• Journal of Oral Medicine and Pain
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• 제41권4호
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• pp.161-168
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• 2016

Purpose: Patients who suffer from rheumatic arthritis, fibromyalgia, other various inflammatory diseases and musculoskeletal disorders, which are all similar to temporomandibular disorders (TMD), have been complaining about changes in the level and type of pain in response to changes in weather conditions for a long time. Through an investigation about pain perception in TMD patients in response to weather conditions, our primary objective was to develop base materials for future studies on change in pain in response to meteorological factors. Methods: Among patients who presented with TMD to Department of Oral Medicine, Pusan National University Dental Hospital from August to October 2016, one hundred consecutive TMD patients diagnosed with TMDs according to Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) were recruited for the study and 28 patients were excluded according to exclusion criteria. Survey was done with the questionnaire and investigated whether there was any difference in incidence and level of pain in TMD patients between non-rainy and rainy days. Results: Among a total of 72 samples, 4 patients reported change in pain on rainy days rather than non-rainy days. Two patients from chronic group (joint and complex subgroup) reported increased pain on rainy days rather than non-rainy days but it was not statistically significant (p>0.05). One patient from chronic/muscle group reported the change in pain characteristics while pain intensity remained unchanged. One patient from acute/complex group reported decreased pain intensity. In comparison of the patients who reported increased pain on rainy days between acute and chronic groups, there were two reported cases and were both from chronic group only. There was a significantly higher chance of reporting increased pain on rainy days in chronic group than acute group (p<0.001). Conclusions: It is considered that TMD patients couldn't perceive the change in pain well in response to weather change on rainy days but some chronic patients could perceive the increase in pain in rainy days.

• 척추신경추나의학회지
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• 제15권1호
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• pp.1-33
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• 2020

연구 목적 : 본 연구는 근골격계 질환에 대한 수기치료가 갖는 경제적 효과를 체계적으로 평가해 보기 위해 시행되었다. 연구 방법 : 2017년 2월 2일까지 국내외 관련 문헌을 체계적으로 검색 하였으며, 연관된 체계적 고찰 논문의 참고문헌을 조사하였다. 두 명의 연구자가 독립적으로 문헌을 선택하고, 비뚤림 위험 평가 및 경제성 평가 질 평가, 자료 추출을 시행하였다. 연구 결과 : 총 3,327개의 논문을 검토하여 최종적으로 18개의 무작위 대조 연구가 포함되었다. 경제성 평가는 수기요법과 다른 치료방법간의 유효성 비교를 통해 시행되었다. 요부 통증, 견관절 통증 및 외측 상과염 치료에 있어 침치료, 견인치료, 주사치료, 일반의 치료, 척추 안정화 기법 및 통증관리 치료보다 비용 효과적인 것으로 나타났다. 또한 또한, 수기치료는 경항통, 흉통, 고관절염 혹은 슬관절염, 경추신경병증 및 수부손상 치료에 있어 일반적 치료, 물리치료, 자가 치료 프로그램, 견인 치료에 비하여 효과적인 치료인 것으로 확인되었다. 결론 : 18개의 논문 중 10개의 논문에서 근골격계 질환 치료에 있어 수기치료가 경제적으로 효과가 있는 것으로 나타났다. 이러한 결과는 다른 치료방법에 비해 수기요법이 근골격계 질환에 있어서 경제적 가치가 있음을 시사하는 내용이다. 하지만, 근골격계 질환 수기치료의 경제성 평가에 대한 선행 연구는 전반적으로 부족한 실정으로, 보다 정확한 결과를 제시하고 정책결정을 위한 효과적인 제안을 위해서는 체계적인 추가 연구가 필요하다 사료되는 바이다.

• 농촌의학ㆍ지역보건
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• 제22권2호
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• pp.277-293
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• 1997

