• 제목/요약/키워드: Manual therapies

검색결과 60건 처리시간 0.029초

스파시설에 관한 기초 연구 (A Basic Study on the Spa Facility)

  • 이승헌;임미혜
    • 한국실내디자인학회논문집
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    • 제16권5호
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    • pp.13-21
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    • 2007
  • Wellbeing is a new trend to modern people and Spa facilities are an appropriate space to them seeking a wellbeing life. Spa facilities will be increased in demand as a value of a public welfare and wellbeing life and the study of them is required. Therefore this study was to analysed domestic and foreign spa programs and characteristic spaces. When synthesizing many spa programs they were divided into three parts: hydrotherapy as a healing therapy using water, touch therapy as a type of massage using a manual and subsidiary equipment and mind therapy to heal spirit. Space of spa facilities were divided into three parts: the supporting part, the relaxing and mediating parts and the room for therapy. The supporting parts included a front desk, a consulting room, lockers, bath room and acceptance rooms etc and they were arranged in entrance space generally. The rooms for therapy were composed with a room for hydrotherapy using water, rooms for touch therapy and rooms for mind therapy refreshing a spirit and they were established contiguously being used efficiently. The mediating parts provided spaces for relaxation and waiting place between therapies and they were established in independent space generally but they are paid attention at good spaces forming the community of visitors and giving a characteristic images for the spa. Spa has been divided into several types in accordance with age of visitors for example children, young people, middle aged people and aged people. It has equipped with complex functions from welfare to medical. Therefore it is thought that many studies of each facilities become accomplished to propose suitable interior design.

주간보호센터 중심의 재가 치매노인을 위한 프로그램의 개발 및 효과 검증 연구 (Development and Testing of Day Care Program for Demented Elders)

  • 임영미;정복희
    • 한국보건간호학회지
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    • 제19권2호
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    • pp.371-381
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    • 2005
  • Purpose: The purpose of the study was to develop the day care program for the demented elders and to determine the effects of multiple activity therapies on the physical, emotional, cognitive, social function and physiological indicators of dementia elders in day care center. Method: A total of 13 elders with mild dementia in the data care center were participated. Manual and guideline of data care program was developed. Data care program was composed of movement/exercise, foot massage, music therapy, horticultural therapy, and art therapy. Data care program was performed by trained intervener for 32 weeks. Instruments were physical functioning such as hand grip strength., vital capacity, chiar stand test, sit and reach test, one leg standing, Berg' Balance scale, 6m Walk Velocity, stair climb, ADL, GDS-K, MMSE-K, Integrative Social Functioning Scale, cortisol, Ig A and Ig G. These were measured at the baseline, 16-week, and 32-week post-intervention by the trained nurses. Data were analyzed as Wilcoxon signed rank test. Results: For Hand grip, balance, and vital capacity, there was a significant difference between baseline and 16-week post-intervention(p<.05). For one leg standing, 6m velocity, there was a significant difference between 16-week post-intervention and 32-week post-intervention(p<.05). For Stair climb, there was a significant difference between baseline and 32-week post-intervention(p<.05). For depression and social functioning, there was no significant difference among baseline, 16-week, and 32-week post-intervention. For cognitive functioning, there was a significant difference between baseline and 32-week post intervention(p<.05). There was a significant difference of cortisol, and Ig G between baseline and 32-week post-intervention(p<.05). Conclusion: It would appear that physical fitness, functional performance, ADL, depression, social and cognitive functioning, and physiological indicator of community dwelling elders with dementia can be improved through day care program using multiple stimuli.

