• 척추신경추나의학회지
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• 제10권1호
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• pp.47-61
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• 2015

Objectives : The purpose of this study is body parameters characteristics through posture analysis system of musculoskeletal problem patient Methods : Posture analysis system were performed for 164 patients to measure body parameters such as Q-angle, body inclination, neck inclination, PCMT(posterior cervical muscle tension), Knee flexion and posture balance. Statistical analysis using statistical analysis techniques and Pearson correlation coefficients was performed to assess the body parameters obtained by posture analysis system. Results : More than half of people out of 164 reported low back pain, 34.8% of the total was found to have neck pain. There was not a significant difference between genders from the characteristics of gender based body parameters expect for the statistical difference in Q angle, PCMT. There was a significant correlation between low back pain and multiple response status. There was a significant correlations between knee pain and Q angle. Also There was a significant correlations between pelvic pain and posture balance of ankle. Conclusions : Posture analysis system can be used to perform the analysis in place of X-ray measuring body posture and clinical parameters. The results of this study are expected to be the basis for further research on the clinical application of posture analysis system.

• 척추신경추나의학회지
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• 제6권2호
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• pp.13-22
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• 2011

Objectives : The purpose of this study is to find out the characteristics of intervertebral disc changes and relative factors of the spondylolisthesis patients in fifties by type of spondylolisthesis. Methods : We investigated 69 cases of patients who visited one Korean traditional medicine hospital and were diagnosed as spondylolisthesis on L-spine X-ray and L-spine magnetic resonance imaging(MRI). We selected 37 lytic spondylolisthesis patients and 32 degenerative spondylolisthesis patients. We analysed the relativity between the numbers of changed discs, types of changed disc, locations of nerve compression and types of spondylolisthesis. Results : 1. The number of changed discs increase in lytic type, but there is no statistically significant difference. 2. Bulging disc is the dominant type of disc change. There is no significant difference between two types. 3. Both foraminal type was shown dominantly in lytic spondylolisthesis, diffuse type in degenerative spondylolisthesis by the analysis of the location of the nerve compression. But the symptoms of patients and dermatome did not match in most of the cases. Conculsions : The direction of nerve compression is different while the disc changing aspects are similar in both types. In several spondylolisthesis patients in fifties, symptoms of patient are related to degeneration of vertebrae, not to the type of spondylolisthesis.

• 척추신경추나의학회지
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• 제7권1호
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• pp.49-57
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• 2012

전열침요법을 출산 후 장요인대 등 천장관절 부위의 인대 손상으로 인한 산후 요통을 호소하는 환자에 적용하여 호전된 3례를 통하여 전열침요법이 인대 손상으로 인한 산후 요통 환자 치료에 유효한 효과를 나타냄을 알 수 있었다. 이상의 결과로 미루어 전열침요법을 인대 손상으로 인한 산후 질환에 적용하면 양호한 임상 결과를 가져올 것으로 기대되며, 향후 더 많은 연구가 필요할 것으로 생각된다.

• 척추신경추나의학회지
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• 제8권1호
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• pp.39-47
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• 2013

Objectives : The purpose of this study is to find out the relationship between hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD) in single-segment. Methods : We investigated 314 patients (158 male, 156 female) who were diagnosed as herniation of lumbar intervertebral disc(HIVD) in single-segment. We measured 314 patients' hip internal rotation angle and analysed the relationship between the hip internal rotation angle and the level of herniation of lumbar intervertebral disc(HIVD). Results : 1. Among 314 cases, the hip internal rotation angle was different between male and female. Hip internal rotation angle of male was mainly limited and that of female was mainly excessive. 2. Among 314 cases, the normal group, defined as patients who have specific range of hip internal rotation angle(male : $35^{\circ}{\pm}10^{\circ}$, female : $45^{\circ}{\pm}10^{\circ}$), tends to be occurred HIVD at L4/5 level. The limited group, defined as patients who have less angle than normal group, the excessive group, defined as patients who have more angle than normal group, and the complex group, defined as patients who have more angle of one leg and less angle of the other leg than normal group, tend to be occurred HIVD at L5/S1 level(p<0.05). Conclusions : In single-segment lumbar HIVD patients, The normal hip internal rotation angle mainly leads to L4/5 HIVD, while the limited and excessive hip internal rotation angle mainly lead to L5/S1 HIVD.

• 척추신경추나의학회지
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• 제5권2호
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• pp.9-16
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• 2010

Objectives : This study is planned to classify different biomechanics of men and women, from the comparison of normal range and hip internal rotation angle in chronic low back pain patients. Methods : We measured the hip internal rotation angle of the 30 men and 30 women patients with low back pain that has been over 3 months in BuCheon Jaseng Hospital of Oriental medicine. We set 35-45 degrees as normal range, and found the patients with exceeding normal range, the patients with normal range, and the patients with under normal range. Results : Men appeared to have less hip internal rotation angle than women. Especially, the men's left hip internal rotation angle was less than normal range. On the other hand, women's right hip internal rotation angle was often larger than normal range which was stastically significant. Conclusions : Contraction of hip external rotation muscle including gluteus maxius muscle and piriformis muscle in men, or relaxation of posterior gluteus medius, gluteus maxius and piriformis muscle with contraction of tensor fasciae latae, a part of hip internal rotation muscle, in women seems to be the basis for biomechanics of chronic low back pain.

