• 제목/요약/키워드: Clinical Manual

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상지의 단일신경병증에 대한 수기치료의 국내외 동향 (Literature Review of Manual Therapy for Mononeuropathies of Upper Limb)

  • 김형석;신우철;전준영;박재현;배준형;김세윤;박혜성;윤예지;윤정민;조재흥;정원석
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.21-31
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    • 2017
  • Objectives This study aimed to review manual therapies for mononeuropathies of upper limb through domestic and foreign studies designed for human body. Methods We searched databases (KMbase, OASIS, RISS, NDSL, KISS, KoreaMed, MEDLINE/Pubmed, CENTRAL, EMBASE) on the 1st to 31th of July 2017 to find related literatures that published after 2000. Results Twenty-eight studies were finally included. Of these, 13 articles were published after 2010. Twenty-two studies were clinical trials and 6 were observational studies. Carpal tunnel syndrome were the most researched type of diseases (85.7%). Most frequently used method of manual therapies was neurodynamic mobilization (35.7%). Pain scales and questionnaires were generally employed for evaluation. Significantly effective studies were 72.2% in controlled trials and 90% in the studies without control group. Conclusions In this study, we reviewed literatures concerning manual therapies on mononeuropathies of upper limb. Further studies are needed on the various diseases of mononeuropathies of upper limb to retain the evidence for the effectiveness of manual therapies.

견갑골 골절 환자의 기능회복에 대한 추나 요법을 포함한 한방재활치료: 증례 보고 (The Clinical Effects of Korean Medicine Rehabilitation Including Chuna Manual Therapy on Scapular Fracture Patient's Functional Recovery: A Case Report)

  • 배준형;고준혁;김세윤;이한솔;장호경;안종현;김형석;정원석
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.117-126
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    • 2019
  • To evaluate the effects of Korean medicine and Chuna treatment on patient with pain and limited range of motion (ROM) after scapular fracture. Patient was treated with Chuna manual therapy, acupuncture, herbal medicine, pharmacoacpuncture, cupping therapy and measured by ROM, visual analog scale (VAS), shoulder pain and disability index (SPADI), American shoulder elbow surgery scale (ASES), Korean shoulder score for instability (KSS). After the 3 weeks treatment, the patient's ROM, VAS, SPADI, ASES, KSS scores were improved. Rehabilitation program including Chuna manual therapy can be effectively used to improve scapular fracture patient's pain and symptom during rehabilitation period. Therefore it is recommended to use Chuna manual therapy for the improvement of movement and pain from fracture.

측두하악장애의 수기치료에 관한 국내외 임상 연구 고찰 (A Review of Recent Clinical Studies for Manual Therapy on Temporomandibular Joint Disorder)

  • 노해린;김민영;박소현;정윤규;최영일;김문준
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.129-141
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    • 2013
  • Objectives The aim of this review is to investigate clinical studies for manual therapy on Temporomandibular Joint Disorder and to propose for the better method of studies in the future. Methods We investigated recent clinical studies for manual therapy on Temporomandibular Joint Disorder via searching Pubmed, KISS, KISTI, KERIS, KMBASE and National Assembly Library. 21 domestic and overseas articles were analyzed and the journals, the authors, the published years, countries, methods, periods, techniques of chiropractic, outcome measures, and purpose of those articles were examined. Results Studies on manual therapy were mainly published via Cranio. The diagnostic criteria that most frequently adopted in the overseas articles were research diagnostic criteria for temporomandibular disorders, The technique of chiropractic that most frequently adopted in the articles was passive traction and translation of TMJ. Many of the studies were researched for effectiveness of the manual therapy as the secondary treatment. Conclusions Reviewing the recent clinical studies for manual therapy on temporomandibular joint disorder and figuring out the strong points and weak points of those studies are necessary to future studies. It is anticipated that this review would benefit the in-depth treatments for temporomandibular joint disorder in terms of Korean medicine.