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침과 이완요법 병행치료에 대한 중의학 연구동향 (Research Trends of Traditional Chinese Medicine on Combined Treatment of Acupuncture and Relaxation Therapy)

  • 이승환;배영롱;신아리;김상호;임정화
    • 동의신경정신과학회지
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    • 제28권2호
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    • pp.109-121
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    • 2017
  • Objectives: The purpose of this study was to investigate clinical trends of Traditional Chinese Medicine (TCM) on combined treatment of acupuncture and relaxation therapy. Methods: Clinical trials based on acupuncture and relaxation therapy searched and were selected from China National Knowledge Infrastructure (CNKI). In this study we selected clinical research articles using acupuncture and relaxation therapy as intervention. Studies were assessed by Risk of Bias (RoB) tool, and Jadad scale. Results: Eleven randomized controlled trials on combined treatment of acupuncture and relaxation therapy were selected, and these studies were published in China. Most studies have targeted psychiatric disorders such as insomnia and anxiety. Manual Acupuncture (MA) was the most used acupuncture treatment, and in five studies two or more relaxation therapies were used in parallel. Although the treatment result using acupuncture and relaxation therapy was superior, heterogeneity of the control group was high and it was difficult to estimate additional effects of relaxation therapy. Conclusions: Qualitative analysis revealed that the combination of acupuncture and relaxation was more effective than control in most studies. However, quality of most studies was low. Therefore, higher quality clinical research on combined treatment of acupuncture and relaxation therapy is required.

Retrospective study of osteoradionecrosis in the jaws of patients with head and neck cancer

  • Manzano, Brena Rodrigues;Santaella, Natalia Garcia;Oliveira, Marco Aurelio;Rubira, Cassia Maria Fischer;Santos, Paulo Sergio da Silva
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제45권1호
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    • pp.21-28
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    • 2019
  • Objectives: Osteoradionecrosis (ORN) is one of the most severe complications resulting from radiotherapy (RT) in patients with head and neck cancer (HNC). It is characterized by persistent exposed and devitalized bone without proper healing for greater than 6 months after a high dose of radiation in the area. To describe the profile and dental management of ORN in HNC patients undergoing RT in an oncological clinical research center. Materials and Methods: A retrospective descriptive study was performed to analyze dental records from HNC patients with ORN treated at an oncological clinical research center from 2013 to 2017. A total of 158 dental records for HNC patients were selected from a total of 583 records. Afterwards, this number was distributed to three examiners for manual assessments. Each examiner was responsible for selecting dental records that contained an ORN description, resulting in 20 dental records. Results: Mean patient age was 60.3 years with males being the most affected sex (80.0%). The most affected area was the posterior region of the mandible (60.0%) followed by the anterior region of the mandible (20.0%) and the posterior region of the maxilla (10.0%). The factors most associated with ORN were dental conditions (70.0%) followed by isolated systemic factors (10.0%) and tumor resection (5.0%). There was total exposed bone closure in 50.0% of cases. The predominant treatment was curettage associated with chlorhexidine 0.12% irrigation (36.0%). Conclusion: Poor dental conditions were related to ORN occurrence. ORN management through less invasive therapies was effective for the closure of exposed bone areas and avoidance of infection.

한방부인과질환에 사용되는 치료방법에 대한 조사연구 (A Survey on the Treatments used in Oriental Obsterics & Gynecology)

  • 이인선;배경미
    • 대한한방부인과학회지
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    • 제22권1호
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    • pp.203-230
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    • 2009
  • Purpose: In order to know therapies used in the field of Obsterics & Gynecology of Oriental medicine. Methods: This survey investigated papers about clinical study, literature investigation for therapeutic methods and treatment reports published from 1999. 2${\sim}$2008. 11. Results: In the clinical studies, acupuncture is more frequently used than herbal medicine. But in the treatment reports, herbal medicine is most frequently used except some cases. Besides acupuncture and moxibustion was used frequently. In the treatment reports various acupuncture methods were used except vaginal bleeding or abdominal pain cases. Whole body acupuncture was used mainly. Pharmacopuncture, Sa-am Acupuncture, auricular acupuncture was also used frequently. And Dong's acupuncture, Hwa acupuncture was used sometimes. Moxibustion was tend to be used for dysfunctional uterine bleeding, menopausal disorder, urinary incontinence, vaginal bleeding or abdominal pain during pregnancy period, hyperemesis, recurrent miscarriage, postpartum disease, lochiorrhea. Also other treatment methods was used such as external therapy, aromatherapy, herbal retention enema, fumigation, electric lipolysis acupuncture, Chuna manual medicine, obesity management, acupuncture at uterus cervix, magnetic innervation therapy, exercise, cupping and physical therapy. Conclusion: These results suggests that acupuncture, moxibustion and herbal medicine are most frequent therapy in the field of Obsterics & Gynecology of Oriental medicine. And other therapy are used such as external therapy, aromatherapy, herbal retention enema, fumigation and so on.

