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Kim JY, Yun JM, Lee SH, Lee YJ, Ko DK, Heo I, Shin WC, Cho JH, Seo BK, Ha IH. Survey on the current usage of ultrasound-guided procedures in Korean Medicine Clinics and Hospitals. Medicine (Baltimore) 2024; 103:e37659. [PMID: 38579082 PMCID: PMC10994457 DOI: 10.1097/md.0000000000037659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/06/2024] [Accepted: 02/28/2024] [Indexed: 04/07/2024] Open
Abstract
Ultrasound-guidance is applied during the administration of Korean medicine (KM) interventions to improve the safety and effectiveness of the interventions. Although many case series and reports on the use of ultrasound-guided KM interventions have been reported, no study has investigated the current use of ultrasound-guidance in clinical practice by doctors of Korean medicine (KMDs). An online survey was conducted with questions examining the status of ultrasound-guidance usage among KMDs practicing in various KM clinical settings. Survey responses from 335 KMDs were collected. Ultrasound started to be widely used in the clinical practice of KM since 2022. The primary objective of using ultrasound-guidance was "To improve the accuracy and efficacy" by 54.6%. Ultrasound-guidance was most frequently applied for shoulder joint diseases, and pharmacopuncture was the most frequently used intervention (76.1% and 90.4%, respectively). The respondents reported that effectiveness could be enhanced the most in nerve entrapment syndromes and especially when used in shoulder joints. Over 90% of KMDs responded that the safety and efficacy of treatment, specialty, and patients' satisfaction were improved after adopting ultrasound-guidance. Moreover, 94.9% of KMDs agreed with the necessity for reimbursement of ultrasound-guidance in KM under national health insurance coverage. Most KMDs responded that they had positive perceptions regarding the clinical use of ultrasound-guidance in KM in terms of treatment effects, safety, and patient satisfaction, and the need for national health insurance coverage of the service. Our findings may provide practice-based evidence for conducting clinical studies.
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Affiliation(s)
- Ju Yeon Kim
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea
| | - Jung Min Yun
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea
| | - Sook-Hyun Lee
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea
| | - Yoon Jae Lee
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea
| | - Dong Kun Ko
- Korean Medical Imaging Association, Jayeonsaeng Korean Medicine Clinic, Yongin-si, Republic of Korea
| | - In Heo
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Woo-Chul Shin
- Department of Korean Medicine Rehabilitation, Kyung Hee University Medical Center, Seoul, Republic of Korea
| | - Jae-Heung Cho
- Department of Rehabilitation Medicine of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea
| | - Byung-Kwan Seo
- Department of Acupuncture & Moxibustion, College of Korean medicine, Kyung Hee University Hospital at Gangdong, Kyung Hee University, Seoul, Republic of Korea
| | - In-Hyuk Ha
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea
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Lee SH, Park SY, Heo I, Hwang EH, Shin BC, Hwang MS. Efficacy of acupuncture for whiplash injury: a systematic review and meta-analysis. BMJ Open 2024; 14:e077700. [PMID: 38233056 PMCID: PMC10806823 DOI: 10.1136/bmjopen-2023-077700] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 12/20/2023] [Indexed: 01/19/2024] Open
Abstract
OBJECTIVES This study aimed to establish clinical evidence for acupuncture by analysing data from trials that demonstrated the efficacy of acupuncture for whiplash-associated disorder (WAD) with the following research question: Is acupuncture treatment effective for symptom alleviation in patients with WAD compared with other usual care? DESIGN A systematic review and meta-analysis. DATA SOURCES PubMed, Ovid Medline, Embase, The Cochrane Library, China National Knowledge Infrastructure, ScienceOn, KMBASE, Korean Studies Information Service System, Korea Med, Oriental Medicine Advanced Searching Integrated System and Research Information Sharing Service were searched from their inception to 1 October 2023. ELIGIBILITY CRITERIA We included randomised controlled trials (RCTs) using acupuncture on patients with WAD. The outcomes were the pain visual analogue scale (VAS) score or numerical rating scale score for neck pain, the range of motion (ROM) of the neck, the Neck Disability Index and safety. DATA EXTRACTION AND SYNTHESIS Two independent researchers analysed and extracted data from the selected literatures. The risk of bias and the quality of evidence were assessed according to the Cochrane Handbook for Systematic Reviews of Interventions and the Grading of Recommendations Assessment, Development, and Evaluation method, respectively. RESULTS A total of 525 patients with WAD from eight RCTs were included in this study. The meta-analysis revealed that the outcomes showed significant differences in the pain VAS score (standard mean difference (SMD): -0.57 (-0.86 to -0.28), p<0.001) and ROM-extension (SMD: 0.47 (0.05 to 0.89), p=0.03). The risk of bias assessment revealed that four studies published after 2012 (50%, 4 out of 8 studies) showed low bias in most domains. The pain VAS score was graded as having moderate certainty. CONCLUSION Acupuncture may have clinical value in pain reduction and increasing the ROM for patients with WAD. High-quality RCTs must be conducted to confirm the efficacy of acupuncture in patients with WAD. TRIAL REGISTRATION NUMBER PROSPERO CRD42021261595.
