• 제목/요약/키워드: Journal of Korean Medicine Rehabilitation

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무릎뼈 골절 후 한방 재활치료의 임상적 효과: 증례 보고 (Clinical Effectiveness of Korean Medical Rehabilitation Treatment after Patellar Fracture: A Report of 4 Cases)

  • 금지혜;우현준;김종규;이정한
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.203-217
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    • 2020
  • The aim of this study was to propose our rehabilitation protocol involving Korean medicine for patients with patellar fracture and report its effectiveness. Further, for the same patellar fracture patients, we created different protocols for those who underwent surgical treatment and those who required conservative treatment. Among patients who received inpatient treatment at our hospital for three years from August 2017 to August 2020, we included three patients who underwent surgical treatment for patellar fracture and one patient who required conservative treatment for patellar fracture. The degree of improvement of the patients was evaluated using physical examination findings of the knee joint, numeric rating scale, pain disability index, Lysholm knee score, and walking state. After each treatments, we observed that the range of motion of the knee joint, numeric rating scale, pain disability index, Lysholm knee score, and walking state improved in the patient groups. Even with the same patellar fracture, we observed that different rehabilitation treatments involving Korean medicine should be applied to patients who underwent surgical treatment and those who required conservative treatment. However, further studies are needed to design a rehabilitation protocol involving Korean medicine.

Transfer Energy Capacitive and Resistive (TECAR) Therapy와 한방치료를 병행한 경부 근 긴장성 사경 환자 증례 보고 1예 (Clinical Study on 1 Case of Cervical Dystonia Treated by Korean Medicine and Transfer Energy Capacitive and Resistive (TECAR) Therapy)

  • 이원준;윤영석;김종호;이근재;김미혜;류호선;한수빈;박병학;손재민;이남우;한정훈;서혜진;김지훈
    • 한방재활의학과학회지
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    • 제29권4호
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    • pp.109-115
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    • 2019
  • Cervical dystonia (CD) is a disorder characterized by sustained or intermittent, involuntary muscle contractions which cause twisting, repetitive movements and abnormal postures. In this case report, a CD patients was treated with transfer energy capacitive and resistive (TECAR) therapy and conventional Korean medicine, which consists of acupuncture, Chuna manual medicine, pharmacopuncture and herbal medicine. For outcome measures, this study evaluated Cobb's angle, EuroQol five dimension scale (EQ-5D), numerical rating scale (NRS), neck disabillity index (NDI) and cervical range of motion. As a result, improvements were found in Cobb's angle ($18.65^{\circ}$ to $15.90^{\circ}$), EQ-5D score (0.808 to 0.862), NRS (5 to 3), NDI (16 to 8) and angle of cervical lateral bending ($15^{\circ}$ to $25^{\circ}$). In conclusion, this study shows that combined therapy of conventional Korean medicine treatment and TECAR therapy can be effective for CD patients.

쇄골 골절 환자의 수술 후 한방 재활 치료에 대한 증례 보고 (Case Report about Postoperative Rehabilitation of Oriental Medicine for the Distal Clavicular Fracture)

  • 조동찬;문수정;공재철;이삼윤;송용선;고연석;이정한
    • 동의생리병리학회지
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    • 제26권1호
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    • pp.98-104
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    • 2012
  • The objective of this study is to report the effectiveness of active postoperative rehabilitation on clavicular fracture by oriental medical interventions and to suggest the importance of proper rehabilitation after operation. A female patient, 43 years old, who had operation for right distal clavicular fracture was treated by oriental medical rehabilitation. We evaluated the consequence by checking numeric rating scale(NRS), shoulder range of motion and shoulder pain and disability index(SPADI). The pain of the patient was decreased and the shoulder range of motion was advanced. SPADI score was decreased. Postoperative-oriental medical rehabilitation can be effectively used for a patient on postoperative state of clavicular fracture. Further studies are needed to set up a rehabilitation protocol with oriental medical interventions after operation.

