DOI QR코드

DOI QR Code

The Effect of Korean Medical Treatments with Functional Cerebrospinal Therapy on Patients from Traffic Accidents with Temporomandibular Joint Disorder

기능적 뇌척주요법을 병행한 한방치료가 턱관절 장애가 있는 교통사고 환자에 미치는 영향

  • Seo, Yeon Ju (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.) ;
  • Seo, Jong Cheol (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.) ;
  • Kim, Shin Young (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.) ;
  • Yoon, Hyun Min (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.) ;
  • Jang, Sun Hee (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.) ;
  • Song, Chun Ho (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.) ;
  • Lee, Young Jun (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.) ;
  • Cho, Sung Woo (Dept. of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Dong-Eui Univ.) ;
  • Kang, Seok Hwan (Dept. of Sasang Constitutional Medicine, College of Korean Medicine, Dong-Eui Univ.) ;
  • Kim, Cheol Hong (Dept. of Acupuncture & Moxibustion Meridian & Acupoint, College of Korean Medicine, Dong-Eui Univ.)
  • 서연주 (동의대학교 한의과대학 침구경혈학교실) ;
  • 서종철 (동의대학교 한의과대학 침구경혈학교실) ;
  • 김신영 (동의대학교 한의과대학 침구경혈학교실) ;
  • 윤현민 (동의대학교 한의과대학 침구경혈학교실) ;
  • 장선희 (동의대학교 한의과대학 침구경혈학교실) ;
  • 송춘호 (동의대학교 한의과대학 침구경혈학교실) ;
  • 이영준 (동의대학교 한의과대학 침구경혈학교실) ;
  • 조성우 (동의대학교 한의과대학 한방재활의학과교실) ;
  • 강석환 (동의대학교 한의과대학 사상체질과) ;
  • 김철홍 (동의대학교 한의과대학 침구경혈학교실)
  • Received : 2016.12.03
  • Accepted : 2016.12.05
  • Published : 2016.12.20

Abstract

Objectives : The purpose of this study is to determine the effect of Functional Cerebrospinal Therapy(FCST) on patients from traffic accidents with Temporomandibular Joint Disorder. Methods : We reviewed the medical records of 33 patients who were treated for injuries stemming from traffic accidents at the Dong-Eui University Korean Medicine Hospital from December 29th, 2015 to August 29th, 2016. The patients were divided into 2 groups: Group A(n = 15) and Group B(n = 18). In Group A, patients received Korean medical treatments with FCST using an Accurate Balancing Appliance(ABA) - a standard intra-oral appliance. In Group B, patients received Korean medical treatments without FCST. To estimate the efficacy of the treatments in decreasing pain, we analyzed the Visual Analogue Scale(VAS), Neck Disability Index(NDI) and Oswestry Disability Index(ODI). Results : In Group A, VAS of headache(VAS H), VAS of neck & nuchal pain(VAS N), VAS of shoulder pain(VAS S), and VAS of low back pain(VAS L) were significantly improved during each period. In Group B, VAS H was significantly improved during each period, except the period from the first visit to two weeks later. VAS N, S, L were significantly improved during each period, except the period from the first visit to one week later. The total VAS improvement during each period in Group A was significantly higher than Group B. In both groups, NDI and ODI were improved significantly during each period. The improvement of NDI and ODI during each period in Group A was significantly higher than Group B. Conclusion : According to the results, FCST using ABA may be an effective treatment for patients from traffic accidents.