괄사요법의 국내외 최신 임상 연구 동향: 주제범위 문헌고찰 (Recent Domestic and International Clinical Research Trends in Gua Sha Therapy: A Scoping Review)

  • 정승원;최승관;조정호;한윤희;우현준;전병현;하원배;이정한
    • 한방재활의학과학회지
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    • 제34권1호
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    • pp.23-38
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    • 2024
  • Objectives This study examined recent domestic and international clinical research trends in Gua sha therapy to suggest future direction for research. Methods We used six domestic and international databases (Research Information Sharing Service, Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, PubMed, Embase, Cochrane Library) to select clinical studies with an original text in English or Korean published after 2018. Results Finally, 55 studies were selected. Randomized controlled trials accounted for the largest amount with 42 studies. Instrument assisted soft tissue mobilization was the most frequent term referring to Gua sha. Muscle shortening, limited range of motion, and plantar fasciitis were the most common symptoms, with six cases each. Additionally, there were two studies targeting symptoms other than the musculoskeletal system. Conclusions Additional research is needed on the effects of Gua sha therapy on the back of the lower extremities and hip joints, and research is needed on the possibility of their clinical use for diseases or symptoms other than those of the musculoskeletal system. And standards for the terminology of Gua sha and the types and methods of applied interventions are needed.

추나치료의 적응증별 적용 기법에 관한 연구 - 국내 임상 논문을 중심으로- (A Study for Indication and Adopted Techniques of Chuna Treatment-Focusing on Domestic Clinical Studies)

  • 박상훈;고연석;이정한
    • 척추신경추나의학회지
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    • 제8권2호
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    • pp.57-66
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    • 2013
  • Objectives : The present study examines indications and treatment techniques of Chuna manual therapy. Methods : We searched the clinical studies on Chuna manual therapy through 5 korean web databases, 2 journals.(key word 'chuna') After selecting appropriate clinical studies(Bongchuna, massage, side effect, contraindication are excepted), we analyzed them according to diseases, Chuna techniques, type of clinical trials. Results : 101 studies are selected and analyzed. They studied about cervical(26%), thoracic(12%), lumbar (29%)spinal disorders, temporomandibular joint disorders(4%), pelvic region disorders(4%), upper(6%), lower extremity(5%) disorders and other diseases(15%). Spinal disorders are studied frequently. Mild techniques like supine position both hand cervical spine flexion distraction, JS supine position cervical spine distraction, flexion distraction technique are used more frequently than adjustment by thrust. Conclusions : We have to enhance education and training about techniques that are frequently used and studied. Research and improvement of infrequently used techniques are needed. In-depth research about side effects and contraindication is needed. Highquality clinical research and systematic review should be needed to prove the therapeutic effect of Chuna treatment.

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추나 수기 이완요법으로 치료한 공황장애 증상을 주소로 하는 환자 1례에 대한 임상보고 (A Clinical Report on Symptom of Panic Disorder Improved by Chuna Manual Relaxation Therapy)

  • 한창;김지형;류기준;안건상;권승로
    • 척추신경추나의학회지
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    • 제3권2호
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    • pp.1-8
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    • 2008
  • Objective : This study is designed to evaluate the effects of an oriental medical therapy, the Chuna Manual Relaxation Therapy on symptom of Panic disorder. Method : The clinical data was analyzed on a patient with Panic disorder whose main symptoms were palpitation, perpirtion, hydrodipsomania, chest pain, burning sensation. Result : After treatment, the patient's main symptoms were disappeared and secondary symptoms were improved. Conclusion : This study suggests that the Chuna Manual Relaxation Therapy is significantly effective in treatment of Panic disorders.

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복합적 한방 치료를 시행한 마미증후군 수술 실패 환자 1례에 대한 증례 보고 (The Clinical Report on the Case of Cauda Equina Syndrome Using Multiple Korean Medicine Therapies)

  • 김정섭;조성우
    • 척추신경추나의학회지
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    • 제10권2호
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    • pp.73-85
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    • 2015
  • Objectives : The purpose of this study is to evaluate clinical effect of Korean medical treatments for the patient who were diagnosed as the Cauda Equina Syndrome. Methods : The patient was treated by Korean medical treatments including acupuncture, pharmacopuncture, herbal medication. The Improvement of clinical symptoms was assessed by Visual Analog Scale(VAS), Oswestry Disability Index(ODI) and Muscle Manual Test(MMT). Results : After treatments, VAS and ODI were generally decreased, MMT was improved in case. Conclusions : The Oriental medical treatments might be effective methods to treat the patient who were diagnosed as the Cauda Equina Syndrome.