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Affiliation(s)
- Sang-Hyun Lee
- Department of Korean Medicine, Pusan National University Graduate School, Yangsan, Gyeongnam, Korea (the Republic of)
| | - Sun-Young Park
- 3rd Division of Clinical Medicine, Pusan National University School of Korean Medicine, Yangsan, Gyeongsangnam-do, Korea (the Republic of)
| | - In Heo
- 3rd Division of Clinical Medicine, Pusan National University School of Korean Medicine, Yangsan, Gyeongsangnam-do, Korea (the Republic of)
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Korea (the Republic of)
| | - Eui-Hyoung Hwang
- 3rd Division of Clinical Medicine, Pusan National University School of Korean Medicine, Yangsan, Gyeongsangnam-do, Korea (the Republic of)
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Korea (the Republic of)
| | - Byung-Cheul Shin
- 3rd Division of Clinical Medicine, Pusan National University School of Korean Medicine, Yangsan, Gyeongsangnam-do, Korea (the Republic of)
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Korea (the Republic of)
| | - Man-Suk Hwang
- 3rd Division of Clinical Medicine, Pusan National University School of Korean Medicine, Yangsan, Gyeongsangnam-do, Korea (the Republic of)
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Korea (the Republic of)
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Park YJ, Kim HY, Shin S, Lee J, Heo I, Cha YY, An HJ. Anti-obesity effect of Lythri herba water extracts in vitro and in vivo. J Ethnopharmacol 2023; 317:116789. [PMID: 37328083 DOI: 10.1016/j.jep.2023.116789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Revised: 06/07/2023] [Accepted: 06/13/2023] [Indexed: 06/18/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE Lythrum salicaria L., also called purple loosestrife, has traditionally been used as a medicinal plant to treat internal dysfunction, such as gastrointestinal disorders or hemorrhages. It contains numerous phytochemical compounds, including orientin, and has been reported to have anti-diarrheal, anti-inflammatory, antioxidant, and antimicrobial properties. AIM OF THE STUDY The effects of Lythrum salicaria L. on obesity have not been explored. Therefore, we investigated the anti-obesity effects of Lythri Herba, the aerial part of this plant, in vitro and in vivo. MATERIALS AND METHODS Using distilled water, Lythri Herba water extracts (LHWE) were prepared by extracting Lythri Herba at 100°Ϲ. The contents of orientin in LHWE were identified using High Performance Liquid Chromatography (HPLC) analysis. To evaluate the anti-obesity effect of LHWE, 3T3-L1 adipocytes and a high-fat diet (HFD)-fed mice were used. Oil-red O staining was performed to examine the anti-adipogenic effects of LHWE in vitro. The histological changes in epididymal white adipose tissue (epiWAT) by LHWE were examined using hematoxylin and eosin staining. Serum leptin levels were measured by enzyme-linked immunosorbent assay. Specific quantification kits measured total cholesterol and triglyceride levels in the serum. The relative fold induction of protein and mRNA was determined using western blot and Quantitative real-time Polymerase Chain Reaction analysis, respectively. RESULTS HPLC analysis demonstrated the presence of orientin in LHWE. LHWE treatment markedly reduced lipid accumulation in differentiated 3T3-L1 adipocytes. LHWE administration also conferred resistance to HFD-induced weight gain in mice and reduced epiWAT mass. Mechanistically, LHWE significantly decreased lipogenesis by downregulating lipoprotein lipase (LPL), glucose-6-phosphate dehydrogenase, ATP-citrate lyase, fatty acid synthase, stearoyl-CoA desaturase 1, sterol regulatory element binding transcription factor 1, and carbohydrate response element binding protein expression and increased the expression of genes involved in fatty acid oxidation (FAO), peroxisome proliferator-activated receptor α and carnitine palmitoyltransferase 1 in 3T3-L1 adipocytes and epiWAT. Furthermore, LHWE significantly up-regulated the phosphorylation of AMP-activated protein kinase in 3T3-L1 adipocytes and epiWAT. CONCLUSION LHWE decreases white adipogenesis in vitro and HFD-induced weight gain in vivo, which is associated with reduced lipogenesis and enhanced FAO.
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Affiliation(s)
- Yea-Jin Park
- Department of Rehabilitative Medicine of Korean Medicine and Neuropsychiatry, College of Korean Medicine, Sangji University, Wonju, Gangwon-do, 26339, Republic of Korea; Department of Oriental Pharmaceutical Science, College of Pharmacy, Kyung Hee University, Seoul, 02447, Republic of Korea.
| | - Hee-Young Kim
- Department of Oriental Pharmaceutical Science, College of Pharmacy, Kyung Hee University, Seoul, 02447, Republic of Korea; Department of Integrated Drug Development and Natural Products, Graduate School, Kyung Hee University, Seoul, 02447, Republic of Korea.
| | - Su Shin
- Research Institute, BIO PORT KOREA INC., 36, Ballyongsandan 1-ro, Jangan-eup, Gijang-gun, Busan, 46034, Republic of Korea.
| | - JungHyun Lee
- Research Institute, BIO PORT KOREA INC., 36, Ballyongsandan 1-ro, Jangan-eup, Gijang-gun, Busan, 46034, Republic of Korea.
| | - In Heo
- School of Korean Medicine, Pusan National University, Yangsan, Gyeongsangnam-do, Republic of Korea; Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital, Yangsan, Gyeongsangnam-do, Republic of Korea.
| | - Yun-Yeop Cha
- Department of Rehabilitative Medicine of Korean Medicine and Neuropsychiatry, College of Korean Medicine, Sangji University, Wonju, Gangwon-do, 26339, Republic of Korea.
| | - Hyo-Jin An
- Department of Oriental Pharmaceutical Science, College of Pharmacy, Kyung Hee University, Seoul, 02447, Republic of Korea; Department of Integrated Drug Development and Natural Products, Graduate School, Kyung Hee University, Seoul, 02447, Republic of Korea.