여드름의 동(東)·서의학적(西醫學的) 문헌(文獻) 고찰(考察) (A Literature Study about Comparison of Eastern-Western Medicine on the Acne)

  • 주현아;배현진;황충연
    • 한방안이비인후피부과학회지
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    • 제25권2호
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    • pp.1-19
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    • 2012
  • Objective : The purpose of this study is to investigate about comparison of Eastern-Western medicine on the acne. Methods : We searched Eastern and Western medicine books for acne. We analyzed these books and examined category, definition, etiology, classification, internal and external methods of treatment of acne. Results : The results were as follows. 1. In Eastern medicine, Acne belongs to the category of the Bunja(粉刺), Jwachang(痤瘡), Pyepungbunja(肺風粉刺). In Western medicine, the other name of Acne is acne vulgaris. 2. In Eastern medicine, the definition of Acne includes manual extraction of comedones and skin appearance. In Western medicine, Acne is a common skin disease during adolescence and a chronic inflammatory disease of pilosebaceous unit of self localization. It is characterized by noninflammatory, open or closed comedones and by inflammatory papules, pustules, and nodules and it affects the areas of skin with the densest population of sebaceous follicles, these areas include the face, neck, back, and the upper part of the chest. 3. In Eastern medicine, the cause and mechanism of Acne arose from the state of internal dampness-heat and spleen-stomach internal qi deficiency due to dietary irregularities and then invaded external pathogen such as wind-dampness-heat-cold-fire in lung meridian lead to qi and blood heat depression stagnation. So it appears in skin. In Western medicine, the etiology and pathogenesis of Acne is clearly not identified, but there are most significant pathogenic factors of blood heat depression stagnation. So it appears in skin. In Western medicine, the etiology and pathogenesis of Acne is clearly not identified, but there are most significant pathogenic factors of Acne; Androgen-stimulated production of sebum, hyperkeratinization and obstruction of sebaceous follicles, proliferation of Propionibacterium acnes and inflammation, abnormaility of skin barrier function, genetic aspects, environmental factors etc. 4. In Eastern medicine, differentiation of syndromes classifies clinical aspects, and cause and mechanism of disease; the former is papular, pustular, cystic, nodular, atrophic, comprehensive type; the latter is lung blood heat, intestine-stomach dampness-heat, phlegm-stasis depression, thoroughfare-conception disharmony, heat toxin type. In Western medicine, it divides into an etiology and invasion period, and clinical aspects; Acne neonatorum, Acne infantum, Acne in puberty and adulthood, Acne venenata; Acne vulgaris, Acne conglobata, Acne fulminans, Acne keloidalis. 5. In Eastern medicine, Internal methods of treatment of Acne are divided into five treatments; general treatments, the treatments of single-medicine and experiential description, the treatments depending on the cause and mechanism of disease, and clinical differentiation of syndromes, dietary treatments. In Western medicine, it is a basic principles that regulation on production of sebum, correction on hyperkeratinization of sebaceous follicles, decrease of Propionibacterium acnes colony and control of inflammation reaction. Internal methods of treatment of Acne are antibiotics, retinoids, hormone preparations etc. 6. In Eastern medicine, external methods of treatment of Acne are wet compress method, paste preparation method, powder preparation method, pill preparation method, acupuncture and moxibustion therapy, ear acupuncture therapy, prevention and notice, and so on. In Western medicine, external method of treatments of Acne are divided into topical therapy and other surgical therapies. Topical therapy is used such as antibiotics, sebum regulators, topical vitamin A medicines etc and other surgical therapies are used such as surgical treatments, intralesional injection of corticosteroids, skin dermabrasion, phototherapy, photodynamic therapy, and so on. Conclusions : Until now, there is no perfect, effective single treatment. We think that Eastern medicine approach and treatment can be helpful to overcome the limitations of acne cure.

