• 제목/요약/키워드: Lumbar spine sprain

검색결과 25건 처리시간 0.026초

요추부 염좌로 진단받은 환자에 대한 Sweet Bee Venom 병행 치료와 단독 침 치료의 효과 비교 (A Clinical Pilot Study Comparing Sweet Bee Venom parallel treatment with only Acupuncture Treatment in patient diagnosed with lumbar spine sprain)

  • 신용진
    • 대한약침학회지
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    • 제14권2호
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    • pp.37-43
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    • 2011
  • Objectives : This study was carried out to compare the Sweet Bee Venom (referred to as Sweet BV hereafter) acupuncture parallel treatment to treatment with acupuncture only for the patient diagnosed with lumbar spine sprain and find a better treatment. Methods : The subjects were patients diagnosed with lumbar spine sprain and hospitalized at Suncheon oriental medical hospital, which was randomly divided into sweet BV parallel treatment group and acupuncture-only group, and other treatment conditions were maintained the same. Then, VAS (Visual Analogue Scale) was used to compare the difference in the treatment period between the two groups from VAS 10 to VAS 0, from VAS 10 to VAS 5, and from VAS 5 to VAS 0. Result & Conclusion : Sweet BV parallel treatment group and acupuncture-only treatment group were compared regarding the respective treatment period, and as the result, the treatment period from VAS 10 to VAS 5 was significantly reduced in sweet BV parallel treatment group compared to the acupuncture-only treatment group, but the treatment period from VAS 5 to VAS 0 did not show a significant difference. Therefore, it can be said that sweet BV parallel treatment is effective in shortening the treatment period and controlling early pain compared to acupuncture-only treatment.

Multi-access for the Diagnosis of Missed Upper Lumbar Disc Herniation

  • Lee, Dong-Yeob;Kim, Hyung-Seok;Lee, Sang-Ho
    • Journal of Korean Neurosurgical Society
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    • 제38권2호
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    • pp.144-146
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    • 2005
  • Herein, a case of missed upper lumbar disc herniation, diagnosed by thorough neurological examination, digital infrared thermographic imaging[DITI], and repeated magnetic resonance[MR] image study, is reported. A 36-year-old female presented with intractable leg pain on left anterior thigh. Although she underwent lumbar MR image at other hospital, she was misdiagnosed as acute sprain. Neurological examination suggested the possibility of upper lumbar disc herniation, which was confirmed by DITI, MRI, and selective root block. After operation, her leg pain was significantly improved. It should be considered that upper lumbar disc herniation might be misdiagnosed as an acute sprain, as in our case. A high index of suspicion based on thorough neurological examination is most important in such cases. Then, multi-access such as DITI, MR image, and selective block, base on thorough neurological examination, are warranted.

장요근에 대한 침치료환자군과 MET치료환자군의 호전도 비교 연구 (The Comparative Study of Improvement of Patient Who were Diagnosed Sprain and Strain of Lumbar Spine with MET Treatment on Iliopsoas Muscles and with Acupuncture Treatment)

  • 임준혁;윤석훈;정우석;신현승;조송현
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.1-9
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    • 2011
  • Object : This study was planned to show the influences of MET(muscle energy techniques) treatment and acupuncture treatment on iliopsoas muscles of sprain and strain of lumbar spine patients. Method : This study was carried out on the 39 patients who had been treated for their sprain and strain of lumbar spine from March 2 to October 15, 2010 in the department of oriental rehabilitaion medicine, Dongsuwon oriental medicine hospital. And 22 out of 39 patients had a tenderness and pain in their iliopsoas muscles. And we divided those 22 patients into 2 groups by blocked randomization; group A took near acupuncture point needling treatment on the iliopsoas muscles, group B took MET(muscle energy techniques) treatment on the iliopsoas muscles. To evaluate the efficiency of each treatment, all patients were examined with VAS(visual analogue scale) before treatment and after the 3rd, 5th treatment. Result : On the VAS, it was decreased significantly after treatment in all groups. And it didn't show the clear difference between two groups. Conclusion : In this study, it did not show statistical difference in VAS between two groups.

