• Journal of Korean Medicine Rehabilitation
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• v.30 no.3
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• pp.151-162
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• 2020

Objectives This study aimed to evaluate the effectiveness of postoperative Korean rehabilitation treatment for patients with musculoskeletal disorders. Methods The medical records of patients undergoing Korean medical rehabilitation after a musculoskeletal surgery, from January 1, 2016, to December 31, 2019, were analyzed retrospectively. The effect of treatment was evaluated by using a numeric rating scale (NRS) and questionnaire for each surgical site. When the same patient was re-admitted after discharge, it was treated as the same case if it was within 7 days from the discharge date; otherwise, it was treated separately. If the period of hospitalization was within 7 days or the chief complaint was not related to musculoskeletal surgeries, the case was excluded. Results In total, 480 cases were included in this study. Acupuncture (99.8%), moxibustion (95.6%), cupping (97.5%), Chuna manual therapy (81.5%), Korean medical physiotherapy (61.0%), Daoyin exercise therapy (26.3%), and herbal medicine (87.7%) were used as the Korean medical rehabilitation treatments. A significant improvement was noted when comparing the NRS and questionnaire results for each surgical site at the time of admission and discharge. Conclusions Korean medical rehabilitation can be effectively used for patients who have undergone musculoskeletal surgeries, to relieve pain and enable returning to daily activities. However, further research with a high level of evidence is necessary to support this finding.

• Journal of Korean Medicine Rehabilitation
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• v.34 no.1
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• pp.65-81
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• 2024

Objectives This study aimed to understand the general research trends, applicated disease, and methodology of transcutaneous/percutaneous vagus nerve stimulation, contemplating its clinical use in traditional Korean medicine and future research directions. Methods A scoping review was conducted following Arksey and O'Malley Framework Stage and adhering to the PRISMA extension for scoping reviews: checklist and explanation. Papers published until October 30, 2023, were investigated across 10 databases (PubMed, Embase, Scopus, Web of Science, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean Studies Information Service System, KMbase, Science ON, Research Information Sharing Service. The search terms used were 'Transcutaneous/Percutaneous vagus nerve stimulation'. Results Since 2021, the application of transcutaneous/percutaneous vagus nerve stimulation for musculoskeletal symptoms has been actively researched, predominantly in Asia (37%), Europe (37%), and North America (21%). All 19 papers were part of clinical studies. Chronic pain was noted that most applied disease, it also was found to potentially aid in acute post-surgical pain relief. Major assessment tools include not only simple pain metrics but also pain perception, vagal nerve tension, quality of life, and inflammatory markers. Most procedures were carried out through the ear, which offers a favorable site for therapeutic stimulation without notable side effects. And parameter analysis, frequencies typically ranged around 25 Hz to 30 Hz, while pulse widths were commonly set at 250 ㎲ or 300 ㎲. Conclusions Transcutaneous/percutaneous vagus nerve stimulation is easily accessible through acupuncture in Korean medicine. Therefore, if future studies establish parameters and clinical significance, it could be utilized as a therapeutic modality.

• Journal of Preventive Medicine and Public Health
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• v.32 no.3
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• pp.361-373
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• 1999

Objectives: Receive Operating Characteristic(ROC) curve with the area under the ROC curve(AUC) is one of the most popular indicator to evaluate the criterion validity of the measurement tool. This study was conducted to develop a standardized questionnaire to discriminate workers at high-risk of work-related musculoskeletal disorders using ROC analysis. Methods: The diagnostic results determined by rehabilitation medicine specialists in 370 persons(89 shipyard CAD workers, 113 telephone directory assistant operators, 79 women with occupation, and 89 housewives) were compared with participant's own replies to 'the questionnair on the worker's subjective physical symptoms'(Kwon, 1996). The AUC's from four models with different methods in item selection and weighting were compared with each other. These 4 models were applied to 225 persons, working in an assembly line of motor vehicle, for the purpose of AUC reliability test. Results: In a weighted model with 11 items, the AUC was 0.8155 in the primary study population, and 0.8026 in the secondary study population(p=0.3780). It was superior in the aspects of discriminability, reliability and convenience. A new questionnaire of musculoskeletal disorder could be constructed by this model. Conclusion: A more valid questionnaire with a small number of items and the quantitative weight scores useful for the relative comparisons are the main results of this study. While the absolute reference value applicable to the wide range of populations was not estimated, the basic intent of this study, developing a surveillance fool through quantitative validation of the measures, would serve for the systematic disease prevention activities.