Systemic Sclerosis Sine Scleroderma 환자의 위운동성장애에 대한 한의학적 치험 1예 (A Case Report of Korean Traditional Medical Therapy on Gastric Dysmotility Involved in Patient with Systemic Sclerosis Sine Scleroderma)

  • 윤상협;류종민;임중화;한숙영;김현경;이준석;;;;;;;;장선영
    • 대한한방내과학회지
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    • 제25권2호
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    • pp.344-351
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    • 2004
  • Systemic sclerosis Sine scleroderma(ssSSc) is an uncommon subtype of Systemic sclerosis(SSc), which is believed to attack internal organs without causing changes in the skin. Electrogastrography has been known to be a simple, non-invasive, and effective method in assessing gastric motility. In this new study, a case of Systemic sclerosis Sine Scleroderma exhibiting gastric symptoms was observed. For this, we applied herbal medicine. manual acupucture, electro-acupucture, and lumbar skin wanning. After applying these therapies, both systemic and dyspeptic symptoms of the patient improved. Electrogastrography suggests a relation between gastric myoelectrical activity and the patient's improvement in dyspeptic symptoms. Therefore, based on study of Oriental medical classics and recent medical articles, clinically emperical success in treating gastric dysmotility was seen in a patient with Systemic sclerosis Sine Scleroderma.

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당뇨병성 위마비 환자에 대해 한방치료 후 위 운동성 및 혈당조절이 호전된 2예 보고 (Two Patients with Diabetic Gastroparesis Who Showed Improvement in Gastric Motility and Blood Glucose Control through Korean Traditional Medical Therapy)

  • 장선영;엄국현;이선령;김현경;이준석;유종민;김진성;류봉하;류기원;류재환;윤상협
    • 대한한방내과학회지
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    • 제26권1호
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    • pp.265-274
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    • 2005
  • Diabetic gastroparesis is a disorder in a diabetic of delayed gastric emptying in the absence of mechanical obstruction. It is estimated that about 20%-50% of diabetics suffer from gastroparesis. Clinical Sympoms include early satiety, bloating, nausea, anorexia, vomiting, abdominal pain, and weight loss. Severe gastroparesis might result in recurrent hospitalization, malnutrition, and even death, but, no exact treatment has yet been established. Electrogastrography has been known to be a simple, non-invasive, and effective method in assessing gastric motility and EGG has been used to diagnosis diabetic gastroparesis and to estimate its prognosis. Recently, two cases of diabetic gastroparesis were observed. For this cases, manual acupucture, electroacupucture, lumbar skin warming and herb medicine were applied. After application of these therapies, gastrointestinal symptoms improved and these therapeutic effects were confirmed in EGG. Moreover, blood glucose control improved, so patients were able to discontinue insulin injection and change to p.o.medication. In light of this encouraging application of oriental medicine, this is reported along with investigation of the literature.

