• 제목/요약/키워드: Cervical Manual Therapy

검색결과 128건 처리시간 0.024초

척추수기치료의 부작용에 대한 국내 및 국외 현황 비교 (Research about Adverse Effect of Spinal Manipulation Therapy : Systemic Review of Literature in Korea and Pubmed)

  • 정선영;이차로
    • 척추신경추나의학회지
    • /
    • 제10권1호
    • /
    • pp.15-33
    • /
    • 2015
  • Objectives : The aim of this systemic review was to summarize and compare adverse effect of spinal manipulation at domestic and abroad. Methods : We searched articles in Korean databases and Pubmed. We selected and analysed the articles met inclusion criteria. Results : 51 cases were included. 32 cases in Pubmed show that adverse effect related to cervical rotation and high velocity low amplitude(HVLA) thrust manipulation. It leads to severe adverse effect and sequela about vascular. While, 19 cases in Korean articles shows that domestic spinal manipulation is more safe becase of lower use of high velocity low amplitude(HVLA) thrust. It leads to low incidence of vascular adverse effect and no sequela. Conclusions : We concluded that Chuna is difficult manipulation because of possibility of adverse effect. Chuna is recommended to be taken by licensed medical practitioners who are skilled and complete the regular curriculum. Further studies like meta analysis about spinal manipulation are needed to estimate incidence of adverse effect. And adverse effects are going to be collected continually through randomized controlled trials(RCT) related to spinal manipulation.

척수공동증과 경추 추간판 탈출증을 진단받은 환자에 대한 한방치료의 치험 1례 보고 (Case Report of Syringomyelia with Herniated Intervertebral Disc of Cervical Spine Treated by Korean Medicine Therapy)

  • 정범환;조주현;최승범;나현욱;김경운
    • 척추신경추나의학회지
    • /
    • 제8권2호
    • /
    • pp.97-104
    • /
    • 2013
  • Objectives : The purpose of this clinical case is to evaluate the efficacy of Korean Medicine treatment on Syringomyelia with Herniated Intervertebral Disc(HIVD) of C-SPINE. Methods : We used Acupunture, herbal acupuncture, herbal medicine for this patient. This patient received hospital treatment for 15 days. Results : Patient's chief complain were neck pain and trapezius pain. NRS of chief complaint decreased from 6 to 2 and Patient's NDI decreased from 46 to 14. Conclusions : We experienced improvement of symptoms in this case by acupuncture stimulation, herbal medicine. and we hope this study is helpful for the treatment of Syringomyelia with HIVD of C-SPINE.

  • PDF

요추부 선택적 신경근 차단술 이후 발생한 Wallenberg's Syndrome의 한방복합치료 1례 (Treatment of Wallenberg's Syndrome Following Selective Nerve Root Block: A Case Report)

  • 박서현;권정국;박재원;금동호
    • 한방재활의학과학회지
    • /
    • 제26권4호
    • /
    • pp.107-115
    • /
    • 2016
  • The occurrence of brain stem stroke after lumbar selective nerve root block seem to be an uncommon event comparing it to after cervical selective nerve root block. We recently experienced a 60-year-old man who were diagnosed as left lateral medullary infarction (Wallenberg's syndrome) after lumbar selective nerve root block. He was treated by traditional Korean medicine with acupunture, Pulsed electromagetic therapy (PEMT), herb medicine. The range of motion of upper and lower extremity, manual muscle test, Korean version of Berg balance scale (K-BBS) and Korean version of Barthel index (K-MBI) were adopted to measure the resulting recovery after 4 weeks treatment. Traditional Korean medicine was effective for rehabilitation of patient. Further studies are needed to set up and Korean medical protocol for Wallenberg's syndrome.

