• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.6 no.2
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• pp.23-32
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• 2011

Objectives : This study was performed to report the effect of oriental medical treatment for the failed back surgery syndrome(FBSS) patient after three times surgical operation treatment on herniated nuclues pulposus(HNP) L5-S1. Methods : A 70-year old patient after three times surgical operation treatment was admitted with low back pain and left leg radiation pain. We treated her by oriental medical treatment and measured McGill Pain Questionnaire-Short Form(SF-MPQ), visual analogue scale(VAS) and Oswestry disability index(ODI). Results : After treatment, most symptoms decreased, SF-MPQ changed 36 to 17, VAS score changed 9 to 4, ODI changed 39 to 27. Conclusions : In this study, oriental medical treatment was effective in failed back surgery syndrome patient. But the rigorous studies will be needed to define clearly that oriental medical treatment is effective in failed back surgery syndrome.

• Journal of the Korean Society of Physical Medicine
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• v.15 no.3
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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.

• Journal of Pharmacopuncture
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• v.5 no.2
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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.

• Journal of Korean Medicine Rehabilitation
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• v.24 no.4
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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.

• The Journal of Korean Medicine
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• v.37 no.2
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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.

• Journal of Korean Medicine Rehabilitation
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• v.30 no.1
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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.

• Membrane Journal
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• v.23 no.4
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• pp.267-277
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• 2013

The effect of water back-flushing period (FT) and water back-flushing time (BT) was compared with the previous study of nitrogen back-flushing in viewpoints of resistance of membrane fouling ($R_f$), permeate flux (J), and total permeate volume ($V_T$) in hybrid process of tubular ceramic microfiltration and PES (polyethersulfone) beads loaded $TiO_2$ photocatalyst for advanced drinking water treatment. As FT decreasing, Rf decreased, but J and $V_T$ increased. Turdity treatment efficiency was the maximum at NBF (no back-flushing) and increased a little as FT decreasing in both water and nitrogen back-flushing. Organic matter treatment efficiency was the maximum at FT 4 min in water back-flushing, but increased as FT decreasing in nitrogen back-flushing. As BT increasing, Rf and resistance of reversible membrane fouling ($R_{rf}$) decreased, but J and $V_T$ increased. The turdity treatment efficiency was almost constant beyond 98% in water back-flushing, but increased as BT increasing except NBF in nitrogen. The organic matter treatment efficiency was the maximum at BT 6 sec in water back-flushing, but increased as BT increasing except NBF in nitrogen. The $V_T$ was the maximum at BT 30 and FT 2 min, and optimal condition was BT 30 sec per FT 2 min in this experimental range.

• Membrane Journal
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• v.24 no.2
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• pp.123-135
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• 2014

The effects of pH, saturated oxygen, and back-flushing media were investigated in hybrid process of tubular ceramic microfiltration and $TiO_2$ photocatalyst-loaded PES (polyethersulfone) beads for advanced drinking water treatment, and compared results of water, nitrogen, or oxygen back-flushing in the viewpoints of membrane fouling resistance ($R_f$), permeate flux (J) and total treated water ($V_T$). $R_f$ decreased, and J and $V_T$ increased as decreasing pH. Turbidity treatment efficiencies were similar at water or nitrogen back-flushing independent of pH, but DOM (dissolved organic matter) treatment efficiency did not have a trend at water back-flushing. $R_f$ at NBF (no back-flushing) with SO (saturated oxygen) was the lower than that at NBF without SO. Also, the DOM treatment efficiency at NBF with SO was the lower than that at NBF without SO. It happened because OH radicals produced by reaction of SO and photocatalyst could dilute with water inside the module. The DOM treatment efficiency of gas back-flushing showed the larger than that of water back-flushing at back-flushig period 10 min. It proved that the adsorption or photo-oxidation of PES beads could be activated by the more effective bead-cleaning of gas back-flushing than water back-flushing.

• Korean Membrane Journal
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• v.9 no.1
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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.

• Journal of Korean Medicine Rehabilitation
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• v.23 no.2
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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.