of Numeral Rating Scale Score Before treatment 2 week After treatment Case 1(Low back pain) 7 5 3 Case 2(Low back pain/left leg pain) 7/6 6/3 3/2 Case 3(Low back pain) 9 7 3 Case 4(Low back pain) 6 4 1 Case 5(Low back pain/ Right leg pain) 9/7 5/5 3/2 Fig. 11. The change of ODI score. Fig. 12. The change of EQ-5D score. 130
Table. The Change of Range of Motion of Lumbar Spine Case 1 ( ) Case 2 ( ) Case 3 ( ) Case 4 ( ) Case 5 ( ) Flexion 70 90 10 90 Unchekable 60 70 90 60 90 Extension 20 20 10 20 Unchekable 20 20 20 10 20 Left Lateral Bending 20 30 20 30 Unchekable 30 30 30 20 30 Right Lateral Bending 20 30 20 30 Unchekable 30 30 30 20 30 Left Rotation 30 45 45 45 Unchekable 45 30 45 30 45 Right Rotation 30 45 45 45 Unchekable 45 30 45 30 45 131
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