한방여성의학에서 추나요법을 활용한 국내 연구 동향 분석 (A Review of the Domestic Study Trends on Obstetrics & Gynecological Diseases with Chuna Manual Therapy)

  • 이진욱;황영식;김규태;박승혁;이진무;이창훈;장준복;황덕상
    • 대한한방부인과학회지
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    • 제32권2호
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    • pp.87-99
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    • 2019
  • Objectives: The aim of this study was to analyse the domestic trends of Chuna manual therapy on Obstetrics and Gynecological Diseases in Korean literature. Methods: We searched for papers which had Chuna manual therapy through 2 related journals and 5 Korean web databases. All relevant papers were selected and extracted to be analyzed according to their study designs, academic journals, and target disease. Results: Nine papers belonged to four types of study designs, systematic review, randomized or non-randomized controlled trial and case report. And they were published in four kinds of academic journals. There were four papers about postpartum pain, two low back pain during pregnancy, and a stress urinary incontinence. The exact Chuna techniques were explained in only seven papers. All of papers have been shown that Chuna manual therapy is useful for obstetrics and gynecological diseases. Conclusions: It has been identified that Chuna manual therapy could be a good treatment for obstetrics and gynecological diseases. However, more clinical and well-designed studies with Chuna manual therapy will be needed.

유착성 관절낭염에 대한 추나요법의 효과: 체계적 문헌고찰과 메타분석 (Chuna Manual Therapy for Adhesive Capsulitis : A Systematic Review and Meta Analysis)

  • 조주찬;허인;박선영;신병철
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.1-14
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    • 2019
  • Objectives : To evaluate the effectiveness of Chuna Manual Therapy for adhesive capsulitis by a systematic review manner. Methods : Five foreign electronic databases (Pubmed, Ovid-medline, Embase, Cochrane library, Chinese Academic Journals (CAJ)) and two Korean medical electronic databases (Oriental Medicine Advanced Searching Integrated System (OASIS) and Research Information Sharing Service (RISS)) were searched to find all randomized controlled trials (RCTs) using Chuna Manual Therapy as a treatment for adhesive capsulitis. The methodological quality of each RCT was assessed using the Cochrane risk of bias tool. Results : Twenty-one RCTs met our inclusion criteria. The meta-analysis showed positive results on the use of Chuna Manual Therapy combined with acupuncture or exercise therapy in terms of the efficacy rate and pain using the Visual Analogue Scale (VAS), compared to acupuncture or exercise alone [SMD-1.81 (95% CI & -2.54, -1.08), P<0.001, RR 1.19 (95% CI 1.14, 1.23), P<0.001)]. Positive results in terms of efficacy rate were also obtained comparing Chuna Manual Therapy to acupuncture alone [RR 1.10 (95% CI 1.02, 1.18), P=0.01]. Conclusions : Our systematic review found favorable results on the effectiveness of Chuna Manual Therapy for pain and efficacy rate of adhesive capsulitis. However, evidence was limited due to the lack of well-designed RCTs. More qualified clinical trials are needed to obtain stronger evidence.

과민성 장 증후군의 추나 치료에 대한 체계적 문헌 고찰 (Chuna Manual Therapy for Irritable Bowel Syndrome; A Systematic Review)

  • 서하라;이혜윤;황만석
    • 척추신경추나의학회지
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    • 제11권2호
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    • pp.1-9
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    • 2016
  • Objectives: To evaluate the effectiveness of Chuna manual therapy for irritable bowel syndrome. Methods: The researcher conducted search across the 3 electronic databases (Pubmed, Wanfang data(included CAJ) and Oasis) to find all of randomized controlled clinical trials(RCTs) that used Chuna manual therapy for irritable bowel syndrome. Results: Eight RCTs met inclusion criteria. The meta-analysis showed positive results for the use of Chuna manual therapy in terms of the therapeutic effects or symptom score compared to west medication, herbal medication, acupucture and moxa treatment alone. Conclusions: The review found encouraging but limited evidence of Chuna manual therapy for irritable bowel syndrome. More highquality clinical trials research is needed on Chuna, manipulative therapy of irritable bowel syndrome.

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