• 제목/요약/키워드: Odi

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요추 방출성 골절로 입원한 당뇨병 환자의 한양방 협진 치료 1례 (A Case of Korean-Western Medical Treatment of a Diabetic Patient Admitted with Lumbar Burst Fracture)

  • 강아현;한동근;서혜진;성재연;오주현;이유라;이형철;엄국현;송우섭
    • 대한한방내과학회지
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    • 제39권2호
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    • pp.107-115
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    • 2018
  • Objectives: In the case of a diabetic patient diagnosed with lumbar burst fracture, we aim to present effective results in terms of pain management and blood glucose level stabilization. Methods: A patient was given combined traditional Korean medicine therapy, such as herbal medicine, acupuncture, and antidiabetic medications, during a hospitalization period. We measured the state and progress of this case with the NRS (Numeric Rating Scale) and ODI/NDI (Oswestry/Neck Disability Index). We also checked blood glucose levels regularly. Results: After treatment, the patient's pain was controlled, and the NRS score was decreased. Not only were the overall symptoms of the patient improved positively but the ODI/NDI scores were also improved. Blood glucose level was stabilized. Conclusions: One case of a diabetic patient diagnosed with lumbar burst fracture showed improvement of ODI, NDI, and NRS scores for back and neck pain. Further, the blood glucose level was stabilized.

요부 굴곡과 신전운동의 관점에서 분석한 만성요통의 침치료 효과 (Analysis of the Efficacy of Acupuncture for Chronic Low Back Pain Based on the Relationship Between Trunk Flexors and Extensors)

  • 김유진;박원형;차윤엽
    • 동의생리병리학회지
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    • 제26권4호
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    • pp.557-565
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    • 2012
  • The purpose of this study was to examine the effect of acupuncture on trunk flexors compared with trunk extensors in patients with chronic low back pain. The experimental group was treated with acupuncture on trunk flexors. The control group was treated with acupuncture on trunk extensors. Acupuncture treatment was performed 12 sessions over the course of 6 weeks. Volunteers who satisfied the requirements were enrolled in the study. Chronic low back pain was evaluated based on the VAS for bothersomeness, VAS for pain intensity at every treatment and 8, 12 and 24 weeks after starting the treatments, and ODI, SF-36 and BDI before and after treatments and 8, 12 and 24 weeks after starting the treatments. The VAS score for bothersomeness significantly decreased after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for bothersomeness in the experimental group decreased more rapidly than that of the control group with statistical significance (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI significantly improved after treatment for up to 24 weeks after starting the treatments in both group (p<0.05). The VAS score for pain intensity, ODI, SF-36 and BDI in the experimental group showed more rapid improvement than those of the control group. But, there were no statistical significances. Treating trunk flexors using acupuncture was more effective in decreasing the degree of bothersomeness caused by chronic low back pain than treating trunk extensors with acupuncture. There is a need to perform further studies.

자하거 대용량 약침 및 한의학적 치료를 적용한 척추관 협착증 증례 보고 (Case Report of Patients Diagnosed with Spinal Stenosis Treated by Hominis Placenta Megadose Pharmacopuncture Combined with Korean Medicine Treatment)

  • 송광찬;서지연;조명의;송승배;최봉석;류원형;김두리;전용현
    • 동의생리병리학회지
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    • 제32권2호
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    • pp.141-147
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    • 2018
  • The purpose of this research is to show the effectiveness of spinal stenosis treated by Hominis Placenta Megadose pharmacopuncture combined with Korean medicine treatment. We used Hominis Placenta Megadose pharmacopuncture treatment on patients who received treatment at Bucheon Jaseng Korean medicine hospital from March, 2016 to October, 2016. Also we checked Numeric Rating Scale(NRS), Oswestry low back pain Disability Index(ODI) to follow the scale showing the improvement of the symptoms of the patients. All 4 patients showed the improvement of NRS, ODI scales. This research suggests Hominis Placenta Megadose pharmacopuncture combined with Korean medicine treatment can help treat spinal stenosis.