Keywords

References

  1. KOSTAT. Issue and Revocation of Driver's license. [Internet]. Daejeon : Statisics Korea ; c1990-2016. [cited 2016 Sep 26] Available from: URL : http://www.index.go.kr/potal/main/EachPage.do?mmenu=2&smenu=12
  2. Traffic Accident Analysis System. Traffic Accident Statistical Analysis. Seoul : the Road Traffic Authority. 2013 : 7, 351.
  3. TAAS. Tendency of Traffic Accident. [Internet]. Wonju : KoROAD ; c1954-2016. [cited 2016 Sep 26] Available from : URL : http://taas.koroad.or.kr/sta/acs/gus/selectTfcacdOccrrncSttus.do?menuId=WEB_KMP_OVT_TAC_TOS
  4. Park TY, Lee JH, Ko YS, Woo YM, Song YS, Shin BC. The Statistical Study of 84 Traffic Accident Patients hospitalized in Oriental Medical Hospital. J Korean CHUNA Manual Med for Spine&Nerves. 2005 ; 6(1) : 31-40.
  5. Cassidy JD, Carroll LJ, Cote P, Lemstra M, Berglund A, Nygren A. Effect of eliminating compensation for pain and suffering on the outcome of insurance claims for whiplash injury. N Engl J Med. 2000 ; 342(16) : 1179-86. https://doi.org/10.1056/NEJM200004203421606
  6. The Journal of Korean CHUNA Manual Medicine for Spine&Nerves. Korean Medical Guide to Whiplash-Associated Disorder. Seoul : Korean CHUNA publisher. 2010 : 3, 15.
  7. Jin SC, Kim SJ. Treatment of Atlantoaxial Fractures. J Korean Thaumatol. 2006 ; 19(2) : 164-72.
  8. Kim YK, Yun PY, Ahn MS, Kim JS. The Relationship between Trauma and Temporomandibular joint disorder. J Kor Asso Maxillofac Plast Reconstr Surg. 2009 ; 31(5) : 375-80.
  9. Lee YJ. TMJ Secret. Vol 2. Cheonan : Ilyeon. 2001 : 156-60, 189-93, 197-201.
  10. Sohn IC, Ahn KS, Shon KS et al. Two cases of spasmodic torticollis managed by yinyang balance appliance of FCST for the meridian and neurologic balance. Korean J Acupunct. 2006 ; 23(4) : 111-22.
  11. Yin CS, Lee YJ, Lee YJ. Temporomandibular joint yinyang balance treatment improves cervical spine alignment in pain patients, a medical imaging study. Korean J Acupunct. 2007 ; 24(4) : 37-45.
  12. Doo KH, Lee JH, Lee DH et al. A Comparison Study of Postural Control Measures Between Before and After Applying Temporomandibular Joint Balance Appliance-Golf(TBA-G) Using Balance Master System. J Korean Med. 2014 ; 35(1) : 50-7. https://doi.org/10.13048/jkm.14005
  13. ITBM. TMJ Disorder Simple Test. [Internet]. Cheonan : Institue of TMJ Balancing Medicine ; c2002-16. [cited 2016 June 10]. available from : http://fcst.co.kr/bbs/board.php?bo_table=0210.
  14. Choi SY. Pain treatment manual for Korean medicine doctor. Seoul : Shinheung med science. 2012 : 120-8.
  15. ITBM. ABA. [Internet]. Cheonan : Institute of TMJ Balancing Medicine ; c2002-16. [cited 2016 June 10]. available from : http://fcst.co.kr/bbs/board.php?bo_table=0230.
  16. ITBM. Full Body Exercise of FCST. [Internet]. Cheonan : Institute of TMJ Balancing Medicine ; c2002-16. [cited 2016 June 10]. available from : http://fcst.co.kr/bbs/board.php?bo_table=0214.
  17. The Korean Pain Society. Pain Medicine. 2nd ed. Seoul : Gunja Publisher. 2000 : 17, 36.
  18. Song KJ, Kim SJ, Choi BW, Yoon SJ. Cross-Cultural Adaptation and Validation of the Korean Version of the Neck Disability Index. J Korean Orthop Assoc. 2009 ; 44(3) : 350-9. https://doi.org/10.4055/jkoa.2009.44.3.350
  19. Jeon CH, Kim DJ, Kim DJ, Lee HM, Park HJ. Cross-cultural Adaptation of the Korean Version Of the Oswestry Disability Index. J Korean Soc Spine Surg. 2005 ; 12(2) : 146-52. https://doi.org/10.4184/jkss.2005.12.2.146
