• Title/Summary/Keyword: Journal of Chuna Manual Medicine for Spine & Nerves

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Clinical Analysis of 2,048 Musculoskeletal Patients Who Visited the Traffic Accident Clinic of a Korean Medicine Hospital (교통사고로 한방병원에 내원한 근골격계 환자 2,048명에 대한 임상적 분석)

  • Do, Ho-Jeong;Shin, Ye-Sle;Kim, Chang-Eun;Song, Hyun-Seop;Shin, Jae-Kwon;Gang, Byeong-Gu;Koh, Won-Il;Jeon, Se-Hwan;Cho, Yong-Kyu;Kim, Eun-Soo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.11-23
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    • 2016
  • Objectives : The purpose of this study was to investigate the characteristics and visiting patterns of traffic accident outpatients Methods : In this study, we reviewed the medical charts of 2,048 traffic accident patients who visited Jaseng Hospital of Korean Medicine from January 1st, 2012 to December 31st, 2012. Results : In the distribution of gender and of age patients, the male percentage was 52.3% and the majority of patients were in their thirties(47.2%). In the distribution of the patient's initial visit, most patients visited our clinic from Monday to Wednesday. By monthly distribution, the more patients visited the clinic at the latter half of the year. In the duration of treatment, 1,389 patients(67.8%) finished treatment within four weeks. The most frequently cited sites of pain were neck(82.0%), followed closely by low back(74.0%). In the access route, 746 patients(36.4%) visited our traffic accident clinic as a first choice for primary treatment. We referred patients for radiologic examination in 159 patients(7.9%), of which the exams were mainly lumbar spine MRIs(3.6%) and cervical spine MRIs(2.8%). The most frequent diagnosis were herniated nucleus pulposus. Conclusions : This study shows that most of the patients who visited the traffic accident clinic of a Korean Medical Hospital presented neck and low back pain, and the majority showed improvement without surgical treatment. Following the increasing minor injury rate caused by traffic accidents, we expect the role of Korean Medicine Hospital to become more prominent.

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A Literative Study On Somnipathy And Yin-gyo-maek.Yang-gyo-maek -Priority In Relative Each Other- (음교맥.양교맥과 수안(睡眼)과의 상관성(相關性)에 대(對)한 연구(硏究))

  • Kim, Tae-Hi;Jung, Sung-Yup;Jo, Yoon-Chul;Kim, Chul-Su;Lee, Kyoung-Min
    • The Journal of Korea CHUNA Manual Medicine
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    • v.3 no.1
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    • pp.141-151
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    • 2002
  • Objectives : The purpose of this study is finding out relation of somnipathy and Yin-gyo-maek(陰?脈) Yang-gyo-maek(陽?脈). Methods : 1. We reviewed medical literature about somnipathy and Yin-gyo-maek(陰?脈) . Yang-yo-maek(陽?脈). 2. We studied relation of somnipathy and Yin-gyo-maek(陰?脈) . Yang-gyo-maek(陽?脈). Results : 1. Yin-gyo-maek(陰?脈) Yang-gyo-maek(陽?脈) is channel that is crossing Yin(陰) and Yang(陽). 2. The physio-pathologic phenomenons such as, 'Yin-gyo-maek(陰?脈)', 'Yang-gyo-maek(陽?脈)' are caused by circulatory disorder of depending qi (衛氣). 3. Sleep disoders (such as, hyposomnia, hypersomnia) are caused by the physio-pathologic phenomenon such as, 'Yin-gyo-maek(陰?脈)', 'Yang-gyo-maek(陽?脈)' Conclusions : 1. The period of awakening and sleeping is relative to circulation of depending qi (衛氣) and function of Yin-gyo-maek(陰?脈) Yang-gyo-maek(陽?脈) 2. Acupuncture therapy on Yin-gyo-maek(陰?脈) Yang-gyo-maek(陽?脈) has significant etfect to somnipathy.