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Kim CY, Hwang EH, Heo I, Park SY, Shin BC, Hwang MS. Effectiveness and safety of scalp acupuncture for treating migraine: A systematic review and meta-analysis. Complement Ther Med 2023; 78:102991. [PMID: 37783377 DOI: 10.1016/j.ctim.2023.102991] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 09/19/2023] [Accepted: 09/29/2023] [Indexed: 10/04/2023] Open
Abstract
OBJECTIVE Migraine is a prevalent and disabling neurological disorder affecting a significant proportion of the global population. Although medications are the primary treatment option, their efficacy remains unclear. Thus, alternative therapies such as scalp acupuncture have gained momentum; however, evidence for the effectiveness of scalp acupuncture remains insufficient. Therefore, this review provides evidence regarding the effectiveness and safety of scalp acupuncture for the treatment of migraines. DESIGN PubMed, EMBASE, CENTRAL, Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System, Korean Medical Database, NDSL, Citation Information by NII, and China National Knowledge Infrastructure were searched from their inception to September 2022 to identify randomised controlled trials (RCTs) without language restrictions. Data were collected and analysed independently by two reviewers. The RoB 2.0 tool was used to evaluate the risk of bias, and a meta-analysis was conducted using RevMan software (V5.4). SETTING Eight RCTs including 874 patients were selected. RESULTS Scalp acupuncture had a higher total effective rate (relative risk [RR]:1.24; 95% confidence interval [CI]:1.08-1.43; P < 0.01) than that of ordinary acupuncture. The headache index decreased significantly (standardised mean differences [SMD]:-1.27; 95% CI:-2.06 to -0.48; P < 0.01), and the total effective rate was higher (RR:1.20; 95% CI:1.06-1.37; P < 0.01) with scalp acupuncture than with medications. However, evidence supporting the effectiveness of scalp acupuncture was not robust. No adverse events were reported. CONCLUSION Scalp acupuncture appears to be more effective than other treatments for migraines. However, their safety remains uncertain. PROSPERO REGISTRATION NUMBER CRD42022348879.
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Affiliation(s)
- Che-Yeon Kim
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Eui-Hyoung Hwang
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea; Department of Korean Medicine Rehabilitation, Pusan National University, Korean Medicine Hospital, Yangsan, Republic of Korea
| | - In Heo
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea; Department of Korean Medicine Rehabilitation, Pusan National University, Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Sun-Young Park
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea; Department of Korean Medicine Rehabilitation, Pusan National University, Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Byung-Cheul Shin
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea; Department of Korean Medicine Rehabilitation, Pusan National University, Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Man-Suk Hwang
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea; Department of Korean Medicine Rehabilitation, Pusan National University, Korean Medicine Hospital, Yangsan, Republic of Korea.
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Kim CY, Hwang EH, Heo I, Park SY, Shin BC, Hwang MS. Efficacy of scalp acupuncture for migraine: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2022; 101:e30926. [PMID: 36550818 PMCID: PMC9771318 DOI: 10.1097/md.0000000000030926] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
INTRODUCTION Migraine is a disorder that is prevalent worldwide. However, there is still no clear and effective treatment for migraine. Recently, acupuncture as a treatment has been attracting attention and studies have shown the value of scalp acupuncture. Therefore, this protocol for a systematic review and meta-analysis was created to assess the evidence of effectiveness and safety of scalp acupuncture in the treatment of migraine. METHODS All published randomized controlled trials (RCTs) in the following databases will be searched from their inception to September 2022: PubMed, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), OASIS, Korean Studies Information Service System (KISS), Korean Medical Database and NDSL, CiNii (Citation Information by NII), and the China National Knowledge Infrastructure (CNKI), without language restrictions. The data collection and analysis will be conducted independently by two reviewers. The Cochrane Collaboration tool will be used to evaluate the risk of bias by evaluating the available studies. A meta-analysis will be conducted using RevMan V.5.4 software. RESULTS The purpose of the proposed systemic review is to systematically assess the effectiveness and safety of scalp acupuncture for the treatment of migraine. CONCLUSIONS To sum up, this review will assess the effectiveness and safety of scalp acupuncture for the treatment of migraine. The results of this review are expected to provide new guidelines for the treatment of migraine. ETHICS AND DISSEMINATION The review and meta-analysis will not require ethical approval because personal information from individuals will not be involved. The results will be published in a peer-reviewed journal.
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Affiliation(s)
- Che-Yeon Kim
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Eui-Hyoung Hwang
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - In Heo
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Sun-Young Park
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Byung-Cheul Shin
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Man-Suk Hwang
- School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
- * Correspondence: Man-Suk Hwang, Third Division of Clinical Medicine, School of Korean Medicine, Pusan National University 49, Busandaehak-ro, Mulgeum-up, Yangsan-si, Gyeongsangnam-do 50612, Republic of Korea (e-mail: )
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Park SY, Kim HT, Heo I, Hwang MS, Hwang EH, Shin BC. Scalp acupuncture for stroke: A protocol for an overview of systematic reviews and meta-analysis. Medicine (Baltimore) 2022; 101:e31472. [PMID: 36343045 PMCID: PMC9646568 DOI: 10.1097/md.0000000000031472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND Scalp acupuncture (SA) is a new acupuncture method that connects head acupoints and aculines, and many systematic reviews (SRs) have been published on its use against neuropsychiatric diseases. However, no overview of SRs on the effectiveness of SA in stroke recovery has been conducted. Therefore, our overview aims to evaluate the methodological bias and reliability of the conclusions of SRs regarding SA for stroke recovery and help clinical decision-makers translate this research into clinical policy and practice. METHODS We will consider SRs and meta-analyses of randomized controlled trials to evaluate the effects of SA on stroke recovery. Two reviewers will identify relevant studies, extract data information, and assess the methodological quality using the Assessment of Multiple Systematic Reviews-2 tool. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses report checklist will also be included in the study to assess the quality of the reports. We will use evaluations of the Grading of Recommendations Assessment, Development and Evaluation of the authors of the included SRs. The Risk of Bias in Systematic Review tool will be used to assess the risk of bias of SRs. The screening of SRs, eligibility evaluation, data extraction, methodological quality, and quality of evidence will be conducted by independent reviewers in pairs. The outcomes of interest include the Modified Edinburgh-Scandinavian Stroke Scale, Ability of Daily Living, Functional Independence Measure, Barthel index, Fugl-Meyer assessment, clinical effective rate, and adverse events. Data will be extracted using predefined forms designed to summarize the important characteristics of each review. The evidence will be a descriptive synthesis of the type and content of the intervention and the results reported. RESULTS The results will be published in a peer-reviewed journal. CONCLUSIONS We expect to organize evidence from multiple SRs on the effectiveness of SA for stroke recovery and synthesize the findings in an accessible and useful documentation.
