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Effectiveness of Proprioceptive Neuromuscular Facilitation of Chronic Low Back Pain -A Systematic Review and Meta-analysis of Studies in Korea- (만성허리통증의 고유수용성신경근촉진법 효과 -국내연구의 메타분석과 체계적 고찰-)

  • Kim, Beom-Ryong;Kang, Tae-Woo
    • PNF and Movement
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    • v.17 no.1
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    • pp.157-166
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    • 2019
  • Purpose: This study compares and examines the effects of proprioceptive neuromuscular facilitation (PNF) on patients with chronic low back pain through systematic literature review and meta-analysis. Methods: Domestic literature was searched with combinations of keywords including "proprioceptive neuromuscular facilitation," "PNF," "back pain," and "low back pain" using the Research Information Sharing Service (RISS), Korean Studies Information Service System (KISS), and Korean Medical Database (KMbase). Six studies (n=148) were finally included in the analysis through a selection and exclusion process. The quality of the studies was evaluated using the PEDro scale. Results: According to the meta-analysis results, the low back pains of the PNF group and the contrast group showed a standardized mean difference (SMD) of 2.21 (95% CI: -3.35, -1.07, p=0.01, $I^2=83%$) after intervention. Thus, the PNF group showed a statistically significant decrease in low back pain compared with the control group. In addition, the SMDs of the Oswestry Disability Index (ODI), lung function, and the Roland and Morris Disability Questionnaire (RMDQ) were -1.34 (95% CI: -1.88, -0.79, p<0.01, $I^2=35%$), 1.14 (95% CI: 0.49, 1.79, p=0.01, $I^2=0%$), and -1.59 (95% CI: -2.56, -0.62, p=0.01, $I^2=46%$), respectively. Thus, the PNF group showed statistically significant differences from the control group. Conclusion: At present, there is some limit to obtaining definite results about effect sizes because there are relatively few randomized controlled experiments that analyze the effects of PNF exercise in patients with chronic low back pain. Therefore, continuous efforts should be made to conduct randomized clinical trials and long-term efficacy studies in the future.

Review on Case Reports of Syndrome differentiation and Herbal Medicine Treatment for Tic Disorder (틱 장애의 한의학적 변증 및 한약치료 치험례에 대한 고찰)

  • Lee, Ye Ji;Jeon, Ju Hyun;Kim, Eun seok;Kim, Young Il
    • Journal of Haehwa Medicine
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    • v.28 no.1
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    • pp.13-25
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    • 2019
  • Objectives : This study analyzed domestic case reports of syndrome differentiation and herbal medicine treatment for tic disorder published from 2000 to 2018 and aimed to seize the latest trend of Korean herbal medicine treatment according to syndrome differentiation. Methods : We searched herbal medicine treatment of tic disorder through five major Korean academic literature databases; NDSL, KTKP, KISS, RISS, DBPIA. Results : 12 articles were included in this study from 49 articles. These studies were analyzed by year, evaluation criteria, Korean treatments, treatment effects, syndrome differentiation, herbal medication, duration of medication, and type of herbal medicine. Treatment results were assessed by YGTSS. Most cases accompanied Korean integrative treatments and only one case report used herbal medicine alone. Most common type of syndrome differentiation for patients was spleen. Duration of medication varied according to each case and decoction was the most used type of herbal medication. Conclusions : It has been reported that herbal medicine treatment according to the syndrome differentiation could be effective in treating tic disorder. This study suggests that additional studies will be required to justify classification of syndrome differentiation and the sole effectiveness of herbal medicine on tic disorder.

Convergence analysis of Depression managing Program for Menopausal Women in Korea (한국 갱년기 여성을 대상으로 한 우울 감소 프로그램의 융합적 분석)

  • Bang, Yun Yi
    • Journal of the Korea Convergence Society
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    • v.10 no.4
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    • pp.257-264
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    • 2019
  • The purpose of this study was to investigate the main results of the nursing intervention program for reducing depression in menopausal women in Korea and to investigate the effects of systematic review of literature. Research methods were searched for RISS, KMbase, KoreaMed and KISS as domestic databases and limited to domestic papers published in last 10 years from 2006 to 2015. The analysis of 14 articles showed that exercised therapy among the various nursing intervention programs provided significant effects on reducing depression. The intervention methods provided oral education, demonstration training, and practical training, 6 sessions, 60 sessions per session, 5~10 weeks for intervention, and 6~12 weeks for intervention. Depression in menopausal women is not a temporary or short-term emotional state. So it is necessary to provide appropriate exercises that can be applied for their own, regardless of daily life.

