• Title/Summary/Keyword: Korean Rehabilitation Patient Group

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Comparison of Ultrasound Guided Soyeom Pharmacopuncture Therapy Effect and Unguided Soyeom Pharmacopuncture Therapy Effect on Cervical Facet Joint of Acute Cervical Pain Patient Caused by Traffic Accidents: A Retrospective Study (교통사고로 유발된 급성 경추통 환자의 경추 후관절에 시행한 초음파 유도하 치료군과 비유도 치료군의 소염 약침 치료 효과 비교: 후향적 관찰 연구)

  • Yang, JaeEun;Oh, Min Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.3
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    • pp.109-117
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    • 2022
  • Objectives To compare the therapeutic effect of ultrasound guided soyeom pharmacopuncture therapy and unguided soyeom pharmacopuncture therapy on cervical facet joint of patient who have cervical pain caused by traffic accidents. Methods The study was planned as a retrospective study that analyzes the patient's medical records. We analyzed medical records of 20 patients with acute cervical pain caused by traffic accidents from April 1, 2022 to May 31, 2022. 10 patients (Group A) were treated ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint, 10 patients (Group B) were treated unguided soyeom pharmacopuncture therapy on cervical facet joint. We used visual analogue scale (VAS) and neck disability index (NDI) to evaluate improvements in cervical functions and pain, five point Likert scale to estimate patient's satisfaction. We used the IBM SPSS Statistics version 25 program (IBM Co., Armonk, NY, USA) for statistical analysis. Results Group A showed a significant decrease in the VAS on the 5th day of the soyeom pharmacopuncture therapy (p=0.001). However, there was no statistically significant difference of VAS between two groups (p=0.142). Group A showed significant decrease in the NDI on the 5th day of the therapy (p=0.002). Also, there was statistically significant difference on NDI between two groups (p=0.018). Difference of five point Likert scale between two groups was not statistically significant (p=0.407). Conclusions In patients of acute cervical pain caused by traffic accidents, ultrasound guided soyeom pharmacopuncture therapy on cervical facet joint showed significant efficacy on reduction of neck disability compared with unguided therapy.

A Study on Clinical Application of Tongue Diagnosis (설진(舌診)의 임상활용에 관한 연구)

  • Kim, Bin-Na-Ra;Oh, Min-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.3
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    • pp.149-157
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    • 2013
  • Objectives This study was designed to: (1) investigate the clinical feature of tongue diagnosis, (2) make an observation of significant changes in tongue diagnosis according to the patient's physical condition and laboratory result and (3) identify clinical efficacy of tongue diagnosis. Methods 300 patients' tongue diagnosis results were analyzed and the patients were divided to each group according to the physical condition and laboratory result. Then, chi-square test was performed to assess statistical significance between tongue diagnosis results of each group. Results As a result of analyzing the spread of tongue diagnosis according to the patient's physical condition and laboratory result, 18 groups had statistical significance related to specific tongue color and tongue coating. Conclusions Even if there would be possible misinterpretations in one-to-one match between the tongue diagnosis and certain diseases, we identified that tongue diagnosis results were changed somewhat related to patient's physical condition with some tendency and tongue diagnosis could be used for meaningful clinical diagnostic tool.

Effect of East-West Integrative Rehabilitation on Activities of Daily Living and Cognitive Functional Recovery in Stroke Patients: A Retrospective Study (뇌졸중 환자의 일상생활 및 인지기능 회복에 대한 의·한의 협진 재활치료의 효과)

  • Moon, Sori;Keum, Dongho
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.2
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    • pp.105-123
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    • 2020
  • Objectives This study was conducted to verify the effectiveness of east-west integrative rehabilitation therapy on activity of daily living and cognitive functional recovery in stroke patients by comparing with integrative rehabilitation therapy group and conventional rehabilitation therapy group in a single institution. Methods The medical records of 106 stroke patients hospitalized in Department of Rehabilitation Medicine, Dongguk University Bundang Oriental Hospital from January 1, 2017 to February 28, 2019 were reviewed. After screening and dividing it into conventional rehabilitation (CR) group and integrative rehabilitation (IR) group, Korean version of Modified Barthel Index (K-MBI), functional independence measure (FIM), clinical dementia rating-sum of boxes (CDR-SB) were statistically analyzed. Results IR group showed significant improvement in K-MBI, FIM, and CDR-SB after treatment (p<0.001) and there was a statistically significant difference in K-MBI and CDR-SB score changes than CR group (p<0.05). And chronic patient of IR group showed significant improvement in K-MBI, FIM, and CDR-SB after treatment (p<0.01) and there was a statistically significant difference in CDR-SB score changes than CR group (p<0.05). In particular, the earlier the treatment initiation time, the more the improvement in function and when the treatment started within 2 years from the onset and patients took acupuncture and pulsed electromagnetic therapy, all scales significantly improved (p<0.001). Conclusions IR showed more improvement on activities of daily life and cognitive functional recovery than CR in this study.

