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

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골반변위와 대퇴골두 높이차이에 대한 상관성 비교 - Gonstead's Technique을 중심으로 - (Ananlysis of Correlation between Functional Leg Length Discrepancy caused by Pelvic tilting and Femur head height difference)

  • 이경윤;서진우;박쾌환;박민정
    • 대한추나의학회지
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    • 제5권1호
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    • pp.213-222
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    • 2004
  • Objectives : To investigate contributing degree of other factors except pelvic tilting to F.L.L.D by analizing with Gonstead technique on the correlation between femur head height discrepancy on the standing pelvic AP view and F.L.L.D caused by pelvic tilting. Method : We analysed standing pelvis AP X-ray of 70 patients who had visited at the department acupunture and moxibustion in Conmaul oriental medical hospital, during May, 1st, 2004 - July, 30th, 2004, with low back pain or lower extremity pain. We excluded the person with any past history of polio, genetic defect, malunited fracture, growth plate injury, infection and overgrowth attributable to hemangioma, or arteriovenous fistula. Results & Conclusion : The functional leg length discrepancy caused by pelvic tilting and femur head height difference had no statistical difference(p=0.132) but poorly correlated(Pearson ${\nu}=0.05$). In the 94.28% of subjects, the femur head height difference wasn't in accord with F.L.L.D. caused by pelvic tilting. In 47.14% of subjects were expected to have over $3^{mm}$ of leg length discrepancy after pelvic adjustment. The mean of measurement difference between two methods was $3.76{\pm}3.12^{mm}$ and the range was $0{\sim}11.4^{mm}$. Consequently, we must consider not only functional leg length discrepancy caused by pelvic tilting but also anatomical leg length discrepancy, misalignment of ankle, knee or hip joint etc.

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Motion Style Treatment로 호전된 족하수 환자 2례 보고 (Clinical Study on 2 Cases of Patients of Common Peroneal Nerve Palsy(Foot Drop) Improved by Motion Style Treatment)

  • 이진호;박종민;정성엽;김성용;신준식;박원상
    • 대한추나의학회지
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    • 제6권1호
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    • pp.119-126
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    • 2005
  • 본 증례 2례 모두 요통(腰痛), 좌하지인통(左下肢引痛)을 호소하며 좌족하수(左足下垂)를 동반하여 내원했으며, L-spine MRI상 L4-5, L5-S1의 추간판탈출증을 진단받은 경우로, 외상의 병력이 없었고 이로 미루어 보아 L5 신경근과 S1 신경근 손상으로 발생된 족하수(足下垂)로 진단하였다. 입원치료 중 추나요법과 추나약물요법으로 요통(腰痛)과 하지부(下肢部) 인통(引痛)은 소설되었으나 족하수(足下垂)는 별다른 호전을 보이지 않아 족하수(足下垂)치료를 위해 M.S.T.를 시행하여 족배굴근력이 건측에 비해 <증례1>의 경우 30%에서 70%로, <증례2>의 경우 10%에서 70%의 향상을 나타내었다. 그리고 치료기간 중 SLR 검사와 족하수(足下垂)와의 상관관계는 발견할 수 없었으며, 호전속도는 Disc 탈출정도와 연관성이 있었다. 하지만 저자가 관찰, 치료한 본 증례 2례는 그 해당 임상증례가 많지 않았기에 향후 좀 더 다양한 임상증례와 비교연구가 뒤따라야 할 것이다.

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근골격계 질환에 대한 경근무늬측정검사(모아레)의 한의약적 임상응용 고찰 (A Study on the Korean medicine Clinical Use of Moire topography in musculoskeletal diseases)

  • 류홍선;송애진;정명수
    • 대한예방한의학회지
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    • 제20권1호
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    • pp.75-87
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    • 2016
  • Objectives : This study aims to classify and analyze literature related to moire topography, as a diagnostic device of Korean medicine, discuss research trends and major results, and demonstrate the value of moire topography. Methods : To investigate moire topography research trends, Korean keywords that signify 'moire' were searched in a Korean journal search engine. Initially, 2,988 papers were found in the research, and, after classifying them and removing those that are duplicate in other databases, only 37 papers were applicable for the literature review in this study. To analyze research trends, the 37 papers were analyzed based on the publication year, research field, journal, and research type, and, clinical articles were classified based on the diagnosis purpose, subject characteristics, diagnosis method, test method, and test result, for analysis. Results : Moire topography research in South Korea was first conducted in 1995 and most active in 2003, mostly in the field of Korean medicine. In the journal analysis, The Journal of Korea CHUNA Manual Medicine for Spine & Nerves published the highest number of papers, most of which were clinical articles and the rest were literature review. And, in the analysis of clinical papers, based on the diagnosis purpose, muscle somatotype measurement was most common, followed by diagnosis of scoliosis. In terms of subjects, most studies focused on elementary, middle, and high school students, and, in terms of the diagnosis method, other tests were used in most studies. The analysis of moire topography methods showed that most studies measured the shoulder, back, and hip, and the most common measurement method in the studies measured the difference in contour lines on the left and right by designating a central line of the body. In terms of the result, most moire topography brought about significant diagnosis results, and many studies demonstrated its use for musculoskeletal diseases in particular. Conclusions : Moire topography is believed to be highly significant for diagnosis and treatment of musculoskeletal diseases and further research will be needed to support it.