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Affiliation(s)
- Sun-Young Park
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Hyun-Tae Kim
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - In Heo
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Man-Suk Hwang
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Eui-Hyoung Hwang
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Byung-Cheul Shin
- The 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
- Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
- * Correspondence: Byung-Cheul Shin, Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, 20, Geumo-ro, Mulgeum-eup, Yangsan-si, Gyeongnam 50612, Republic of Korea (e-mail: ; )
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Abstract
Mass-correlated rotational alignment spectroscopy resolved the rotational Raman spectra for 5 benzene isotopologues with unprecedented resolution. 13-C isotopologues were characterized at natural abundance. Fitted rotational constants allowed the analysis of effective and equilibrium bond lengths for benzene with sub-mÅ uncertainties. We found that previously reported experimental structures were wrong by multiple mÅ, due to unrecognized H/D isotope effects. Our results also refute recent experimental and theoretical literature claims of identical effective C-H and C-D bond lengths in benzene and reveal an isotope effect similar to that in other small molecules.
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Affiliation(s)
- In Heo
- Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan 44919, South Korea
| | - Jong Chan Lee
- Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan 44919, South Korea
| | - Begüm Rukiye Özer
- Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan 44919, South Korea
| | - Thomas Schultz
- Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan 44919, South Korea
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Kim BJ, Park AL, Hwang MS, Heo I, Park SY, Cho JH, Kim KW, Lee JH, Ha IH, Park KS, Hwang EH, Shin BC. Comparative Effectiveness and Safety of Concomitant Treatment with Chuna Manual Therapy and Usual Care for Whiplash Injuries: A Multicenter Randomized Controlled Trial. Int J Environ Res Public Health 2022; 19:10678. [PMID: 36078394 PMCID: PMC9518174 DOI: 10.3390/ijerph191710678] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 08/20/2022] [Accepted: 08/25/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVES We aimed to compare the effectiveness and safety of Chuna manual therapy combined with usual care to those of usual care alone for treating whiplash injuries. DESIGN A two-arm, parallel, assessor-blinded, multicenter pragmatic randomized clinical trial. SETTING Three hospitals in Korea. PARTICIPANTS Overall, 132 participants between 19 and 70 years of age, involved in traffic accidents and treated at three hospitals in Korea, >2 but <13 weeks prior to enrollment, with neck pain consistent with whiplash-associated disorder grades I and II and a numeric rating scale score ≥5 were included. INTERVENTIONS Participants were equally and randomly allocated to the Chuna manual therapy and usual care (n = 66) or usual care (n = 66) groups and underwent corresponding treatment for three weeks. PRIMARY AND SECONDARY OUTCOME MEASURES The primary outcome was the number of days to achieve a 50% pain reduction. Secondary outcomes included areas under the 50% numeric rating scale reduction curve: pain, disability, quality of life, and safety. RESULTS The Chuna manual therapy + usual care group (23.31 ± 21.36 days; p = 0.01) required significantly fewer days to achieve 50% pain reduction compared to the usual care group (50.41 ± 48.32 days; p = 0.01). Regarding pain severity, functional index, and quality of life index, Chuna manual therapy and usual care were more effective than usual care alone. Safety was acceptable in both groups. CONCLUSIONS In patients with subacute whiplash injury, Chuna manual therapy showed a rapid rate of recovery, high effectiveness, and safety.
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Affiliation(s)
- Byung-Jun Kim
- School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
| | - A-La Park
- Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, UK
| | - Man-Suk Hwang
- School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
- Spine & Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
| | - In Heo
- School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
- Spine & Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
| | - Sun-Young Park
- School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
- Spine & Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
| | - Jae-Heung Cho
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea
| | - Koh-Woon Kim
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea
| | - Jun-Hwan Lee
- Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon 34054, Korea
- Korean Medicine Life Science, Campus of Korea Institute of Oriental Medicine, University of Science & Technology, Daejeon 34054, Korea
| | - In-Hyuk Ha
- Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine, Seoul 02453, Korea
| | - Kyoung-Sun Park
- Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean Medicine, Seoul 02453, Korea
| | - Eui-Hyoung Hwang
- School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
- Spine & Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
| | - Byung-Cheul Shin
- School of Korean Medicine, Pusan National University, Yangsan 50612, Korea
- Spine & Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
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Heo I, Lee JC, Özer BR, Schultz T. Structure of benzene from mass-correlated rotational Raman spectroscopy. RSC Adv 2022; 12:21406-21416. [PMID: 35975039 PMCID: PMC9347355 DOI: 10.1039/d2ra03431j] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2022] [Accepted: 06/23/2022] [Indexed: 12/11/2022] Open
Abstract
We present high resolution rotational Raman spectra and derived geometry parameters for benzene. Rotational Raman spectra with sub-5 MHz resolution were obtained via high-resolution mass-correlated rotational alignment spectroscopy. Isotopologue spectra for C6H6, 13C–C5H6, C6D6, and 13C–C5D6 were distinguished through their correlated mass information. Spectra for 13C6H6 were obtained with lower resolution. Equilibrium and effective bond lengths were estimated from measured inertial moments, based on explicit assumptions and approximations. We discuss the origin of significant bias in previously published geometry parameters and the possibility to derive H,D isotope-specific bond lengths from purely experimental data. We present high resolution rotational Raman spectra and derived geometry parameters for benzene isotopologues. Rotational Raman spectra with sub-5 MHz resolution were obtained via high-resolution mass-correlated rotational alignment spectroscopy.![]()
