• 제목/요약/키워드: Back treatment

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급성기 요통에 대한 침치료와 우황.웅담.사향약침 병행치료의 효과 비교연구 (The Comparative Study of Effectiveness between Acupuncture and its Cotreatment with Calculus Bovis.Fel Ursi.Moschus Pharmacopuncture on the Treatment of Acute Low Back Pain)

  • 정시영;박재우;신정미;김지영;윤인애
    • Journal of Acupuncture Research
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    • 제28권4호
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    • pp.105-110
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    • 2011
  • Objectives : The purpose of this study was to evaluate the effectiveness of Calculus Bovis Fel Ursi Moschus(BUM) pharmacopuncture on the treatment of acute low back pain patients. Methods : The subjects in this study were 30 patients with acute low back pain who were treated in Dept. of Acupuncture and Moxibustion, Jein Oriental Medicine Hospital from November 1, 2010 to June 30, 2011. These patients were randomly divided into two groups. In one group(control group), patients were treated with acupuncture. And in the other group(experimental group), patients were treated with both acupuncture and BUM pharmacopuncture. For evaluating change of pain, visual analog scale(VAS) and Oswestry disability index(ODI) were checked before and after. Results : Each group had significant decrease in VAS and ODI after each treatment. Experimental group had more significant decrease in VAS after each treatment than control group. Conclusions : We suggest that cotreatment of acupuncture and BUM pharmacopuncture on acute low back pain patients can be recommended as a useful therapy.

요통의 통증과 기능장애 평가에 관한 고찰 (The study of pain and functional disability scales for low back pain)

  • 이현종;남상수;이윤호
    • Journal of Acupuncture Research
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    • 제19권2호
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    • pp.137-148
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    • 2002
  • Objective : The low back pain was the main reason of receiving acupuncture treatment. Despite its widespread prevalence, objective data assessing the pain and the results of various forms of treatment were difficult to find in korea. In order to compare the value of different types of treatment, it was necessary to use standard and meaningful forms of assessment. Methods : Pain and functional disability scales for low back pain were reviewed for contents, measurement properties and current methodological issues. Results and Conclusions : 1. The SF-36 Bodily Pain Scale and the Graded Chronic Pain Scale were commonly used for the standard pain scale. 2. The Oswestry Disability Questionnaire and the Roland-Morris Disability Questionnaire were commonly used for the standard function scale. 3. When evaluated, there was no definite answer to the results of the treatment. In the literature, the responsiveness of the Roland-Morris Disability Questionnaire ranged from 2 to 8 points but clinically, the ranges should be minimally changed from 2 to 3 points. 4. In the future, scale for low back pain should be standardized in multiple dimension so that the computerized adaptive testing by Item Response Theory could be widely used.

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Effect of Periodic Water-back-flushing Time ad Period in Water Treatment by Tubular Alumina Ceramic Microfiltration

  • Park, Jin-Yong;Lee, A-Reum
    • Korean Membrane Journal
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    • 제10권1호
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    • pp.33-38
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    • 2008
  • In this study periodic water-back-flushing using permeate water was performed to minimize membrane fouling and to enhance permeate flux in tubular ceramic micro filtration system for Gongji stream water treatment in Chuncheon city. The filtration time (FT) 2 min with periodic 6 sec water-back-flushing showed the highest value of dimensionless permeate flux ($J/J_0$), and the lowest value of resistance of membrane fouling ($R_f$), and we acquired the highest total permeate volume ($V_T$) of 7.44L. Also in the results of BT effect at fixed FT 10 min, BT (back-flushing time) 20 sec showed the lowest value of $R_f$ and the highest value of $J/J_0$, and we could be obtained the highest $V_T$ of 8.04 L. Consequently FT 10 min and BT 20 sec could be the optimal condition in Gongji stream water treatment. Then the average rejection rates of pollutants by our tubular ceramic MF system were 93.8% for Turbidity, 20.7% for $COD_{Mn}$, 39.2% for $NH_3$-N and 31.5% for T-P.

