• 제목/요약/키워드: Rehabilitation Treatment

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척추측만증의 보존적 치료에 대한 문헌적 고찰 - 국내 발표 논문을 중심으로 - (Review on Conservative Treatment of Spinal Scoliosis)

  • 이문규;이길재;송윤경;임형호
    • 척추신경추나의학회지
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    • 제4권1호
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    • pp.103-117
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    • 2009
  • Objective : The purpose of this study is to research the trend of the theses related to conservative treatment of spinal scoliosis and to establish the direction of futher studies into the spinal scoliosis Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by field of study, theses type, symptoms and illnesses, evaluation methods, treatment type, clinical outcome. Result and conclusion : 1. Classified by the major field of study, oriental rehabilitation medicine and physical education accounted for 9 papers, followed by 6 in orthopedics medicine. 2. Upon classifying theses according to research method type, clinical trial theses were more than casuistic theses. 3. Upon classifying theses according to symptoms and illnesses in scoliosis, the most was idiopathic scoliosis. 4. Theses used mostly Cobb's angle for evaluating in scoliosis. 5. Some few of theses used chuna therapy for treating in scoliosis. 6. Chuna therapies side by side with correction exercises were the most efficient for treating in scoliosis.

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비만치료 전후 체간 근력 변화에 관한 연구 (The Change of Isokinetic Trunk Muscle Strength after Reduction of Body Weight)

  • 홍서영;박지현;이한길;김현수
    • 혜화의학회지
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    • 제18권2호
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    • pp.13-20
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    • 2009
  • Objectives : In order to investigate change of isokinetic trunk muscle strength according to decrease of body composition analysis parameter after obesity treatment. Methods : 2 obese patients have been treated with oriental medical obese treatment for 1 month. One patient got the exercise treatment, another didn't. Before and after treatment, the segmental bioelectrical impedance analysis, isokinetic trunk muscle strength test were performed. Then we analyzed the relationship of data. Results : After obesity treatment, BMI(Body Mass Index), PBF(Percentage of Body Fat), WHR(Waist Hip Ratio) were decreased in all patient and LBM(Lean Body Mass) was increased. In non-exercise patient, Ext.PT(extension Peak Torque) was decreased and Flex.PT(flexion Peak Torque) was increased. In exercise patient showed the opposite results. E/F ratio became more imbalance. Conclusions: Ext.PT was decreased in non-exercise patient but increased in exercise patient. And the trunk muscle strength became imbalance in both patients, right after the treatment. So trunk muscle exercise should be carried out and it is necessary to do long term study.

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양하지 소력을 주소로 하는 길랑-바레 증후군 환자에 대한 한방치료 증례보고 1례 (A Clinical Case Study on Guillain-Barre Syndrome Complaining Both Lower Extremity Weakness with Oriental Medical Treatment)

  • 김고운;김성수;이종수;정석희
    • 척추신경추나의학회지
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    • 제6권1호
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    • pp.27-33
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    • 2011
  • This study was performed to report the effectiveness of oriental medical treatment on a patient with Guillain-Barre syndrome complaining both lower extremity weakness. The patient was diagnosed as Guillain-Barre syndrome and treated with acupuncture, electroacupuncture, physical therapy and herbal medicine. We have evaluated the efficacy of oriental medical treatment by measuring changes of motor grade and ambulatory condition according to period of hospitalization. After treatment, motor grade and ambulatory condition were improved. These results suggest that oriental medical treatment was effective on the patient with Guillain-Barre syndrome.

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하지 통증을 주소로 하는 대퇴골두 무혈성 괴사 환자에 대한 한방치료 증례보고 1례 (A Clinical Case Study on Avascular Necrosis of Femur Head Complaining Lower Extremity Pain with Oriental Medical Treatment)

  • 김고운;김성수;이종수;정석희
    • 척추신경추나의학회지
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    • 제5권1호
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    • pp.137-143
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    • 2010
  • 대퇴골두 무혈성 괴사로 입원 치료한 환자 1례에 한방치료를 적용하여 하지 통증 감소와 고관절 ROM 증가에 유의한 효과를 보였기에 보고하는 바이다.

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환측 동기침법을 이용한 경추 추간판 탈출증 환자의 급성 압박성 요골신경마비 치험 1례 (A clinical study of the affected part acupuncture moving treatment on the acute radial nerve palsy patient who has Cervical Herniation)

  • 정훈;조남훈;박지용;박현민;배상은;홍남중
    • 대한한의정보학회지
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    • 제17권2호
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    • pp.73-81
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    • 2011
  • Objectives : The purpose of this study is to evaluate the affected part acupuncture moving treatment for acute radial nerve palsy patient who has Cervical Herniation. Methods : We examined 1 patient with Radial nerve palsy who admitted Jaseng Hospital of Oriental Medicine. The patient was treated by the affected part acupuncture moving treatment including herbal mixture. Results : In this study, in the end of affected part acupuncture moving treatment, patient's condition has improved. Muscle strength was also increased. Conclusions : The affected part acupuncture moving treatment for acute radial nerve palsy was effective in restore of functional activities, but this treatment needs more study.