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Affiliation(s)
- In Heo
- UNIST (Ulsan National Institute of Science and Technology) Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun Ulsan 44919 South Korea +82-52-217-5455
| | - Jong Chan Lee
- UNIST (Ulsan National Institute of Science and Technology) Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun Ulsan 44919 South Korea +82-52-217-5455
| | - Begüm Rukiye Özer
- UNIST (Ulsan National Institute of Science and Technology) Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun Ulsan 44919 South Korea +82-52-217-5455
| | - Thomas Schultz
- UNIST (Ulsan National Institute of Science and Technology) Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun Ulsan 44919 South Korea +82-52-217-5455
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Lee SH, Park HJ, Kim HT, Park SY, Heo I, Hwang EH, Shin BC, Hwang MS. Efficacy of acupuncture for whiplash injury: A protocol for systematic review and meta-analysis. Medicine (Baltimore) 2021; 100:e27767. [PMID: 34889227 PMCID: PMC8663840 DOI: 10.1097/md.0000000000027767] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Accepted: 10/28/2021] [Indexed: 01/05/2023] Open
Abstract
BACKGROUND Studies in both Eastern & Western countries such as the United States and Europe have evaluated the efficacy of acupuncture for whiplash injury or whiplash-associated disorder (WAD). However, no systematic reviews on the effectiveness of acupuncture on WAD have been conducted since 2014. Therefore, we are planning an updated systematic review of studies published since 2014 to overcome the limitations of existing evidence. METHODS Literature will be identified from searches of relevant databases, including international databases such as PubMed, Ovid-Medline, Embase, The Cochrane Library, and China National Knowledge Infrastructure and Korean databases such as Korea Med, Korean Studies Information Service System, Oriental Medicine Advanced Searching Integrated System, and National Digital Science Library. Only randomized controlled trials using acupuncture or electro-acupuncture for whiplash injury will be included. The primary outcomes will be the visual analog scale or numerical rating scale of the neck pain, while the secondary outcome is the range of motion of the neck. The risk of bias for individual papers will be assessed by two independent investigators using the Cochrane "Risk of Bias" assessment tool. DISSEMINATION We plan to report the results of the study in a peer-reviewed journal after completing the research. In addition, we expect this study to provide invaluable information to clinicians treating patients with WAD with acupuncture or electro-acupuncture. TRIAL REGISTRATION NUMBER PROSPERO 2021: CRD42021261595. Registered on 18 July 2021. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=261595.
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Affiliation(s)
- Sang-Hyun Lee
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Hye-Jin Park
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Hyun-Tae Kim
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
| | - Sun-Young Park
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - In Heo
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Eui-Hyoung Hwang
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Byung-Cheul Shin
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
| | - Man-Suk Hwang
- Department of Korean Medicine Rehabilitation, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, Republic of Korea
- 3rd Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea
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Park AL, Hwang EH, Hwang MS, Heo I, Park SY, Lee JH, Ha IH, Cho JH, Shin BC. Cost-Effectiveness of Chuna Manual Therapy and Usual Care, Compared with Usual Care Only for People with Neck Pain following Traffic Accidents: A Multicenter Randomized Controlled Trial. Int J Environ Res Public Health 2021; 18:9994. [PMID: 34639295 PMCID: PMC8508460 DOI: 10.3390/ijerph18199994] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Revised: 09/05/2021] [Accepted: 09/06/2021] [Indexed: 11/23/2022]
Abstract
This is the first cost-effectiveness analysis of Chuna manual therapy (CMT) plus usual Korean traditional medicine for traffic accident victims using a randomized controlled trial. A total of 132 participants were equally allocated to the intervention group receiving 6-11 sessions of CMT plus usual Korean traditional medicine care for three weeks or usual care including acupuncture, cupping, herbal medicine, moxibustion, and traditional physiotherapy at three hospitals. At 12 weeks, from a healthcare perspective, the intervention group had significantly higher costs (mean (SD), $778 (435) vs. $618 (318); difference, $160; 95% CI, $15 to $289; p = 0.005). From a societal perspective, total costs were insignificantly lower in the intervention group (mean (SD), $1077 (1081) vs. $1146 (1485); difference, $-69; 95% CI, $-568 to $377; p = 0.761). The intervention group dominated, with significantly higher QALYs gained at lower overall cost with a 72% chance of being cost-effective. From a societal perspective, the intervention was cost-saving for individuals who had neck pain after car accidents, although it was not cost-effective from the healthcare perspective ($40,038 per QALY gained). Findings support use of CMT as an integrated care treatment for whiplash from a societal perspective. Further studies with larger sample sizes are needed to determine cost-effectiveness in other cultural contexts.
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Affiliation(s)
- A-La Park
- Care Policy and Evaluation Centre, Department of Health Policy, London School of Economics and Political Science, London WC2A 2AE, UK
| | - Eui-Hyoung Hwang
- Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea; (E.-H.H.); (M.-S.H.); (I.H.); (S.-Y.P.); (B.-C.S.)
- Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
| | - Man-Suk Hwang
- Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea; (E.-H.H.); (M.-S.H.); (I.H.); (S.-Y.P.); (B.-C.S.)
- Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
| | - In Heo
- Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea; (E.-H.H.); (M.-S.H.); (I.H.); (S.-Y.P.); (B.-C.S.)
- Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
| | - Sun-Young Park
- Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea; (E.-H.H.); (M.-S.H.); (I.H.); (S.-Y.P.); (B.-C.S.)
| | - Jun-Hwan Lee
- Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon 34054, Korea;
- Korean Medicine Life Science, Campus of Korea Institute of Oriental Medicine, University of Science & Technology (UST), Daejeon 34054, Korea
| | - In-Hyuk Ha
- Department of Korean Medicine Rehabilitation, Jaseng Hospital of Korean medicine, Seoul 02453, Korea;
| | - Jae-Heung Cho
- Department of Korean Medicine Rehabilitation, College of Korean Medicine, Kyung Hee University, Seoul 02447, Korea;
| | - Byung-Cheul Shin
- Department of Korean Medicine Rehabilitation, School of Korean Medicine, Pusan National University, Yangsan 50612, Korea; (E.-H.H.); (M.-S.H.); (I.H.); (S.-Y.P.); (B.-C.S.)
- Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan 50612, Korea
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Heo I, Chang ES, Suh Y, Choi Y. Mitochondrial DNA Copy Number Assist with Diagnosis of Vague Myopathy. FASEB J 2021. [DOI: 10.1096/fasebj.2021.35.s1.03350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- In Heo
- Sungkyunkwan University School of MedicineSeoul
| | - Eun Sol Chang
- Department of Health Sciences and TechnologySamsung Advanced Institute for Health Sciences & Technology (SAIHST), Sungkyunkwan UniversitySeoul
| | - Yeon‐Lim Suh
- Department of PathologySamsung Medical Center, Sungkyunkwan University School of MedicineSeoul
| | - Yoon‐La Choi
- Department of PathologySamsung Medical Center, Sungkyunkwan University School of MedicineSeoul
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Özer BR, Heo I, Lee JC, Schröter C, Schultz T. De novo structure determination of butadiene by isotope-resolved rotational Raman spectroscopy. Phys Chem Chem Phys 2020; 22:8933-8939. [PMID: 32292969 DOI: 10.1039/d0cp00129e] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Isotope-selective rotational spectroscopy allows to calculate molecular structures independent of assumptions or theoretical predictions. Here, we present the first de novo structure determination based on mass-correlated rotational Raman spectroscopy, analyzing the carbon atom positions of butadiene. Mass correlation allowed us to analyze signals of rare 13C isotopologues at natural abundance, without interference from the main isotopologue signals. Fitted rotational constants and structural parameters confirm literature data from rovibrational spectroscopy of synthetic isotopologues and electron diffraction experiments.
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Affiliation(s)
- Begüm Rukiye Özer
- UNIST (Ulsan National Institute of Science and Technology), Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan, 44919, South Korea.
| | - In Heo
- UNIST (Ulsan National Institute of Science and Technology), Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan, 44919, South Korea.
| | - Jong Chan Lee
- UNIST (Ulsan National Institute of Science and Technology), Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan, 44919, South Korea.
| | - Christian Schröter
- UNIST (Ulsan National Institute of Science and Technology), Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan, 44919, South Korea.
| | - Thomas Schultz
- UNIST (Ulsan National Institute of Science and Technology), Advanced Materials Research Building 103-413, 50 UNIST-gil, Eonyang-eup, Ulju-gun, Ulsan, 44919, South Korea.
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Park SY, Hwang EH, Cho JH, Kim KW, Ha IH, Kim MR, Nam K, Lee MH, Lee JH, Kim N, Heo I, Shin BC. Comparative Effectiveness of Chuna manipulative therapy for non-acute Low back pain: A Multi-center, Pragmatic, Randomized Controlled Trial. Advances in Integrative Medicine 2019. [DOI: 10.1016/j.aimed.2019.03.165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Heo I, Hwang MS, Hwang EH, Cho JH, Ha IH, Shin KM, Lee JH, Kim NK, Son DW, Shin BC. Electroacupuncture as a complement to usual care for patients with non-acute low back pain after back surgery: a pilot randomised controlled trial. BMJ Open 2018; 8:e018464. [PMID: 29773696 PMCID: PMC5961607 DOI: 10.1136/bmjopen-2017-018464] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVES The aim of this pilot study was to estimate the sample size for a large pragmatic study of the comparative effectiveness of electroacupuncture (EA) for low back pain (LBP) after back surgery. DESIGN A randomised, active-controlled, assessor-blinded trial. PARTICIPANTS Patients with recurrent or persistent LBP, defined as a Visual Analogue Scale (VAS) score of ≥50 mm, with or without leg pain after back surgery. INTERVENTIONS Patients were randomised to an EA plus usual care (UC) group or to a UC alone group at a 1:1 ratio. Patients assigned to each group received UC, including drug therapy, physical therapy and back pain education, twice a week for 4 weeks; those assigned to the EA plus UC group additionally received EA. OUTCOME MEASURES The primary outcome was severity of LBP as measured by VAS. Secondary outcomes included back pain-related disability, assessed using the Oswestry Disability Index (ODI) and quality of life, assessed using the EuroQol Five Dimensions (EQ-5D) questionnaire. Statistical analysis was performed using paired and independent t-tests. A p value of <0.05 was considered statistically significant. RESULTS Thirty-nine patients were allocated to receive EA plus UC (n=18) or UC alone (n=21). There was no statistically significant difference in VAS or EQ-5D scores between the two groups, but there was a significant decrease in ODI scores (p=0.0081). Using G*Power, it was calculated that 40 participants per group would be needed for a future trial according to VAS scores. Considering for a 25% dropout rate, 108 participants (54 per group) would be needed. CONCLUSIONS A future trial addressing the risk of bias and including the estimated sample size would allow for better clinical assessment of the benefits of EA plus UC in treatment of patients with non-acute pain after back surgery. TRIAL REGISTRATION NUMBER NCT01966250; Results.