요추 추간판 탈출증 치료 중 척추 전이가 발생한 대장암 환자 1예 (Detection of Colorectal Cancer with Spine Metastasis During Conservative Treatment for Lumbar Disc Herniation:A Case Report)

  • 권용수;배준효;유재은;김효준;박주언;김국범;이희원;김민균;홍정수
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.187-194
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    • 2020
  • The objective of this study is to report an accidental detection of colorectal cancer (CRC) metastasis to spine during conservative treatment for lumbar disc herniation. We treated a 65-year-old female who was diagnosed with lumbar disc herniation on September 2019 by acupuncture, pharmacopuncture, cupping treatment, chuna manual therapy, herbal medicine treatment, medicine treatment and physical therapy. After that we analyzed medical record from December 12, 2019 to February 11, 2020. The patient was diagnosed with CRC and received tumor resection in 2014. After 2 times of chemotherapy, she arbitrarily interrupted the treatment. Since she stated that CRC treatment was terminated, we had difficulty in finding connection between symptom and CRC. During the treatment period, compression fracture at L3 body was found, which was caused by CRC metastasis. Rigorous question, appropriate radiological and clinical tests are required to patients who have history of malignant tumor.

한의사 대상 온라인 설문조사를 통한 안면부 매선침 임상 활용 현황 조사 (Current Status and Strategies of Thread Embedding Acupuncture on Face: A Survey of Korean Medicine Doctors)

  • 유승호;서준원;김세윤;임정현;지수환;김병찬;남상수;구본혁;김고운;조재흥;송미연;정원석;김형석;신우철
    • 한방재활의학과학회지
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    • 제34권2호
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    • pp.165-172
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    • 2024
  • Objectives This study aims to report current status and strategies of thread embedding acupuncture (TEA) on face through survey of Korean medicine doctors. Methods The survey was conducted online via e-mail to certified Korean medicine doctors. The questionnaire is developed by Korean medicine doctors in Kyung-Hee Korean Medicine Hospital at Gangdong. The survey mainly consisted with multiple-choice questions on the current status, cost, and adverse reactions. Results TEA was predominantly utilized for cosmetic purposes, and the billing cost was commonly determined based on the number of threads used. The reported incidence of adverse reactions during TEA was 69.9%. The most frequent self-resolving adverse reaction was bruising, while the most common adverse reaction requiring medical intervention or resulting in sequelae was the 'dimple phenomenon'. According to the questionnaire, the primary factor associated with adverse reactions was the treatment area. Conclusions This study provided insights into the practical use of TEA on face in Korean medical clinic.

근초음파 진단기기를 활용한 슬관절 통증 환자의 초음파 소견: 후향적 관찰연구 (Musculoskeletal Ultrasound Findings of Knee Pain Patients: A Retrospective Observational Study)

  • 이상현;박혜진;김현태;박선영;허인;황의형;신병철;황만석
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.163-171
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    • 2022
  • The study aimed to understand the knee condition of patients with knee joint pain who visited an Korean Medicine hospital by performing musculoskeletal ultrasound. From July 1, 2021 to October 31, 2021, information on the gender, age, diagnosis, and ultrasound findings of knee joint pain patients were retrospectively collected. To examine the condition of the knee joint, images were taken in a total of three postures. All images were analyzed by an examiner. 7 cases of osteoarthritis, 1 case of medial collateral ligament rupture, and 1 case of quadriceps tendon calcification were collected. It was able to check the condition of articular cartilage, lipoma arborescens, and the formation of osteophytes through musculoskeletal ultrasound. The implementation of musculoskeletal ultrasound can enable Korean medicine doctors to give more active treatment for patients through accurate and scientific diagnosis. Based on more evidence, it is thought that the use of medical devices by Korean medicine doctors will need to be made in the future.

