• 제목/요약/키워드: 척추신경

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두침(頭針)을 시행한 교통사고 후 발생한 복시 환자 1례에 대한 증례보고 (The Clinical on 1 Case of Patient with Diplopia by Traffic Accident with Scalp Acupunture)

  • 성수민;황민섭;윤종화;박민제
    • 대한추나의학회지
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    • 제5권1호
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    • pp.237-242
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    • 2004
  • Objective : The purpose of this report is to examine the effects of Scalp Acupunture therapy in the diplopia by traffic accident. Methods : We investigated one patient suffering from diplopia which was admitted to Kyung-Ju O.M. hospital from April 16, 2004 to May 22, 2004. We treated one patient by Scalp Acupunture therapy. Results : 1. We operated Scalp Acupunture on the sight-area(視區) 2. In the result of treatment, the diplopia is distinguished almost. Conclusions : The scalp acupunture therapy is effective of diplopia patient, but we thought that it needed to prove effects of Scalp Acupunture therapy for efficient application with more clinical cases.

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출산유형이 산모의 골반변위에 미치는 영향에 관한 방사선학적 연구 (The Radiological Study on the Pelvic Deviation in Delivery Women)

  • 김철한;김희준;신병철;김정연
    • 대한추나의학회지
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    • 제5권1호
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    • pp.11-17
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    • 2004
  • Objective : Women can be affected physically and psychologically by pregnancy and delivery. Because the relaxation of pelvic ligaments has a chance to cause pelvic deviation, we investigated the radiological peivic deviation according to delivery types and experiences. Method : 71 patients were evaluated by X-ray findings. Every patients divided into two group according to delivery types and experiences. After measured innominate measurement. off centering measurement, sacral ala measurement and ilium shadow measurement, X-ray findings in each group were analyzed statistically. Results and Conclusions : It was concluded that the ilium was more deviated into outer side in normal delivery group than caesarean operation group, and more deviated into inner or outer side in multipara group than primipara group.

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하지길이균차에 대환 임상평가와 치료 (Clinical Evaluation and Treatment of Leg Length Inequality)

  • 김창환;김종덕
    • 대한추나의학회지
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    • 제5권1호
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    • pp.19-29
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    • 2004
  • Objectives : Visual check and X-ray are commonly used by chiropractors to estimate ieg length inequality, This study have three categories: diagnosis for anatomic leg length inequality; difference between anatomic and functional leg length inequality; theraphies for anatomic or functional leg length inequality. Methods : We referred to a PubMed site by using word of 'leg length [JU] J Manipulative Physiol Ther', only items with abstracts. Results : We searched 26 articles in J Manipulative Physiol Ther with the key word-Ieg length. Conclusion : 1. Radiographs were most accurate and commonly used by chiropractors to measure anatomic leg length inequality, clinically wood block, tape measure, visual check are acceptable. 2. There was no article about difference between anatomic and functional leg length inequality. 3. Heel lift was commonly used with conservative theraphy for anatomic leg length Inequality. 4. Chiropractors have not yet proved that the supposed positive effects are a result of a reduction of subluxation, The detection of the manipulative lesion in the sacroiliac joint depends on valid and reliable tests, Because such tests have not been established, the presence of the manipulative lesion remains hypothetical. Great effort is needed to develop, establish and enforce valid and reliable test procedures.

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골다공증의 연구 경향에 대한 고찰 -한의 학술 논문 검색을 중심으로- (The Review on the Study of Osteoporosis in Oriental Medicine Journals)

  • 김영욱;송윤경;임형호
    • 대한추나의학회지
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    • 제5권1호
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    • pp.67-76
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    • 2004
  • Objectives : The purpose of this study is to research trends In the study of osteoporosis and to establish the future direction for its study. Methods: We reviewed oriental medicine papers published in last twelve years (1990-2002). Methods : We reviewed oriental medicine papers published in last twelve years (1990-2002). Results : 1. We researched 42 papers in 12 journals and patterns of study were as follows: experimental studies were 30 (71%), reviewed studies were 8(19%), clinical studies were 2 (5%) and etc were 2 (5%). 2. The experimental studies(30) were divided into papers on efficiency testing of herbal medications (22) and herbal acupuncture (7) and etc (1). 3. The reviewed studies showed that research has been carried out in the fields of cause, pathogenesis, principles for treating disease, herbal medication, herbal acupuncture, acupuncture and moxibustion, exercise to osteoporosis. 4. The clinical studies showed that the research was carried out in the fields of follow up surveys for the herbal medication efficiency testing, the relativity of osteoporosis to other diseases. 5. In consequence of researching the case reports, there was no prescription used meaningfully. Conclusions: We need more studies of osteoporosis by reaching for specific therapy.

