• 제목/요약/키워드: Journal of Chuna Manual Medicine for Spine & Nerves

검색결과 496건 처리시간 0.022초

척추전방전위증 환자에 대한 신바로약침과 봉약침의 치료효과 비교 연구 (The Comparative Study on the Effect of ShinBaro Pharmacopuncture Treatment and Bee Venom Pharmacopuncture Treatment of Patient with Spondylolisthesis)

  • 노해린;박소현;이재영;추원정;한상욱;김신웅;손슬기;엄태웅
    • 척추신경추나의학회지
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    • 제7권2호
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    • pp.53-61
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    • 2012
  • Objectives : The Purpose of this study is to compare the effect of ShinBaro Pharmacopuncture Treatment and Bee Venom Pharmacopuncture Treatment of low back pain and radicular pain caused by spondylolisthesis. Methods : From January 1st,2012 to September 30th, 2012, 30 Low back pain and radicular pain patients with spondylolisthesis who were admitted to Bu-Cheon Jaseng Hospital of Oriental Medicine were divided into two groups. ShinBaro group was treated by ShinBaro Pharmacopuncture Treatment and Bee Venom group was treated by Bee Venom Pharmacopuncture Treatment. We evaluated the treatment effect of each group with numerical rating scale(NRS) and Oswestry disability index(ODI). The evaluations performed at admission day and 14th day after admission. Results : In both ShinBaro group and Bee Venom group, NRS and ODI decreased significantly in ststistics as treatment was perfomed. Though ShinBaro group showed a decreasing ODI score compared to BV group and BV group showed a decreasing NRS score compared to Shinbaro group, There is no statistical significance on NRS and ODI score after the treatment in both groups. Conclusions : The result sugguest that both ShinBaro pharmacopuncture treatment and Bee Venom pharmacopuncture treatment is considered to be effective and useful on low back pain and radicular pain caused by spondylolisthesis, although further study is needed.

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요통을 호소하는 ALS환자에 대한 한의학적 치료 효과 증례 보고 (The Clinical Case of Oriental Medical Treatment at Tender Point for Patient with Lower Back Pain Suggesting of Amyotrophic Lateral Sclerosis)

  • 연창호;박현건;조융기;정재영;이상민;김성수
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.103-111
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    • 2010
  • ALS를 진단받았으며 2010.5.11부터 2010.6.10까지 ${\bigcirc}{\bigcirc}$한방병원에 입원한 요통을 호소하는 남환에 대하여 화침치료, 전침치료, 침치료, 구치료, 약물치료, 이학요법 등을 시행한 결과 K-ODI, VAS, K-ALSFRS-R 등의 평가 항목에 대하여 호전 경향을 보였다. ALS는 기본적으로 진행성 경과를 밟는 질환이기 때문에, 병의 진행을 늦추는 것과 대증치료를 통해 삶의 질을 높이는 것이 중심이 된다고 볼 수 있다. 본 환자의 경우 상기 한의학적 처치에 의해 일정한 효과가 나타났다. ALS에서 수반되는 요통의 호전에 의해 기능수행능력이 향상된 결과라고 볼 수 있다. 이는 한의학적 치료 방법이 ALS 환자의 치료에 있어서 통증을 감소시키고 일상생활에서의 기능수행능력을 향상시킴으로써 삶의 질을 높이는 대중치료의 역할을 수행할 수 있다는 단서라고 할 수 있다. 치료효과의 검증을 위해서는 추후 지속적인 증례 연구가 필요할 것으로 사료된다.

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요통과 하지방사통을 호소하는 요추 추간판 탈출증 환자의 전침 치료 효과 연구 (A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar HIVD)

  • 임수진;박상원;이준석;이슬지;김기원;남지환;이민정;전재윤;송주현
    • 척추신경추나의학회지
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    • 제7권2호
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    • pp.119-129
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    • 2012
  • Objectives : The purpose of this study was to evaluate the effect of electro-acupuncture treatment for low back pain and radicular pain in patients diagnosed with Lumbar HIVD. Methods : This clinical study was carried out on 92 patients with low back pain and radicular pain diagnosed with HIVD, who had been admitted from Mar. 2011 to Dec. 2011. 60 patients were divided into two groups, group A and group B, of 46 patients each. Group A was treated with electro-acupuncture treatment and general acupuncture treatment twice per day for more than 2 weeks. Group B was treated with general acupuncture treatment twice per day for more than 2 weeks. Verbal numerical rating scale(VNRS) and Oswestry disability index(ODI) were used to evaluated the effectiveness of the Oriental medical treatment. Results : In both two groups, VNRS, ODI, patient's condition grade decreased significantly in ststistics as treatment was perfomed. Between the two groups there was no significant difference in the VNRS, patient's condition grade. But there was significant difference in the ODI. Conclusions : These results suggest that both electro-acupuncture and general acupuncture were effective in reducing low back pain and radicular pain caused by HIVD. More systematic clinical stuty on electro-acupuncture is needed.

