The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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Clinical Case Report on the Gait disturbance Patient with Osteoporosis and Lower Limb Fracture Surgery Treated by Chuna Therapy

골다공증을 동반한 하지부골절 수술 후 보행불리 환자 재활에 단순추나요법을 적용한 치험 1례

  • Lee, Yun-Jin (Dept. of Rehabilitation Medicine of Korean Medicine, Daegu Haany University) ;
  • Park, Na-Ri (Dept. of Rehabilitation Medicine of Korean Medicine, Daegu Haany University) ;
  • Yang, Doo-Hwa (Dept. of Rehabilitation Medicine of Korean Medicine, Daegu Haany University) ;
  • Ahn, Hee-Duk (Dept. of Rehabilitation Medicine of Korean Medicine, Daegu Haany University)
  • 이윤진 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 박나리 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 양두화 (대구한의대학교 한의과대학 한방재활의학과교실) ;
  • 안희덕 (대구한의대학교 한의과대학 한방재활의학과교실)
  • Received : 2019.11.15
  • Accepted : 2019.12.17
  • Published : 2019.12.30
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Abstract

Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.

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References

  1. Kim JG, Moon YW. Diagnosis of Osteoporosis. J Korean Hip Soc. 2011;23(2):108-15. https://doi.org/10.5371/jkhs.2011.23.2.108
  2. Ministry of Health & Welfare. Survey of Elderly : Prevalence and management of Elderly Chronic disease, Statistics Korea, 2017 [Internet]. (KR): Statistics Korea, c2018. Available from: http://kostat.go.kr/portal/korea/
  3. Ma MJ, Kim YH, Kim MK, Moon BH, Choi DJ, Lee WC. The Case Report about Geon-Flank Pain caused By Osteoporotic Compression Fracture treated With Palmultanggamibang. Korean J. Orient. Int. Med. 2008;164-72.
  4. Jang JS. Osteoporotic Fracture-Medical Treatment. Journal of the Korean Fracture Society. 2010;23(3):326-40. https://doi.org/10.12671/jkfs.2010.23.3.326
  5. The Society of Korean Medicine Rehabilitation. Korean Rehabilitation Medicine. 4th ed. eoul: Koonja publisher. 2015:325-9,133,350.
  6. Korean Society of chuna Manual Medicine for spine & Nerves. Chuna manual medicine 2019;49-50,274-5.
  7. Ha WB, Lee JH, LEE YS, Jo CH, Lee JH, Lee JH. A Rehabilitation for Ankle Fracture in Korean Medicine: A Report of 4 Cases. Journal of Korean Medicine Rehabilitation. 2017;27(4):171-84. https://doi.org/10.18325/jkmr.2017.27.4.171
  8. Ha WB, Geum JH, Koh NY, Lee JH. The Clinical Effect of Rehabilitation Protocol for Distal Radius Fracture in Korean Medicine: A Report of 3 Cases. Journal of Korean Medicine Rehabilitation. 2018;28(3):97-106. https://doi.org/10.18325/jkmr.2018.28.3.97
  9. Ha HJ, Gu JH, Choi BS, Oh TY, Oh EM, Lee OJ, Oh MS. A Case Report of Korean Rehabilitation Treatment and Analysis of Conservative Treatment of Pelvic Fracture in Korea. Journal of Korean Medicine Rehabilitation. 2018;28(2):135-48. https://doi.org/10.18325/jkmr.2018.28.2.135
  10. Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF&-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res. 2011;63(11):240-252. https://doi.org/10.1002/acr.20345
  11. Won JI, Kim KS. Concurrent Validity of the Functional Gait Assessment, Berg Balance Scale, and Timed Up and Go Test in Patients With Stroke. Physical Therapy Korea. 2011;18(2):43-51.
  12. Jung HY, Park BK, Shin HS. Development of the Korean Version of Modified Barthel Index (K-MBI): Multicenter Study for Subjects with Stroke. Annals of Rehabilitation Medicine. 2007;31(3):283-97.
  13. Jo ES, Prevalence and management of Osteoporosis: Korea National Health and Nutrition Examination Survey, 2008-2011, [Internet]. (KR): Korea Centers for Disease Control and Prevention, c2013. Available from: http://www.cdc.go.kr/cdc/
  14. Korean society for Bone and Mineral Research, physician's guide for Osteoporosis 2018; 154-67.
  15. Clinical orthopaedic rehabilitation: A Team approach, 4th edition, Seoul: Hanmi publisher. 2018: 247-8.
  16. Department of internal medicine (Nephro-Endocrine system)in national university of Korean Medicine. Nephro-Endocrinology of Korean Medicine. eoul: Koonja publisher. 2015;364-70.
  17. Jung KH, Cha JH, Hwang HS, Jeon JC. Effect of Oriental Medicine treatment on inpatient with thoracolumar compression fracture. J Acupunct Res. 2009;26(1):81-90.
  18. Chaitow L, Muscle Energy Technique. Seoul: Koonja publisher. 2008;112-20.