• Title/Summary/Keyword: 척추신경

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An Literatural Study of Listing System of Spinal Subluxation (척추변위 명명체계에 대한 문헌 고찰)

  • Shin, Byung-Cheul;Cho, Hyun-Woo;Hwang, Eui-Hyoung;Sul, Jae-Uk;Shin, Mi-Suk;Nam, Hang-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.1
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    • pp.141-148
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    • 2011
  • Objectives : To introduce the medicare listing system for the clinicians that korean society of Chuna manual medicine for spine and nerves applies presently and wants to promote. Methods : Compare and analyse the differences, merits and demerits between Palmer-Gonstead listing system and medicare listing system using the publications and literatures of Chuna manual medicine and chiropractic. Results : It is easy to explain the movements and subluxations of spine when using medicare listing system. Also it has simple terminological system that can be applied when diagnosing the lesion of spinal joints with various palpations, Conclusion : Listing system used by Korean society of Chuna manual medicine for spine and nerves presently has very appropriate forms to indicate the movements and subluxations, However, it needs to spread to clinicians who still are using former listing system by continuous education.

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Chuna Therapy and Myofascial Release Technique for the Pain Relief and Cobb's Angle Improvement in Patients with Scoliosis: Case Report (추나요법과 근막이완요법의 척추측만증 환자 4례에 대한 증례 보고)

  • Lee, Sang-Young;Kim, Gi-Deok;Park, Soo-Gon;Kim, Min-Seong;Huang, Chun-Ho;Cho, Hyung-Jun;Sul, Jae-Uk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.1
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    • pp.59-65
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    • 2012
  • Objectives: This study is designed to report the valid result of complex of Chuna Therapy and Myofascial Release Technique(MRT) on scoliosis patients. Methods: The correction program for scoliosis takes 3 month per case. Chuna Therapy and MRT were given once a week and other oriental medicine care was given twice a week to care the complications of scoliosis. The Cobb's angle(by X-ray, Full spine view) and Visual analogue scale(VAS) were evaluated before and after the treatments. Results: After the program, both of Cobb's angle and VAS decreased. Conclusions: Though it is a case report, we found Chuna Therapy and MRT might have valid effect on scoliosis patients. Further rigorous case series and controlled trials are warranted.

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A Case Report of Hamstring shortening after Spinal Fusion, Treated by Chuna Manual Therapy (경근 추나 치료를 적용한 척추유합술 후 슬굴곡근 단축 환자 치험 1례)

  • Choi, Hee-Seung;Kim, Min-Yeong;Choi, Young-Il;Choo, Won-Jung;Nam, Hang-Woo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.6 no.2
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    • pp.133-143
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    • 2011
  • Objectives : The present study introduces the clinical application of Hamstring Chuna Manual Therapy to a patient who underwent the pain after spinal fusion. Methods : A patient who had the pain after spinal fusion was hospitalized at Bucheon Jaseng hospital of Oriental Medicine for 35 days. During the hospital treatment, the pain was relieved by Hamstring Chuna Manual Therapy. The improvement of the patient was measured by VAS(Visual Analogue Scale) score, SLR(Straight-Leg Raising) test, and walking distance. Results : The values of the patient's VAS score, SLR test, and walking distance measured before and after Hamstring Chuna Manual Therapy presented that the pain was relieved after Hamstring Chuna Manual Therapy. Conclusions : Therefore, this case demonstrates that Hamstring Chuna Manual Therapy is effective treatment method for relieving pain in the spine.

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Management for Cervical Instability (경추 불안정성의 관리)