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A preliminary study for the cerbral infarcted brain atrophy and osteoprosis via female reproductive physiology (Osteoporosis formation and alteration of female sex hormone after Cerebral Infarction) (여성의 뇌졸중후 골다공증에 대한 조경론적(調經論的) 기초연구)

  • Lee, Jong-Soo;Yoon, Sang-Hyub
    • The Journal of Korea CHUNA Manual Medicine
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    • v.1 no.1
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    • pp.125-137
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    • 2000
  • the aim of this study was to investigate whether osteoporosis can be advanced after cerebral infarction Of not and role of female sex hormone. all animals were classified 4 groups; group of ovariectomy (OVXgroup) group of cerebral infarction( INF group), group of combination ovariectomy and cerebral infarction(OVX + INF group), naturally intact group for control data (NOR group ). cerebral infarction was made by Chen,s method with some modification and ovariectomy was performed by Wayforth,s method. experimental data was collected at 15 days, 1 month, 3 months and 6months after starting observation. serum 17 ${{\beta}-estradiol\;(E_2)}$ was determined by radioimmunoassay, for comparision of osteoporosis formation, bone density, serum osteocalcin, Serum total calcium and phosphorus, Serum AST Concentration, Serum ALT Concentration, Creatinine Concentration were also calculated. we have found that cerebral ischemia decreases not only the serum concentration of 17 ${{\beta}-estradiol\;(E_2)}$ and inhibits but also the physiologically compensatory function of the ovariectomized rats and that the decreased estrogen concentration followed by cerebral infarction have not produced osteoporosis, regretfully.

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Conservative treatment of lumbar compression fracture with illeus and urinary disorder -A case of study - (대소변불리(大小便不利)를 동반한 척추 압박골절 환자 치험 1례)

  • Park, Sung-Ho;Park, Jun-Sik;Song, Yun-Kyung;Eom, Yu-Sik
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.169-176
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    • 2005
  • In recent years, according to the increase of the osteoporosis and traffic accidents, the vertebral compression fracture patients are increased, This Study is clinical observation to the patients who be taken compression fracture of the $L1^{\sim}L2$ vertebra bodies with the symptoms of urinary disorder and ileus. She was treated by bed rest, acupuncture and moxibustion, herb medicine, physical therapy. In the observation of this case, I think that conservative treatment which involved acupuncture, moxibustion therapy and herb medicinal treatment is more effective than common nonoperative therapy.

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Clinical Evaluation and Treatment of Leg Length Inequality (하지길이균차에 대환 임상평가와 치료)

  • Kim, Chang-Hwan;Kim, Jong-Deog
    • The Journal of Korea CHUNA Manual Medicine
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    • v.5 no.1
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    • pp.19-29
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    • 2004
  • Objectives : Visual check and X-ray are commonly used by chiropractors to estimate ieg length inequality, This study have three categories: diagnosis for anatomic leg length inequality; difference between anatomic and functional leg length inequality; theraphies for anatomic or functional leg length inequality. Methods : We referred to a PubMed site by using word of 'leg length [JU] J Manipulative Physiol Ther', only items with abstracts. Results : We searched 26 articles in J Manipulative Physiol Ther with the key word-Ieg length. Conclusion : 1. Radiographs were most accurate and commonly used by chiropractors to measure anatomic leg length inequality, clinically wood block, tape measure, visual check are acceptable. 2. There was no article about difference between anatomic and functional leg length inequality. 3. Heel lift was commonly used with conservative theraphy for anatomic leg length Inequality. 4. Chiropractors have not yet proved that the supposed positive effects are a result of a reduction of subluxation, The detection of the manipulative lesion in the sacroiliac joint depends on valid and reliable tests, Because such tests have not been established, the presence of the manipulative lesion remains hypothetical. Great effort is needed to develop, establish and enforce valid and reliable test procedures.