슬개골 연골연화증의 무작위대조군 연구 최근 5년간의 경향 분석: 중국지식기초설시공정(中國智識基礎設施工程)(CNKI) 검색을 중심으로 (A Review of Randomized Controlled Trial Studies during 5 Years for Treatment of Chondromalacia Patella Using China National Knowledge Infrastructure Database)

  • 최윤영;양수현;장영숙;김현진;안재영;이수진;오다윤;홍누리;김두희
    • 한방재활의학과학회지
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    • 제30권2호
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    • pp.77-93
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    • 2020
  • Objectives This study was conducted to investigate randomized controlled trial studies about clinical treatment of traditional Chinese medicine for chondromalacia patellae. Methods We searched randomized controlled trial studies about traditional Chinese medicine treatment for chondromalacia patella through China National Knowledge Infrastructure (CNKI). 27 articles published from 2015-2019 were finally chosen and analyzed by published year, number of samples, evaluation criteria, treatment duration, treatment method. Results Various treatments such as acupuncture therapy, herbal medicine, moxibustion therapy, manipulation, external treatment were practiced in China. Most of them were combined with western medicine or injection, rehabilitation therapy. Conclusions There were diverse studies about traditional Chinese medical treatment for chondromalacia patellae in China. In Korea, more clinical research about chondromalacia patellae is still needed. This study will be helpful for future research on Korean medicine for chondromalacia patellae.

신바로3 약침시술을 병행한 한방치료로 호전된 극상근건염 및 삼각근하 점액낭염 환자 치험 1례 (A Case Report of Supraspinatus Tendinitis and Subdeltoid Bursitis Patient Improved by Korean Medicine Treatment with Shinbaro3 Pharmacopuncture)

  • 윤영웅;정재현;정승현;문병헌;최영준;유수빈;이정훈;신동재
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.161-167
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    • 2015
  • Objectives The objective of this study is to report the improved case of Korean medicine treatment with Shinbaro3 pharmacopuncture for supraspinatus tendinitis and subdeltoid bursitis. Methods We used Shinbaro3 pharmacopuncture with other Korean medicine treatment (acupuncture, herbal medicine, cupping and chuna) for this patient. This case is measured and assessed by Numerical Rating Scale (NRS), shoulder range of motion (ROM) and shoulder physical examination. Results The NRS decreased from 10 to 2 and the patient showed nearly full shoulder range of motion. Also physical examination of shoulder was improved. Conclusions Korean medicine treatment with Shinbaro3 pharmacopuncture is proved to be helpful to relieve pain and recover function on shoulder joint.

한방병원에 입원한 요통 환자의 요추 전만각, 요천각 변화의 심각도에 따른 예후 분석 연구 (Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis)

  • 한수빈;김은산;김효준;조후인;김미혜;이남우;한정훈;박병학;손재민;강도현;민태운;이현준;안재서;이한솔
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.143-154
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    • 2020
  • Objectives To analyze the prognosis of patients with low back pain according to the severity of abnormal lumbar lordotic angle and Ferguson's angle. Methods Data from electronic medical record of a total of 199 patients hospitalized in Korean medicine hospital were analyzed. With the sagittal view of lumbar spine X-ray, lumbar lordotic angle was defined as the angle between the superior endplate of L1 with the inferior endplate of L5. Ferguson's angle was defined as the angle between the superior surfaces of the sacral with a horizontal line. 'Measure Cobb's Angle Tool' of 'INFINITT PACS' was used to measure both angles. Lumbar lordotic angle and Ferguson's angle were subdivided into five sections. The number of days from onset and the duration of hospitalization were analyzed in each section. Results Severe hypolordotic lumbar lordotic angle group were found to have longer medical history and hospitalization duration than the control group. The ratio of long-term hospitalization (over 15 days) and chronic medical history (over 180 days) of patients with severe hypolordotic Ferguson's angle were significantly higher than the control group. The ratio of patients with chronic medical history (over 180 days) was significantly higher in severe hyperlordotic Ferguson's angle group than the control group. Conclusions Severe hypolordotic lumbar lordotic angle was related to patient's prognosis. Both severe hyperlordotic and severe hypolordotic Ferguson's angle were found to be related to patient's prognosis. However, a moderate loss of lumbar lordotic angle and Ferguson's angle was not related to prognosis of low back pain patients.