• Title/Summary/Keyword: 척추신경

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A Study on the Clinical Statistics of Oriental Medicine Service in the Health Center (보건지소내(保健支所內) 한방진료실(韓方診療室) 이용실태(利用實態)에 대(對)한 조사(調査) (음성군(陰城君) 대소면(大所面) 보건지소(保健支所) 중심(中心)으로))

  • Song, Yun-Kyung;Lim, Hyung-Ho;Cho, Tae-Young
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.129-140
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    • 2003
  • Objectives : This study researched into clinical statistics for patients recieved oriental medicine treatments In the Um-sung Gun Dae-so Myun health care center during eight months from May 1 2002 to December 31 2002. The number of object was 246 cases of 234 persons. Results & Conclusions : Analyzing these 234 persons, the rate of males to females was 1 to 2.1. As for the distribution of age, the age of 61 to 70 occupied 44.02 % and the age of 61 to 90 occupied 76.5 % ih the Whole patients. Therefore female was very highly more than male and patients were for the most part, old ages (61 years old and over) Musculoskeletal disease of 202 cases occupied 82.13 %, were the highest rate. At the duration of disease 1 year to 5 years occupied 26.92 %, was the highest. The Grade II was the most of the sign of patients at first visit, it occupied 47.86 %, The Fair(+) and over effect of treatments occupied 96.84 %, the failure(-) Of effect treatments occupied 3.16 %. As for the duration of treatment, the case of 2 times to 5 times visit occupied 38.03 %, was the highest. By medication of treatment, O-juk-san(五積山) occupied 35.10 %, was the highest rate. The average 8.67 persons treated with oriental medicine a day, the average 1.36 person received the first medical examination a day.

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A case of the Improvement Low Back Pain and Lumbar Strength by isotonic lumbar extension training on lumbar strength and self Low Back Exercise Stretching Program (등장성 재활 트레이닝 및 스트레칭 프로그램이 요통의 감소 및 요부근력증가에 미치는 임상 보고)

  • Kim, Young;Yun, Je-Pil;Kim, Sung-Yong;Lim, Jin-Kang;Kim, Young-Dal;Park, Jong-Min
    • The Journal of Korea CHUNA Manual Medicine
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    • v.4 no.1
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    • pp.119-127
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    • 2003
  • Objective : We found out improvement at low back pain and lumber strength by isotonic lumbar extension training on lumbar strength and self low back exercise stretching program. Methods : We evaluated the symptom's changes VAS(Visual Analogue Scale) and lumbar strength by Medx which could estimate and exercise lumbar muscle. Conclusions: We can decrease low back pain by strengthening lumbar muscle, in additionally when patients are In admission state we may improve lumbar muscle more than Opd. state.

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Ananlysis of Correlation between Functional Leg Length Discrepancy caused by Pelvic tilting and Femur head height difference (골반변위와 대퇴골두 높이차이에 대한 상관성 비교 - Gonstead's Technique을 중심으로 -)

  • Lee, Kyung-Yun;Seo, Jin-Woo;Park, Kwae-Hwan;Park, Min-Jung
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.213-222
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    • 2004
  • Objectives : To investigate contributing degree of other factors except pelvic tilting to F.L.L.D by analizing with Gonstead technique on the correlation between femur head height discrepancy on the standing pelvic AP view and F.L.L.D caused by pelvic tilting. Method : We analysed standing pelvis AP X-ray of 70 patients who had visited at the department acupunture and moxibustion in Conmaul oriental medical hospital, during May, 1st, 2004 - July, 30th, 2004, with low back pain or lower extremity pain. We excluded the person with any past history of polio, genetic defect, malunited fracture, growth plate injury, infection and overgrowth attributable to hemangioma, or arteriovenous fistula. Results & Conclusion : The functional leg length discrepancy caused by pelvic tilting and femur head height difference had no statistical difference(p=0.132) but poorly correlated(Pearson ${\nu}=0.05$). In the 94.28% of subjects, the femur head height difference wasn't in accord with F.L.L.D. caused by pelvic tilting. In 47.14% of subjects were expected to have over $3^{mm}$ of leg length discrepancy after pelvic adjustment. The mean of measurement difference between two methods was $3.76{\pm}3.12^{mm}$ and the range was $0{\sim}11.4^{mm}$. Consequently, we must consider not only functional leg length discrepancy caused by pelvic tilting but also anatomical leg length discrepancy, misalignment of ankle, knee or hip joint etc.