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Correlation Analysis Between Lumbar Scoliosis of X-ray and HIVD of L-spine MRI in LBP Patients who Visit Korean Medicine Hospital (한방병원에 요통으로 내원한 환자에서 X-ray상 요추측만과 MRI상 HIVD와의 연관성 분석)

  • Kim, Kil-Hwan;Choi, Young-Jun;Kwon, Ok-Jun;Joo, Young-Kuk;Song, Seung-Bae;Song, Gwang-Chan;Seo, Ji-Yeon;Choo, Won-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.41-51
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    • 2016
  • Objectives : This study is planned to classify Correlation between Cobbs Angle of Lumbar scoliosis and prevalence of Lumbar Intervertebral Disc. Methods : We Measured the lumbar scoliosis angle of the 114men and 91 women patients with lumbar pain in Bucheon Jaseng Korean Medicine Hospital. We use Cobb's angle method for measuring the lumbar scoliosis. And We use Magentic Resonance Imaging(MRI) for classifying the patient who has lumbar intervertebral disc or not. Results : 1.There was no statistical relation between the Cobbs angle and gender(P>0.05) 2.There was no statistical relation between the Cobbs angle and age(P>0.05) 3.There was significant relation between the direction of lumbar scoliosis and the direction of disc herniation(P<0.05) 4.There was no statistical relation between on the Cobbs angle and disc herniation. The more severe of lumbar scoliosis has not tendency of disc herniation. 5.There was no statistical relation between lumbar scoliosis Cobbs Angle on HIVD of L-spine patient and direction of disc herniation on horizontal plane. Conclusions : The direction of disc herniation has tendency of the opposite direction of lumbar scoliosis. When disc herniation, opposite side bending broad intervertebral foramen and reduce pressure.

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Review of Studies on Domestic and International Clinical Trends for Korean Medicine Treatment of Rotator Cuff Calcific Tendinitis (회전근개 석회화 건염의 한의 치료에 대한 국내외 임상 동향 분석)

  • Jeong-Hyun Park;Hyeon-Jun Woo;Su-Hyeon Jeong
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.18 no.2
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    • pp.43-52
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    • 2023
  • Objectives This study aimed to investigate trends in domestic and international clinical approaches to the Korean medicine treatment of rotator cuff calcific tendinitis and to suggest future research directions. Methods We utilized nine electronic databases to identify domestic and international studies on Korean medicine treatment for rotator cuff calcific tendinitis. By analyzing the title, abstract, and main text, studies concerning Korean medicine treatment of rotator cuff tendinitis were included. Results Among the searched for studies, fourteen studies met our criteria. Eight of these were case reports and six were randomized controlled trials (RCTs). Across the studies, five treatment methods were employed, including acupuncture, herbal medicine, physical therapy, cupping therapy, and moxibustion. Acupuncture, used in all fourteen studies, was the most frequently utilized intervention. Thirteen evaluation tools were used to measure the effectiveness of Korean medicine treatment, and all studies reported positive outcomes. Conclusions We identified current trends in clinical approaches of Korean medicine treatment for rotator cuff calcific tendinitis and assessed the effectiveness of such treatment. However, further studies are warranted to establish a basis for Korean medicine treatment for rotator cuff calcific tendinitis.

A Case Report on the Ossification of the Posterior Longitudinal Ligament of the Cervical Spine (경추부 후종인대 골화증 1례에 대한 증례보고)

  • Lee, Jeong-Han;Park, Tae-Yong;Jo, Joon-Ki;Kim, Dae-Joong;Kim, Nam-Su;Shin, Byung-Cheul;Song, Yung-Sun;Ko, Youn-Seok
    • The Journal of Korea CHUNA Manual Medicine
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    • v.6 no.1
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    • pp.157-167
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    • 2005
  • Objective : There is hardly case report in oriental Medicine about the ossification of the posterior longitudinal ligament(OPLL). We experienced a patient(64-year-old male) with OPLL improved by oriental Medicine treatment, and we report it clinically. Methods : While the patient with OPLL was treated acupuncture, physical therapy, and CHUNA manual therapy, we evaluated the patient's symptoms and function by visual analogue scale(VAS), clinical criteria for evaluation of the cervical myelopathy by the japanese orthopaedic association(JOA Score) and cervical spine's range of motion(ROM) in three limes for the 17 days that were a hospitalization period. Results : VAS, JOA score and ROM in OPLL patient were improved. VAS in symptoms became lower from 10 to 5. JOA score increased from 12 points to 13 points. As for the ROM, it was improved in 30.1%. Conclusion : Oriental medicine treatment may be effective in conservative treatment of OPLL. We propose that more clinical studies and reaches are accomplished in oriental medicine.