거북목증후군의 경추만곡 호전에 대한 봉추나요법과 침술의 효과와 방사선학적 평가방법 연구 (Clinical Effect of Bong Chuna Manual Therapy and Acupunture Treatment for Improving Cervical Curvature of Turtle Neck Syndrome and Measurement Method of Radiography)

  • 오원교;이유진;신병철
    • 한방재활의학과학회지
    • /
    • 제19권1호
    • /
    • pp.113-124
    • /
    • 2009
  • Objectives : The aim of this study was to observe the effect of Bong Chuna manual therapy(BCMT) and acupuncture on the Turtle Neck Syndrome(TNS) by the changes of radiological findings and symptoms. Methods : Total twenty-eight patients diagnosed as TNS were evaluated. Twenty patients in experimental group were treated by the combination of BCMT and acupuncture, eight patients in control group were treated by acupuncture only. We measured VAS(Visual analogue scale) as pain intensity and Neck Pain and Disability Scale(NDI) at pre- and post-treatment. Also the four line Cobb's method and Jochumsen method were assessed for evaluating the radiographical changes, additionally we used 'two line method'. Results : VAS score showed statistically significant reduction in pain intensity in both experimental group and control group after 8 weeks treatment, $-44.05{\pm}14.91$ vs $-23.75{\pm}14.08$ respectively. Also NDI score presented $-11.40{\pm}8.63$ reduction in experimental group, and it was significant statistically, however not in control group, $-8.63{\pm}9.84$ reduction after 8weeks treatment. In radiological findings, the four line Cobb's method, Jochumsen method and two line method were reduced after 8weeks treatment, $-9.30{\pm}10.33$, $-0.65{\pm}1.72$ and $-14.35{\pm}5.68$ in experimental group respectively, $-0.75{\pm}1.91$, $-0.25{\pm}0.71$ and $0.38{\pm}2.20$ in control group respectively. However they were statistical significance only in the four line Cobb's method and two line method in both group. Conclusions : Combination treatment of CMT and acupuncture showed better effect on pain reduction, VAS score and the correction of neck anteversion than acupuncture only in TNS. Two line method seems valuable for evaluating the improvement of radiographical changes in TNS.

스파이랄 발란스 테이핑이 유방암 환자의 수술 후 후유증에 미치는 영향 : 사례연구 (The Effect of Spiral Balance Taping on Postoperative Sequelae in Breast Cancer : Case study)

  • 강수지;이대희;장철;임백빈
    • 대한통합의학회지
    • /
    • 제12권3호
    • /
    • pp.37-47
    • /
    • 2024
  • Purpose : Cancer survivors often suffer from postoperative sequelae. the diagnosing and provision of manual therapy using spiral taping significantly improves the quality of life of cancer patients. The aim of this case study is to investigate the immediate effects of spiral taping on pain, range of motion (ROM), chemotherapy-induced peripheral neuropathy (CIPN), and lymphedema following breast cancer surgery. Methods : The taping techniques were performed as follows by spiral taping. The measurements were taken before, in the middle, and after taping using a mobile phone camera, tape measure, and a numerical rating score (NRS). The evaluation employed a single-group pre-post design based on a primitive experimental design. Results : Out of four patients, all four exhibited Reverse circle flow energy (RCFE), Passive cervical right (Rt) rotation test, anterior-posterior movement pattern, nerve type (+), cold energy (CE), sangcho acupuncture point, blood clot, hwal point. Comparing before and after treatment, almost all values were reduced to zero after treatment in terms of pain complaints. The lack of range of motion (ROM) caused by the shortened tissue after surgery did not increase. The range of motion (ROM) lost due to pain returned to normal. The circumference of lymphedema did not show a tendency. The symptoms of CIPN improved. Conclusion : There was a significant change in joint range of motion, with pain decreasing, but there were structural limitations in the tissue due to total resection, and the chemotherapy-induced peripheral neuropathy scale. It was effectively treated surgical site pain, axillary membrane syndrome-induced pain, and unexplained pain. While there was a treatment effect for lymphedema in the evaluation of circumference values, there was no significant change in circumference. There was a significant effect on chemotherapy-induced peripheral neuropathy, particularly in treating numbness in the feet, which is a side effect of TC anticancer drugs. This case study found that spiral balance taping provides a rapid therapeutic effect for most side effects in patients who have undergone total breast cancer resection. However, the generalization is limited due to the small sample size, and further research is needed to determine the extent to which the effects of one treatment are maintained.

