Acupuncture treatment for low back pain at Taukuba College of Technology Clinic
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概要
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We investigated acupuncture treatment for low back pain at National Tsukuba College of Technology Clinic.<BR>Subjects were the charts of 841 low back pain patients who had been treated with acupunture at our clinic from April, 1992 to March, 1994; 438 males and 403 females, ages ranged from 13 to 93 years with an average age of 48 years.<BR>In the majority of cases, they were treated with low frequency electro-acupuncture (lHz for 15 min.) applied to the para-vertebral muscles.<BR>Clinical diagnosis of subjects were primarily "common low back pain" (40 %), followed by osteoarthritis (10%), sciatica (6%), radiculopathy (5%), herniation (5%), osteoporosis (5%) etc.<BR>Judging from the clinical descriptions in the charts, criteria for clinical responses to treatment was grouped into the following 5 grades; "markedly improved" (chief complaint disappeared), "moderately improved" (improvement of chief complaint continued to next session), "slightly improved" (description of improvement after acupuncture), "poor" and "worsened"<BR>An effectiveness rate of more than 60% was seen in common low back pain (62.2%), sciatica (79.5%), herniation (74.2%) and osteoporosis (64.3%) when a response of "moderately improved" or better was regarded as successful . On the other hand effectiveness rates were lower for lumbar radiculopathy (51.1%) and osteoarthritis (51.6%), 40% for discopathy, 20% for psychogenic and 0% for myelopathy.<BR>Although the aim of this project is to evaluate the efficacy of acupuncture, with respect to design and criteria for assessment this study is weak (e.g., retrospective study; no control group; no objective measures; no standardization of treatment; no quantitative analysis). However, the results suggest that acupuncture is effective not simply in common low back pain, but also in low back and lower extremity pain with neural deficit.
- 日本腰痛学会の論文
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