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보건지소내(保健支所內) 한방진료실(韓方診療室) 이용실태(利用實態)에 대(對)한 조사(調査) (음성군(陰城君) 대소면(大所面) 보건지소(保健支所) 중심(中心)으로) (A Study on the Clinical Statistics of Oriental Medicine Service in the Health Center)

  • 송윤경;임형호;조태영
    • 대한추나의학회지
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    • 제4권1호
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    • pp.129-140
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    • 2003
  • Objectives : This study researched into clinical statistics for patients recieved oriental medicine treatments In the Um-sung Gun Dae-so Myun health care center during eight months from May 1 2002 to December 31 2002. The number of object was 246 cases of 234 persons. Results & Conclusions : Analyzing these 234 persons, the rate of males to females was 1 to 2.1. As for the distribution of age, the age of 61 to 70 occupied 44.02 % and the age of 61 to 90 occupied 76.5 % ih the Whole patients. Therefore female was very highly more than male and patients were for the most part, old ages (61 years old and over) Musculoskeletal disease of 202 cases occupied 82.13 %, were the highest rate. At the duration of disease 1 year to 5 years occupied 26.92 %, was the highest. The Grade II was the most of the sign of patients at first visit, it occupied 47.86 %, The Fair(+) and over effect of treatments occupied 96.84 %, the failure(-) Of effect treatments occupied 3.16 %. As for the duration of treatment, the case of 2 times to 5 times visit occupied 38.03 %, was the highest. By medication of treatment, O-juk-san(五積山) occupied 35.10 %, was the highest rate. The average 8.67 persons treated with oriental medicine a day, the average 1.36 person received the first medical examination a day.

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초기 말초성 안면신경마비에 대한 단무지 안추 신전법 병행 치료 효능의 임상적 고찰 (The Clinical Research of the Effectiveness of "Danmuji Anchu Traction technique" on Acute Peripheral Facial Paralysis)

  • 박재흥;이창환;이유환;권기순;윤현민;전대성;한민석
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.43-52
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    • 2011
  • Objectives : The aim of this study is to investigate the effectiveness of combining "Danmuji Anchu Traction technique" on acute peripheral facial paralysis. Methods : Clinical studies were done 36 patients who were treated acute peripheral facial paralysis to Dept. of Acupuncture and Moxibustion, of Oriental Medicine Hospital Dongeui University from July 10, 2009 to September 15, 2010. subjects were randomly divided into 2 groups. : Complex oriental medical treatment without "Danmuji Anchu Traction technique" treated group (Group A, n=18), Complex oriental medical treatment with "Danmuji Anchu Traction technique" treated group (Group B, n=18). All process of treatment were performed by double blinding method. To compare the effectiveness of treatment applied for two groups, we used Yanagihara's unweighed grading system at before treatment, after 1week and 2weeks of treatment. Results: The Yanagihara's Scores of Group B and Improvement Indexes of Group B were higher than those of Group A, and showed significant difference statistically. "Danmuji Anchu Traction technique" can be available for relieving symptoms related with Acute Peripheral Facial Paralysis. And there were significant differences statistically between Complex oriental medical treatment without "Danmuji Anchu Traction technique" and Complex oriental medical treatment with "Danmuji Anchu Traction technique" on Acute Peripheral Facial Paralysis. Conclusions: These results suggested that "Danmuji Anchu Traction technique" effected for Acute Peripheral Facial Paralysis.

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관절강내 Steroid injection에 호전되지 않은 DM을 가진 OA환자에 대한 봉독요법 치험1례 (A Case Report on Bee Venom Acupuncture for Patient with Osteo-Arthritis of Knee Joint, Diabetic Mellitus, and No Response for Steroid Injection)

  • 한순현;윤유석;김성수;정원석
    • 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.

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침(鍼) 자극(刺戟)이 중풍환자(中風患者)의 보행개선에 대한 임상적 관찰 (Clinical Trials For Gait Rehabilitation of Stroke Patients by the Acupuncture Treatment)

  • 신승우;황지식;신현대;이상학
    • 대한추나의학회지
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    • 제3권1호
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    • pp.55-64
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    • 2002
  • Objectives : Acupuncture therapy is known as a effective method to CVA with paralysis. To make clear about effectiveness of acupuncture affecting to active and static postural adaptation for the patient with hemiparesis, we studied whether acupuncture changed ability of maintenance with one leg standing posture, and character of gait such as gait velocity, cadence, stride length, step length and base of support. Methods : This clinical study has been carried out with 10 cases of CVA patient with hemiparesis. We treated patients with acupuncture for 4 weeks, estimated each paralytic leg and well leg before 1st treatment and after last treatment, and compared the change of one leg with the other. To estimate the change of ability of static postural adaptation, we checked the time of duration with one leg standing posture. And about active postural adaptation, we used temporal distance gait analysis with Ink-Foot-Print method. Results and Conclusions : In static postural adaptation, paralytic leg significantly improved the duration with one leg posture. And In active postural adaptation with gait analysis, paralytic leg showed significant improvement in stride length and step length. Base of support and cadence were also significantly improved.