Pubmed분석을 통한 경추통과 경추 척추증의 임상연구 최신동향 및 평가도구에 관한 고찰 (Review of Research Trends and Evaluation Tools for Clinical Studies of Neck Pain and Cervical Spondylosis : Using the Pubmed Database)

  • 김명관;김영일;김은석;정인철;박양춘;전주현
    • 동의생리병리학회지
    • /
    • 제32권4호
    • /
    • pp.232-246
    • /
    • 2018
  • The purpose of this research is to contribute to clinical researches on neck pain and cervical spondylosis by reviewing the latest research trends and evaluation tools through the analyses of clinical studies on neck pain and cervical spondylosis over the last 5 years. 70 papers satisfying the selection conditions among the RCT papers that had been searched as "neck pain" or "cervical spondylosis" at Pubmed(https://www.ncbi.nlm.nih.gov/pubmed) from March 2011 to February 2016 were targeted. Papers were numbered in order of their publication dates and analyzed by classifying their contents into 1) pain classification, 2) treatment type, 3) treatment duration, 4) treatment time, 5) number of participants, 6) evaluation tools and methods of research, and 7) evaluation duration. 55 papers targeted chronic neck pain, 6 papers acute and subacute neck pain, and 2 papers subacute and chronic neck pain. In comparison by intervention, 43 papers corresponded to physical therapy, 3 papers to acupuncture, 1 to herbal fomentation, 5 to medication, and 18 papers corresponded to multilateral comparisons comparing the efficacy by various interventions. In research period, there were 50 papers based on treatment period, 16 papers based on the number of treatments, and 4 papers based on different periods depending on each group. In treatment duration, the cases from 1 month or more to less than 3 months were most, followed by the cases of less than 1 month, and the cases from 3 months or more to less than 6 months. In treatment frequency, the number of treatments of the treatment group was the same as that of the control group in 51 papers, and many treatments were conducted by the methods of acupuncture, manual therapy, and injection therapy in cases of once or twice of treatments, and physical therapy and electroacupuncture corresponded mainly to the cases from 3 times or more to less than 10 times of treatments, and retrospective observation and exercise programs corresponded mainly to the cases of more than 30 times of treatments. In the number of subjects of the researches, the cases from 50 or more to less than 100 were most, followed by the cases from 20 or more to less than 50. There were 7 evaluation tools cited 10 times or more: VAS, NRS, PPT, NDI, NPQ, CROM, and SF-36. In evaluation period, 37 papers evaluated only during the treatment period, and 33 papers conducted follow-up. In follow-up period, the cases of less than 3 months were most, followed by the cases from 6 months or more to less than 1 year, and the cases from 3 months or more to less than 6 months. When planning clinical researches on cervical pain in the future, appropriate intervention methods, frequency and duration of treatment, period of follow-up, appropriate number of subjects and selection of evaluation tools for objective validity will have to be considered. In addition, randomization, double-blind, etc. will have to be considered for researches with high basis level.