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Affiliation(s)
- In Heo
- Department of Korean Medical Science, School of Korean Medicine, Pusan National University, Yangsan, The Republic of Korea
- Department of Rehabilitation Medicine of Korean Medicine, Korean Medicine Hospital of Sangji University, Wonju, The Republic of Korea
| | - Man-Suk Hwang
- Department of Rehabilitation Medicine of Korean Medicine, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, The Republic of Korea
| | - Eui-Hyoung Hwang
- Department of Rehabilitation Medicine of Korean Medicine, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, The Republic of Korea
| | - Jae-Heung Cho
- Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, The Republic of Korea
| | - In-Hyuk Ha
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea
| | - Kyung-Min Shin
- Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, The Republic of Korea
| | - Jun-Hwan Lee
- Clinical Medicine Division, Korea Institute of Oriental Medicine, Daejeon, The Republic of Korea
- Korean Medicine Life Science, Campus of Korea Institute of Oriental Medicine, University of Science & Technology (UST), Daejeon, The Republic of Korea
| | - Nam-Kwen Kim
- Department of Ophthalmology & Otolaryngology and Dermatology, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea
| | - Dong-Wuk Son
- Department of Neurosurgery, Yangsan Pusan National University Hospital, Yangsan, The Republic of Korea
| | - Byung-Cheul Shin
- Department of Rehabilitation Medicine of Korean Medicine, Spine and Joint Center, Pusan National University Korean Medicine Hospital, Yangsan, The Republic of Korea
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, The Republic of Korea
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Shin BC, Cho JH, Ha IH, Heo I, Lee JH, Kim KW, Kim MR, Jung SY, Kwon O, Kim NK, Son HM, Son DW, Shin KM. A multi-center, randomized controlled clinical trial, cost-effectiveness and qualitative research of electroacupuncture with usual care for patients with non-acute pain after back surgery: study protocol for a randomized controlled trial. Trials 2018; 19:65. [PMID: 29368636 PMCID: PMC5784658 DOI: 10.1186/s13063-018-2461-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2017] [Accepted: 01/05/2018] [Indexed: 12/29/2022] Open
Abstract
Background Although pain after back surgery is known to be difficult to control, various treatment options are available to patients and physicians. A protocol for a confirmatory randomized controlled trial (RCT) on pain and function after back surgery was designed based on the results of a pilot trial. The aim of this study is to compare the effectiveness and safety of electroacupuncture (EA) with usual care (UC) versus UC alone on pain control and functional improvement after back surgery. Methods/design This study is a multi-center, randomized, assessor-blinded trial with an active control conducted in conjunction with a cost-effectiveness analysis and qualitative research. Participants with non-acute low back pain with or without leg pain after back surgery who have a Visual Analogue Scale (VAS) pain intensity score ≥ 50 mm will be randomly assigned to either the EA with UC group (n = 54) or the UC group (n = 54). Following randomization, participants in both groups will receive the same UC treatment twice a week for a four-week treatment period. Participants assigned to the EA with UC group will additionally receive EA twice a week for the same four-week period. The primary outcome measure will be assessed using a VAS pain intensity score for low back pain. The secondary outcomes will include the Oswestry Disability Index, EuroQol 5-Dimension score, and drug intake. The primary and secondary outcomes will be measured at one, four, and eight weeks post randomization. Discussion The results of this study will provide evidence of the effectiveness and cost-effectiveness of EA in managing postoperative pain following back surgery. In addition, the qualitative research results will help improve the quality of integrative medical interventions. Trial registration Clinical Research Information Service (CRIS), Republic of Korea, KCT0001939. Registered on 8 June 2016. Electronic supplementary material The online version of this article (10.1186/s13063-018-2461-6) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Byung-Cheul Shin
- Spine & Joint Center, Department of Korean Rehabilitation Medicine, Pusan National University Korean Medicine Hospital, Yangsan, 50612, South Korea.,Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, 50612, South Korea
| | - Jae-Heung Cho
- Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, 02447, South Korea
| | - In-Hyuk Ha
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 06017, South Korea
| | - In Heo
- School of Korean Medicine, Pusan National University, Yangsan, 50612, South Korea
| | - Jun-Hwan Lee
- Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea.,Korean Medicine Life Science, Campus of Korea Institute of Oriental Medicine, University of Science & Technology (UST), Daejeon, 34054, South Korea
| | - Koh-Woon Kim
- Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul, 02447, South Korea
| | - Me-Riong Kim
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, 06017, South Korea
| | - So-Young Jung
- Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea
| | - Ojin Kwon
- Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea
| | - Nam-Kwen Kim
- Department of Ophthalmology & Otolaryngology and Dermatology, School of Korean Medicine, Pusan National University, Yangsan, 50612, South Korea
| | - Haeng-Mi Son
- Department of Nursing, Ulsan University, Ulsan, 44610, South Korea
| | - Dong-Wuk Son
- Department of Neurosurgery, Yangsan Pusan National University Hospital, Yangsan, 50612, South Korea
| | - Kyung-Min Shin
- Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, South Korea.
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Lee NW, Kim GH, Heo I, Kim KW, Ha IH, Lee JH, Hwang EH, Shin BC. Chuna (or Tuina) Manual Therapy for Musculoskeletal Disorders: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Evid Based Complement Alternat Med 2017; 2017:8218139. [PMID: 29441114 PMCID: PMC5758860 DOI: 10.1155/2017/8218139] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2017] [Accepted: 11/27/2017] [Indexed: 02/06/2023]
Abstract
OBJECTIVE To review the literature and systematically evaluate the effectiveness of Chuna (or Tuina) manual therapy (C[T]MT) on pain and function for musculoskeletal disorders. METHODS We searched 15 English, Chinese, Japanese, and Korean databases using relevant keywords. All randomized controlled trials (RCTs) of C(T)MT for musculoskeletal disorders were considered, and we limited analyses to studies with a low-risk bias for randomization and/or allocation concealment. RESULTS Sixty-six RCTs with 6,170 participants were included. One sham-controlled RCT showed that C(T)MT relieved pain more effectively than a sham control (SMD -3.09 [-3.59, -2.59]). For active-controlled RCTs, pooled meta-analysis showed that C(T)MT had statistically significant effects on pain reduction, especially compared to traction (P < 0.00001), drugs (P = 0.04), and physical therapies (P < 0.0001). For functional improvement, combined effects of C(T)MT with drugs (P = 0.04) and traction (P = 0.05) also showed similar positive effects. CONCLUSIONS This systematic review suggests that C(T)MT is safe and effective for pain reduction and functional improvement for musculoskeletal diseases; however, the evidence for functional improvement was not as strong as for pain reduction. For future studies, high-quality RCTs such as sham-controlled studies with standardized interventions are needed to provide sufficient evidence on the effects of C(T)MT for musculoskeletal diseases. Protocol registration number is CRD42016038307 04/07/2016.
