The Journal of Korea CHUNA Manual Medicine (대한추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
권호 표지

A Case Report on the Ossification of the Posterior Longitudinal Ligament Treated by CHUNA Manual Therapy

추나요법으로 치료한 후방 종인대 골화증 1예

  • Kim, Mi-Young (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Park, Sung-Cheul (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University) ;
  • Kang, Sung-Ho (Sung-Jin Oriental Medical Clinic) ;
  • Song, Yung-Sun (Dept. of Oriental Rehabilitation Medicine, College of Medicine, Won-Kwang University) ;
  • Shin, Byung-Cheul (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Won-Kwang University)
  • 김미영 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 박성철 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 강성호 (성진한의원) ;
  • 송용선 (원광대학교 한의과대학 한방재활의학과교실) ;
  • 신병철 (원광대학교 한의과대학 한방재활의학과교실)
  • Published : 2002.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : There is no case report on the ossification of the posterior longitudinal ligament(OPLL) treated by CHUNA manual therapy in oriental medicine. We experienced a patient(32-year-old female) with OPLL improved by CHUNA manual therapy in X-ray image and visual analogue scale(VAS), and we report it clinically. Methods : During the patient with OPLL was treated CHUNA manual therapy, acupuncture, and physical therapy, we examined cervical X-ray, CT and Moire topography and evaluated the patient's symptoms by VAS. And we observed whether the changes exist or not in X-ray and VAS. Results : VAS in symptoms was improved significantly(p<0.05), and the radiologic X-ray image in OPLL patient was improved. Conclusion : OPLL was generally treated conservative treatment and operation in severe case. But CHUNA manual therapy may be more effective in conservative treatment of OPLL, if more clinical studies and reaches are accomplished.

후방 종인대 골화중의 치료에 수술적 처치 이전 단계의 환자에 대한 보존적 치료는 대증적 치료가 주가 되어 왔다. 본 증례에서는 추나요법을 주로 시행한 후방 종인대 골화증 환자(32세, 여자)에서 시각적 상사 척도의 각 치료기간별 감소 및 ROM의 증가와 더불어 X-ray상의 변화까지도 감소되는 현저한 치료효과를 나타내게 되었다. 향후 본 질환에 대한 보다 심도 있는 연구가 진행된다면 후방 종인대 골화증의 보존적 치료에 추나요법이 뚜렷한 역할을 공헌하리라 기대되며 이에 대한 관심과 연구가 진행되어야 한다.

Keywords

References

  1. 척추외과학 석세일
  2. 재활의학 김진호;한태륜(공저)
  3. 동의재활의학과학 전국한의과대학재활의학과학교실(편)
  4. 대한류마티스학회지 v.5 no.1 후종인대 골화증과 동반된 미만성 특발성 골격성 과골증(DISH)1예 이상길;이지수;박용법;이원기;백용한;송정식;최윤종
  5. 대한방사선의학회지 v.39 no.2 후종인대골화와 척추 불안정성의 상관성 이호철;정태섭;김영수
  6. 대한척추외과학회지 v.4 no.2 요추 황색인대 및 후종인대 골화증-2례보고- 박승림;김형수;강준순;이우형;이주형;박주식
  7. 대한신경외과학회지 v.25 no.3 후종인대 골화가 동반된 다발성 황색인대 골화증에 의한 흉추부 척수증. 임창수;조태형;박정율;박윤관;서중근;이훈갑
  8. 대한정형외과학회지 v.28 no.2 사지마비를 일으킨 경추부 후종인대 골화증(1례보고) 김성준;조재림;배규호
  9. 정형추나학 이종수;임형호;신병철
  10. 한의학회지 v.12 no.1 경추병의수기(手技)요법에 관한 문헌적 고찰 박윤희;정석희;이종수;김성수;신현대
  11. 대한추나의학회지 v.1 no.1 추나요법이 경항부 통증질환에 미치는 임상적 효과 김기옥;이종수
  12. Diagnosis of Bone and Joint Disorders. Resnick,D.
  13. Arch Jpn Chir. v.29 A case report:autopsy of syndrome of compressin of spinal canal of cervical spine . Tsukimoto,H.
  14. Australasian Radiology. v.44 Symptomatic ossification of the posterior longitudinal ligament of the cervical spine:Pictorial essay. Soo,MYS.;Rajaratnam,S.
  15. Clin Orthop v.305 The natural course of the posterior lingitudinal ligament in the cervical spine. Matsunaga,S.;Sakou,T.;Taketomi,E.;Yamaguchi ,M.;Okano,T.
  16. 대한한의학회지 v.9 no.1 마목에 관한 문헌적 고찰 정석희;이종수;김성수;중현대
  17. J.Kor Neuro Asso. v.4 no.1 Clinical Study of Patients with Ossification of Posterior Longitudinal Ligament . Kim,J,M.;Park,S.H.;Lee,K.W.;Lee,S.B.;Myung,H.J.
  18. Orthopedic physical Assessment . David,J Magee.
  19. Spine v.11 Rogentgenographic finding of the cervical spine in asymptomatic people. Gore,D.R.;Sepic,S.B.;Gardener,G.M.
  20. European J Radiol. v.27 Paravertebral ligamentous ossification :DISH,OPLL and OLP. Shigeru,Ehara.;Tadashi, Shimamura,;Ryuji,Nakamura.;Ken, Yamazaki.
  21. Clin Orthop v.184 Ossification of the posterior longitudinal ligament of the spine. Tsuyama,N.
  22. Lippincott. Co. Ossification of the posterior longitudinal ligament in the cervical spine. Hirabayashi,K.;Satomi,K.;Saski,T.
  23. Textbook of Spinal Disorders. Stephen,I Esses.
  24. J Orthop Sci. v.5 no.3 Recent progress in the study of pathogenesis of ossification of the posterior longitudinal ligament. Sakou,T.;Matsunaga,S.;Koga,H.
  25. Spine v.14 Genetic studies on ossification of the posterior longitudinal ligament of the spine. Terayama,K.
  26. Spine v.16 Genetic study of ossification of the longitudinal ligament in the cervical spine with human leukocyte antigen haplotype. Sakou,T.;Taketomi,E.;Matsunaga,S.;Yamaguchi,M.;Sonda,S.;Yashiki,S.
  27. Spine v.17 Immunohistochmical demonstration of bone morphogenic protein-2 and transforming growth factor-beta in the ossification of the posterior longitudinal ligament of the cervical spine. Kawaguchi,H.;Kurosawa,T.;Hoshino,Y.;Kawahara,H.;Ogata,E.;Matsumoto,T.;
  28. Spine v.27 no.17 Possible roles of CTGF/Hcs24 in the initation and development of ossification of the posterior longitudinal ligament . Yamamoto,Y.;Furukawa,K.;Ueyama,K.;Nakanishi,T.;Takigawa,M.;Harata,S.
  29. AJR v.131 Association of diffuse idiopathic skeletal hyperstosis(DISH) and calcification and ossification of the pasterior longitudinal ligament. Resick,D.;Grerra,J.;Robinson,C.A.;Vint,V.C.
  30. Seikei-Geka. v.44 The natural course of spinal cord symptoms of ossification of the posterior longitudinal ligament. Matsunaga,S.;Sakou,T.;Taketomi,E.
  31. J Spinal Disord. v.12 no.3 Radiological study of cervical ossificarion of the posterior longitudinal ligament . Takatsu,T.;Ishida,Y.;Suzuki,K.;Inoue,H.
  32. Spine v.17 The use of instant Moire photographs to reduse exposure from scoliosis radiographs. Denton,T.E.;Randall,F.M.;Deinlein,D.A.