• 척추신경추나의학회지
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• 제15권2호
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• pp.9-18
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• 2020

Objectives This study verified the clinical effectiveness of Qigong exercise therapy for individuals with hypertension. Methods Ten electronic databases were used for information retrieval. Only randomized controlled trials (RCTs) using Qigong exercise therapy as a treatment for hypertension were included in this study. Cochrane risk of bias tool was used to assess the methodological quality of each RCT. Results After a thorough review, six RCTs were deemed eligible. These studies were divided into two groups: Qigong vs. no intervention and Qigong plus anti-hypertensive drug vs. anti-hypertensive drug alone. Among the six RCTs, four studies were Qigong vs. no intervention, and two studies were Qigong plus anti-hypertensive drug vs. anti-hypertensive drug alone. The meta-analysis demonstrated that adding Qigong exercise to anti-hypertensive drug treatment lowers diastolic blood pressure more than the anti-hypertensive drug alone. Conclusions Although Qigong exercise is not widely used in the Korean medical field, the results of this study demonstrated the necessity of exercise while controlling hypertension. However, the number of included studies was small, with their high risk of bias. In conclusion, although it is difficult to determine whether Qigong exercise lowers blood pressure in hypertensive patients, exercise including Qigong must be parallel with the intake of anti-hypertensive drugs.

• 척추신경추나의학회지
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• 제17권2호
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• pp.131-139
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• 2022

Objectives This study aimed to analyze the medical utilization of low back pain (LBP) patients after back surgery and estimate the medical costs of Korean and Western medicine collaborative treatment, odds ratio, and hazard ratio between the two groups using the 2019 Health Insurance Review and Assessment Service-National Patient Sample (HIRA-NPS-2019). Methods Data management and descriptive analysis, logistic regression, and survival analysis were conducted for defining and estimating the LBP patients after back surgery in the NPS 2019 dataset. Results A total of 216,424 patients out of 991,189 were identified as having LBP. Among the patients with LBP, 1,734 were treated with surgery while 214,690 were not. Among those who had surgery, 937 were treated with conventional treatments only and 797 underwent Korean medicine treatments. The odds ratio of the logistic regression analysis was 0.7129, suggesting that Korean medical treatment experience group had a 28.7% lower risk of reoperation than the Western medical treatments only group. The hazard ratio of the survival analysis was 0.9145; thus, the risk probability of reoperation was estimated to be approximately 8.55% lower. The 50% risk of reoperation was 69 days (0.5044) for the conventional group, and 97 days (0.5008) for the Korean medical group in the survival analysis using the Kaplan-Meier graph. Conclusions These results could be utilized in future studies in conducting economic evaluation for estimating cost-effectiveness of Western medicine and Korean medicine treatment compared to Western medicine alone in LBP patients after back surgery in a South Korean perspective. mended and should be applied while taking the necessary precautions.

• 대한추나의학회지
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• 제4권1호
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• pp.17-28
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• 2003

관절염에 대한 스테로이드의 관절강내 주사는 전신적인 부작용 등의 위험성이 적으면서 간편하고 경제적이며 비교적 양호한 항염효과를 얻을 수 있어 단일관절의 RA 또는 퇴행성 관절염에서 활액막의 염증증상이 있을 때 또는 보존적 치료에 반응하지 않는 경우 비교적 많이 사용된다. 하지만 이러한 스테로이드요법은 여러가지 만성 질환에서 과도한 염증이나 면역반응 자체를 치료하는 것이 아니라 부수되는 이차적 증상만을 완화시켜 주기 때문에 장기간의 스테로이드제 투여는 절병의 경과를 교정 하거나 변화시키지 못하고 예후에 악영향을 미칠 수도 있다. 또한 심각한 여러 부작용들을 야기할 수도 있다. 저자는 스테로이드 관절강내 주사에 호전되지 않은 부종과 통증을 주소로 하는 슬관절염 환자에 대해, 피하 봉독요법으로 양호한 효과를 얻었으며, 또한 기존에 알려져 있는 것처럼 당뇨병환자에게서 봉독요법이 혈당치를 지속적으로 높인다는 주장에 대해 다른 결과를 경험하였으므로 문헌조사와 함께 보고하는 바이다.

• 척추신경추나의학회지
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• 제3권2호
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• pp.69-76
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• 2008

Objectives : The purpose of this study is to investigate the relationship among low back pain, lumbar lordosis, obesity and Sasang constitution. Methods : The researcher discriminated the Sasang constitutions of those observed-the inpatient-who were treated from March to May 2008 for low back pain. X-ray were taken in lateral decubitus and the lumbar lordotic angles(LLA) were measured. BMI were measured. This results were statistically analyzed using SPSS 12.0. Results : 1. Among the 31 subjects, distributional rate of Soyangin, Taeumin, and Soeumin were 48.4%, 29.0% and 22.6%. 2. The result showed a significant difference with the Sasang constitution from $\ll$Dongy Suse Bowqn$\gg$. 3. The result showed a difference with the Sasang constitution from the existing result from OSCC II. 4. There was no significant relations between each constitutions and lumbar lordotic angle. 5. There was significant relations between each constitutions and BMI. Conclusions : In this study, The rate of Soyangin, among the low back pain patients, was higher. And the average of BMI was higher in Taeumin.

• 척추신경추나의학회지
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• 제3권2호
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• pp.29-36
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• 2008

Object : The purpose of this study is to report the improvement of Tempormandibular Disorder patients who were treated by M.S.T(Motion Style Treatment). Methods : The clinical study was done on 3 cases of patients with tempormandibular disorder we checked the diameter between the maxilla and mandible with jaws fully opened, and also checked NRS score after the treatment of M.S.T(Motion Style Treatment) each day. Results & Conclusion : The diameter of the open mouth increased after the treatment of M.S.T(Motion Style Treatment), whereas NRS score decreased after the treatment of M.S.T(Motion Style Treatment). It is concluded that the M.S.T might be effective to the patient with tempormandibular disorder.