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경골 고평부 골절 수술 후 관절가동추나의 적용: 증례보고 2례

Application of Joint Mobilizing Chuna Following Tibial Plateau Fracture Surgery: A Study of Two Cases

  • 조은별 (원광대학교 한의과대학 침구의학교실) ;
  • 조남근 (원광대학교 한의과대학 침구의학교실)
  • Cho, Eunbyul (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Wonkwang University) ;
  • Cho, Nam geun (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Wonkwang University)
  • 투고 : 2020.11.21
  • 심사 : 2020.12.09
  • 발행 : 2020.12.31

초록

경골 고평부 골절로 인하여 수술을 경험한 환자 2명을 대상으로 관절가동 추나, 근막 추나, 침, 한약 치료를 시행한 결과 무릎관절 가동범위가 증가하고, 통증이 감소하고, 근력이 증가한 결과를 얻었다.

Objectives The purpose of this study was to report the effect of Korean medicine treatment, including the application of joint mobilizing chuna, by reporting two cases after tibial plateau fracture surgery. Methods Two patients with tibial plateau fractures were treated using joint mobilizing chuna, myofascial chuna, acupuncture, and herbal medication. The effect of the treatments was evaluated using the range of motion, manual muscle test, numeric rating scale, and Korean Knee Injury and Osteoarthritis Outcome Score. Results In both cases, the range of motion, muscle strength, and pain were significantly improved. In particular, the range of motion for knee joint flexion increased by 47° in case 1 and 30° (right) and 42° (left) in case 2. Conclusions Korean medicine treatment, especially joint mobilizing chuna, may be an effective intervention for rehabilitation after tibial plateau fracture surgery.

키워드

참고문헌

  1. The Korean Orthopaedic Association. Orthopaedics. 7th ed. Seoul:Choisinuihaksa. 2013:1484-6.
  2. Lee SH, Kim KI. Current concepts in management of tibia plateau fracture. J Korean Fract Soc. 2014;27(3):245-60. https://doi.org/10.12671/jkfs.2014.27.3.245
  3. Department of Orthopedic surgery Seoul National University College of Medicine. Textbook of fractures and joint injuries. 4th ed. Seoul:Koonja Publishing Co.. 2016:627,631-3.
  4. Lee SJ, Park JH, Kim BJ, Kang JH, Kim HS, Song BJ. Two clinical cases of active release technique with oriental medicine treatments for sequlae of tibial plateau fracture. J Korean Med Rehab. 2013;23(3):201-10.
  5. Lee JM, Lee EJ. Effect of Korean medicine treatments in patients with proximal tibia fracture: A retrospective observational study. J Korean Med Rehabil. 2020;30(3):141-9. https://doi.org/10.18325/jkmr.2020.30.3.141
  6. Lee SJ, Lee KJ, Park JS, Song YK. Clinical application status analysis of chuna manual therapy after musculoskeletal disorder surgery. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2019;14(2):123-34. https://doi.org/10.30581/jkcmm.2019.14.2.123
  7. Korean Society of Chuna Manual medicine for Spine & Nerves. Chuna manual medicine. 2.5th ed. Seoul:Korean Society of Chuna Manual medicines for Spine & Nerves. 2017:101,274,294,308-9.
  8. Vizniak NA. Quick Reference Evidence Based Extremity Manual. Seoul:Panmun Co., Ltd, 2018:11,240-1.
  9. Vallat JM, Weis J. Peripheral nerve disorders: Pathology and genetics. Hoboken:Wiley Blackwell. 2014:3.
  10. Jung CY et al. The research of pain and functional disability assessment scales for knee joint disease. J Korean Acupunct Moxib Soc. 2010;27(2):123-42.
  11. Seo SS, Chung KC, Kim YB. Assessment of validity, reliability and responsiveness of Korean Knee Injury and Osteoarthritis Outcome Score(KOOS) for the knee injury. J Korean Orthop Assoc. 2006;41(3):441-53. https://doi.org/10.4055/jkoa.2006.41.3.441
  12. Neumann DA. Neumann Kinesiology. 3rd ed. Seoul: Panmun Publishing Co. 2018:600-1.
  13. Hing W, Hall T, Mulligan B. The Mulligan Concept of Manual Therapy. 2nd ed. Seoul:Panmun Education Co. 2020:312-5.
  14. Department of Orthopedic surgery Seoul National University College of Medicine. Textbook of fractures and joint injuries. 4th ed. Seoul:Koonja Publishing Co.. 2016:631,633.
  15. Health Insurance Review & Assessment Service. Healthcare Bigdata Hub. 2020 Jan 6[cited 2020 Nov 10]. Available from: URL:http://opendata.hira.or.kr/op/opc/olapDiagBhvInfo.do
  16. Korean Acupuncture and Moxibustion Society Textbook Compilation Committee. Acupuncture medicine. 4th edition(revised). Seoul:Hanmi Medicine Publish Company. 2020:30-1.
  17. Park YR et al. Study on practical use and historical development of Dongssi' acupuncture therapy. Korean J Acupunct. 2002;19(2):119-31.
  18. Ju YS. Ungok Herbology. Jeonju:Woosuk press. 2013:614,618,1306.

피인용 문헌

  1. 골절에 침 치료를 적용한 2013년 이후 증례보고 문헌고찰 vol.31, pp.4, 2020, https://doi.org/10.18325/jkmr.2021.31.4.49