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Affiliation(s)
- Nam-Woo Lee
- School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea
| | - Gee-Heon Kim
- School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea
| | - In Heo
- Korean Medicine Clinical Research Center, Korean Medicine Hospital, Pusan National University, Yangsan 50612, Republic of Korea
| | - Koh-Woon Kim
- Department of Korean Rehabilitation Medicine, Kyung Hee University, Seoul 02447, Republic of Korea
| | - In-Hyuk Ha
- Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 06017, Republic of Korea
| | - Jun-Hwan Lee
- Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon 34054, Republic of Korea
- Korean Medicine Life Science, University of Science & Technology (UST), Campus of Korea Institute of Oriental Medicine, Daejeon 34054, Republic of Korea
| | - Eui-Hyoung Hwang
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea
- Spine & Joint Center, Korean Medicine Hospital, Pusan National University, Yangsan 50612, Republic of Korea
| | - Byung-Cheul Shin
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea
- Spine & Joint Center, Korean Medicine Hospital, Pusan National University, Yangsan 50612, Republic of Korea
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Lee BW, Lee HY, Heo KH, Cho HW, Hwang MS, Heo I, Shin BC, Hwang EH. Analysis of Herbal Medicine Prescriptions for Patients in An Academic Korean Medical Hospital: A Cross Sectional Study of Electronic Medical Records (2010–2013). Chin J Integr Med 2017; 24:467-473. [DOI: 10.1007/s11655-017-2903-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2015] [Indexed: 11/28/2022]
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Shin BC, Lee BW, Cho HW, Hwang EH, Lee HY, Hwang MS, Heo I, Heo KH. Prescription patterns of individual herbs of traditional herbal medicine in Korea: An analysis of patients’ data from a national university EMR record. Integr Med Res 2015. [DOI: 10.1016/j.imr.2015.04.266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Hwang MS, Heo KH, Cho HW, Shin BC, Lee HY, Heo I, Kim NK, Choi BK, Son DW, Hwang EH. Electroacupuncture as a complement to usual care for patients with non-acute pain after back surgery: a study protocol for a pilot randomised controlled trial. BMJ Open 2015; 5:e007031. [PMID: 25652804 PMCID: PMC4322200 DOI: 10.1136/bmjopen-2014-007031] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Recurrent or persistent low back pain is common after back surgery but is typically not well controlled. Previous randomised controlled trials on non-acute pain after back surgery were flawed. In this article, the design and protocol of a randomised controlled trial to treat pain and improve function after back surgery are described. METHODS AND ANALYSIS This study is a pilot randomised, active-controlled, assessor-blinded trial. Patients with recurring or persistent low back pain after back surgery, defined as a visual analogue scale value of ≥50 mm, with or without leg pain, will be randomly assigned to an electroacupuncture-plus-usual-care group or to a usual-care-only group. Patients assigned to both groups will have usual care management, including physical therapy and patient education, twice a week during a 4-week treatment period that would begin at randomisation. Patients assigned to the electroacupuncture-plus-usual-care group will also have electroacupuncture twice a week during the 4-week treatment period. The primary outcome will be measured with the 100 mm pain visual analogue scale of low back pain by a blinded evaluator. Secondary outcomes will be measured with the EuroQol 5-Dimension and the Oswestry Disability Index. The primary and secondary outcomes will be measured at 4 and 8 weeks after treatment. ETHICS AND DISSEMINATION Written informed consent will be obtained from all participants. This study was approved by the Institutional Review Board (IRB) of Pusan National University Korean Hospital in September 2013 (IRB approval number 2013012). The study findings will be published in peer-reviewed journals and presented at national and international conferences. TRIAL REGISTRATION NUMBER This trial was registered with the US National Institutes of Health Clinical Trials Registry: NCT01966250.
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Affiliation(s)
- Man-Suk Hwang
- Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital, Yangsan, South Korea
- Department of Korean Medical Science, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Kwang-Ho Heo
- Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital, Yangsan, South Korea
| | - Hyun-Woo Cho
- Department of Korean Medical Science, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Byung-Cheul Shin
- Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital, Yangsan, South Korea
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Hyeon-Yeop Lee
- Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital, Yangsan, South Korea
- Department of Korean Medical Science, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - In Heo
- Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital, Yangsan, South Korea
- Department of Korean Medical Science, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Nam-Kwen Kim
- Department of Ophthalmology & Otolaryngology and Dermatology, School of Korean Medicine, Pusan National University, Yangsan, South Korea
| | - Byung-Kwan Choi
- Department of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, South Korea
| | - Dong-Wuk Son
- Department of Neurosurgery, Yangsan Pusan National University Hospital, Yangsan, South Korea
| | - Eui-Hyoung Hwang
- Department of Rehabilitation Medicine of Korean Medicine, Pusan National University Korean Medicine Hospital, Yangsan, South Korea
- Division of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, South Korea
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