• Journal of Digital Convergence
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• v.15 no.10
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• pp.327-337
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• 2017

The purpose of this study is to investigate patient satisfaction for the spacial environment of the rehabilitative facilities, and by this to examine areas of patients' needs to develop patient-friendly improvement in spacial environment. 308 patients were surveyed at physical therapy centers of 6 hospitals or rehabilitative institutions in Daejeon with patient satisfaction questionnaire. The spatial environment satisfaction was categorized into 7 constructs and the data were statistically analyzed and compared by t-test and ANOVA according to the patient characteristics. As a result, inter-floor transfer was found to be the area with the least satisfaction, especially in the in-patient group. Locating floor level was the second lowest satisfied construct. Comfort was relatively highly satisfied construct overall, but patients with neurological disease had less satisfaction than with musculoskeletal disease. Patients in 20's were less satisfied in wayfinding than 60's. Satisfaction for interior design was lower in subject in 50's than 70's. These findings can be used as evidences to improve spacial environment design for rehabilitative facilities to the better patient satisfaction.

• Journal of Korean Medicine Rehabilitation
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• v.33 no.3
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• pp.135-148
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• 2023

Objectives To investigate the effectiveness of acupuncture in the treatment of post-disaster musculoskeletal pain by reviewing relevant clinical studies. Methods A systematic search was conducted across 10 electronic databases to identify relevant clinical studies on acupuncture treatment for post-disaster musculoskeletal pain until May 2023. The methodological quality was evaluated using the Cochrane Risk of Bias 2 and Risk of Bias Assessment tool for non-randomized studies tools. Results Six articles were analyzed, including two randomized controlled trials (RCTs), two before-after studies, one qualitative research, and one case series. Overall, acupuncture therapy showed some improvement in pain scale among musculoskeletal pain survivors. However, no significant improvement was observed in the Short-Form McGill Pain Questionnaire (SF-MPQ-2). Subgroup analysis of participants who completed at least four acupuncture sessions revealed a significant effect on the SFMPQ-2. Additionally, a significant improvement in 36-Item Short Form Survey (SF36P) was observed after 6 months of treatment, but the 2-month treatment period did not show statistically significant effects on SF-36P improvement. The evaluation of the methodological quality of the RCTs identified some concerns of bias. Conclusions The results suggest that acupuncture is effective in alleviating post-disaster musculoskeletal pain. However, considering the limited number of selected studies and the inclusion of subjective evaluation measures, caution should be exercised in interpreting the results. Further large-scale follow-up studies are needed to determine the optimal frequency and duration of acupuncture treatment. Well-designed controlled trials should be conducted to provide more robust evidence regarding the effectiveness of acupuncture for post-disaster musculoskeletal pain.

• Transactions of the Korean Society of Mechanical Engineers B
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• v.37 no.12
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• pp.1121-1127
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• 2013

This study deals with experimental studies on electromyogram (EMG) measurements and functional electrical stimulation (FES) for the rehabilitation of a shoulder-joint. Based on the structure, motion, and main functions of the musculoskeletal system in a shoulder-joint, the muscles playing a major role for the motion in the sagittal plane were selected for the experiment. First, the surface electromyogram of the main muscles was measured according to the joint angle. The results showed that the change in the surface EMG was linearly proportional to the change in the joint angle. Second, the joint angle was measured during FES at shoulder muscles. The results showed that the joint angle increased as the FES current increased in a certain range of FES. It was confirmed that the willingness of muscles to move could be detected by measuring EMG and that the generation of muscle tension could be assisted by FES for active rehabilitation.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.15 no.2
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• pp.19-31
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• 2020

Objectives This study was conducted to survey the trends of Korean medicine clinical research using radiological measurements of the musculoskeletal system. Methods We searched four domestic research databases (OASIS, NDSL, RISS, KISS) and three academic journals (Journal of Korean Medicine Rehabilitation, The Journal of Korea CHUNA Manual Medicine for Spine & Nerves, and Journal of Acupuncture Research). Selected studies were classified by publishing year, journal, the purpose of studies, and body region mainly researched in studies. Additionally, we analyzed the radiological measurements used in each body region. Results A total of 80 studies were selected. Most of the studies were published since2000. Most studies were published in the Journal of Korean Medicine Rehabilitation. The mainly researched body region was the lumbar spine. The main purpose of the studies was to analyze the characteristics of the disease. Conclusions Further research is needed about other different fields of Korean Medicine using X-ray on various body region and studies with purpose of analyzing radiological measurements need to be researched more.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.16 no.2
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• pp.69-77
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• 2021