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교통사고 후 요추부 염좌를 진단받은 환자에 대한 추나치료의 효과 (Effect of Chuna Treatment(Manupulation) on Lumbar Sprain Caused by Traffic Accident)

  • 윤대연;손정민;최진서;정수현;김순중
    • 척추신경추나의학회지
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    • 제5권1호
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    • pp.23-30
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    • 2010
  • Objectives: The purpose of this study is to investigate the effect of chuna treatment on lumbar sprain caused by traffic accident. Methods: This study carried out on 20 patients who have received hospital treatment in Semyung University Oriental Hospital. 20 patients were divided 2 groups. Non-chuna group got acupuncture-therapy, herbal medication, physical therapy and chuna group got chuna treatment besides. And then compared the VAS measurements of each group. Results: 1. Both group were significantly improved in VAS after 7 days of treatment. 2. Chuna group compared with Non-chuna group was significantly improved in VAS after 7 days of treatment. Conclusions: We found out that chuna treatment is considered to be effective and useful on lumbar sprain caused by traffic accident.

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요부 안정화운동이 요통환자의 요추부 기능개선에 미치는 영향 (The Effects of Lumbar Stabilization Exercise for Spinal Function in Patients with Low Back Pain)

  • 양승훈
    • 대한물리치료과학회지
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    • 제13권1호
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    • pp.39-52
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    • 2006
  • The purpose of this study was to investigate the effects of lumbar stabilization exercise therapy on low back pain patients' lumbar spinal function. Identify the effect of stabilization exercise therapy, this study attempted to determine lumbar spinal functions, using spinoscopy, for 20 patients with low back pain This study applied lumbar stabilization exercise to 20 low back pain patients without a control group for 8 weeks and 4 times a week, and examined their spinal functions before and after the application. Data collected from the test were analyzed using Wilcoxon signed ranked test, a nonparametric test. Absolute index, functionality and performance increased significantly compared to them before treatment. FE loads and velocity control while conducting exercise tasks increased significantly compared to them before treatment. Test item ROL and ROM, which indicate the change of angle, both showed significant differences. Of stiff spine, stiff pelvic score and sprain score, which indicate the effects of the conduct of exercise tasks on the movement of the spine, stiff spine score and sprain score showed significant differences. According to the results as presented above, lumbar stabilization exercise may be greatly helpful in improving low back pain patients' lumbar spinal functions.

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요통으로 한방병원에 입원한 환자 601명에 대한 후향적 연구 (Characteristics of 601 Low Back Pain Patients: A Korean Medicine Hospital Experience, Retrospective Chart Review)

  • 남대진;오민석
    • 한방재활의학과학회지
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    • 제25권2호
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    • pp.135-153
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    • 2015
  • Objectives The purpose of this study was to investigate the characteristics of inpatients who were admitted to Korean medicine hospital due to low back pain. Methods The current study was designed as a retrospective chart review to investigate descriptive characteristics of LBP patients. The clinical records of 601 patients who were hospitalized for treatment of LBP in Cheonan Korean Medicine Hospital, Daejeon University from 1st, January, 2013 to 31th, December, 2013 were analyzed. Results 1. Most frequently given diagnosis was sprain and strain of lumbar (45.93%). 2. Female outnumbered male patients in all disease groups except fracture of lumbar spine. 3. In distribution according to age, sprain and strain of lumbar, HNP of L-spine and lumbago with sciatica were most frequent at 30s, fracture of lumbar spine was most frequent at 50s and spinal stenosis was most frequent at 70s. 4. The most frequently motive for low back pain was traffic accident (35.4%) 5. Patients with no related medical history were 76.95% 6. 0~1week interval between onset and visit to Korean Medicine Hospital was most frequent in all disease groups. 7. 50.85% of patients went through treatment at medical institutions before the admitting to Korean Medicine Hospital. 8. The average admission days of female was higher than male's. And age goes up, average duration of admission was longer. 9. In most (74.59%) of the patients, symptoms were more than improved. 10. Most frequently prescribed examination was X-ray (65.13%). 11. Most frequently prescribed herb medicine was whal-lak-tang (Huoluo-tang). Conclusions In most (74.59%) of the patients, symptoms were more than improved, especially in sprain and strain of lumbar and lumbago with sciatica. But Patients with a local hospital statistic is not be representative of the incidence of the population. In order to obtain more accurate statistics, it is necessary to compare analysis collect statistics from other medical hospitals.