황련해독탕 약침 치료를 병행한 임신 중 좌골신경통을 동반한 요통 환자의 증례보고 (A Clinical Case Report on Traditional Korean Medical Treatment Including Hwangryunhaedok-tang Pharmacopuncture for Low Back Pain with Sciatica during Pregnancy)

  • 김선경;강수진;홍가경;최창민
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.138-147
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    • 2019
  • Objectives: This study was to report clinical effect and safety of Traditional Korean Medical Treatment including Hwangryunhaedok-tang Pharmacopuncture for pregnant woman with low back pain with sciatica. Methods: The patient who suffered from sudden low back pain with sciatica was treated with Hwangryunhaedok-tang Pharmacopuncture, acupuncture, moxibustion, herbal medication and cupping therapy during admission. Visual Analog Score (VAS), Oswestry Disability Index (ODI), McGill pain questionnaire-short form (SF-MPQ) were checked to measure the outcome. Results: After treatment, Visual Analog Score (VAS), Oswestry disability index (ODI), McGill pain questionnaire-short form (SF-MPQ) were considerably improved in this case. Conclusions: The results indicate that Traditional Korean Medical Treatment including Hwangryunhaedok-tang Pharmacopuncture is the effective therapy for low back pain with sciatica during pregnancy.

Effectiveness of Electroacupuncture for Patients with Failed Back Surgery Syndrome: A Systematic Review and Meta-analysis

  • Shin, Donghoon;Shin, Kyungmoon;Jeong, Hwejoon;Kang, Deok;Yang, Jaewoo;Oh, Jihoon;Lim, Jinwoong
    • Journal of Acupuncture Research
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    • 제39권3호
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    • pp.159-169
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    • 2022
  • Failed back surgery syndrome (FBSS) is a term that applies to symptoms such as persistent or recurring low back pain, paresthesia, sciatica, or numbness after spine surgery. Electroacupuncture (EA) has been reported to have excellent analgesic effects although there have been no systematic reviews on the effects of EA on FBSS. Therefore, a systematic review and meta-analysis of the effectiveness of EA on FBSS was conducted. Eight databases were searched for studies that used EA for FBSS and 7 randomized controlled trials (RCTs) were included. RCTs of EA as combination therapy for FBSS compared with conventional treatment demonstrated improvement in the level of pain, lumbar functional scale scores, and quality of life. However, meta-analysis showed that reduction in pain was not statistically significant, while evaluation of lumbar function significantly improved, although the quality of evidence in the RCTs was generally low. RCTs comparing EA alone with conventional treatment demonstrated an improved level of pain, lumbar function, and effective rate of treatment. Meta-analysis showed that pain was significantly decreased in the EA alone group compared with the control group, although the quality of evidence was low. To improve the quality of evidence, high-quality RCTs are required in the future.

급성기(急性期) 요통(腰痛)의 침치료(鍼治療)에 있어서 근위취혈(近位取穴)과 원위취혈병용(遠位取穴倂用)의 비교(比較) 연구(硏究) (The Comparison of Effectiveness between Near Acupuncture Point Needling and Near Acupuncture with Remote Acupuncture Point Needling on Treating Low Back Pain of Acute Stage)

  • 박기범;이진석;김대중;송계화
    • Journal of Acupuncture Research
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    • 제23권4호
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    • pp.61-68
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    • 2006
  • Objectives : The Purpose of this report is to examine the effect of Remote Acupuncture Point Needling in the Low Back Pain patient of Acute Stage. Methods : From October 1st 2005 to May 31th 2006, 30 cases of low back pain patients at acute stage were divided into 2 groups; one group(control group) took near acupuncture point needling, and the other group(test group) took near acupuncture point needling with remote acupuncture point needling. For evaluating change of pain, Visual Analog Scale(VAS) was checked before and after Treatment. Results : Both acupuncture therapy showed good effect on low back pain of acute stage. And test group showed better effect on decreasing pain than control group. It was proved by the difference between VAS checked before treatment and what checked after treatment. But it was not significant statistically. Conclusion : Near acupuncture point needling and remote acupuncture point needling can be recommended as a useful therapy to treat low back pain of acute stage.