연구 배경 최근 한국 및 중국에서 근골격계 질환에 대한 도침술의 활용이 늘고 있다. 하지만 현재까지의 임상연구는 대부분 증례보고 형태에 그치거나, 충분한 근거가 확보되지는 않은 실정이다. 우리는 요천추신경병증환자의 치료에 있어 도침치료와 통상한의치료와의 비교를 통해 도침치료의 유효성, 안전성, 경제성 평가를 시행하기 위해 본 연구를 기획하게 되었다. 연구 방법 본 연구는 예비임상 연구로, 다기관에서 진행되며, 무작위대조군, 활성 대조군을 통한 2개군 병행집단 연구로 평가자 맹검을 시행하게 된다. 이 연구에서는 총 50명의 요천추신경병증 환자를 대상으로 2개군으로 균등하게 분배하여 도침술 또는 통상한의치료를 시행하게 된다(각군당 25명). 도침술 그룹의 경우 협척혈에 도침치료를 시행 받게 되며, 통상 한의치료군은 연구자 판단하에 도침술을 제외한 적절한 한의치료를 시행 받게 된다. 두 개의 그룹은 주당 2회씩 총 3주간 치료를 받게 된다. 일차 유효성 평가는 요통으로 인한 기능장애를 평가하기 위한 Oswestry disability index를 통해 시행한다. 이차 유효성 평가지표로는 numeric rating scale, European Quality of Life 5-Dimension 5-Level, short-form McGill Pain Questionnaire, Roland-Morris Disability Questionnaire scores를 시행하게 된다. 고찰 본 예비임상연구의 결과는 추후 있을 요천추신경병증에 대한 도침치료 및 한의통상치료 비교효과 연구의 유효성, 경제성평가 본 임상연구를 위한 기초 정보 및 가능성을 확인하고 적절한 대상자수 산정에 도움이 될 것이다.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.7 no.2
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• pp.139-144
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• 2013

Various types of disease in the nervous and musculoskeletal system can change gait, and the gait analysis is very important in determining the progression of the disease. Most methods of analyzing gait are subject to high-priced equipment and spatial restrictions. This study used smart phone images and the walking track analysis program to make a comparative analysis with the existing gait analysis on the basis of the stride length measurements and the changes in the knee joint angle for walking. The test necessary to analyze gait was conducted in seven healthy men, and data about the angle of right and left knee joints and stride length were used to analyze gait. The gait analysis in this study obtained the similar results to the existing ones. The use of the methods suggested in this study will enable gait analysis to be made without high-priced equipment and spatial restrictions.

• Journal of Korean Medicine Rehabilitation
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• v.18 no.1
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• pp.141-151
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• 2008

Objectives : The purpose of this study was to investigate effects of long-term taxi driving posture on the balance of musculoskelectal system. Methods : The author practiced Moire topography by using IBS-2000 for 30 male taxi drivers and general people. Then we measured difference of contour lines, difference of shoulder joint height, interval between vertical baseline of pelvis and vertical baseline of neck, ratio of thoracic curve and lumbar curve, difference of width between right and left through Moire topography. After we statistically analyzed difference of Moire topography's data between long-term employed male taxi drivers and general people. Results : 1. Taxi drivers, difference of contour lines in scapular, lumbar, gluteal region was bigger than general people and significant difference(p<0.05) was observed between subject group. 2. Taxi drivers, diference of shoulder joint height was more large than general people and significant difference(p<0.01) was observed between subject group. 3. Taxi drivers, diference of interval between vertical baseline of pelvis and vertical baseline of neck was more large than general people and significant difference((p<0.05) was observed between subject group. 4. Taxi drivers, ratio of thoracic curve was more large than general people and ratio of lumbar curve was more less than general people and significant difference(p<0.05) was observed between subject group. Conclusions : According to above results long-term taxi driving posture might cause musculoskelectal system unbalance.