This study was conducted to provide basic materials required to enforce and develop welfare policies, as well as the health system, for the aged, by surveying the status of health care utilized by the daily increasing old population and the importance of receiving physical therapy. Data that need in this research was gathered from over ages of 65, during the period from Jan 4, 1996 to Jan 31, using the inquiries previously made by geriatric researchers and through literatures investigator by this writer. The data were analyzed by $X^2$, Z-test, Likert scale. The findings were as follows : 1) General characteristics of subjects. People in the age group between 65 and 69 were 55.6% and the highest number, while male were 37% and female 63%. Analysis of income group disclosed 60.6% whose monthly income, including the pocket money given by children, was less than 200,000 won. 91.1% of the elderly people surveyed owned houses; only 36.4% live with spouses; while 15.6% live alone. 2) Characteristics with respect to utilization of health care institution. 56% of the total medical institutions used by the elderly people were clinics and the rates of chronic disease and musculoskeletal disease were 73.2%. 3) Characteristics with respect to approach of health care institution. 45.1% of the respondent stated it took 20 minutes to arrive at hospital, and bus accounted for 48.6% of all transportation means used to go to hospital. 4) Degree of cognition with respect to the rights of geriatric patients. (1) There is no financial support from the government for geriatric patients(71.4%). (2) Government financial support is needed for geriatric patients(95.3%). (3) Have never been regionally surveyed or called upon for interviews with respect to treatment desire and problems relating to geriatric patients(87.2%). (4) Health and medical policies for geriatric patients must be established rapidly(98.4). (5) Expansion and construction of specialized medical facilities for geriatric patients such as elderly hospital and medical center are needed(90.2%). (6) Government's welfare policies for the elderly people is insufficient(82.0%) 5) Degree of cognition on importance of physical therapy with respect to geriatric patient. (1) Physical therapy is considered most effective in treating geriatric patients(82.9%). (2) Physical therapists specializing in only elderly people must be need of separately(76.2%). (3) It is desirable for medical specialists to visit geriatric patients at home to provide physical therapy(82.9%). (4) Hospitals specializing in physical therapy for geriatric patient are required(85.6%). Based on the result for this research, the following suggestions are presented to facilitate the utilization of health care institution for the welfare of geriatric patients. Medical facilities such as elderly hospital and geriatric patient's medical center specializing in elderly people must be constructed as early as possible; and home-visiting physical therapist system must be important to treat chronic geriatric patients; our government must establish policies to provide the old ages with means for the health care and curing chronic diseases, and carry out the plans of reasonable distribution and effective untilization of medical resources.

• Journal of Acupuncture Research
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• 제33권3호
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• pp.129-144
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• 2016

Objectives : This study aims to review the actual use of acupuncture manipulation in clinical trials and to discuss the directions of studies, to be conducted in the future. Methods : Through five search engines, clinical trial papers were collected, which had involved the use of acupuncture treatment since 2001 when STRICTA was published. The selected papers were classified based on whether acupuncture manipulation and De-Qi were stated. The comparison status of domestic and foreign, status by year, target diseases, and therapeutic interventions were also investigated. Results : 54 % domestic and 69 % foreign papers mentioned acupuncture manipulation or De-Qi. Among them, acupuncture manipulation was used in 40 % domestic and 53 % foreign papers. There was no significant difference around 2010 when the revised edition of STRICTA was published. The use of acupuncture manipulation was the highest in studies that targeted musculoskeletal disorders. Besides that, the use of acupuncture manipulation was higher in cases where acupuncture was used for therapeutic interventions than it was for basic manipulation or combination therapy. Conclusion : Compared to the importance of acupuncture manipulation and De-Qi, there was actually a smaller number of papers that clearly suggested information on acupuncture manipulation and De-Qi. The reason is considered to be a lack of studies to establish the mechanism and effectiveness of each acupuncture manipulation method and studies that objectified the amount of stimulation incurred by the acupuncture manipulation methods. It is necessary to properly utilize acupuncture manipulation by actively conducting these studies.

• 대한한방소아과학회지
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• 제25권1호
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• pp.90-110
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• 2011

Objectives: The purpose of this study is to examine the parental recognition and utilizing patterns of oriental medical care in children who live in Seong-Dong district. Methods 802 day-care center children's parents participated in the survey on recognition and utilizing patterns of oriental medical care, and 702 of the surveys were analyzed. Results: 1. 38.33% has received previous oriental medical treatments and most were received at the children's age under 12-24 months. Majority of the treatments took place in the clinical settings. By recommendation, some also received their treatment at the medical centers. One of the reasons why they receive oriental medical treatments was that they prefer to balance their treatment with the orental medical treatments along with the western's. 2. 53.85% of those who received oriental medical treatments were satisfied with their treatments. The effective treatment results were the major reason for the satisfaction. 3. 49.56% of those who had oriental medical treatments chose specific oriental medical facilities for the children's ailment. Most specific oriental medical facilities were local oriental medical clinics. Reputation fame were the main reason in choosing the clinics. 4. In 2009, 55.26% had received care in the specific oriental medical clinics for the diseases, such as respiratory symptoms, systemic symptoms, gastrointestinal symptoms, skin problems, neurological and psychiatric disease for infants, and respiratory symptoms, gastrointestinal symptoms, systemic symptoms, skin problems, neurological and psychiatric symptoms, urinary symptoms and musculoskeletal symptoms for toddlers. 5. The average duration of herbal treatment were 7-14 days, preferably 4-6 days, and preferred number of medical visits were once a week on Saturdays and preferred day for night cares were on Friday nights. Average treatment fee per treatment was less than 10,000 won which coincided with the preferred treatment fee per visit. 6. The very first medical institutions chosen by parents once their children are ill are the following; Western medical institutions, western medical clinics, pharmacies, oriental medical clinics, health centers, and lastly, oriental medical institutions. The major concerns in receiving oriental medical cares include pesticides in herbs and hazardous substances in heavy metals. Preferred form of oriental medicine was decoction, the negative feedback of oriental medicine was mostly due to the bitter taste of the oriental herbal decoctions. Preferred frequency of intake was twice a day with less than 10cc~20cc per single intake. Conclusions: Taken all together, we conclude that the growing recognition of Oriental Pediatric medicine is needed among parents.

