• Title/Summary/Keyword: Combined Therapy

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Effect of Combined Treatment of Needle-embedding Therapy and Acupuncture for Breast Augmentation in 136 Patients (침과 매선요법 복합시술의 유방 확대 효과 136례)

  • Lee, Sung-Jin;Park, Sang-Bo;Hong, Chul-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.2
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    • pp.133-143
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    • 2017
  • Objectives: The purpose of this study was to evaluate the effect of combined treatment of needle-embedding therapy and acupuncture for breast augmentation. Methods: 136 patients had needle-embedding therapy and acupuncture combined treatments for breast augmentation. The treatments was performed once a week for 10 weeks. We measured bust circumference, underbust circumference, bust circumference and underbust circumference difference, treatments either before or after. Results: The mean of bust circumference was $77.75{\pm}4.93cm$ before the procedure and $80.25{\pm}5.01cm$ after the procedure, $2.50{\pm}1.95cm$ significantly increased. The mean of underbust circumference was $70.01{\pm}3.99cm$ before the procedure and $70.49{\pm}4.08cm$ after the procedure, $0.48{\pm}1.48cm$ significantly increased. the mean of bust circumference and underbust circumference difference was $7.74{\pm}2.24cm$ before the procedure and $9.76{\pm}2.55cm$ after the procedure, $2.01{\pm}1.72cm$ significantly increased. Conclusions: The combined treatment comprising needle-embedding therapy and acupuncture had a significant effect with regard to breast augmentation.

The Influence of Unstability of Supporting Surface on Trunk and Lower Extremity Muscle Activities During Bridging Exercise Combined With Core-Stabilization Exercise (중심 안정성 운동을 적용한 교각운동 시 지지면 불안정성이 체간 및 하지의 근 활성도에 미치는 영향)

  • Lee, Sim-Chul;Kim, Tack-Hoon;Cynn, Heon-Seock;Roh, Jung-Suk
    • Physical Therapy Korea
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    • v.17 no.1
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    • pp.17-25
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    • 2010
  • The aim of this study was to investigate the effect of supporting surface instability to trunk and lower extremity muscle activities during bridging exercise combined with core-stabilization exercise. Thirty young healthy adults (15 males and 15 females) voluntarily participated in this study. Each subject was asked to perform bridging exercise combined with core-stabilization exercise on three different supporting surfaces (stable ground surface, the wooden balancing board, and the air cushion). The muscle activities were measured using surface electromyography (EMG) during performing exercise. To test statistical significance, one-way ANOVA with repeated measures was used with the significance level of .05. The findings of this study are summarized as follows. (1) There were significant differences in muscle activities on internal oblique, external oblique, gluteus medius, semitendinosus, biceps femoris, medial gastrocnemius and lateral gastrocnemius during exercise (p<.05). (2) The biceps femoris and lateral gastrocnemius showed significantly higher muscle activity on the wooden balancing board rather than on the ground, and semitendinosus, biceps femoris, medial gastrocnemius and lateral gastrocnemius showed significantly higher muscle activity on the air cushion rather than on the ground (p<.05). Therefore, it is concluded that muscle activities in the trunk and the lower limbs during bridging exercise combined with core-stabilization exercise was affected with instability of supporting surface. Further researches are needed to investigate the long term effect of bridging exercise on muscle activity with patient group.

The Clinical Study of the Parallel Treatment with Laser Therapy and Combined Essential Oil Inhalation on turbid nasal discharge(鼻淵) (반도체 Laser 요법(療法)과 향기요법(香氣療法)을 병행(竝行)한 비연(鼻淵) 치료(治療)의 임상연구(臨床硏究))