척추안정화운동과 도수치료가 급성기 또는 아급성기 허리통증 환자의 통증지수와 오스웨스트리 장애지수에 미치는 영향 (Effect of Spinal Stabilization Exercise and Manual Therapy on Visual Analogue Scale and Oswestry Disability Index in Acute or Subacute Patients with Low Back Pain)

  • 박은영;김원호
    • 한국산학기술학회논문지
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    • 제14권4호
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    • pp.1792-1798
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    • 2013
  • 이 연구는 척추안정화운동과 도수치료가 급성기 또는 아급성기 허리통증 환자의 통증지수와 장애지수에 미치는 영향을 알아보기 위해 시행되었다. 23명의 허리통증 환자가 자발적으로 참여하였고 무작위로 분류되었다. 도수치료(10명)와 척추안정화운동(13명)은 총 4주간 주 3회, 15분/1회 적용되었다. 각각의 치료 전에 전통적인 치료를 30분간 적용하였다. 치료 전과 후에 시각사상척도와 한국어판 오스웨스트리를 측정하였다. 치료 전에 비해 치료 후 두 치료 모두에서 통중지수와 장애지수가 유의하게 감소하였다(p<.05). 통증지수의 변화율은 도수치료보다 척추안정화운동 시 유의하게 높았지만(p<.05), 장애지수의 변화율은 유의한 차이가 없었다(p>.05). 이상으로 볼 때, 척추안정화운동은 아급성기 또는 급성기 허리통증 환자에서도 통증을 안전하게 줄이는데 도움이 됨을 확인하였다. 따라서 아급성기 이하의 허리통증 환자에서도 통증과 장애를 줄이는데 척추안정화운동이 유용하리라 사료된다.

교통사고 후 발생한 요통에 대한 봉약침 치료의 효과 (Effect of Bee-venom Acupuncture on Low Back Pain by Traffic Accidents)

  • 이재훈;김준수;양기영;한상엽;이재영;황은미
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.61-70
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    • 2011
  • Objectives : The purpose of this study was to investigate the effect of Bee-venom acupuncture on low back pain by traffic accidents. Methods : We included 34 patients with low back pain caused by TA for this study. The experimental group was treated by usual therapy plus Bee-venom acupuncture therapy, the control group was treated by usual therapy such as acupunture therapy and herbal medicine therapy. Oswestry Disability Index(ODI) and Visual Analog Scale(VAS) were evaluated at 4 week from baseline for the treatment effect in the both group. Results : After the subjects being treated by Bee-venom or general acupuncture therapy. It was detected that the scores of ODI and VAS in both groups decreased at the 4 week from baseline. There was significant difference between both groups in the VAS. However, there was no significant difference between both groups in the ODI. Conclusions : The results suggested that bee-venom acupuncture was effective on low back pain by traffic accidents.

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요추 추간판 탈출증 환자 44례에 대한 임상고찰 (Clinical Observation on 44 Patients with Lumbar Herniated Intervertebral Disc Treated by Conservative Oriental Medical Treatment)

  • 남지환;김원우;한경완;김은석;우재혁;이준석;이슬지;김기원;이민정;송주현
    • 척추신경추나의학회지
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    • 제6권2호
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    • pp.71-78
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    • 2011
  • Objectives : The purpose of this study was to evaluate the effect of Oriental medical treatment in patients with acute lumbar Herniated Intervertebral Disc(HIVD). Methods : This clinical study was carried out on 44 patients with acute lumbar HIVD, who had been admitted from Oct. 2011 to Nov. 2011. All of 44 patients were treated with acupuncture, Chuna treatment and herbal medicine during the whole admission period. Verbal numerical rating scale(VNRS) and Oswestry disability index(ODI) were used to evaluated the effectiveness of the Oriental medical treatment. Result : Siginificant improvement of the symptoms was seen when evaluated with VNRS and ODI. Conclusions : These results suggest that in the case of low back pain and lower limb numbness caused by acute HIVD, conservative treatments can be considered as one of the options of treating the symptoms beside surgical way.