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요통(腰痛)의 보존적(保存的) 치료법(治療法)을 시행한 환자군(患者群)에 대한 청파전의 임상적(臨床的) 효과(效果) (The clinical effect of Cheongpa-jeon on the group of patients who were treated under conservative remedies for LBP(Low Back Pain))

  • 김용;신준식;김동우
    • 대한추나의학회지
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    • 제5권1호
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    • pp.85-92
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    • 2004
  • Low back pain(LBP) is known as one of the diseases that produce severe pains with 80% of the whole population having experienced it and reported that, even at this moment, 20-30% of the world population is suffering from it. The writer has performed 'Conservative remedies (non-surgical procedures taken)' from $1^{st}$ of January 2003 to $31^{st}$ of December the same year for 76 cases who have been hospitalized in Jaseng Hospital and adopted as having been diagnosed either HIVD L4-5 or HIVD L5-S1 or as having both. The clinical analysis was made through statistical researches which include : the changing degree in SLR test of the Cheongpa-Jeon(CP) taking patient group and the non-taking group, the change of VAS(Visual analogue scale) against pains, and the days of hospital treatment. The result demonstrated that the CP taking group showed higher changes in SLR test, bigger reduction in VAS changes and the days for hospitalization shorter than the group that didn't take CP.

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경추 추나를 이용하여 치료한 특발성 결막염 치험 1례 (A Case Report on the Idiopathic Conjunctivitis Treated by CHUNA Manual Therapy)

  • 최유석;김대필;박영호;금동호;강지훈
    • 대한추나의학회지
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    • 제5권1호
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    • pp.109-116
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    • 2004
  • Objective : There is no case report on the Idiopathic Conjunctive treated by CHUNA manual therapy in oriental medicine. We experienced a patient with the Idiopathic Conhunctivitis improved by CHUNA manual therapy in X-ray imagine and visual analogue scale(VAS), and we report It. Methods : During the patient with the Idiopathic Conjunctivitis was treated CHUNA manual therapy, we examined cervial X-ray and evaluated the patient's symptoms by VAS and counting eye drop. And we observed whether the change exist or not in X-ray. Result : Symptoms(Red eye, eye xerosis) was improved significally, and the X -ray image was improved. Conclusion : Conjunctivitis was generally treated steroid eye drop and conservative treatment. But CHUNA manual therapy may be more effective in the Idiopathic Conjunctivitis, if more clinical studies and researchs are accomplished.

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골반 뒤틀림 변위 분석법에 대한 소고 (Pelvic Twist Analysis, PTA)

  • 조종진;김상덕
    • 대한추나의학회지
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    • 제5권1호
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    • pp.135-139
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    • 2004
  • Objectives : The objectives of this report is to introduce PTA. Methods : The examination of the leg length inequality gives us a useful tool for diagnosis of body imbalance. especially pelvic distortion. There are four steps in the process of the leg analysis, according to "The Standard Manual of Chuna Society (2nd ed., Seoul:KCA Press. 2001)". In the last step of the analysis, knee-flexing over $90^{\circ}$, we have often experienced a specific sign that the lower legs are attracted toward one side spontaneously. The authors call it 'Lower Leg Lateral Attraction'. This is a very significant sign that gives us which is the major part between pelvis and the upper parts over sacrum. Thus it is definded as "Pelvic Twist Analysis, PTA" by the authors. With PTA, first, you must check the side of short leg and next, check the side of lateral attraction in lower leg over-flexing. If both sides coincide with each other, then the major part you can correct first is pelvic distortion. If not, you must find another part for primary correction, instead of pelvis. Conclusions : PTA becomes a useful complement to the examination of the leg length inequality.