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Kim, Ki-Bong
    • The Journal of Pediatrics of Korean Medicine
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    • v.18 no.1
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    • pp.49-61
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    • 2004
  • Objective: The objective of this study was to assess the ability of Gagamhyunggaeyungyotang(jiajianjinggailianqiao-tang) and the enhancement of the parallel treatment with laser therapy and combined essential oil inhalation on children's turbid nasal discharge. Methods: This clinical study was carried out with the 35 cases(male 29, female 6) of children aged 4 to 14 years old who visited in the Department of Pediatrics, Dongguk University Bundang Oriental Hospital and were diagnosed as turbid nasal discharge through PNS(Paranasal Sinus) CT(Computer Tomography). To assess the impact of dosage of Gagamhyunggaeyungyo -tang(jiajianjinggailianqiao-tang), it was given in different doses. The effects of treatments are assessed with the condition of illness and PNS CT before and after the therapy. The enhancement of the parallel treatment with laser therapy and combined essential oil Inhalation was also observed same as well. Results: The Use of Gagamhyunggaeyungyo-tang(jiajianjinggailianqiao-tang) has remedied rhinorrhea, nasal congestion, sputum, sore throat, cough, postnasal discharge, headache, attention deficit and anorexia above 50%. The relationship between the dosage and the effectiveness was relative high with 28 children among 35 children. The effectiveness of the parallel treatment was above 50% higher than the herb medication only. Conclusion: The efficacy of Gagamhyunggaeyungyo-tang(Jiajianjinggailianqiao-tang) on children's turbid nasal discharge was raised when the laser therapy and the combined essential oil inhalation was paralleled.

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Effect of CLT and Sling Exercise Combined Program on Knee Pain in Patellofemoral Pain Patient: A Single-Subject Study (협응이동훈련과 슬링운동 결합 프로그램이 무릎넙다리통증 환자의 무릎통증 및 기능적 움직임에 미치는 영향: 단일사례 연구)

  • Kim, Seong-hwan;Yu, Seong-hun;Park, Se-jin
    • The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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    • v.25 no.2
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    • pp.73-81
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    • 2019
  • Background: Patellofemoral pain is one of the common diseases of the musculoskeletal system. Many previous studies have recommended the application of exercise therapy to patellofemoral pain patients for treatment. The purpose of this study was to investigate effect of coordinative locomotor training (CLT) and sling exercise combined program on knee pain and functional movement in patellofemoral pain patient. Methods: In this study, single-subject design (A-B-A') was conducted for 6 weeks. A repeted-measure analysis was conducted to assess results of the anterior knee pain scale (AKPS), Clarke's test (CT), eccentric step down test (ESDT). During the intervention (B), the CLT and sling exercise combined program was conducted three times a week for 4 weeks. Results: From baseline period A to intervention period B, the AKPS, CT, ESDT were improved from 61 to 48 (27%), from 8.33 to 3 (64%), from 7.67 to 3,58 (53%). From baseline period A to baseline period A', the AKPS, CT, ESDT were improved from 70.67 to 48 (47%), from 0.67 to 3 (92%), from 1.33 to 3,58 (83%). Conclusion: Based on the results of this study, we recommend the application of CLT and sling exercise combined program to improve the pain and functional movement in patellofemoral pain patients.

Effectiveness and Safety Verification of Brinzolamide Combination Therapy on Primary Open-angle Glaucoma or Ocular Hypertension: A Systematic Review and Meta-analysis Study (브린졸라미드 복합제의 개방각 녹내장 또는 고안압증에 대한 효과 및 안전성 검증: 체계적 문헌 고찰 및 메타분석 연구)

  • Kim, Jin A;Lee, Heeyoung
    • Korean Journal of Clinical Pharmacy
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    • v.31 no.3
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    • pp.205-215
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    • 2021
  • Background: The treatment of primary open-angle glaucoma (POAG) or ocular hypertension (OHT) for intraocular pressure (IOP) reduction is recommended to proceed with the use of the compound. Therefore, this study aimed to evaluate the efficacy and safety of brinzolamide combination therapy on POAG and OHT following the subgroup analysis among types of brinzolamide combined medications. Methods: By June 2019, PubMed, EMBASE and Cochrane Library were searched to find a study that met our inclusion criteria. Based on randomized control trials (RCTs), we collected studies that tested the brinzolamide combination therapy in POAG and OHT patients, and analyzed the literature identified by the results of the study on IOP reduction and adverse reactions. Results: A total of 13 literature was collected to conduct an analysis including 2,197 patients. The intervention included brinzolamide combination therapies, combined with timolol, brimonidine, PGA or combined with both brimonidine and PGA. The analysis showed significant decreasing tendency for values at morning and end treatment per day in the use of brinzolamide combination therapy in the absolute IOP change (mean difference (MD) -1.41; 95% CI -1.92, -0.90; p<0.001 vs. MD -1.46; 95% CI -2.03, -0.89; p<0.00001, respectively). We could see higher adverse reactions in the brinzolamide combination group using intervention (odds ratio 1.43; 95% CI 1.20, 1.71; p<0.0001). Conclusion: Regarding IOP reduction in POAG and OHT patients, brinzolamide combination therapy is more effective but less safe than control treatment, which diverse among types of combined medications. Thus, more individualized therapy should be applied in real-world practice.

