• 제목/요약/키워드: Rehabilitation Treatment

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요추 추간판 탈출증 환자의 한의치료 후 디스크 흡수율 비교 및 흡수에 영향을 주는 요인 분석 연구 (Comparative Analysis on Disc Resorption Rate of Lumbar Disc Herniation Patients after Korean Medicine Treatment and Predictive Factors Associated with Disc Resorption)

  • 김용현;이주영;김광휘;김태연;이태걸;이상운;추희영;정희경
    • 한방재활의학과학회지
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    • 제28권4호
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    • pp.33-41
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    • 2018
  • Objectives The purpose of this study is to analyze the effects of Korean Medicine treatment on lumbar disc herniation (LDH) and predictive factors associated with disc resorption by magnetic resonance imaging (MRI). Methods A retrospective study was carried out in 79 lumbar disc herniation patients who had visited Haeundae Jaseng Hospital of Korean Medicine. Patients' diagnosis was based on MRI. MRI was performed on two or more occasions and patients were received Korean Medicine treatment within the period. The volume of each herniated disc was measured three-dimensionally and patient characteristics, interval between MRIs, herniated disc level, disc herniation type, disc migration, intactness of posterior longitudinal ligament (PLL), initial volume of herniated disc, modic change, disc resorption rate were statistically analyzed. Results The mean volumes of herniated discs before Korean Medicine treatment and after Korean Medicine treatment were $1,547.81{\pm}598.15mm^3$ and $947.06{\pm}335.28mm^3$, respectively. The mean resorption rate was $35.7{\pm}16.3%$. Disc extent, intactness of PLL and initial volume of herniated discs were significantly correlated with resorption rate (p=0.003, p=0.001 and p=0.024, respectively). Conclusions Korean Medicine treatment is an effective conservative treatment for lumbar disc herniation. Factors such as disc migration, intactness of PLL, initial volume of herniated disc have a significant association with disc resorption rate.

청소년기의 구조적 척추측만증 환자 치험 1례에 대한 보고 (A Clinical Case Study on Treatment of Adolescent Structural)

  • 강준혁;홍서영;윤일지;오민석
    • 혜화의학회지
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    • 제15권1호
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    • pp.117-124
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    • 2006
  • Objectives : This study was performed to evaluate the effect of oriental medical treatment on adolescent structural scoliosis. Methods : A patient who has scoliosis was treated with chuna and acupuncture treatment. After the treatment, we evaluated the effects of treatment with radiological measurement by calculating the scoliosis correction angle from the initial and follow-up spine AP view. Result : After the treatment, the cobb's angle of T-spine was changed $23^{\circ}$ to $15^{\circ}$, that of L-spine was changed $25^{\circ}$ to $10^{\circ}$. Conclusions : In this study, Chuna and acupuncture treatment was efficacious against scoliosis. And it is necessary for adolescent scoliosis patient to be more early detection, earily treated and continuous observed.

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발달장애아의 조기치료에 영향을 미치는 요인 분석 (Analysis of Factors Influencing on the Early Treatment of Children With Developmental Disability)

  • 박혜정;김선혜
    • 한국전문물리치료학회지
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    • 제6권1호
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    • pp.47-61
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    • 1999
  • The purpose of this study was to investigate factors influencing on the early treatment of children with developmental disability. Data was collected from 102 mothers of children with developmental disability who were treated at 4 rehabilitation facilities in Kyunggi-Do and Kangwon-Do. The results were as follows: 1) Of a total of 102, 63 children began to receive rehabilitation therapy during the period 0~12 months (early treatment group), 38 children after 1 year of age (delayed early treatment group). 2) There were statistically significant differences between the early treatment group and delayed early treatment group for prematurity, low birth weight, the time to discover developmental abnormalities, the time of first diagnosis, and first treatment (p<0.05). 3) There were no statistically significant differences in the two groups for level of education, economic status, risk factors (except prematurity and birth weight), home care, family's cooperation and commuting time (p>0.05). Based on this study, the important factors for early treatment were early detection, early diagnosis and constant follow-up for high-risk babies.