• Journal of Preventive Medicine and Public Health
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• 제37권4호
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• pp.381-389
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• 2004

Objective : To compare the efficacy between SKI306X and Diclofenac by using generalized estimating equations (GEE) methodology in the analysis of correlated bivariate binary outcome data in Osteoarthritis (OA) diseases. Methods : A randomized, double-blind, active comparator-controlled, non-inferiority clinical trial was conducted at 5 institutions in Korea with the random assignment of 248 patients aged 35 to 75 years old with OA of the knee and clinical evidence of OA. Patients were enrolled in this study if they had at least moderate pain in the affected knee joint and a score larger than 35mm as assessed by VAS (Visual Analog Scale). The main exposure variable was treatment (SKI 306X vs. Diclofenac) and other covariates were age, sex, BMI, baseline VAS, center, operation history (Yes/No), NSAIDS (Y/N), acupuncture (Y/N), herbal medicine (Y/N), past history of musculoskeletal disease (Y/N), and previous therapy related with OA (Y/N). The main study outcome was the change of VAS pain scores from baseline to the 2nd and 4th weeks after treatment. Pain scores were obtained as baseline, 2nd and 4th weeks after treatment. We applied GEE approach with empirical covariance matrix and independent(or exchangeable) working correlation matrix to evaluate the relation of several risk factors to the change of VAS pain scores with correlated binary bivariate outcomes. Results : While baseline VAS, age, and acupuncture variables had protective effects for reducing the OA pain, its treatment (Joins/Diclofenac) was not statistically significant through GEE methodology (ITT:aOR=1.37, 95% CI=(0.8200, 2.26), PP:aOR=1.47, 95% CI=(0.73, 2.95)). The goodness-of-fit statistic for GEE (6.55, p=0.68) was computed to assess the adequacy of the fitted final model. Conclusions : Both ANCOVA and GEE methods yielded non statistical significance in the evaluation of non-inferiority of the efficacy between SKI306X and Diclofenac. While VAS outcome for each visit was applied in GEE, only VAS outcome for the fourth visit was applied in ANCOVA. So the GEE methodology is more accurate for the analysis of correlated outcomes.

• 한국콘텐츠학회논문지
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• 제18권6호
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• pp.453-460
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• 2018

본 연구는 우리나라 65세 이상 노인인구의 활동제한 유병율, 활동제한 사유, 일반적 특성과 활동제한 유병율과의 관련성 등을 확인하기 위한 자료분석 연구이다. 본 연구자료는 우리나라 질병관리본부에서 수행한 국민건강영양조사 제7기 1차년도 (2016년) 원시자료로부터 추출되었다. 본 연구 대상자는 2016년 1월부터 12월까지 수행된 국민건강영양조사에 참여한 대상자 중 만 65세 이상의 노인인구 1,578명 이었다. 수집된 자료는 SPSS/WIN 8.0 version 프로그램을 이용하여 빈도분석, 교차분석 및 로지스틱 회귀분석 등으로 분석하였다. 2016년도 우리나라 65세 이상 노인인구의 활동제한 유병율은 남성이 17.3%, 여성이 21.1%, 전체는 19.6% 이었다. 활동제한 사유는 등과 목의 문제(19.8%)와 관절염 및 류마티즘(17.1%)이 가장 높게 나타났고, 활동제한 유병율은 연령 및 교육수준과 통계적으로 유의한 관련성이 있었다. 연령에 따른 활동제한 유병율은 65-69세 그룹에 비해 70-74세 그룹은 1.33배(OR 1.33; 95% CI 0.89-2.00, p<0.05), 75-80세 그룹은 1.69배(OR 1.69, 95% CI 1.34-2.50, p<0.05)가 더 높게 나타났다. 교육수준에 따른 활동제한 유병율은 대학졸업 대상자에 비해 초등학교 졸업이하 대상자가 2.30배가 더 높게 나타났다 (OR 2.30; 95% CI 1.28-4.14, p<0.05). 결론적으로 우리나라 65세 이상 노인인구의 활동제한 유병율에 대한 주요 영향요인은 연령, 교육수준, 그리고 등과 목의 문제와 관절염 및 류마티즘 등과 같은 근골격계 질환이었다. 이러한 결과는 우리나라 65세 이상 노인인구의 활동제한 유병율의 감소를 위한 근거 자료로 활용될 수 있을 것으로 사료된다.

