• 척추신경추나의학회지
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• 제6권2호
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• pp.23-32
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• 2011

본 논문은 3차례의 양방적 수술 치료를 받은 후에도 지속적으로 요통과 함께 하지 방사통을 호소하며 일상생활 수행에 장애가 따르던 70세 여환에 대한 증례로 침구치료, 약물치료, 추나치료, 봉약침치료 등의 한의학적 보존적 치료방법으로 통증의 감소와 함께 일상생활 능력 개선에 유의한 효과를 보였다. 향후 요추 추간판 탈출증 환자의 한방적 보존적 치료에 대한 보다 다양한 연구와 임상적 고찰이 이루어져야 한다고 사료된다.

• 대한물리의학회지
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• 제15권3호
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• pp.21-27
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• 2020

PURPOSE: This study investigated the efficacy of interferential current (IFC) treatment on the improvement of pain, disability, and balance in patients with chronic nonspecific low back pain. METHODS: A double-blind randomized clinical trial was conducted with 40 patients with chronic nonspecific low back pain. The patients were randomly allocated into two groups: the IFC treatment group (n = 20) and the placebo treatment group (n = 20). The IFC group received 30 minutes of IFC treatment on the lumbar region, while the placebo group received IFC treatment without real electrical stimulation. The intervention was administered five days a week for two weeks. RESULTS: The primary outcomes of resting pain and pain during functional movement were measured by a visual analogue scale. The secondary measurements included the Oswestry disability index (ODI) for low back pain and postural sway. The measurements were performed before and after the two-week intervention period. Compared to the placebo treatment group, the IFC treatment group showed significantly greater improvement in pain during anterior trunk flexion in the standing position (p = .029), ODI (p = .039), and postural sway when subjects stood with their eyes closed (p = .010) at the end of the intervention. CONCLUSION: Our findings show that IFC treatment can improve pain, disability, and postural sway, thus, highlighting the benefits of somatosensory stimulation from IFC.

• 대한약침학회지
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• 제5권2호
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• pp.25-38
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• 2002

Spiral taping shows great effectiveness in relieving musculoskeletal pains. The purpose of this research is to compare effectiveness of herbal acupuncture of Carthami semen(Honghwa) vs its cotreatment with spiral taping for the treatment of acute low back pain. The target patients were those who satisfied with all of the following conditions. 1. Those who suffered from acute low back pain but without past history of the pain in the last six weeks. 2. The pain wasn't radiated to the lower limbs and were without any neurotic symptoms. A computerized randomization was used to set the patients in two groups. The control group was consisted of 41 patients and treated with herbal acupuncture. The experimental group was consisted of 49 patients and treated with spiral taping as well as herbal acupuncture. The treatment was given two times a week and the nurses measured the ROM and VAS evaluation before every treatment. The patients wrote ODI by themselves before the first treatment and after the 3rd treatment. After three months, an interview of the patients' condition through a follow up survey was done. In terms of acute low back pain in both the control group and experimental group, significant treatment effects were found by assessing VAS, ROM and ODI. By comparing the control group and the experimental group, there was more significant improvement in the experimental group than the control group of VAS and ROM, but no significant effect was found between the groups of ODI. This study shows that the herbal acupuncture of Carthami Semen plays a significant role in relieving acute low back pain. It also shows that spiral taping of the experimental group was more highly effective. As a result, spiral taping can be used with acupunture of Carthami Semen for a highly effective treatment for acute low back pain.

• 한방재활의학과학회지
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• 제24권4호
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• pp.137-143
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• 2014

Objectives Low back pain causes disability and incurs large socioeconomic burden. Many cases of acute low back pain progress into chronic conditions. As the treatment period extends, burden of socioeconomic expenses also rises. Thus this study is to investigate whether history period influences improvement rate of pain and disability in the patients who receive conservative Korean medicine treatment. Methods 447 inpatients who received conservative Korean Medicine treatment for the management of low back pain have been grouped into acute, sub-acute and chronic according to the length of history period. NRS, ODI and improvement rate of each group were investigated. Treatment every patient has received as follow; acupuncture, herbal medicine, Chuna manipulation, bee venom, and physical treatment. Results Acute patients showed improvement with NRS of $3.98{\pm}2.50$ and ODI of $28.04{\pm}21.54$. The NRS of sub-acute patients showed improvement with NRS of $2.81{\pm}2.07$, ODI also showed improvement with $11.64{\pm}13.94$. Statistically significant difference was observed in NRS, ODI and improvement for acute patients. Improvement in pain and disability was observed to be larger. Conclusions It demonstrated that receiving valid conservative Korean medicine treatment is beneficial for low back pain patients in improvement of their pain and disability.