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추나요법과 경근첩대요법이 내반슬 교정치료에 미치는 효과 (The Effect of Chuna Manual and Taping Treatment on Genu Varum)

  • 김경석;이종수
    • 한방재활의학과학회지
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    • 제20권3호
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    • pp.93-107
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    • 2010
  • Objectives : The purpose of this study was to assess the efficacy of Chuna and taping treatment in patients with genu varum. Methods : Twenty-seven patients(male:10, female:17) with genu varum were recruited in this study. Chuna treatment at pelvic, and taping treatment at both legs were applied to whole participants. Outcomes were assessed using Q-angle(Quadriceps angle, QA), tibiofemoral angle(TFA), width and length of lesser trochanter(LT), pelvic incidence(PI), pelvic(PT), sacral slope(SS), lumber lordosis angle(LLA), meridian-electromyography(MEMG), Korean western ontario and McMaster universities osteoarthritis index(KWOMAC), and distance of femoral intercondylar distance(ICD). Results : 1. QA, LT width and LT length in radiograph were significantly increased. 2. PI, SS, PT and TFA in radiograph were significantly decreased. 3. The left vastus medialis portion contraction of female was significantly decreased after treatment. 4. The left rectus femoris portion fatigue was significantly decreased after treatment in male subjects. 5. The vastus medialis portion fatigue was significantly decreased after treatment in female subjects. 6. The distance of femoral ICD was significantly decreased. Conclusions : This study showed that Chuna and taping treatment could be used as an effective method for the treatment of genu varum.

한방 치료를 병행한 슬관절 재활 CPM 증례보고 3례 (Case Report : 3 Cases of CPM Combined with Korean Medical Treatment for Knee Joint Rehabilitation)

  • 하현주;김명규;이치호;오민석
    • 혜화의학회지
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    • 제25권1호
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    • pp.15-26
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    • 2016
  • Objectives : The aim of this study was to report the cases of knee injury that are treated with both CPM and Korean medicine. Methods : We treated 3 patients who had knee joint pain and gait disturbance by knee injuries with Korean medicine and CPM treatment. We evaluated the outcomes by checking NRS, ROM, Lysholm knee score, walking state and other symptoms. Results : The NRS, ROM, Lysholm knee score, and other symptoms of 3 patients were improved before they. These results show possibilities of simultaneous treatment of Korean medicine and CPM. But there is a limit that the number of cases is not sufficient, and there was no long-term follow-up after discharge. Conclusions : Simultaneous treatment of Korean medicine and CPM has an effect on knee joint rehabilitation. Further studies are needed to prove the effectiveness of Korean medicine combined with CPM.

족관절 염좌의 한의학적 치료에 대한 논문 고찰 -국내 학술지를 중심으로- (Review on the Study of Ankle Sprain Published in Korea)

  • 이충희;김빛나라;정훈;이규원;양동민;오민석
    • 한방재활의학과학회지
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    • 제25권1호
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    • pp.71-76
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    • 2015
  • Objectives The aim of this review is to analyze the study tendency in papers related with ankle sprain which are published in Korea. Methods I searched the OASIS and checked relevant Korean journals. I classified the papers by field of study, publish date, main treatment, evaluation methods and analysed the study tendency. Results 1. There are 9 case studies, 4 comparative effectiveness studies, 11 controlled studies. 2. The paper was published almost every year for more than one. 3. Treatment tool such as acupuncture, pharmacopuncture, acupotomy, heating-conduction acupuncture, etc. was used. 4. The most commonly used evaluation method is VAS (Visual Analog Scale) and AHS (Ankle-Hindfoot scale). Conclusions These results suggest that Korean medical treatment on the ankle sprain can be useful as cure medicine, but there are not sufficient evidence based papers, so there should be further studies.

