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

  • 제14권1호
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  • Pages.49-59
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  • 2019
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  • 1975-535X(pISSN)
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  • 2982-6136(eISSN)
척추신경추나의학회 (Korean Society of Chuna manual Medicine for Spine and Nerves)
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Sauve-Kapandji 수술 후 한방재활치료에 대한 증례보고

A Case Report of Korean Medicine Rehabilitation Treatment after Sauve-Kapandji Procedure

  • 조은별 (원광대학교 한의과대학 침구의학교실) ;
  • 금지혜 (원광대학교 한의과대학 한방재활의학교실) ;
  • 백동기 (원광대학교 한의과대학 한방내과학교실) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학교실)
  • Cho, Eun-Byul (Department of Acupuncture and Moxibution Medicine, College of Korean Medicine, Won-Kwang University) ;
  • Geum, Ji-Hye (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Won-Kwang University) ;
  • Baek, Dong-Gi (Department of Internal Medicine, College of Korean medicine, Won-Kwang University) ;
  • Lee, Jung-Han (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Won-Kwang University)
  • 투고 : 2019.05.15
  • 심사 : 2019.06.12
  • 발행 : 2019.06.30
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초록

본 증례에서는 넘어진 후 상완골 골절 진단 하에 수술하였으나 뒤늦게 원위 요척관절 탈구로 진단되어 1차 수술 후 정복 소실되어 Sauve-Kapandji 수술받은 환자를 대상으로 한방재활치료를 약 3주간 시행하였다. 관절가동추나, 침 치료, 한약물 치료 등 한방재활치료 결과 우측 팔꿈치, 손목, 손가락 관절 가동범위, 수술부위 통증, 근력, 상지 기능 등에서 의미 있는 호전을 보였다. 본 연구는 단일 증례 보고라는 한계가 있으나, 한방재활치료가 수술 후 환자의 전반적인 경과에 효과적으로 작용하였기에 보고하는 바이다.

Objectives : The purpose of this study was to report the clinical progress of a patient exposed to a Sauve-Kapandji procedure after being diagnosed with dislocation of distal radioulnar joint and was treated using Korean medicine rehabilitation treatment. Methods : During the admission period, the patient was treated with acupuncture, cupping, herbal medicine, and Chuna therapy. The clinical progress was assessed by using range of motion(ROM), manual muscle test(MMT), numeric rating scale(NRS), and pain disability index(PDI). Results : After receiving the above treatments, the active ROM and motor grade of the elbow, wrist, and finger joints were improved; the NRS and PDI were decreased. Conclusions : Although this is a single case report, Korean medicine rehabilitation treatment, including Chuna manual therapy, might be an effective intervention for a patient after being exposed to a Sauve-Kapandji procedure.

키워드

참고문헌

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피인용 문헌

  1. 근골격계질환 수술후 추나 기법 임상적용 현황분석 vol.14, pp.2, 2019, https://doi.org/10.30581/jkcmm.2019.14.2.123