요추 추간판 탈출 환자에서 나타나는 요추부 변위와 추간판 탈출의 상관관계: L4-L5, L5-S1 요추 간 추간판 탈출을 중심으로 (Correlation between Lumbar Malposition and Disc Herniation in Lumbar Disc Herniation Patients: Focused on L4-L5, L5-S1)

  • 이연후;송다운;정재민;권태하;봉세영;이유진;최진봉
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.185-193
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    • 2023
  • Objectives This study was conducted to find out the correlation between lumbar malposition and lumbar disc herniation. Methods Among the patients who visited Gwangju Jaseng Hospital of Korean Medicine from January 2019 to January 2021, taking 92 patients under age 60 who had the records of X-rays and magnetic resonance imaging (MRI) images as the research subjects, Cobb's angle was measured in anterior-posterior (AP) view and lateral (LAT) view, the number of displacements was scored by listing categories defined by The Korean Society of Chuna Manual Medicine for Spine and Nerves. The degree of lumbar intervertebral disc herniation was expressed as a percentage according to the method of Kato, etc., and the correlation between each factor was analyzed. Results AP curvature and MRI herniation index showed significant positive correlation in L4-L5 level but there was no significant difference in L5-S1 level. LAT curvature and MRI herniation index had no correlation in L4-L5 level, but there was a significant negative correlation in L5-S1 level. Malposition score and MRI herniation index had a significant positive correlation in L5-S1 level, whereas there was no correlation in L4-L5. Conclusions As a result of the study, AP curvature and MRI herniation index showed a significant positive tendency in L4-L5 lumbar spine, and LAT curvature and MRI herniation index showed a significant negative tendency in L5-S1 lumbar spine. Malposition score and MRI herniation index were found to have a significant positive tendency in L5-S1 lumbar spine.

테이핑요법을 통한 중풍 편마비환자의 환측 하지체중부하율 변화에 대한 임상연구 (Effect of Taping Therapy for Increasing the weight loading on Affected Leg of Hemiparesis)

  • 한순현;김성수;류한진
    • 대한추나의학회지
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    • 제4권1호
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    • pp.67-73
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    • 2003
  • Objective: In order to study the effect of Taping Therapy for Increasing the weight loading on Affected Leg of Hemiparesis, a clinical study was performed. Method: Tapes were applied on gluteus medius and quadriceps femoris muscle. Weight loading on the Affected Leg of Hemiparesis was measured by two digital scales at before and after, after 30 minites, after 1 hour of treatment. From each score of two scales, we calculate the percentage of Weight loading on the Affected Leg of hemiparesis. Result: (1)Case 1: Only the percentage of Weight loading measured after treatment is effectively increased(from $47.38{\pm}0.99$ to $46.36{\pm}1.2$(p<0.05)) (2)Case 2: The percentage of Weight loading measured both after treatment and after 30 minute is effectively increased(the one is increased from $10.75{\pm}0.476$ to $12.04{\pm}1.717$ and the other is increased from $10.75{\pm}0.476$ to $15.09{\pm}2.454(p<0.05)$) (3)Case 3: The percentage of Weight loading measured at all times is effectively increased. (the one after treatment is increased from $31.59{\pm}0.606$ to $29.55{\pm}2.296$. the one after 30 minutes. is increased from $31.59{\pm}0.606$ to $45.40{\pm}0.86$, from the one after 1 hour is increased from $31.59{\pm}0.606$ to $52.70{\pm}0.541$(p<0.05)) Conclusion: (1)The percentage of Weight loading measured after treatment is effectively increased (2)The percentage of Weight loading measured after 30 minutes and 1 hour is effectively increased, so it means Taping Therapy is continueously effective. (3)The percentage of Weight loading is especialy increased when the Percentage of weight loading is near 30%

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개오동이 흰쥐의 Collagen 유발 관절염에 미치는 영향 (Effects of Catalpa Ovata on the Collagen-induced Arthritis in Lewis Rats)

  • 김순중;서일복;윤제필
    • 대한추나의학회지
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    • 제4권1호
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    • pp.75-88
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    • 2003
  • Objectives : The purpose of this study is to find out the effects of Catalpa Ovata on the collagen-induced arthritis in the lewis rats. and we infere the effects of Catalpa Ovata on the rheumatoid arthritis in the human body. Methods : We investigated the effect of Catalpa Ovata on the Collagen-induced arthritis in Lewis rats via morphology, histology and serology as an experimental group, a control group, and a normal group. We feed Catalpa Ovata. only to an experimental group. Results : According to this research, the abnormal finding In Moire topography was 53.7% (1,018 students), and students needed X-ray re-examination were 11.2% (213 students). Students diagnosed scoliosis by X-ray re-examination were 1.8%. According to statistical analysis, interval between vertical base line of pelvis and vertical base line of neck, gap between left distance and right distance to the vertical base line of pelvis and difference of contour lines have strong correlations with deformity degree of the body surface examined by Moire. Conclusions : 1. The weight of an experimental group were lower than control group with statistically significant at 15 days later. 2, The paw edema volume of an experimental group were lower than control group at 10 days, 15 days later. but couldn't be found meaning. 3. The size of the tarsal joint of an experimental group were lower than control group at 5 days, 10 days, 15 days later, but couldn't be found meaning. 4. The volume of tumor necrosis factor-a at an experimental group were lower than control group with statistically significant. 5. The volume of interleukin-$1{\beta}$ at an experimental group were lower than control group with statistically significant. 6. An experimental group and a control group were showed ankylosing osteoarthritis, but an experimental group compared with a control group, alleviated In the fibrous ankylosis, destruction of articular cartilage and destruction of subchondral bony tissue. According to the above results, it might be considered that Catalpa Ovata has the suppression of the advance of the Collagen-induced arthritis and that result were presumed to bo connected with suppression of volume of the tumor necrosis $factor-{\alpha}$ and $interleukin-1{\beta}$ in the blood.

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