The Effect of an Abdominal Drawing-In Maneuver Combined with Low·High Frequency Neuromuscular Electrical Stimulation on Trunk Muscle Activity, Muscle Fatigue, and Balance in Stroke Patients

  • Kang, Jeong-Il;Jeong, Dae-Keun;Baek, Seung-Yun;Heo, Sin-Haeng
    • The Journal of Korean Physical Therapy
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    • v.34 no.5
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    • pp.205-211
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    • 2022
  • Purpose: This study investigated the effects of an intervention that combined the abdominal drawing-in maneuver and frequency-specific neuromuscular electrical stimulation on changes in trunk muscle activity, muscle fatigue, and balance in stroke patients. Methods: Thirty stroke patients were randomly assigned to two groups. Fifteen subjects were assigned to group I which performed the abdominal drawing-in maneuver combined with low-frequency neuromuscular electrical stimulation and the other 15 subjects to group II where the abdominal drawing-in maneuver was combined with high-frequency neuromuscular electrical stimulation. Muscle activity and fatigue were measured using surface electromyography before the intervention. Balance was measured using the Trunk Impairment Scale and re-measured after six weeks of intervention for comparative analysis. Results: Both groups showed a significant increase in muscle activity and balance (p<0.05), and there was no significant difference between the groups (p>0.05). In the changes in muscle fatigue, only the experimental group II showed a significant increase in muscle fatigue (p<0.05). The difference between the groups was statistically significant (p<0.05). Conclusion: It was confirmed that among stroke patients, the combination of the abdominal drawing-in maneuver and low-frequency neuromuscular electrical stimulation was more effective in changing the muscle activity and balance of the trunk by minimizing the occurrence of muscle fatigue compared to the combination of the abdominal drawing-in maneuver and high-frequency stimulation. These results can be used as basic data for clinical trunk stabilization training.

Effects of Combined Cognitive and Physical Exercise Program on Cognitive and Physical Functions in Older Adults with Mild Cognitive Impairment

  • Hyungyu Cha;Hyeyeon Shim;Geonwoo Kim;Seunghoon Bae;Changmin Lee;Youngjun Choi;Wonjae Choi
    • Physical Therapy Rehabilitation Science
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    • v.13 no.1
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    • pp.43-52
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    • 2024
  • Objective: This study aimed to investigate the impact of a 12-week combined cognitive and physical exercise program on cognitive and physical functions in older adults diagnosed with mild cognitive impairment (MCI). Design: A one-group pretest-posttest study. Methods: Twelve participants with MCI engaged in a weekly 60-minute session of combined cognitive and physical exercise program. Cognitive function was assessed using the Montreal Cognitive Assessment (MoCA), while physical function was evaluated through measures of muscle strength, postural balance, and walking capabilities. Muscle strength assessments included the arm curl test, handgrip strength, and the 5 sit-to-stand test. Postural balance was evaluated using the one-leg stance test, timed up-and-go test, functional reach test, and four square step test. Walking function was analyzed through a gait analysis device. Pre- and post-intervention measurements were compared to determine the effects of the exercise program. Results: The results demonstrated significant improvements in MoCA, arm curl test, timed up-and-go test, walking speed, and cadence following the 12-week intervention (p<0.05). MoCA scores revealed enhanced cognitive performance, while measures of muscle strength, including the arm curl test, exhibited significant changes. Improvements in timed up-and-go test scores indicated enhanced mobility, accompanied by increased walking speed and cadence, as evidenced by gait analysis. Conclusions: This study suggests that a structured 12-week program incorporating both cognitive and physical exercises can lead to meaningful improvements in cognitive and physical functions among older adults with MCI.