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A Study on the Correlation between Thoracolumbar Junction and Back-su points(背兪穴), Hwatahyeopcheok points(華他夾脊穴) for Treatment of Low Back Pain (요통 치료를 위한 흉요추 이행부 (Thoracolumbar Junction) 와 배유혈(背兪穴), 화타협척혈(華他夾脊穴)의 상관성 에 관한 연구)

  • Park, Young-Hoi;Keum, Dong-Ho;Kim, Dae-Feel
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.77-84
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    • 2004
  • Objectives : This study was designed to investigate the correlation between thoracolumbar junction and back-su points, Hwatahyeopcheok points for treatment of low back pain in the thoracolumbar junction syndrome that was suggested by Maigne R. Method : We Investigate the acupuncture points that was correlated with the location of thoracolumbar junction area. And We tried to find out a common point between thoracolumbar junction and back-su points, Hwatahyeopcheok points for treatment of low back pain. Results and Conclusion : 1. It is considered that these points such as $BL_{20}$, $BL_{21}$, $BL_{22}$, and Hwatahyeopcheok points that are located from 11th thoraic spinous process to 2nd lumbar spinous process are correspond to the thoracolumbar junction area. 2. It is suggested that acupuncture treatment on $BL_{20}$, $BL_{21}$, $BL_{22}$, and Hwatahyeopcheok points can release the tenderness of the muscles, recover autonomic nervous function and release smooth muscles and vascular contraction, so it can treat low back pain caused by thoracolumbar junction.

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Case Report of Low Back Pain patient treated with Motion Style Treatment (M.S.T로 호전된 요통 환자 1례 보고)

  • Kwon, Seung-Ro;You, Hye-Kyung;Kim, Kyu-Tae
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.93-100
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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-S 1 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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The Effectiveness of Acupuncture Treatment on the Recovery of Grip Power in Elbow Area Pain (자침(刺針)이 주관절(?關節) 동통(疼痛) 환자(患者)의 악력(握力)에 미치는 영향)

  • Youn, You-Suk;Chung, Seok-Hee;Shin, Hyun-Dae;Lee, Sang-Hak
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.183-193
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    • 2004
  • Objective : Acupuncture therapy is known as a effective method to pain control including elbow area pain. To make clear about effectiveness of acupuncture affecting to recovery of grip power for the patient with elbow area pain, we compare the patients recieved acupuncture treatment to people with elbow pain unrecieved acupuncture treatment. Material and Methods : This clinical study has been carried out with 30 cases of patients with elbow area pain. 20 patients divides into two groups were treated by acupuncture in MPS with elbow area. Two groups were radial area pain group and ulnar area pain group. The other 10 people with elbow area pain working a resturant in Ilsan were no treatment. The study was applicated and estimated grip power before 1 st treatment and after each treatment for 4 days. Results : 1. In the radial area pain group, the acupuncture treatment is more effective than no treatment (p<0.007). 2. In the ulnar area group, the acupuncture treatment is more effective than no treatment (p<0.037). 3. The effectiveness of acupunctrue treatment is no differnce between radial area pain and ulnar area pain(P<0.529) 4. In the elbow area pain group, the acupuncture treatment is more effective than no treatment (p<0.001). Conclusion : These results shows that acupuncture treatment is effective in elbow area pain.

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Surgical Treatment of the Spontaneous Spinal Epidural Abscess (자발성 척추 경막외 농양의 수술적 치료)

  • Lee, Jung-Kil;Kim, Soo-Han;Kim, Eun-Seong;Kim, Tae-Sun;Jung, Shin;Kim, Jae-Hyoo;Kang, Sam-Suk;Lee, Je-Hyuk
    • Journal of Korean Neurosurgical Society
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    • v.29 no.8
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    • pp.1037-1042
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    • 2000
  • Objective : The goal of this study was to recognize the clinical feature and associated risk factors in spinal epidural abscess(SEA), and to improve the outcome accordingly. Methods : A retrospective study was performed in 14 patients with SEA who underwent surgical intervention at our hospital between 1990 and 1999. Results : After a mean follow-up period of 10.2 months(range, 1-57 months), 8 patients had no or minimal deficits, 4 patients had severe paresis or plegia and/or bowel/bladder dysfunction, and 2 patients died due to medical complications. Staphylococcus aureus was the predominant pathogen, isolated in 9 patients(64.3%). Cervical and thoracic spinal epidural abscesses showed a tendency to develop rapidly and were associated with severe neurological deficits. Conclusion : Thoracic spinal epidural abscesses were associated with a poorer prognosis than those in other regions. Therefore, it should be treated more aggressively. Good neurological recovery can be obtained despite severe neurologic deficit when treated by early diagnosis and prompt surgical intervention.