급성 요추부 염좌로 입원했던 환자군의 독활탕 치료 효과에 대한 후향적 고찰 (A Retrospective Study of Acute Lumbar Sprain Patients on the Effect of Korean Medicine Treatment with Dokhwal-tang (Duhuo-tang))

  • 정해창;박동수;정수현
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.225-231
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    • 2013
  • Objectives This study investigated the effect of korean medicine treatment with Dokhwal-tang (Duhuo-tang) on Lumbal sprain patients by comparing with other herbal medicines. Methods 17 lumbar sprain patients of group treated with Dokhwal-tang (Duhuo-tang) were treated with Dokhwal-tang (Duhuo-tang), acupunture, cupping, oriental physical therapy. 13 lumbar sprain patients of group treated with other herbal medicines were treated with 9 prescriptions of herbal medicine, acupunture, cupping, oriental physical therapy. ODI (Oswestry diability index), VAS (Visual Analogue Scale) were checked to evaluate the effectiveness of the treatment. Results 1) ODI, VAS of patients treated with Dokhwal-tang (Duhuo-tang) were all improved and there were statistical significance (p<0.05). 2) VAS of group treated with Dokhwal-tang (Duhuo-tang) and that of group treated with other herbal medicines were all improved significantly. And treatment period of group treated with Dokhwal-tang (Duhuo-tang) was shorter than that of group treated with other herbal medicines. But there was no statistical significance between VAS of group treated with Dokhwal-tang (Duhuo-tang) and that of group treated with other herbal medicines. 3) In comparing medical history period on group treated with Dokhwal-tang (Duhuo-tang), ODI, VAS of hyper-acute phase group and acute phase group were improved but them of sub-acute phase group were less improved. Conclusions According to the study, korean complex therapy with Dokhwal-tang (Duhuo-tang) might improve acute lumbar sprain.

유비쿼터스 환경에서 민영의료보험 가입과 입원기간과의 관련성 (Ubiquitous Environment with Private Health Insurance and the Relevance of Length of Stay)

  • 장동렬;최성우;박부연;김성길
    • 한국전자통신학회논문지
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    • 제9권2호
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    • pp.203-209
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    • 2014
  • 본연구의 목적은 유비쿼터스 의료환경에서 경요추부 염좌 환자의 민영의료보험 가입이 재원기간에 미치는 영향을 조사하기 위하여 시행되었다. 연구의 대상자들은 2010년 7월1일 부터 2012년 2월 29일까지 신경학적 증상이 없는 경요추 염좌 진단받은 환자이다. 분석방법은 t-분석, 분산분석 그리고 다중회귀분석을 이용하였다. 재원기간과 관련된 요인을 통제한 후에 민영의료보험 관련 특성인 민영의료보험 개수를 독립변수로 투입하였을 때, 민영의료보험 개수가 '없음' 보다 1-2개(${\beta}$=2.731, P=0.013), 3개 이상(${\beta}$=4.991, P=0.000)에서 유의하게 입원기간이 길었다. 민영의료보험의 다수 가입이 도덕적 해이의 존재와 정도를 일정 부분 규명하였다.