Clinical Study on Pain Index, Radiological Evaluation and MMPI of Traffic Accident Patient (교통사고 환자의 MMPI 및 통증, 영상평가에 대한 임상연구)

  • Kim, Seong-Tae;Song, Min-Young;Kim, Dae-Hun;Lee, Eun-Ji;Kwon, Min-Goo;Sul, Jae-Uk;Kim, Sunjong;Bae, Giljun;Choi, Jin-Bong
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.1
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    • pp.77-85
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    • 2015
  • This study analyzed the MMPI (Minnesota Multiphashic Personality Inventory), VAS (Visual Analogue Scale), cervical and lumbar curvature (Cervical angle, Ishihara Index, Lumbar angle, Ferguson angle) and satisfaction score of patient of traffic accident. About 59 cases of patients admitted to the Korean Medicine hospital, MMPI and pain levels (VAS) cervical and lumbar curvature (Cervical angle, Ishihara Index, lumbar angle, Ferguson angle) and satisfaction score were measured and statistically analyzed. Depending on the type of accident divided into two groups of In car TA and Out car TA. After hospitalization, patient's pain index was improved as a whole. Pain index and evaluation of the cervical and lumbar curvature, according to the accident types, the difference was not statistically significant. In the analysis of the MMPI validity scales, In car TA group was analyzed by 'V-shaped', Out car TA group was analyzed by umbrella- shaped, 'inverted V-shaped'. Clinical scales of out car TA group were analyzed by 3-1 profile compared to the In car TA group. Results of multiple regression analysis showed no association between factors and MMPI scales. In the case of a traffic accident patients, damage to the body, as well as emotional and psychological factors are thought to affect the condition or prognosis of patients. In the future, for the management and treatment of these parts will be needed to complement the academic or institutional.

Study on Characteristics of 7-Zone-Diagnostic System before and after Treatment in the Traffic Accident Patients and Patients with Low Back Pain or Nuchal Pain (경항부.요부 통증환자와 교통사고환자의 치료 전.후에 따른 7구역진단기의 특성연구)

  • Kim, Eu-Gene;Cha, Yun-Yeop
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.23 no.1
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    • pp.225-231
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    • 2009
  • The purpose of this study was to compare the effectiveness of Dangkisoo-san(Dangguixu-san) and Gamihwalhyul-tang(Jiaweihuoxie-tang) herb-medication for the Traffic accident patient group with the effectiveness of common herb-medication for the general patient group by using 7-Zone-Diagnostic System. Two groups were selected from those who took the CP-6000A test in College of Oriental Medical Hospital of Sangji University from March 2007 to January 2008. Mean values of Factor AA on Skin Resistance Variability(SRV) of two groups were compared. The mean values of the deviation between measurement and 50 in pre-examination was higher than those of post-examination. Especially, there were remarkable difference between the mean values of the deviation between measurement and 50 in pre-examination and those of post-examination within the general patient group. When we compare pre-examination with post-examination in each area, 2 areas have remarkable difference within the general patient group. The mean values of positive deviation in pre-examination was higher than those of post-examination within both group. Especially, the TA patient group was remarkable. The other side the mean values of negative deviation in pre-xamination was remarkably higher than those of post-examination within the general patient group. By contraries the mean values of negative deviation in pre-examination was lower than those of post-examination within the TA patient group. These results suggest that Dangkisoo-san(Dangguixu-san) and Gamihwalhyul-tang(Jiaweihuoxie-tang) herb-medication will be less effective for chronic and weak traffic accident patients.

The Effects of Burning Acupuncture Therapy with Chuna Therapy for Low Back Pain Patients (요통에 대한 추나요법과 가열식 화침 병행 치료의 효과)

  • Chang, Dong-Ho;Bae, U-Yeol;Jung, Jong-Hoon;Lee, In-Seon
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.3
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    • pp.21-32
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    • 2011
  • Objectives : The purpose of this is to prove that using burning acupuncture therapy with chuna therapy can be more effective therapy for low bock pain patient. Methods : 43 patients with low back pan were divided into 2 groups; using burning acupuncture therapy with chuna therapy group and using chuna therapy only group. The patients were evaluated by visual analogue scale(VAS) and pain rating score(PRS). Results : Each group showed significant in decreasing VAS score and PRS score. After 2nd treatment, the sample group was significant mere effective in decreasing VAS. And after 3rd treatment, the sample group was significantly more effective in decreasing PRS(p<0.05). Constructive disease didn't affect the change of pain significantly. Conclusions : In this clinical study, using burning acupuncture therapy with chuna therapy group was more effective in relieving low back pain than using chuna therapy only group.