Review of Clinical Study over the Last 10 Years on Korean Medicine Treatment for Cancer: Focusing on Korean Database (한방 암 치료에 대한 최근 10년간 임상연구 고찰: 국내 데이터베이스를 중심으로)

  • Choi, Ji-Won;Nam, Yeon-Kyeong;Lee, Jung-Han;Woo, Hyeon-Jun
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.75-86
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    • 2021
  • Objectives This study aimed to analyze the research trends in clinical studies on the traditional Korean medicine used for cancer treatment between 2011 and 2020. Methods We searched 7 Korean web databases (Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS], Koreanstudies Information Service System [KISS], Korean Medical database [KMBASE], DBpia, Korea Institute of Science and Technology Information [KISTI], and KoreaMed) and classified collected papers dated between 2011 and 2020 by the year of publication, publication journal, study design, type of cancer affecting the patients, interventions used, evaluation system used, and combination with conventional medicine. Results A total of 167 papers were collected. More than 10 papers were published annually. The papers were mainly published in the Journal of Korean Traditional Oncology (28.7%). The predominant type of the study was case study (67.7%). The main type of cancer was breast cancer, affecting 262 patients. Most of the studies reported using multiple traditional Korean medicine treatments (55.1%). Eighty-nine studies reported using clinical laboratory tests for evaluation. Most of the patients took conventional medicine simultaneously (608 patients). Conclusions Research related to Korean medicine for cancer patients is at a rudimentary level. Therefore, for further clarity, high evidence-based researches, including randomized controlled trials and cohort studies, should be conducted.

Effects of Acupuncture after Rotator Cuff Surgery: A Systematic Review (회전근개 수술 후 침 치료의 효과: 체계적 문헌고찰)

  • Lee, Sang-Jin;Ko, You-Me;Park, Jung-Sik;Park, Tae-Yong;Lee, Jung-Han;Cho, Jae-Heung;Hwang, Eui-Hyoung;Kim, Kyoung-Ja;Choi, Mi-Young;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.25-34
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    • 2021
  • Objectives This study was conducted to evaluate the therapeutic effect of acupuncture after rotator cuff surgery. Methods Key words such as rotator cuff surgery and acupuncture were searched in 10 databases (Ovid-Medline, Ovid-EMBASE, Ovid-AMED, Cochrane Library, China National Knowledge Infrastructure [CNKI], National Digital Science Library [NDSL], Koreanstudies Information Service System [KISS], Oriental medicine Advanced Searching Integrated System [OASIS], KoreaMed, KMBASE), and only suitable randomized controlled trials (RCTs) were selected. Results 6 RCTs were finally selected, and acupuncture showed positive results for pain relief and functional recovery after rotator cuff surgery. However, the analyzed 6 RCTs showed a high overall risk of bias. Conclusions In the future, RCTs with a higher level of evidence on the effect of acupuncture after rotator cuff surgery need to be continuously conducted.

A Comparative Study of Mongolian and Korean Traditional Medicine (몽골과 한국 전통의학의 비교 연구)

  • Purevjav, Oyanga-Bileg;Ha, Won-Bae;Geum, Ji-Hye;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.87-103
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    • 2021
  • Objectives The purpose of this study was to investigate the development process and describe the diagnosis methods, theories and treatments of Mongolian traditional medicine and Korean traditional medicine through literature records and prior studies. Methods Literature records and previous studies on traditional medicine of both countries were collected through various sites in Mongolia (Esan, Mongoliajol, Kok, Yumpu, Scribd, Science and Technology Foundation [STF]) and Korea (Koreanstudies Information Service System [KISS], Korea Institute of Science and Technology Information [KISTI], National Digital Science Library [NDSL], Research Information Sharing Service [RISS], Oriental Medicine Advanced Searching Integrated System [OASIS]). Also the English database was searched through PubMed. In the case of Mongolian traditional medicine, medical books published in Mongolia were mainly referenced and used for research. Results Studying the development process, basic concepts and the system of diagnosis and treatment of the two traditional medicine, several commonalities and differences were revealed. Conclusions This study showed that the scope of diagnosis methods between Mongolian and Korean traditional medicine were slightly different, and that the medical terminology for the diagnosis method had slightly different contents from each other. Although there were many similarities in treatments of Mongolian and Korean traditional medicine, the Chuna therapy is found in Korean traditional medicine only. The basic theories constituting traditional medicine were the same, but the five-element theory used by the two countries differs in the following two factors. Mongolia uses elements of air and space as the theory of five elements, while Korea uses elements of wood and iron.