Comparison of Combined Therapy Using Conventional Chemoembolization and Radiofrequency Ablation Versus Conventional Chemoembolization for Ultrasound-Invisible Early-Stage Hepatocellular Carcinoma (Barcelona Clinic Liver Cancer Stage 0 or A)

  • Lee, Hyukjoon;Yoon, Chang Jin;Seong, Nak Jong;Jeong, Sook-Hyang;Kim, Jin-Wook
    • Korean Journal of Radiology
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    • v.19 no.6
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    • pp.1130-1139
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    • 2018
  • Objective: To compare the therapeutic efficacy between conventional transarterial chemoembolization (cTACE) and combined therapy using cTACE and radiofrequency ablation (RFA) in ultrasound (US)-invisible early stage hepatocellular carcinoma (HCC). Materials and Methods: From January 2008 to June 2016, 167 patients with US-invisible early stage HCCs were treated with cTACE alone (cTACE group; n = 85) or cTACE followed by immediate fluoroscopy-guided RFA targeting intratumoral iodized oil retention (combined group; n = 82). Procedure-related complications, local tumor progression (LTP), time to progression (TTP), and overall survival (OS) were compared between the two groups. Multivariate analyses were performed to identify prognostic factors. Results: There was no major complication in either group. The cTACE group showed higher 1-, 3-, and 5-year LTP rates than the combined group; i.e., 12.5%, 31.7%, and 37.0%, respectively, in the cTACE group; compared to 7.3%, 16.5%, and 16.5%, respectively, in the combined group; p = 0.013. The median TTP was 18 months in the cTACE group and 24 months in the combined group (p = 0.037). Cumulative 1-, 3-, and 5-year OS rates were 100%, 93.2%, and 87.7%, respectively, in the cTACE group and 100%, 96.6%, and 87.4%, respectively, in the combined group (p = 0.686). Tumor diameter > 20 mm and cTACE monotherapy were independent risk factors for LTP and TTP. Conclusion: Combined therapy using cTACE followed by fluoroscopy-guided RFA is a safe and effective treatment in US-invisible early stage HCCs. It provides less LTP and longer TTP than cTACE alone.

The Effect of Needle-embedding Therapy Combined with Oriental Medical Treatment on Hemifacial Spasm: Report of 2 Case (편측안면경련에 매선침법을 포함한 한방치료 치험 2례)

  • Ji, Young Seung;Yuk, Dong Il;Kim, Jung Ho;Kim, Young Il
    • Journal of Acupuncture Research
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    • v.31 no.4
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    • pp.163-171
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    • 2014
  • Objectives : The aim of this study was to observe the effect of needle-embedding combined with oriental medical treatment therapy on hemifacial spasm. Methods : 2 patients were treated with needle-embedding therapy with oriental medical treatment. After treatment, we evaluated the effect by Scott's scale. And we checked the satisfaction degree and side effect. Results : After treatment, the grade of spasm classified by Scott's scale was decreased and hemifacial spasm was visibly improved. Conclusions : This study showed that needle-embedding therapy with oriental medical treatment was effective to improve hemifacial spasm.

A Review on Clinical Studies of Acupuncture and Moxibustion Therapy for Acute Herpes Zoster (급성기 대상포진의 침구치료에 대한 임상 연구 문헌 고찰)

  • Choi, Yoo Min;Kim, Seok Hee;Kim, Ju Yong;Park, Sang Hun;Yook, Tae Han;Kim, Jong Uk
    • Journal of Acupuncture Research
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    • v.32 no.3
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    • pp.147-161
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    • 2015
  • Objectives : The purpose of this study was to review the effectiveness of acupuncture and moxibustion therapy for the treatment of acute herpes zoster. Methods : Data was collected by two researchers. Clinical trials on PubMed were retrieved using MeSH terms including "herpes zoster" combined with "acupuncture therapy", "moxibustion", "bloodletting", "electroacupuncture", and related keywords. We excluded irrelevant studies and included randomized and non-randomized controlled trials, case series and case reports. Finally, we selected a total of thirteen studies and conducted a literature analysis and an object quality assessment. Results : Twelve of thirteen studies were about acupuncture and moxibustion combined therapy. Only one study suggested that a single acupuncture therapy is expected to be equally as effective as a common western medicine therapy. There was some evidence related to the effectiveness of moxibustion, venesection and electroacupuncture, but it dealt with combining therapy and was insufficient, and with an inclusion of potential risk factors. Only one study was conducted under approval from an institutional review board. No severe treatment-related adverse events were observed. A quality assessment suggested that there was some weakness in the areas of blinding and concealment. Conclusions : There is some evidence that suggests the effectiveness and safety of acupuncture and moxibustion combined therapy as a treatment for acute herpes zoster.