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

  • Han, Su-Bin;Kim, Eun-San;Kim, Hyo-Jun;Jo, Hoo-In;Kim, Mi-hye;Lee, Nam-Woo;Han, Jeong-Hun;Park, Byung-Hak;Son, Jae-Min;Kang, Do-Hyeon;Min, Tae-Woon;Lee, Hyun-Jun;Ahn, Jae-Seo;Lee, Han-Sol
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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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.

Observation on Change of Body Temperature for Patients with Low Back Muscular Pain after Electromagnetic Theraphy: a Randomized, Patient-assessor Blind, Placebo-controlled, Pilot Trial Study (자기를 이용한 경락 자극요법 시행 후 요부근육통 환자의 체열변화 관찰: 무작위배정, 환자-평가자 눈가림, 위기기 대조군, 예비 임상 연구)

  • Cho, Woong-Hee;Park, Won-Hyung;Cha, Yun-Yeop;Sun, Seung-Ho;Lee, Seon-Goo
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.145-156
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    • 2011
  • Objectives: This study was resigned to observe change of body temperature for patients with low back muscular pain after NUGA MRT-II(pulsed electromagnetic therapy) treatment. Methods: This study was a randomized, patient-assessor blind, placebo-controlled, pilot trial study. After the approval of institutional review board(IRB), we have recruited 38 patients suffering from low back muscular pain and divided them into two groups randomly: the treatment group and control group. To the treatment group, NUGA MRT-II was practiced and to the control group sham device was practiced and their low back muscles and acupuncture points three times a week for 2 weeks from February 2011 to May 2011. After 1 week of last treatment, We compared body temperature of two groups. Results: 1. There was significant decrease of body temperature on both Shinsu(BL23), Chishil(BL52), Kwanwonsu(BL26) acupunture points for the treatment group. 2. There was no difference in the decrease of body temperature between treatment group and control group except. Left Kwanwonsu(BL26). Conclusions: We found out that treatment of NUGA MRT-II on low back muscular pain can reduce the temperature of low back.

The Effects of a Cardiac Rehabilitation Educational Program on Anxiety, Health Compliance and Quality of Life of the Patient with Cardiac Valve Replacement (심장재활교육이 심장판막대치술 환자의 불안, 건강행위 이행 및 삶의 질에 미치는 영향)

  • Kim, Sook-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.2 no.2
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    • pp.153-162
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    • 1999
  • The purpose of this study was to determine the effects of an rehabilitation educational program on anxiety, health compliance and quality of life of the patient with cardiac valve replacement. The 80 Subjects for the study were surveyed at the outpatient clinic in S medical center in Buchon City in Korea. Among them, 40 patients had been taught about the cardiac rehabilitation education program and 40 patients had not been taught while they were in the hospital. Those 2 groups of patients were surveyed with the instruments of Spilberger's anxiety scale, and the questionnaire of health compliance and quality of life. The data were analyzed by using $X^2$-test, t-test, Pearson's correlation. The results of this study were as follows: 1. Anxiety in educated group was significantly decreased (t=-2.60, p= .011) comparing to u n edu cat ed group. 2. The health compliance in educated group was significantly in creased (t=2.09, p= .040) comparing to uneducated group. 3. The quality of life of the two groups of pa tients was not different significantly (t=1.83, p= .072). 4. The correlation between anxiety and health compliance was significantly reversed (r=- .461, p= .000). The correlation between anxiety and quality of life was significantly reversed (r=- .654, p= .000). The relationship between health compliance and quality of life revealed significant (r=.438, p= .000). Considering above results, the cardiac rehabilitation educational program for the patients with the cardiac valve replacement was strongly recommended to be used.

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Clinical Research of Korean Medicine and Western Medicine Collaboration Registry for Low Back Pain: A Pilot Study Protocol (요통에 대한 협진 레지스트리 임상연구: 예비 임상연구 프로토콜)

  • Kim, Byung-Jun;Shin, Byung-Cheul;Heo, In;Lim, Kyeong-Tae;Park, In Hwa;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.3
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    • pp.117-124
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    • 2017
  • Objectives Collaboration medicine means cooperate with western medicine and traditional korean medicine to treat the one disease. In Korea, Interest in collaboration medicine is increasing, But the number of studies is scare. Therefore we will conduct collaboration medicine study for the low back pain. Methods This study composes prospective cohort registry study. If the patients who need collaboration medicine by doctor come, we will ask regist this study. And patient select collaboration treatment group and single treatment group. Total 120 patients will recruit from collaboration pilot project hospitals. Each group patient will observed 4 weeks. Telephone research will conducted after 1 month from the last follow up. During the treatment, patients are treated usual treatment type of each medicine. Primary outcome is NRS and secondary outcomes are EQ-5D and ODI. We will analyze difference of 1 week and 4 week outcome result. Conclusions This study is the first large sample size study effect of collaboration medicine in Korea for low back pain. We check present collaboration system and improve collaboration system. Aim of this study is to find the effectiveness collaboration medicine for low back pain in the real condition. And we expect this pilot study will provide the clinical collaboration information and basis.