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편타 손상 경항통 환자와 잠행성 경항통 환자의 경추 만곡 비교 (The comparison of Cervical Spine Curvature of the patients with whiplash and insidious onset neck pain)

  • 안치권;윤문식;김영신;정두영
    • 대한추나의학회지
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    • 제5권1호
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    • pp.151-161
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    • 2004
  • Objectives : To investigate and compare the curvature of the cervical spine of the patients with whiplash and insidious onset neck pain. Method : Clinical study carried out in 33 insidious onset neck pain outpatients and 34 whiplash onset neck pain inpatients in Conmaul Oriental Hospital. Cervical spine curvature was measured using five measuring Methods. Type of cervical spine curvature was analyzed by Jochumsen method. Ishihara Index. T-test was used to compare the cervical spine angle of the two groups. Results : The prevalence of 'straight' and 'kyphotic' cervical spines was 46.5% in the insidious onset cases and 26.47% in the whiplash onset cases. In Jackson's angle, Jochumsen method, Ishihara Index, and Park's method, angle of the Cervical spine curvature was significantly lower in the insidious onset cases. (P<0.01) Conclusion : The results suggest that the cervical spine of neck pain patients is 'straight' and 'kyphotic' and more significant in insidious onset cases.

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미만성 척수 경막외 농양을 동반한 화농성 척추염 - 증 례 보 고 - (Pyogenic Spondylitis with Diffuse Spinal Epidural Abscess - A Case Report -)

  • 김훈;김성민;정대진;심영보;박용기;최선길
    • Journal of Korean Neurosurgical Society
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    • 제29권8호
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    • pp.1074-1079
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    • 2000
  • We report a case of pyogenic spondylitis on L2 and L3 with diffuse epidural abscess up to T4 to L3 and large psoas abscess. A forty-nine-year old male was presented with progressive back pain, left flank pain and ab-dominal distention, weakness of the both legs and voiding and defecation difficulty during last 2 months. Initially multiple coronal hemilaminectomies from T4 to T12 were done for the treatment of diffuse thoracic epidural ab-scess. Then second operation via left retroperitoneal approach was performed for lumbar spondylitis and psoas abscess on third day after initial operation. After removal and curettage of pyogenic psoas and epidural abscess and spondylitis (L2-L3), iliac bone grafting with Keneda instrumentation from L1 to L4 was done simultaneously. Postoperative course has been unevenful without recurrent infection. The literature on diffuse epidural and large psoas abscess with pyogenic spondylitis are reviewed and instrumentation for stabilization of pyogenic spondylitis is also discussed.

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척추수술 후 증후군 환자에서 관찰된 추간관절통에 대한 고주파신경절리술 (Raiofrequency Neurotomy for Lumbar Facet Joint Pain in the Patients with Failed Back Surgery Syndrome)

  • 이정훈;심재철
    • The Korean Journal of Pain
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    • 제18권2호
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    • pp.151-155
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    • 2005
  • Background: A significant number of patients complain of persistent pain or neurologic symptoms after lower back surgery. It is reported that facet joint pain plays a role in failed back surgery syndrome. To the best of our knowledge, there are few studies that have investigated the outcome of radiofrequency neurotomy in the patients with failed back surgery syndrome. Methods: The study group was composed of thirteen patients who were operated on due to their low back pain, and they displayed no postoperative improvement. All the patients underwent double diagnostic block of the lumbar medial branch of the dorsal rami with using 0.5% bupivacaine. The patients who revealed a positive response to the double diagnostic block were then treated with percutaneous radiofrequency neurotomy. The effect on their pain was evaluated with using a 4 point Likert scale. Results: Eleven patients revealed a positive response to the double diagnostic block. Ten patients were given percutaneous radiofrequency neurotomy. Nine patients showed sustained pain relief for 3 months after the percutaneous radiofrequency neurotomy. Conclusions: We found lumbar facet joint syndrome in the patients with failed back surgery syndrome by performing double diagnostic block and achieving pain relief during the short term follow-up after percutaneous radiofrequency neurotomy of the lumbar zygapophysial joints. This suggested that facet joint pain should be included in failed back surgery syndrome.