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자침(刺針)이 주관절(?關節) 동통(疼痛) 환자(患者)의 악력(握力)에 미치는 영향 (The Effectiveness of Acupuncture Treatment on the Recovery of Grip Power in Elbow Area Pain)

  • 윤유석;정석희;신현대;이상학
    • 대한추나의학회지
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    • 제5권1호
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    • pp.183-193
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    • 2004
  • Objective : Acupuncture therapy is known as a effective method to pain control including elbow area pain. To make clear about effectiveness of acupuncture affecting to recovery of grip power for the patient with elbow area pain, we compare the patients recieved acupuncture treatment to people with elbow pain unrecieved acupuncture treatment. Material and Methods : This clinical study has been carried out with 30 cases of patients with elbow area pain. 20 patients divides into two groups were treated by acupuncture in MPS with elbow area. Two groups were radial area pain group and ulnar area pain group. The other 10 people with elbow area pain working a resturant in Ilsan were no treatment. The study was applicated and estimated grip power before 1 st treatment and after each treatment for 4 days. Results : 1. In the radial area pain group, the acupuncture treatment is more effective than no treatment (p<0.007). 2. In the ulnar area group, the acupuncture treatment is more effective than no treatment (p<0.037). 3. The effectiveness of acupunctrue treatment is no differnce between radial area pain and ulnar area pain(P<0.529) 4. In the elbow area pain group, the acupuncture treatment is more effective than no treatment (p<0.001). Conclusion : These results shows that acupuncture treatment is effective in elbow area pain.

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남성 입원환자들의 맥파속도에 따른 요통 호전도의 비교 연구 (Comparison of improvement on Low back pain depending on male inpatient's Pulse wave velocity)

  • 이진혁;설무창;민관식;이한;정호석
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.39-45
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    • 2009
  • Objectives : The aim of this study is to compare the improvement of Low back pain (LBP) depending on male Inpatient's Brachlalankle Pulse Wave Velocity (baPWV), Method : We evaluated 35 LBP inpatients who took pulse wave velocity test during admission at Jaseng hospital from November 2008 to september 2009. We used applanation tonometry method to measure pulse wave velocity and numerical rating scale to measure patient's improvement. Result : At admission, standard deviation of normal group's NRS was $7.44{\pm}1.67$ and high risk group's was $7.57{\pm}2.09$(P=0.678). After 5 days of admission, standard deviation of normal group's NRS was $5.67{\pm}1.94$ and high risk group's was $6.00{\pm}2.17$(P=0.680). After 10 days of admission, standard deviation of normal group's NRS was $4.00{\pm}1.80$ and high risk group's was $4.95{\pm}1.96$(P=0.281). After 15 days of admission, standard deviation of normal group's NRS was $2.89{\pm}1.62$ and high risk group's was $4.10{\pm}1.92$(P=0.124). At discharge, standard deviation of normal group's NRS was $5.11{\pm}1.69$ and high risk group's was $4.86{\pm}2.08$(P=0.504). Comparison between admission and discharge, standard deviation of normal group's NRS was $5.11{\pm}1.69$ and high risk group's was $4.86{\pm}2.08$(P=0.504) Conclusion : Low back patients with high Brachialankle Pulse Wave Velocity, showed slower improvement rate compare to patients within normal rate. But statically, had no significance.

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복합적으로 병발한 등-허리, 허리-엉치 이행부위 증후군에 대한 증례를 통한 고찰 (The Case Study on Thoraco-lumbar junction and Lumbo-sacral junction Transitional Zone Syndrome.)

  • 황은미;정민규;박영회;금동호
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.113-125
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    • 2010
  • 2009년 10월 08일부터 2009년 11월 05일까지 동국대학교 분당한방병원 한방재활의학과에 입원한 요통, 양둔통, 골반통을 호소하며 MRI상 T12-L1의 추간판 탈출증을 진단받은 환자를 대상으로 통증의 특징과 이학적 검사상 등-허리, 허리-영치 이행부위 증후군으로 진단하고 침치료 및 요추 굴곡신연기법을 사용하여 치료한 결과 주소증과 이학적 검사상의 호전을 거두었다. 등-허리, 허리-영치 이행부위는 형태적, 역학적, 구조적, 생리적으로 다른 부위에 비하여 쉽게 손상될 수 있으며, 척추 분절의 이상은 각 분절의 후일차가지가 지배하는 영역의 통증과 이상반응을 일으키는데 등-허리, 허리-영치 이행부위 증후군에서 각 이행부위의 이상은 요부, 둔부, 서혜부, 골반에서 공통의 통증 영역을 가진다. 또한, 등-허리, 허리-영치 이행부위는 서로 구조적,기능적, 신경생리학적으로 밀접한 연관을 가지며, 한 이행 분절의 이상은 다른 이행 분절의 병적상태를 초래할 수 있다는 사실을 알 수 있었다. 더불어, 수기요법 이외에 요부의 혈위를 활용한 척추신경의 후일차가지가 지배하는 영역의 인대와 근육을 목표로 한 침치료 역시 이행부위 증후군의 치료에 있어 효과적이라고 생각된다.

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