  • Kim, Young-Min;Kim, Ho-Bong
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.11 no.1
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    • pp.74-91
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    • 2005
  • 척추의 기본적인 생체 역학적 기능은 신체 부분간의 운동을 허용하고 척수와 신경근을 보호하는 것으로서 이러한 기능을 수행하기 위해서는 척추의 역학적 안정성이 필수적이다. 척추의 안정체계는 수동적 근 골격계, 능동적 근 골격계, 그리고 신경계의 세 가지 하부체계로 나누어지며 이들 하부체계는 각각 독립적으로 안정성에 관여하고 있다. 경추의 불안정성의 문제는 비정상적으로 증가된 추간관절의 운동에 의해 염증성의 신경을 압박 또는 신장하거나 또는 통증수용기가 많이 분포하는 인대, 관절낭, 섬유륜과 종판에 비정상적인 변형을 일으키는 것을 말한다. 안정성의 장애는 근육의 기능적 측면에서 국소적 안정체계와 포괄적 안정체계의 문제로 구분할 수 있다. 불안정한 경추 환자의 임상적 양상은 일반적으로 머리가 앞으로 나오고 전방 전위된 자세로 견갑대와 승모근 상부의 과활동성을 나타낸다. 또한 능동운동은 감소되지 않으나 수동운동에서 분절의 회전운동과 병진운동의 증가와 종말감의 변화가 있다. 경추의 불안정성을 관리하기 위한 실험적 연구로 전반적인 근육 훈련, 고유수용기 훈련, 그리고 도수치료의 세 가지 주된 접근법이 있고 실제적인 접근법으로는 고유수용성 재활프로그램, 칼텐본-에반스 접근법, 그리고, 슬링운동법 등이 있다. 각 방법들은 임상에서 나름대로의 이점이 있으며 환자의 상태에 따라 이들 방법을 단독으로 또는 병행해서 적용할 수 있을 것이다. 그러나 경추에서 이러한 방법들의 효과를 입증하는 증거는 부족하여 앞으로 이러한 방법에 대한 임상적 경험보다는 그 효과를 입증할 수 있는 연구가 필요하다고 본다.

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A Clinical Case Report on the Malalignment Treated by Chuna Manual Therapy - Based on the Full Spine AP X-ray and VAS - (추나치료를 이용한 골반, 척추 및 견갑대 부정렬의 치험 3례 - Full spine AP X-ray, VAS 분석에 따른 -)

  • Park, Ji-Hyun;Jeong, Hyun-A;Hong, Seo-Young
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.135-149
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    • 2010
  • Objectives : This study was designed to observe the effect of Chuna manual therapy on the asymmetrical alignment. Methods : To analyze static structural alignment, posterior inferior ilium deviation(PI), inflare change of pelvis were checked from full spine AP X-ray. And Cobb's angle of spine and height of shoulder girdle were analyzed. To evaluate the pain visual analogue score(VAS) was scored. Chuna therapy treated 8-10 times for 1 month. Results and Conclusions : In 3 cases, VAS was improved significantly. Full spine AP X-ray shows improvement of structural imbalace. Shoulder height difference, cobb's angle, pelvic insufficiency improved considerably. These results suggest that Chuna therapy might be effective for malalignment patients.

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The Clinical Case Report on Idiopathic Scoliosis with Chuna Therapy and Acupuncture Therapy (추나요법과 침치료를 이용한 특발성 척추측만증의 보존적 치료 치험 2례)

  • Yeom, Sun-Kyu;Jin, Eun-Seok;Jeong, Hae-Chan;Kim, Han-Kyum;Lee, Jin-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.77-84
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    • 2010
  • Objectives : The propose of this study is to compare X-ray Cobb각 and clinical symptoms. Methods : Clinical datas were compared Cobb각 with X-ray Full spine A.P. and lateral view. Results : After treatment, One case, the L-spine Cobb각 correctability was 93.76%, the other case, the C-T spine Cobb각 correctability was 37.49%, the T-L spine Cobb각 correctability was 85.83%. Conclusions : The result suggest that chuna and acupuncture therapy was effective treatment on patients with idiopathic scoliosis. Also we experienced improvement of symptoms to this patient.

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A Case Report on Cervical Spinal Stenosis with Ossification of posterior Longitudinal Ligament Applied Chuna Treatment (추나요법을 적용한 후종인대골화증을 동반한 경추척추관협착증 환자의 경과관찰 1례)

  • Lee, Jin-Bok;Lee, Hwi-Yong;Cho, Yi-Hyun;Jeong, Si-Yeong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.1
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    • pp.85-94
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    • 2009
  • Objects : This study was to report a clinical effect of Korean Treatment for a patient diagnosed by Computed Tomography as Cervical Spinal Stenosis with Ossification of posterior Longitudinal Ligament. Methods : In order to alleviate left shoulder pain and neck stiffness, the patient was treated by acupuncture therapy, herbal medicine, distilled herbal injection, cervical traction technique of Chuna treatment and conservative managements. To evaluate the effect of the treatment, Recovery rate of Hirabayashi, VAS(Visual Anlaogue Scale), NDI and ROM(Range of Motion) were used. Lhermitte's sign, Valsalva test, Distraction test, Compression test and Spurling test were carried out. Results : VAS, NDI and ROM were improved and Recovery rate was 100%. Conclusions : Korean Treatment can be effectively used for a patient with Cervical Spinal Stenosis with OPLL. Further clinical studies are needed to verify the findings.