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오수혈(五輸穴)을 이용한 침법(鍼法)의 비교(比較) 고찰(考察) -사암침법(舍岩鍼法), 태극침법(太極鍼法), 팔체질침법(八體質鍼法) 중심(中心)으로- (A Comparative Study on Acupuncture Using five Su points(五輸穴) - Sa-am Acupucture(舍岩鍼法), Taeguk Acupuncture(太極鍼法), 8 Constitution Acupuncture(八體質鍼法) -)

  • 정인기;강성길;김창환
    • Journal of Acupuncture Research
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    • 제18권2호
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    • pp.186-199
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    • 2001
  • Objectives : Sa-am Acupucture(舍岩鍼法), Taeguk Acupucture(太極鍼法), and 8 Constitution-Acupuncture(八體質鍼法) are largely used acupuncture therapies which utilize Yin and Yang, The Five Elements, Interpromoting and Counteracting Relation(相生 相克 關係). We are here to compare and study each acupuncture methods in order to understand their fundamental principle and theory. Conclusion : 1. When prescribing Herb to patients, we can use the Differentiation of Syndromes method(辨證論治). As there is Constitutional Medicine prescription(四象醫學處方) using constitutional Large & Small Relation of Jang and Bu organs(臟腑大小 關係), in acupuncture treatment we can use the Differentiation of Syndromes method of Sa-am acupucture, applying constitutional Large & Small feature of Jang and Bu organs(臟腑大小) in Taeguk Acupucture and 8 Constitution Acupuncture we can derive a suitable prescriptions. 2. Taeguk Acupucture and 8 Constitution Acupuncture is an acupunture method created upon the constitutional theory. Taeguk Acupucture lacks a theory and has problems with its practical use. 8 Constitution-Acupuncture has a theory, thus it can give us the chance to make derived diverse prescriptions for each diseases. 3. Sa-am Acupucture uses exclusively Manual technique(手技法), breathing Posa method(呼吸補瀉法), YoungSu Posa method(迎隨補瀉法) and also retaining method(留鍼法). Taeguk Acupunctune is directed related with WonBang Posa method(圓方補瀉法), twirling method(撚鍼法) and uses retaining method. 8 Constitution-Acupuncture works only with YoungSu Posa method and also One-insertion method(單刺法). 4. If we apply The Five Elements of five Su points and Interpromoting and Counteracting Relation(相生 相克 關係), we can control discords between Jang and Bu organs. Sa-am Acupucture, Taeguk Acupture and 8 Constitution Acupuncture which use five Su points can make better results in Jang and Bu organs disease. 5. Sa-am Acupunture needs diverse applications of Organ picture theory(臟象論), Pathogenesis theory(病機學說) and an proper prescription studies by Differentiation of Syndromes(辨證). Taeguk Acupuncture and 8 Constitution Acupuncture has a organized prescription methods by constitutional Large & Small relation of Jang and Bu organs(臟腑大小), thus we need to focus on objectification in constitutional differentiation.

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경전굴 및 보행장애를 주소로 하는 다계통 위축증 환자의 한의 치료 증례 1례 (A Case of Multiple System Atrophy with Antecollis and Gait Disturbance Treated with Korean Medicine)

  • 김서영;최정우;정혜선;이상화;양승보;조승연;박정미;고창남;박성욱
    • 대한한방내과학회지
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    • 제40권5호
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    • pp.851-864
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    • 2019
  • Multiple system atrophy is a neurodegenerative disease that causes diverse bodily dysfunctions (cerebellar, pyramidal, automatic, and urological, in any combination), as well as Parkinsonism. Patients with multiple system atrophy commonly display antecollis, a condition where the patient's head tilts forward more than 45 degrees. Despite its common occurrence in these patients, no current standardized therapies are effective for treating antecollis. In this study, Korean medicinal treatments, including Chuna manual therapy, pharmaco-acupuncture, bee venom acupuncture, acupuncture, herbal medicine, and moxibustion therapy, were administered to the patient over a 27-day period. After the treatment, assessments of the head position on the EPIS-PD scale (Part I) and at a standing position from the side (Part II) both revealed improvements. As the head flexion angle decreased, the patient's head posture improved, as determined by a decrease in angle from 80 degrees to 30 degrees in the upright, standing position. As a result, patients who previously were unable to walk without the support of walking frames could now roam freely and independently, with significant increases in both walking speed and distance. In essence, this study suggests that Korean medicine is an effective treatment for patients with multiple system atrophy who suffer from antecollis and gait disorders.