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Studies about Anatomical Relationships between the spinous and transverse processes of the thoracic spine using 3D-CT (3D-CT를 이용한 흉추의 극돌기와 횡돌기 사이의 관계에 대한 연구)

  • Geum, Ji-Hye;Baek, Dong-Gi;Go, Hyun-Il;Ha, Won-Bae;Lee, Jung-Han
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.135-146
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    • 2019
  • Objectives : There are many theories about the anatomical relationships between the thoracic spinous and transverse processes. However, these studies were all conducted on cadavers. Thus, there might be differences when applied to living individuals. Therefore, the aim of this study was to determine whether the theories were similar when measured in living individuals. Methods : We conducted studies with 10 individuals aged 20-30 using 3D-CT. Four different measurements were taken between the thoracic spinous and transverse processes. To facilitate the relationship analysis, the spinous process positioned between the traverse process of the segment and the lower segment was set to 0.5. The spinous process located at the height of the traverse process of the lower segment was set to 1. The spinous process located between the traverse process of the lower segment and the two segments below was set to 1.5. Results : Therefore, based on the aforementioned settings, T1-T4 were 1, T5-T7 were 1.5, T8-T10 were 1, and T11 and T12 were 0.5. This indicated that the spinous processes of T1-T4 and T8-T10 were equal in height to the transverse processes of the lower segment, and that T5-T7 were at the midpoint of the height of the transverse processes between the lower segment and two segments below, and T11, T12 corresponded to the midpoint between the traverse process of the segment and the lower segment. Conclusions : Neither 'Geelhoed's rule'nor 'the rule of three'was accurate when applied to living individuals. However, this study had some limitations, so further research is needed.

Through analyzing the health insurance data provided by Health Insurance Review & Assessment Service (HIRA) of Korea, understanding the characteristic of patient who were diagnosed somatic dysfunction and analysis of the current local status of the usage of code M99 (건강보험심사평가원 데이터의 분석을 통한 체성기능부전 환자의 특성 및 M99 진단명의 사용현황 분석)

  • Shin, Jae-Kwon;Joo, Han-Soo;Lee, Seong-Yup;Shin, Ye-Sle;Ko, Won-Il;Park, Ki-Byung;Kim, Min-Kyu;Ha, In-Hyuk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.11 no.1
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    • pp.53-64
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    • 2016
  • Objectives : The aim of this study is to assess the usage of diagnosis codes for somatic dysfunctions and the general characteristics of patients diagnosed with the code, by analyzing health insurance data provided by the Health Insurance Review & Assessment Service(HIRA) of Korea. This investigation is intended to outline future and willing to contribute to further use of diagnosis code and the approach of Oriental Medicine to somatic dysfunction. Materials and Methods : By analyzing HIRA data, those diagnosed with M99 codes, a code attributed to somatic dysfunction, were selected for analysis. Patients included were assessed for the relevant general characteristics, and the specific diagnostic criteria. The current usage rates and noteworthy characteristics of diagnostic codes of somatic dysfunctions were assessed. A comparative analysis between clinical departments and subcategories, and a comparative analysis to data of 2014 was conducted. Results : Patients given M99 codes constituted a small minority of all patients diagnosed in 2011 as shown by HIRA data. The codes were more frequently to older patients, females, outpatients, and those who filed for Health Insurance compensation. Medical institutions participating in the diagnosis were mostly primary care facilities, usually specializing in orthopedic(Western medicine sector) and internal medicine (Oriental Medicine sector). The most registered code in 2011 and 2014 was M995. The same trend can be observed in Oriental/Western medicine institutions and Public health center, on the other hand, between them, have some different patterns both 2nd and 3rd. Conclusions : This investigation is that of current usage of diagnostic codes of somatic dysfunction. HIRA insurance claim data was analyzed. Based on the current results, more precise diagnostic standards of somatic dysfunction are warranted. This study will provide a foundation for future Oriental Medicine approach to somatic dysfunctions.

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