• 대한한의학회지
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• 제37권2호
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• pp.93-103
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• 2016

Objectives: The purpose of this study was to report Four cases of Failed Back Surgery Syndrome (FBSS) patients after spinal fusion surgery who showed significant improvement in pain and function with Complex Korean medical treatment. Methods: This study was a retrospective observational study. We reviewed medical records of Four patients with lumbar pain or radiating leg pain, who have received spinal fusion surgery in the past. All Four patients took complex treatments of Mokhuri Neck and Back hospital which involes Acupuncture, Pharmaco-acupuncture, Gangchuk herbal medicine, Chuna and Physical therapy during about four-week of admission treatment. Visual Analogue Scale (VAS), Oswestry disability index (ODI), Pain Free Walking Distance (PFWD) scores were assessed before and after treatments. Results: The average of hospitalization period was 28.5 days. Mean VAS scores decreased from 6.5 to 2.3, Oswestry Disability Index (ODI) scores decreased from 56.25 to 38.25 and Pain Free Walking Distance (PFWD) also improved from 10m to 166.6m. Conclusion: This study implies that a combination of Korean medical treatments might be effective in relieving pain, and improving the functional status of FBSS patients. Further studies are needed to fully understand the mechanisms underlying the effects.

• 한방재활의학과학회지
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• 제30권1호
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• pp.95-103
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• 2020

Objectives The purpose of this study is to assess the effect of korean medicinal admission treatment for degenerative lumbar diseases with spondylolysis and analyze their radiological findings. Methods This study was performed on 25 cases' medical records of spondylolysis patients with both X-rays and MRI images. Their general characteristics, morphologies of intervertebral discs, grades of spondylolisthesis, grades of intervertebral foraminal stenosis were analyzed. The efficacy of treatment was evaluated by numeric pain rating scale (NPRS) changes and statistically assessed by paired t-test using program R Studio. Results After admission treatment, NPRS scores significantly decreased from 6.76±2.07 to 2.38±1.22 (p<0.01). Spondylolysis was associated with degenerative disc change and intervertebral foraminal stenosis at the same or adjacent vertebral level. In spondylolisthesis cases (76%), forward slippage occurred at the same level of spondylolysis in every case. Conclusions Spondylolysis could play a key role in the lumbar degenerative mechanism and korean medicinal admission treatment is effective on pain relief of degenerative lumbar diseases with spondylolysis.

• 멤브레인
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• 제23권4호
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• pp.267-277
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• 2013

고도정수처리를 위한 관형 세라믹 정밀여과와 이산화티타늄($TiO_2$) 광촉매 첨가 PES (polyethersulfone) 구의 혼성공정에서 역세척 주기(FT)와 역세척 시간(BT)의 영향을 막오염에 의한 저항($R_f$) 및 투과선속(J), 총여과부피($V_T$) 측면에서 기존의 질소 역세척 결과와 비교하였다. FT가 짧아질수록 $R_f$는 감소하고 J와 $V_T$는 증가하였다. 탁도의 처리효율은 물과 질소역세척 모두 NBF (no back-flushing)에서 최대이고, FT가 짧아질수록 처리효율이 다소 증가하였다. 유기물질 처리효율은 물역세척 시 FT 4분에서 최대이었으나, 질소 역세척 시 FT가 짧아질수록 증가하였다. BT가 길어질수록 $R_f$와 가역적 막오염 저항($R_{rf}$)은 감소하고, J와 $V_T$는 증가하였다. 탁도 처리효율은 물 역세척 시 98% 이상으로 거의 일정하였으나, 질소 역세척 시 NBF를 제외하고 BT가 길어질수록 증가하였다. 유기물질 처리효율은 물 역세척시 BT 6초에서 최대이고, 질소 역세척 시 NBF를 제외하고 BT가 길어질수록 증가하였다. BT 30초와 FT 2분에서 최대 $V_T$값을 나타내어서, 본 실험 범위에서 최적 조건은 FT 2분마다 BT 30초이다.

