요통 환자에서 카이로프랙틱 수기치료와 경막_ 주사요법의 비교 = Comparison of the Results between Chiropractic Manipulation and Epidural Injection in Lower Back Pain

다국어 초록 (Multilingual Abstract)

Objectives： To compare the pain patterns after applying chiropractic manipulation and epidural injection in back pain patients, and to investigate the pain-relieving effects of chiropractic manipulation.




Materials and Methods: A follow-up observation has been made after applying chiropractic manipulation in 42 patients with back pain admitted through OPD, from March, 2004 to February, 2005. The patients were comprised of 16 cases of intervertebral disk herniation, 7 cases of spinal stenosis, 1 case of ankylosing spondylitis，18 cases of non-specific chronic back pain. Pain decrement levels were compared to those of another 42 patients who were admited in the some period, treated their back pain by epidural steroid injection, and the effects of chiropractic manipulation and epidural injection were observed. Results of this study was evaluated using Short-Form McGill Pain Questionnaire, Roland-Morris Questionnaire, and RAND-36 Questionnaire.




Results： In the Short-Form McGill Pain Questionnaire, the Pain Relating Index in chiropractic manipulation was on average 11.9 before operation and on average 3.1 after operation, while the PRI in epidural injection recorded an average 11,8 before operation and 5.3 after operation. The Visual Analog Scale showed pain decrement from 62 to 1.9 in manipulation, and from 6.8 to 3J in epidural injection. The Present Pain Index decreased from 2.9 to 1.5 in manipulation, and from 2.4 to 1,5 in epidural injection. In the Roland-Morris Questionnaire, which questions the level of limitation in the daily living due to pain, the decrement of level on average from 8.8 to 4,0 in manipulation, while the decrement was from 10.5 to 4.1 in epidural injection.




Conclusion： Chiropractic manipulation can be used extensively as a non-invasive method of treatment.