• 농촌의학ㆍ지역보건
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• 제23권1호
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• pp.3-14
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• 1998

To investigate the actual states of farmers syndrome and their related factors, the author surveyed a total of 534 rural residents, resided in Puyeo kun, Chungnam Province, during August 1996. The data were collected from members of an association and their families of agricultural co-operatives, and analysed. Following are the results summarized therefrom; 1. The prevalence rate of farmers syndrome as a whole was 36.7%, but that of female was higher as 45.0% than male as 27.4%. 2. The prevalence rates of farmers syndrome were higher in the group of higher age, shorter education years, longer farming careers, and longer daily farming hours. 3. The prevalence rates of farmers syndrome did not show statistically significantly different among groups of farming categories such as specialize in farming, such as side line, and not farming. 4. Sex, age, and daily farming hours were proved to be a related factors of farmers syndrome by logistic regression analysis. Odds ratio of female group was 2.06 compared with male group, above 70 years age group was 6.24 compared with below 40 years age group, and group of farming more than 8 hours a day was 2.55 compared with not farming group. 5. The mean scores of self-estimated health states of the group with farmers syndrome was lower than those with negative or suspicious farmers syndrome, but the mean scores of psychological symptoms, other than symptoms of farmers syndrome was statistically significantly higher in farmers syndrome group. Consequently, farmers syndrome seems to be not disease entity but symptom complex which is highly related with age and sex. For that reason, there is a need of study on the differentiate the farmers syndrome and chronic musculoskeletal diseases in the aged.

• 디지털융복합연구
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• 제11권11호
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• pp.545-551
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• 2013

본 연구는 단시간 들기 내리기 작업을 실시한 누적피로 대상자에게 미세전류자극 및 휴식을 적용하여 피로 지수에 미치는 영향을 비교하였다. 2012년 12월부터 2013년 2월까지 S대학에서 연구가 진행되었으며, 말초질환 및 근골격계 질환이 없고 오른손을 사용하는 20대의 신체 건강한 남자 22명을 대상자로 선정하였다. 모든 대상자는 10 kg 상자를 15분 동안 들기 내리기를 100회 실시한 직후, 표면근전도기를 이용한 근피로지수(Median Frequency : MF)와 혈액피로지수(Creatine Kinase Lactate : CK, Lactate Dehydrogenase : LDH)를 측정하였다. 두 그룹으로 나누어 실험군에는 미세전류자극을 대조군에는 휴식을 각각 20분간 중재하였다. 중재 후, 근피로지수와 혈액피로지수를 측정하여 누적 피로지수의 변화를 비교하였다. 그 결과 휴식그룹의 왼쪽 척주세움근 피로지수를 제외한 두 그룹 모두에서 중재방법 적용 전보다 적용 후 유의한 누적피로의 감소(p<.05)가 있었고, 미세전류의 자극은 휴식과 비교했을 때, 근피로지수의 유의한 감소(p<.05)를 보였지만, 혈액피로지수는 차이가 없었다. 본 연구의 결과를 토대로 미세전류자극은 반복적인 들기와 내리기 작업 종사자들의 근피로회복에 도움이 될 것이라 사료되며, 장시간 피로지수 추적조사 및 중재 적용시간에 따른 피로회복의 상관관계 대한 추가적인 연구가 필요하다.

• 대한정형도수물리치료학회지
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• 제11권2호
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• pp.83-95
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• 2005

The purpose of this study is to analyze, durability of motor effort after finishing rehabilitation program and the influence from the isotonic lumbar region extension exercise after an operation according to the different operation way in invasive degrees. We selected randomly 80 patients who have no complication and musculoskeletal system diseases with finishing the 12 weeks' rehabilitation program after getting laser discectomy, but fail to conservative treatment, about Lumbar HNP, and divided into minimal invasive groups 38 and invasive groups 42 for study. As the results, in minimal invasive group, after finishing cure and 6 months later, the degree of hold muscle of women is much better than that of men. but in Invasive group, that of men is better than that of women, in case of women, the $0^{\circ}$ and $72^{\circ}$ in lumbar flexion angle have weaken or no improvement than before beginning exercise. and muscle force in $72^{\circ}$ in lumbar flexion angle increased to all men and women than before beginning exercise in Minimal invasive group. but in invasive group. it decreased. When analyze the lapsed time in Minimal invasive group, the groups who start the exercise within 3 months are better than the groups who start the exercise above 3 months after an operation the hold muscle degree all angles after finishing cure and 6 months later. Meanwhile, in invasive group, the groups who start the exercise within 3 months are better than the groups who start the exercise above 3 months after an operation about the hold muscle degree in 36-72 of lumbar flexion angle but 0-36 are not good after finishing cure and 6 months later. When analyze BMI in Minimal invasive group, the normal groups are better than the overweight groups about hold muscle degree in all angles after finishing cure and 6 months later.