전열침(가칭)이 급성 족관절 염좌로 인한 전거비 인대 손상에 미치는 임상적 효과 (The Clinical Effects of Heating-Conduction Acupuncture Therapy(tentatively called) for Anterior Talofibular Ligament Injury Induced by Acute Ankle Sprain)

  • 안순선;장효길;허동석
    • 한방재활의학과학회지
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    • 제19권4호
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    • pp.127-134
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    • 2009
  • Objectives : The purpose of this study is to investigate the clinical effects of heating-conduction acupuncture therapy on anterior talofibular ligament injury induced by acute ankle sprain. Methods : From October 31, 2008 to July 21, 2009, the 11 outpatients who had admitted to department of oriental rehabilitation medicine, Dae-Jeon oriental medicine hospital, Dae-Jeon university with acute ankle sprain were performed heating-conduction acupuncture therapy on anterior talofibular ligament injury. To evaluate the efficiency of heating-conduction acupuncture therapy, pain threshold with Pressure algometer and visual analogue scale(VAS) were applied before treatment and after 1st, 2nd treatment. Results : 1. The pain threshold score and the VAS score showed statistical significant improvement after 1st treatment. 2. The pain threshold score and the VAS score showed improvement but had no statistical significance after 2nd treatment. 3. The difference between left and right were not statistical significant in pain threshold score and VAS score. Conclusions : Heating-conduction acupuncture therapy has clinical effects of pain reduction on patient with anterior talofibular ligament injury induced by acute ankle sprain.

경추부 중심의 침치료로 호전된 비정형 안면통의 치험 2례 (Two Cases of Atypical Facial Pain Using Treatment of Acupuncture at Cervical and Facial region : A Case Report)

  • 박서현;문소리;안선주;금동호
    • 한방재활의학과학회지
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    • 제28권2호
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    • pp.121-126
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    • 2018
  • Atypical facial pain is persistent facial pain in the absence of clinical neurological deficit. We experienced two patient who are diagnosed atypical facial pain with Classification of International Headache Society. They were treated by acupuncture at their cervical and facial region. After treatment, their Pain intensity numerical rating scale(PI-NRS) is decreased and EuroQol five dimensions questionnaire(EQ-5D) score is increased. Treatment of acupuncture at cervical and facial region could be effective for easing the clinical symptoms of atypical facial pain. Further studies are needed to find effective treatment for atypical facial pain.

성인비만의 한약치료 임상연구에 대한 체계적 고찰 (Systematic Review on Herbal Treatment for Obesity in Adults)

  • 한경선;이명종;김호준
    • 한방재활의학과학회지
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    • 제26권4호
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    • pp.23-35
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    • 2016
  • Objectives This systematic review is to support the effectiveness of herbal medicine for the treatment of simple obesity in adults. Methods A total of 8 electronic databases were searched in English, Chinese and Korean. Standard methodologies for the systematic review were used to search, analyze and synthesize data based on NECA's guideline for undertaking systematic review and meta-analyses for intervention. Results After screening 1781 potential articles, we identified 13 randomized controlled trials (RCTs). We conducted a meta-analysis for the study using Bangpungtongsung-san and Taeeumjowi-tang to evaluate the effectiveness of herbal medicines on weight loss compared to placebo control. Both herbs showed positive effect in weight, body mass index and waist circumference. In an analysis comparing herbal effects considering constitutions showed that proper treatment can lower adverse events. Conclusions Our results provide evidence that herbal medicine can be an effective treatment for the obesity compare to placebo or to conventional medicine without serious adverse events. Further study is needed to evaluate effectiveness of herbal medicines considering personalized treatment and its safety.

교통사고 환자에 대한 진단 및 치료의 경향성 연구 -국내에서 발표된 학위지 밀 학술논문을 중심으로- (Review on the Tendencies of Diagnosis and Treatment of Traffic Accidental Patients -Focusing on Domestic Theses for a Degree and Journal-)

  • 조성우;강연경;장동호;이인선
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.197-209
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    • 2009
  • Objectives : The purpose of this study is finding tendencies of diagnosis and treatment of the traffic accidental patients. Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by year, field of study, reviewed by focusing on diagnosis and evaluation, treatment type. Results : 1. 72 articles were published since 1993. 2. Classified by the major field of study, the korean academy of oriental rehabilitation medicine accounted for 33 papers. 3. 7-Zone-Diagnostic system and Minnesota Multiphasic Personality Inventory were studied mostly. 4. To add pharmacopuncture or chuna treatments are effective. 5. Traffic accidental patients get satisfaction about Oriental medicine therapy but methods of medical treatment are restrictively. Conclusions : Oriental medicine treatment is the effective way to cure traffic accidental sequela, but we need further studies.

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