요추 추나 치료가 교통사고 환자의 초기 HRV, VAS 변화에 미치는 영향 (Effect of Chuna Treatment(Manipulation) on Lumbar Sprain caused by Traffic Accident in Early Stage. - by Analysis of the Heart Rate Variability(HRV) and Visual Analogue Scale(VAS) -)

  • 이정민;박지현;이은정;전태동;홍서영
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.61-74
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    • 2009
  • Objectives : The purpose of this study was to investigate the effect of chuna treatment(manipulation) on lumbar sprain caused by traffic accident in early stage, by analysis of the Heart Rate Variability(HRV) and Visual Analogue Scale(VAS). Methods : This study carried out on 20 patients who have received hospital treatment in Daejeon Univ. cheonan Oriental Hospital. Non-chuna group got acupuncture-therapy, herbal medication, physical therapy and Chuna group got all the therapies and chuna treatment. We measured HRV and VAS on 2nd, 4th day. Results : After being treated by our methods, Chuna group showed the inclination to balance between the sympathetic and parasympathetic nerve. In chuna group as compared with non-chuna group, an autonomic nerve activity and stress resistance showed the inclination to increase(p<0.05). And chuna treatment reduced the rate of stress increase. Conclusions : The results suggest that chuna treatment help traffic accident patients in early stage to reduce pain. Refer to autonomic nerve system, chuna treatment seem to do positive effect but Further long term study in a large scale is needed.

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요부(腰部) 경근(經筋)의 급성(急性) 염좌(捻挫)에 경근자침(經筋刺鍼) 및 경근이완요법(經筋弛緩療法)이 미치는 영향(影響) (The Effect of Meridian Tendino-musculature Acupuncture and Release Therapy on acute lumbar Sprain)

  • 송호섭;강미정;임정은;권순정;강미숙;이성노;변임정;황현서;김기현
    • Journal of Acupuncture Research
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    • 제18권6호
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    • pp.1-13
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    • 2001
  • Objective : To broaden understanding about relationship between Meridian Tendino-musculature and muscles in a lumbar area and to evaluate the effect of Meridian Tendino-musculature acupuncture and release therapy on acute lumbar sprain. Materials and Methods : From Oct. 1st, 2000 to Mar. 31th, 2001, 692 outpatient's chart of Kyung Won University Hospital were reviewed. Out of them, 39 outpatients were selected. they had low back pain, were diagnosed with acute lumbar sprain, showed only straightened curvature on lateral view of lumbar spine X-ray and get the Tendino-musculature acupuncture and release therapy. Results : 1. On patients' first visit, 72% had GrIII and Gr.IV predominantly. 2. Major muscles related with low back pain were divided into two groups. One was Quadratus lumborum group and the other was Rectus abdominis group. In the correlation with Meridian Tendino-musculature, the former was mainly related with Chok-taeyang(B) and slightly related with Chok-soyang(G), Chok-taeum(SP), the latter was mainly related with Chok-taeyum(SP), Chok-yangmyong(S) and slightly related with Chok-taeyang(B), Chok-soyang(G). 3. In the evaluation of treatment effect, Exellent was 27(69%), Good was 10(6%), Fair was 2(5%) and Bad was 0(0%). Fair rate reached 100% eventually. 4. Most of Gr.Ⅲ, Gr.Ⅳ patients who had severe conditions that almost every R.O.M. was limited and Milgram test positive was shown on the physical examination, were fully recovered and lived normal daily life without admission by Meridian Tendino-musculature acupuncture and release therapy within 3 to 5, 4 to 7 days, respectively, since they had started to get their outpatient treatment. 5. Two patients was troubled with pain induced, by twitching response and acupuncure stimuli, which lasted around acupunctured muscle for about a day after treatment, so they coudn't endure the pain and quitted treatment in spite of Fair condition. conclusion : Meridian Tendino-musculature acupuncture and release therapy was found to be helpful to patients who wish to recover from their back pain induced by acute lumbar sprain as soon as possible, but the treatment actually had some problems to be overcome such as pain during or after the treatment. therefor, in order to make this treatment method more available, we should pay more attention to improving treatment appliance and acupuncture technique.

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