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천궁육계탕(川芎肉桂湯)을 투여한 요추 방출성 골절 환자 치험 1례 (A Case Report of Prescribing Chungungyukgye-tang (Chuanxiongrougui-tang) for the One Patient with Lumbar Burst Fracture)

  • 정윤규;김진수;엄봉군;신동재;김영지
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.113-119
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    • 2011
  • 천궁육계탕(川芎肉桂湯)을 처방하여 요추 방출성 골절로 인한 극심한 요통 및 하지의 견인통이 호전된 1례를 통하여 신경학적 결손이 없는 요추 방출성 골절에 대해 천궁육계탕(川芎肉桂湯)이 환자의 자각적인 증세 및 NRS, ODI상으로 유효한 효과가 있었음을 확인하였다. 이에 저자는 요추 방출성 골절로 입원하여 천궁육계탕(川芎肉桂湯)을 복용한 후 호전된 1케이스를 보고하는 바이다.

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한방치료 및 천수근약침을 병행하여 치료한 제 1형 복합부위통증증후군 환자 치험 1례 (The Clinical Observation of 1 Case of Type 1 Complex Regional Pain Syndrome Treated with Korean Medicine Treatment and Harpagophytum radix. Pharmacopuncture)

  • 정재현;윤영웅;정승현;김신웅;최희승;신동재;왕선준
    • 척추신경추나의학회지
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    • 제8권1호
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    • pp.63-73
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    • 2013
  • 한랭자극에 취약한 복합부위통증증후군 환자 1례를 대상으로 한방치료 및 천수근약침 치료를 시행한 결과 환자의 주소증 및 NRS, ODI, MMT 결과상 호전이 있었음을 확인하였다.

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Case Series Study on the Use of BU Pharmacopuncture Treatment in Patients with Acute Lumbar Sprain

  • Yang, Muhack;Jang, Jongwon;Cha, Eunhye;Ahn, Byungsoo;Bang, Younghee;Song, Beomyong;Shin, Jiyong;Ahn, Chankeun;Kim, Deokho;Kim, Sungchul
    • 대한약침학회지
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    • 제21권2호
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    • pp.120-125
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    • 2018
  • Objective: The purpose of this study was to investigate the clinical effects of BU pharmacopuncture therapy consisting of bear's gall(fel ursi) and ox bezoar(bovis calculus) on acute lumbar sprain. Methods: 12 patients diagnosed as acute lumbar sprain in 6 designated local Korean medicine clinics from October 2017 to February 2018 were treated by BU pharmacopuncture. Several acupoints in abdomen and lumbar region were selected by clinicians at their own discretion. The effectiveness of the therapy was evaluated using VAS and ODI. After that we reviewed the medical records of all these patients to evaluate the effectiveness and safety of the therapy. Results: The VAS and ODI scales were significantly decreased after BU pharmacopuncture therapy. And no major complications and adverse effects were reported. Conclusion: BU pharmacopuncture showed rapid pain relief in patients with acute lumbar sprain. It is possible to shorten the treatment period of acute lumbar sprain and prevent progressing to chronic back pain in advance. To establish the effects of BU pharmacopuncture therapy, more succeeding clinical and laboratory studies are needed.

요추 추간판 탈출증 환자의 보존적 치료결과와 흡연의 상관성에 대한 임상적 고찰 (A Clinical Study for Patients with Lumbar Disc Herniation: Association Between Clinical Outcomes of Conservative Treatment and Cigarette Smoking)

  • 반효정;김석;윤현석;김한겸;김선민;김지용;김태헌;박병윤
    • 척추신경추나의학회지
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    • 제5권2호
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    • pp.17-32
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    • 2010
  • Objectives : To investigate the association between cigarette smoking and clinical outcomes of conservative treatment for lumbar herniated disc. Methods : We reviewed 74 male patients with lumbar herniated disc who were hospitalized at the Jaseng Oriental Medicine Hospital. 74 patients were divided into 2 groups(smokers, non-smokers) and we measured age, ODI score, SF-36 score, VAS. Results : Between smokers and non-smokers, statically significant differences were found in clinical symptoms on the time of 6 months later, effective scores of treatments, value of ODI and value of VAS on the time of 6 months later. And in these values of measurements, non-smokers were higher than those of smokers. Conclusion : These results suggest that possibility of the association between cigarette smoking and clinical outcomes of conservative treatment for lumbar herniated disc.

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