척추융합이 진행된 강직성 척추염에 의료기공과 한방요법을 적용한 증례 보고 (A Case Report of Medical Gi-Gong and Korean Medical Therapy for advanced Ankylosing Spondylitis with spinal fusion)

  • 이은미;정재훈;나삼식;안훈모
    • 대한의료기공학회지
    • /
    • 제19권1호
    • /
    • pp.99-115
    • /
    • 2019
  • Introduction : In patient with ankylosing spondylitis, when bone formation progresses, spinal fusion occurs and joint motion is severely limited. We performed Medical Gi-gong and Korean medical therapies in patient with advanced ankylosing spondylitis with spinal fusion. Case : 46-year-old male with extensive spinal fusion at the cervical and lumbar spine complains of back pain, hip pain, joint stiffness, eye pain, and digestive problems. HLA-B27 (+), mSASSS is 70. Medical Gi-gong was done 311 days for 340 days. Acupuncture, cupping, and manual treatment were performed once every 5.9 days for one year. BASDAI improved from 5.3 to 4.3, BASFI from 4.3 to 3.7, and BASMI from 6.8 to 5.8. mSASSS did not change. Conclusions : Patients with advanced ankylosing spondylitis were treated with Medical Gigong and Korean medical therapies to achieve a slight improvement.

선천성 근육성 사경의 임상적 특징과 경과 (Clinical characteristics and courses of congenital muscular torticollis)

  • 최경은;이희철;윤소영;천정미;신손문;한병희;이용택
    • Clinical and Experimental Pediatrics
    • /
    • 제52권11호
    • /
    • pp.1273-1278
    • /
    • 2009
  • 목 적:선천성 근육성 사경은 흉쇄유돌근의 단축으로 경부가 기울어지고 이로 인해 안면의 비대칭적인 발달을 야기하며 목에 종괴가 만져지는 경우가 흔하다. 대부분 생후 수개월 이내에 소실되나 수술이 필요할 수도 있어 빠르고 정확한 진단이 요구된다. 선천성 근육성 사경 발생에 관여하는 산과적 위험요인을 살펴보고 임상 양상 및 치료 경과를 살펴보고자 하였다. 방 법:2007년 2월부터 2008년 8월까지 관동대학교 소아청소년과 외래에 사경으로 내원한 6개월 이하 영아들 중 본원에서 출생한 98명을 대상으로 병력청취, 이학적 검사, 신경학적 검사와 경추 방사선 및 초음파 검사를 시행하였다. 종괴군과 자세군으로 분류하고 산전 병력과 출생력, 산과적 위험요인을 조사하였으며, 재활의학과와 협진을 통해 가정 및 외래에서 물리치료를 받았고, 보호자와 전화 통화 및 외래 면담을 실시하였다. 결 과:진찰 소견 상 36명(36.7%)은 흉쇄유돌근의 종괴나 긴장이 촉진되었으며, 62명(63.3%)은 종괴 없이 목이 한쪽으로 기울었다. 81명의 환아에서 경부 초음파를 시행하였고, 종괴군은 모두 초음파에서 근육성 사경을 확인하였고, 자세군 62명 중 48명이 초음파를 시행하여 1명에서 근육성 사경이 확인되었다. 종괴군의 사경 발견시기는 평균 1.4개월, 자세군은 2.7개월로, 종괴군이 자세군에 비해 어린 나이에 발견되었다(P<0.001). 종괴군은 두혈종과 산류가 자세군보다 흔했고, 자세군은 사두증이 종괴군보다 흔하게 관찰되었다. 안과 검진이나 경추 방사선 검사는 모두 정상이었다. 재활의학과에서 물리치료를 시행한 43명 중 평균 재활 치료 기간은 종괴군 4.6개월, 자세군 2.6개월로, 자세군이 종괴군보다 유의하게 치료 기간이 짧았다(P=0.005). 총 88명의 환아 중 87명이 완전히 회복하였고, 불완전 회복을 보인 1명은 외래 추적관찰 중이다. 결 론:선천성 근육성 사경은 대부분 예후가 좋으나 수술을 요할 수도 있기 때문에 조기에 정확한 진단 및 치료를 요한다. 6개월 이하의 선천성 근성 사경 환아를 대상으로 산과적 위험 요인을 살펴봄으로써 출생 손상 및 복잡 분만과의 관련성을 확인하였고 조기 진단 및 치료를 통해 대부분 호전되는 것을 확인할 수 있었다.