  20. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine. 3rd ed. Seoul : Gunja Publisher. 2011 : 204-5.
  21. Korea Insurance Development Institute. press release. [Internet. updated 2013 Jul 4][cited 2013 Sep 14]. Available from: URL : http://www.kidi.or.kr/about/about06_view.asp?no=426&Cur_Page=2&s_kw=&select2=0.
  22. Cho SW, Kang YK, Jang DH, Lee IS. Review on the Tendencies of Diagnosis and Treatment of Traffic Accidental Patients. J Korean CHUNA Manual Medicine for Spine & Nerves. 2009 ; 4(2) : 197-209.
  23. Shin JH, Oh MS. The Retrospective Analysis of 1,162 Traffic Accident Inpatients in Korean Medicine Hospital. J Korean Med Rehab. 2013 ; 23(4) : 233-50.
  24. Kang JH, Jang SG, Lee H, Lee BR. The clinical study on 37 cases of whiplash injury patients which caused by traffic accident. The Acupunct. 2002 ; 19(3) : 180-91.
  25. The Journal of Korean CHUNA Manual Medicine for Spine&Nerves. Chunamanualmedicine. 2nd ed. Seoul : J Korean CHUNA Manual Med for Spine&Nerves. 2014 : 26-30, 34-6, 364-7.
  26. Kikuchi SI. Primary Care for Musculoskeletal Disorder about Neck and Shoulder pain. Seoul : MedianBook. 2014 : 103-5.
  27. Lee JE, Jung HK, Ryu CR et al. The Clinical Study on 120 Cases with Traffic Accident. The Acupunct. 2008 ; 25(6) : 135-43.
  28. Jang SY, Cha JH, Jung KH et al. The Clinical Study of Herbal Acupuncture for Neck Pain Caused by Whiplash Injury. The Acupunct. 2007 ; 24(4) : 35-41.
  29. Im JG, Lee JB, Lee HG, Yook TH, Kim JY. Effects of the Acupuncture Therapy in combination with Soyeom Pharmacopuncture Therapy on Acute Whiplash Injury by Traffic Accident. The Acupunct. 2011 ; 28(4) : 9-18.
  30. Park JW, Jeong SH. Effect of Dangguisoo-san plus Yuhyangjeongtong-san (Dangguixu-san plusRuxiangdingtong-san) in the Traffic Accidents Patients with Night Pain. J Korean Med Rehab. 2015 ; 25(1) : 87-93. https://doi.org/10.18325/jkmr.2015.25.1.087
  31. Jeon YT, Park SH, Han KI, Lee JH, Ko YS. Trends of Chuna Manual Therapy on Traffic Accident in Korea from 2005 to 2014. J Korean Med. 2015 ; 25(2) : 89-96.
  32. Lee EJ, Park IS, Oh MS. Effects of Daoyin and Corrective Exercise Program on Musculoskeletal Pain-Based on the Acute Sprain Patients due to Traffic Accidents. J Korean Med Rehab. 2011 ; 21(4) : 205-17.
  33. Park CK. Jangsanghak. Seoul : Seongbosa. 1992 : 22, 204.
  34. Hong WS. Jeongkyo-HwangjenaekyungYoungchu. Seoul: Dongyang-euihakyeongoowon Publisher. 1985 : 37, 97.
  35. Kim CJ, Kim YB. Two Cases of Temporomandibular Joint Disorder. J Korean Orient Med Ophthalmol Otolaryngol Dermatol. 2004 ; 17(2) : 99-105.
  36. Lee YJ. Systemic therapeutics using TMJ 1-3. Seoul : Korea medical book. 2007 : 10-5, 152-66, 189-215, 417-21, 495-502.
  37. Lee SD. The Dental Distress Syndrome. Seoul : Institute of AsianAmerican functionalcorrection and TMJ. 1992 : 25, 31-5, 151, 154.
  38. Yin CS, Lee YJ, Lee YJ. Meridian Yinyang Balance Treatment of Temporomandibular Joint Improves Cervical Spine Alignment in Spasmodic Torticollis Cases, a Medical Imaging Study. JPPKM. 2008 ; 22(2) : 459-63.
  39. Lee CI, Kim JS, Lee YK et al. A Correlation Analysis of Neck Pain, Neck Disability Index and Fear-avoidance Beliefs in Patients with Neck Pain Caused by Traffic Accidents. The Acupunct. 2015 ; 32(1) : 110.