Kim Doori, Park Kyoung-Sun, Lee Jin-Ho, Ryu Won-Hyung, Moon Heeyoung, Park Jiwon, Jeon Yong-Hyun, Seo Ji-Yeon, Moon Young-Joo, Namgoong Jin, Shin Byung-Cheul, Ha In-Hyuk
Bucheon Jaseng Hospital of Korean Medicine, Bucheon 420010, Korea.
Jaseng Spine and Joint Research Institute, Jaseng Medical Foundations, Gangnam-gu, Seoul 100011, Korea.
J Clin Med. 2020 Jul 2;9(7):2079. doi: 10.3390/jcm9072079.
In this single-center, parallel, randomized controlled trial, we aim to examine the effects and safety of motion style acupuncture treatment (MSAT; a combination of acupuncture and Doin therapy) on pain reduction and functional improvement in patients with whiplash-associated disorders (WADs). Ninety-seven patients with cervical pain admitted to the Bucheon Jaseng Hospital of Korean Medicine, South Korea, due to acute whiplash injury were treated with integrative Korean medicine (IKM) with (MSAT group, 48 patients) or without (control group, 49 patients) an additional 3-day MSAT during hospitalization (5-14 days) and followed-up for 90 days. The mean numeric rating scale (NRS) scores of the MSAT and control groups at baseline were 5.67 (95% confidence interval (CI), 5.33, 6.01) and 5.44 (95% CI, 5.06, 5.82), respectively, and on day 5, 3.55 (95% CI, 3.04, 4.06) and 4.59 (95% CI, 4.10-5.07), respectively. The NRS change difference between the groups was -1.07 (95% CI, -1.76, -0.37). The rate of recovery of neck pain (NRS score change ≥ 2 points) was significantly faster in the MSAT than in the control group (log-rank test = 0.0055). IKM treatment combined with MSAT may be effective in reducing the pain and improving the range of motion in patients with WADs.
在这项单中心、平行、随机对照试验中，我们旨在研究运动式针刺疗法（MSAT；针刺与斗音疗法相结合）对挥鞭样损伤相关疾病（WADs）患者减轻疼痛和改善功能的效果及安全性。韩国富川加生韩医院收治的97例因急性挥鞭样损伤而颈部疼痛的患者，在住院期间（5 - 14天）接受了韩医综合治疗（IKM），其中一组（MSAT组，48例患者）额外接受了为期3天的MSAT治疗，另一组（对照组，49例患者）未接受额外的MSAT治疗，并进行了90天的随访。MSAT组和对照组在基线时的平均数字评定量表（NRS）评分分别为5.67（95%置信区间（CI），5.33, 6.01）和5.44（95% CI，5.06, 5.82），在第5天时分别为3.55（95% CI，3.04, 4.06）和4.59（95% CI，4.10 - 5.07）。两组之间的NRS变化差异为 - 1.07（95% CI， - 1.76, - 0.37）。MSAT组颈部疼痛的恢复率（NRS评分变化≥2分）明显快于对照组（对数秩检验 = 0.0055）。IKM治疗联合MSAT可能对减轻WADs患者的疼痛和改善活动范围有效。