Effects of Herbal Medicine after Total Knee Arthroplasty: A Systematic Review and Meta-Analysis (슬관절 전치환술 후 한약 치료의 효과: 체계적 문헌고찰과 메타분석)

  • Lee, Sang-Jin;Ko, You-Me;Park, Jung-Sik;Park, Tae-Yong;Lee, Jung-Han;Cho, Jae-Heung;Hwang, Eui-Hyoung;Kim, Kyoung-Ja;Choi, Mi-Young;Song, Yun-Kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.4
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    • pp.35-47
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    • 2021
  • Objectives This study was conducted to evaluate the therapeutic effect of herbal medicine after total knee arthroplasty. Methods Key words such as total knee arthroplasty and herbal medicine were searched in 10 databases (Ovid-Medline, Ovid-EMBASE, Ovid-AMED, Cochrane Library, China National Knowledge Infrastructure [CNKI], National Digital Science Library [NDSL], Koreanstudies Information Service System [KISS], Oriental medicine Advanced Searching Integrated System [OASIS], KoreaMed, KMBASE), and only suitable randomized controlled trials (RCTs) were selected. Results 8 RCTs were finally selected, and herbal medicine showed positive results for pain relief and functional recovery after total knee arthroplasty. However, the analyzed 8 RCTs showed a high overall risk of bias. Conclusions In the future, RCTs with a higher level of evidence on the effect of herbal medicine after total knee arthroplasty need to be continuously conducted.

A Review of the Study Trends on the Relationship between Primary Dysmenorrhea and Doppler Indicies of Uterine Artery (일차성 월경통과 자궁동맥의 혈류역학적 측정값의 관련성에 대한 최신 연구 동향)

  • Kim, Hyo-Jung;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.34 no.4
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    • pp.97-110
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    • 2021
  • Objectives: This study was performed to review the research trends in the relationship between primary dysmenorrhea and doppler indicies of uterine artery. Methods: The search for related papers used 'Pubmed', a reserch engine in the America National Library of Medicine and Korean studies Information Service System (KISS). Used searching terms were 'primary dysmenorrhea', 'menstrual pain' in all cases. And among these studies, we searched by using key word 'uterine artery', 'doppler indices', 'doppler parameters', 'pulsatile index', 'resistance index'. Results: Overall 49 studies, 8 studies were finally selected to this study. There were 6 controlled studies and 2 randomised-controlled studies. In all 8 studies, transvaginal ultrasound was used to measure the resistance of uterine blood vessels. All of these studies reported that in patients with primary dysmenorrhea, hemodynamic values of uterine arteries measured by Doppler ultrasound were significantly higher than in normal subjects. Conclusions: According to the results, it was found that there was a positive correlation between the pain level of primary dysmenorrhea and the pulsation index and resistance index of the uterine artery. Based on these results, it can be seen that the doppler indicies of uterine artery have the potential to be used as an evaluation scale for Korean traditional medicine for primary dysmenorrhea.

Systematic Review and Meta-analysis on Acupotomy for Piriformis Muscle Syndrome (이상근증후군의 도침치료에 대한 체계적 문헌고찰 및 메타 분석)

  • Park, Song-Mi;Jung, Sue-un;Park, Jung-Hyeon;Do, Hyun-jeong;Cho, Sung-Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.2
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    • pp.25-40
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    • 2021
  • Objectives This study was conducted to analyze the effect of using acupotomy for piriformis muscle syndrome. Methods The databases used for the search were PubMed, Embase, Cochrane library, China National Knowledge Infrastructure (CNKI), Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), Oriental Medicine Advanced Searching Integrated System (OASIS), KMbase, and National Digital Science Library (NDSL). The literature was searched using a total of 9 domestic and foreign databases. randomized controlled trial using only acupotomy as an intervention was selected. The selected studies are analyzed the risk of bias through Cochrane risk of bias, and meta-analysis was performed using Revman. Results As a result of meta-analysis of 11 selected studies, acupotomy was more effective than nerve block and acupuncture. In terms of visual analog scale and immediate analgesic effect, acupotomy did not have statistically significant results compared to other treatment methods. meta-analysis of electro-acupuncture and acupotomy showed no significant results. Conclusions When acupotomy is applied as a treatment for piriformis muscle syndrome, it is more effective than nerve block and acupuncture. but most of the studies have been judged as 'unclear' in the risk of bias assessment. Due to characteristics of treatment group and control group's intervention, It is judged that the blinding of the participant was not properly implemented. Therefore, it is considered that high-quality studies are necessary to supplement the problems in the future.

The Effects of Exercise Program on Pain and Balance ability in Patients with Total Knee Replacement : Meta-analysis

  • Park, Se-Ju
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.5
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    • pp.119-126
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    • 2021
  • This study attempted to systematically and comprehensively analyze individual studies in which exercise program on total knee replacement patients. The electronic database for literature search used the Korean educational Academic Information (RISS), Korean Academic Information (KISS) and Nuri Media (DBPIA). We investigated a prior study of exercise program applied to total knee replacement patients from 2015 to February 2021. For meta-analysis, effect size of each individual study was extracted using R project for Statistical computing version 4.0.3. Rob 2.0 tool, developed by the Cochrane group, was used to evaluate the quality of each individual study. The overall effect size exercise program with pain and balance was 0.99 (95% CI=0.53-1.44), which was significantly different than large effect size (p<0.05). The sub-group for pain was analyzed, for effect size of 0.62 and the effect size of balance scale(timed up and go test) was 1.00. Through these results, it was found that exercise program is an effective exercise for total knee replacement patients, and further research is needs.