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Review on Conservative Treatment of Spinal Scoliosis (척추측만증의 보존적 치료에 대한 문헌적 고찰 - 국내 발표 논문을 중심으로 -)

  • Lee, Moon-Kyu;Lee, Gil-Jae;Song, Yun-Kyung;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.1
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    • pp.103-117
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    • 2009
  • Objective : The purpose of this study is to research the trend of the theses related to conservative treatment of spinal scoliosis and to establish the direction of futher studies into the spinal scoliosis Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by field of study, theses type, symptoms and illnesses, evaluation methods, treatment type, clinical outcome. Result and conclusion : 1. Classified by the major field of study, oriental rehabilitation medicine and physical education accounted for 9 papers, followed by 6 in orthopedics medicine. 2. Upon classifying theses according to research method type, clinical trial theses were more than casuistic theses. 3. Upon classifying theses according to symptoms and illnesses in scoliosis, the most was idiopathic scoliosis. 4. Theses used mostly Cobb's angle for evaluating in scoliosis. 5. Some few of theses used chuna therapy for treating in scoliosis. 6. Chuna therapies side by side with correction exercises were the most efficient for treating in scoliosis.

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Two Cases of Idiopathic Scoliosis with Double Curved Thoracolumbar Spine using Muscle Energy Technique (근에너지기법을 이용한 흉요추부 이중만곡 형태의 특발성 척추 측만증 호전 2례)

  • Lee, Sung-Joon;Lee, Hyuk-Jae;Lee, Yu-Jin
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.12 no.2
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    • pp.63-71
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    • 2017
  • Objectives : The purpose of this study is to report the effect of muscle energy technique(MET) on idiopathic scoliosis with double curved thoracolumbar spine. Methods : Two patients with idiopathic scoliosis with double curved thoracolumbar spine were treated by MET. To investigate the outcome of the patients' improvement, we observed the standing X-ray of cervical, thoracic, lumbar spine. And Cobb's angle, correctability and visual analog scale(VAS) were used to measure changes during treatment. Results : After treatment, Cobb's angle, correctability and VAS were improved significantly. Conclusions : MET showed significant improvement to idiopathic scoliosis with double curved thoracolumbar spine. There is limitation on this study due to insufficient number of cases. Further research should be followed.

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Chuna Manual Therapy for Spinal Scoliosis : A Review of Clinical Study (척추측만증의 추나치료에 대한 문헌 고찰 연구 보고)

  • Heo, In
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.1
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    • pp.39-47
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    • 2019
  • Objectives : The purpose of this study was to evaluate the scientific literature demonstrating the effectiveness of Chuna manual therapy (CMT) in the treatment of spinal scoliosis. Methods : A literature search was conducted using eight electronic databases to identify all randomized controlled clinical trials (RCTs) that investigated CMT as a treatment for spinal scoliosis. The Cochrane risk of bias tool was used to assess the methodological quality of each RCT. Results : Five RCTs met our inclusion criteria and were included in the analysis. These studies demonstrated positive results of CMT with respect to the reduction of Cobb's angle, vertebral rotation angle score, bending test score, and efficacy rate compared with brace treatment. Positive results were also assured, in terms of the reduction of Cobb's angle, pulmonary function, and efficacy rate when comparing CMT combined with other therapy with brace treatment, gymnastic training, or traction therapy. Conclusions : This review has identified encouraging and limited evidence of CMT for the treatment of spinal scoliosis. However, to obtain stronger evidence, without the disadvantages of study design and quality, we recommend that treatment effectiveness of CMT for spinal scoliosis is investigated further using a well-designed RCT.