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추나요법을 시행한 요통환자의 호전도와 Moire 영상 개선도와의 상관관계 (Investigation on the correlation Improvement Rate of Symptoms with Moire Topography Analytic Improvement Rate)

  • 허수영;김기호
    • 대한추나의학회지
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    • 제1권1호
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    • pp.55-65
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    • 2000
  • The present study retrospectively investigated clinical outcome at patients with low back pain or sciatica during Chuna treatment (flexion-distraction technique). The study population consisted of 29 patients. Discogenic group consisted of 21 patients who were already diagnosed as HNP of lumbar spine with serial MRIs(magnetic resonance imaging) or CTs(computerized tomography). Simple LBP group consisted of 8 patients with low back pain & sciatica who were non-specific disorder on radiologic examination. All patients were treated with flexion-distraction technique, one of Chuna technique, under analysis of Moire Topography. And the evaluation of clinical outcome was done twice during this study by Moire Topography Analytic Point and Low Back Pain Assesment, Visual Analogue Scale. The results were summarized as follows; Total improvement rate of Moire Topography was $25.8{\pm}17.8%$, and the rate of Low Back Pain Assesment was $56.5{\pm}23.0%$, Visual Analogue Scale of post-treatment was $32.6{\pm}22.5$ Between Improvement rate of Moire Topography and improvement rate of Low Back Pain Assesment, significant correlation was proved(Person's coefficient was 0.381, p<0.05). After all, it is certain improvement of Moire Topography represents symptom's improvement.

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요통환자에 있어 신전운동이 통증감소에 미치는 효과 (The Effect of Extension Exercise on the Reduction of Pain in Patients with Low Back Pain)

  • 김지선;김명회;유병규
    • 대한물리치료과학회지
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    • 제3권1호
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    • pp.843-853
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    • 1996
  • The purpose of this study was to determine whether extension exercise is effective in reducing low back pain. Nine patients with low back pain were randomly assigened to one of two groups-one was an experimental group in which the patient were treated with extension exercise(McKenzie method) and conservative therapy. The other was a control group in which the patients were treated with conservative therapy only. Treatment was performed for a period of ten days during Which we examed each patient three times: the first exam was done at the begining of treatment, the second after fives days, and the third after ten days. We used 'The Oswestry low back pain disability questionnaire'(r=.99) as the examination tool. The results were as follows: 1. Both experimental and control groups showed nonsignificant differences before and after treatment, and the between group difference was also non-significant(P>.05). 2. There was no effective reduction of low back pain by MecKenzie's extension exercise(p>.05). We admit that our study protocol had several shortcomings. If they had been accounted for, the result might have been different. Further study should be done with a better experimental design, a larger sample, and a longer experimental duration.

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도수치료가 만성요통환자의 기능회복에 미치는 영향 (How to Effects of Manual Therapy : Chronic Low Back Pain Patients)

  • 정연우;이우형
    • 대한정형도수물리치료학회지
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    • 제16권1호
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    • pp.50-56
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    • 2010
  • Purpose : To evaluate effects of joint mobilization on the range of motion of chronic low back pain patients. Methods : The subjects were consisted of sixty patients who had non specific chronic low back pain(10 females. 10 males; mean aged 36.5). All subjects received modalities treatment with therapeutic massage for 10minutes and joint mobilization or manipulation for 10minutes per day and three times a week during 4 weeks period. The Multilevel Roland-Morris Disability Questionnaire(MR-MDQ) was used to measure functional disability level. Visual Analogue Scale(VAS) was used to measure subjective pain level. Remodified Schober test(RST) was used to measure forward flexion range of motion of lumbar segment. Finger-to-Floor test(F-T-FT) was used to measure forward flexion range of motion of full spine of low back pain patients. All measurements of each patients were measured at pre-treatment and 4 week post-treatment. Results : The MR-MDQ, VAS, RCT and F-T-FT were significantly different within-subjects(p<.05), Conclusion : The manual therapy included therapeutic massage and joint mobilization found that improved chronic low back pain patients. Further studies are needed to including more subjects on long-term outcomes.

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간울형(肝鬱形)으로 변증된 갱년기 배통(背痛)환자의 가미소요산가미방(加味逍遙散加味方) 치험 1례 (A Case report of menopausal disorder patient who had back pain treated with Kamisoyosan-gamibang)

  • 이귀희;유동열
    • 혜화의학회지
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    • 제19권2호
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    • pp.195-199
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    • 2011
  • Purpose: This paper is aim to report the effects of Kamisoyosan-gamibang (加味逍遙散加味方) on the back pain patient who was diagmosed gan-ul(肝鬱) Methods: A Woman, 48 years old, who had back pain, was enrolled in this study. She received herbal medicine for several months. During the treatments, we requested her to visit hospital every two weeks. Results: After the treatments, back pain was decreased. Conclusion: This clinical case indicate that Kamisoyosan-gamibang is effective in treatment of menopausal disorder patient who had back pain. More clinical data and studies are requested for the treatment of menopausal disorder.