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The Mechanical Antiallodynic Effect of Intrathecal Lamotrigine in Rats with Spinal Nerve Ligation (척추신경결찰 흰쥐에서 척수강내로 투여한 Lamotrigine의 기계적 항이질통 효과)

  • Song, Jun Gol;Jun, In Gu;Kwon, Mi Young;Park, Jong Yeon
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.118-123
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    • 2005
  • Background: A nerve ligation injury may produce a tactile allodynia. The effects of intrathecally delivered lamotrigine on allodynia induced due to fifth and sixth lumbar spinal nerves ligation in rats, using lumbar intrathecal catheters were examined. Methods: Sprague-Dawley rats (body weight 160-180 g) were prepared by tightly ligating the fifth and sixth left lumbar spinal nerves, with the implantation of a chronic intrathecal catheter for drug administration. Mechanical allodynia and allodynic threshold were measured using von Frey filaments and the updown method, respectively. After the baseline hind paw withdrawal thresholds had been obtained, lamotrigine (10, 30, 100 and $300{\mu}g$) was administered intrathecally. Thereafter, the dose-response curves and 50% effective dose ($ED_{50}$) were obtained. Motor dysfunction was assessed by observing the righting/stepping reflex responses and abnormal weight bearing. Results: Intrathecal administration of lamotrigine produced a dose-dependent antiallodynic action ($ED_{50}=61.7{\mu}g$). Mild motor weakness was observed with $300{\mu}g$ lamotrigine, but no severe motor impairment was found. Conclusions: It is suggested that intrathecal lamotrigine could produce moderate antagonism of mechanical allodynia at the spinal level in a rat neuropathic pain model with minimal motor weakness.

Spinal and Peripheral GABA-A and B Receptor Agonists for the Alleviation of Mechanical Hypersensitivity following Compressive Nerve Injury in the Rat (백서에서 신경압박 손상에 의해 유발된 과민반응에서 척추 및 말초 GABA-A와 B 수용체 작용제에 의한 완화효과)

  • Jeon, Young Hoon;Yoon, Duck Mi;Nam, Taick Sang;Leem, Joong Woo;Paik, Gwang Se
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.22-32
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    • 2006
  • Background: This study was conducted to investigate the roles of the spinal and peripheral ${\gamma}$-aminobutyric acid (GABA)- ergic systems for the mechanical hypersensitivity produced by chronic compression of the dorsal root ganglion (CCD). Methods: CCD was performed at the left 5th lumbar dorsal root ganglion. The paw withdrawal threshold (PWT) to von Frey stimuli was measured. The mechanical responsiveness of the lumbar dorsal horn neurons was examined. GABAergic drugs were delivered with intrathecal (i.t.) or intraplantar (i.pl.) injection or by topical application onto the spinal cord. Results: CCD produced mechanical hypersensitivity, which was evidenced by the decrease of the PWT, and it lasting for 10 weeks. For the rats showing mechanical hypersensitivity, the mechanical responsiveness of the lumbar dorsal horn neurons was enhanced. A similar increase was observed with the normal lumbar dorsal horn neurons when the GABA-A receptor antagonist bicuculline was topically applied. An i.t. injection of GABA-A or GABA-B receptor agonist, muscimol or baclofen, alleviated the CCD-induced hypersensitivity. Topical application of same drugs attenuated the CCD-induced enhanced mechanical responsiveness of the lumbar dorsal horn neurons. CCD-induced hypersensitivity was also improved by low-dose muscimol applied (i.pl.) into the affected hind paw, whereas no effects could be observed with high-dose muscimol or baclofen. Conclusions: The results suggest that the neuropathic pain associated with compression of the dorsal root ganglion is caused by hyperexcitability of the dorsal horn neurons due to a loss of spinal GABAergic inhibition. Peripheral application of low-dose GABA-A receptor agonist can be useful to treat this pain.

Studies on the Larvae and Juveniles of Flying Fish, Prognichthys agoo (Temminck et Schlegel) (Pisces, Exocoetidae) (날치의 자치어에 관한 연구 II. 자치어의 골격발달)

  • PARK Yang-Sung;KIM Yong Uk
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.20 no.5
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    • pp.447-456
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    • 1987
  • The osteological development of the larvae and juveniles of Prognichthys agoo was examined on the laboratory-roared materials of 5.06-20.01 mm in mean total length(MTL). Cranium, vertebrae, caudal skeleton, siloulder girdle bone, pelvic girdle bone, pterygiophore and jaw bones were descriued in detail to examine the sequences of ossification. Ossification of the cranium took place at ca. 5.06 mm of MTL in exoccipital, basioccipital, parasphenoid. Ossification of the visceral skeleton occurred in areas where active movements of bones were required, notably in the parts for feeding and respiration. Vertebrae began to develop from the anterior end and to ossify posteriorly. Neural and haemal spines of vertebrae ossified always prior to the corresponding centra. Urostyle bone developed as an elongated bone from the early larvae and ossified prior to the centra caudal part. In jaw bones, maxillary and a part of dentary appeared first at 5.06 mm of MTL and attained a fundamental structure at 9.30 mm of MTL. Ossification of all bones was nearly completed at ca. 20.01 mm of MTL.

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