• 멤브레인
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• 제24권2호
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• pp.123-135
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• 2014

고도정수처리를 위한 관형 세라믹 정밀여과와 이산화티타늄($TiO_2$) 광촉매 첨가 PES (polyethersulfone) 구의 혼성공정에서 pH 및 포화산소, 역세척 매체의 영향을 막오염에 의한 저항($R_f$) 및 투과선속(J), 총처리수량($V_T$) 측면에서 물 또는 질소, 산소 역세척 결과를 비교하였다. pH가 증가할수록 $R_f$는 감소하였고 J과 $V_T$는 증가하였다. 탁도 처리효율은 pH에 상관없이 물 또는 질소 역세척 모두 유사한 값을 보였고, 용존유기물(DOM) 처리효율은 물 역세척 시 일정한 경향을 보이지 않았다. $R_f$는 공급수를 산소로 포화시킨 무역세척(NBF)에서 포화산소(SO)가 없는 NBF보다 낮게 나타났다. DOM 처리효율도 SO가 있는 NBF에서 SO가 없는 NBF보다 낮게 나타났다. 이러한 결과는 SO가 광촉매 $TiO_2$와 반응하여 발생된 OH 라디칼이 모듈 내에 채워진 물에 의해 희석되었기 때문이다. 역세척 주기 10분에서 물 역세척보다 기체 역세척 시 DOM 처리효율은 큰 값을 보였다. 이러한 결과는 기체 역세척이 물 역세척보다 PES 구를 효과적으로 세척함으로써, PES 구에 의한 흡착과 광분해가 활발하게 진행되기 때문이다.

• Korean Membrane Journal
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• 제9권1호
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• pp.12-17
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• 2007

We performed periodic water-back-flushing using permeate water to minimize membrane fouling to enhance permeate flux in tubular ceramic microfiltration system for water treatment of high turbid source. The filtration time (FT) = 2 min with periodic 6 sec water-back-flushing showed the highest value of dimensionless permeate flux ($J/J_o$), and the lowest value of resistance of membrane fouling ($R_f$), and we acquired the highest total permeate volume $(V_T)\;=\;6.805L$. Also in the result of BT effect at fixed FT = 10 min and BT (back-flushing time) = 20 sec showed the lowest value of $R_f$ and the highest value of $J/J_o$, and we could obtain the highest $V_T\;=\;6.660\;L$. Consequently, FT = 2 min and BT = 6 sec could be the optimal condition in water treatment of high turbid source above 10 NTU. However, FT = 10 min and BT = 20 sec was superior to reduce operating costs because of lower back-flushing frequency. Then the average quality of water treated by our tubular ceramic MF system was turbidity of 0.07 NTU, $COD_{Mn}$ of 1.86 mg/L and $NH_3-N$ of 0.007 mg/L.

• 한방재활의학과학회지
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• 제23권2호
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• pp.151-161
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• 2013

Objectives : The purpose of this study was to compare the effects of acupuncture and medial branch block(collaborative treatment) with just medial branch block regarding acute low back pain. Methods : Forty inpatients who received treatment between January 2012 and February 2013 were divided into 2 groups. The East-West treatment group(EW group, n=20) received one treatment of medial branch block and then acupuncture afterwards. The Western treatment group(W group, n=20) received one treatment of medial branch block. Both groups continued to receive manual therapy 3 times a week. Evaluations were made before medial branch block, 7 days after, and 14 days after using the Numerical Rating Scale(NRS). Results : Compared to before treatment, the NRS score of both EW and W groups after 7 and 14 days of treatment significantly decreased(p=0.0001). But only the EW group showed additional improvement between days 7 and 14(p=0.005). Regarding group comparison, the NRS score of the EW group was significantly lower than the W group at 7 days(p=0.037), and even more at 14 days(p<0.0001). Conclusions : Although medial branch block alone significantly improved acute low back pain, collaborative treatment with acupuncture was even more effective, with increased efficacy as time passed. Further research is recommended regarding the effects of collaborative treatment with acupuncture on acute low back pain.