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다제내성 결핵의 치료 중 역설적 반응으로 나타난 종골 골수염 (Calcaneal Osteomyelitis Presenting as a Paradoxical Reaction during Treatment of Multidrug-Resistant Tuberculosis)

  • 한용현;이창화;배민준;황기훈
    • Clinical Pain
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    • 제18권2호
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    • pp.102-106
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    • 2019
  • Tuberculosis in the foot progresses gradually; thus, diagnosis is usually delayed, and early treatment is rarely provided. If osteomyelitis occurs due to delayed diagnosis and treatment, surgical treatment should be considered. We report the case of a 46-year-old man with osteomyelitis of the calcaneus who was diagnosed with multidrug-resistant pulmonary tuberculosis and he was treated with anti-tuberculosis drugs. Bilateral adrenal masses, abscess of both testes and a small wound in the left plantar heel were observed. Both adrenal masses and abscess were regarded as paradoxical reaction of anti-tuberculosis treatment. After 1 month, he developed a pain in the left plantar heel that was compatible with calcaneal osteomyelitis in radiological features. He underwent right orchiectomy for right scrotal abscess aggravation and surgical treatment for left calcaneal osteomyelitis. Mycobacterium tuberculosis was confirmed by polymerase chain reaction. The patient was immobilized by cast for 8 weeks and the heel pain gradually improved.

Perceptions regarding the multidisciplinary treatment of patients with severe trauma in Korea: a survey of trauma specialists

  • Shin Ae Lee;Yeon Jin Joo;Ye Rim Chang
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.322-328
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    • 2023
  • Purpose: Patients with multiple trauma necessitate assistance from a wide range of departments and professions for their successful reintegration into society. Historically, the primary focus of trauma treatment in Korea has been on reducing mortality rates. This study was conducted with the objective of evaluating the current state of multidisciplinary treatment for patients with severe trauma in Korea. Based on the insights of trauma specialists (i.e., medical professionals), we aim to suggest potential improvements. Methods: An online questionnaire was conducted among 871 surgical specialists who were members of the Korean Society of Traumatology. The questionnaire covered participant demographics, current multidisciplinary practices, perceived challenges in collaboration with rehabilitation, psychiatry, and anesthesiology departments, and the perceived necessity for multidisciplinary treatment. Results: Out of the 41 hospitals with which participants were affiliated, only nine conducted multidisciplinary meetings or rounds with nonsurgical departments. The process of transferring patients to rehabilitation facilities was not widespread, and delays in these transfers were frequently observed. Financial constraints were identified by the respondents as a significant barrier to multidisciplinary collaboration. Despite these hurdles, the majority of respondents acknowledged the importance of multidisciplinary treatment, especially in relation to rehabilitation, psychiatry, and anesthesiology involvement. Conclusions: This survey showed that medical staff specializing in trauma care perceive several issues stemming from the absence of a multidisciplinary system for patient-centered care in Korea. There is a need to develop an effective multidisciplinary treatment system to facilitate the recovery of trauma patients.

교통사고로 인한 편타 손상의 침 치료에 대한 임상연구의 국내외 동향 (A Review of Clinical Studies about Acupuncture Therapy for Whiplash Associated Disorder)

  • 전준영;유덕주;맹태호;심재우;조우영;김형석;임웅진;이종수
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.47-54
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    • 2015
  • Objectives This study aimed to research current trends of acupuncture treatment of whiplash associated disorder (WAD). Methods Clinical studies about acupuncture therapy on WAD were searched in 7 databases. The included studies were classified according to their publication dates, methods, interventions, outcome measures. Interventions were analyzed by accompanied intervention, acupoint, acupuncture retaining time and treatment period. Results 14 articles were included. The number of studies on acupuncture for WAD shows increasing tendency since 1990. The included studies consist of 6 randomized controlled trials (RCTs), 2 non-randomized controlled trials (nRCTs), 2 cohort studies, 1 before and after study, 1 case study and 2 case reports. Most studies used visual analogue scale (VAS) as primary outcome. Conclusions This review demonstrates that further clinical studies need to be carried out under the formal clinical practice guidelines of acupuncture therapy for WAD in order to support clinical treatment objectively.

장애인복지패러다임의 변화에 따른 장애인복지관의 공간구성에 관한 연구 (A Study on the Spatial Composition of Rehabilitation Center for the Disabled with the Change of Welfare Paradigm)

  • 이효원;주석중
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제10권2호
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    • pp.117-124
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    • 2004
  • In this study, some methods for the organization of space in the welfare center for the disabled are suggested corresponding to the change of welfare paradigm for the disabled, by means of investigating and analyzing the existing organization of space, division of the areas and relevant programs. The results of the study are as follows. 1) The method of the spatial organization in the welfare center for the disabled is divided largely into an area of the welfare complex center used as a facility of uses and an area of the controlling center that manages and makes use of domiciliary welfare. 2) The division of counselling and management is the center for the aforementioned two areas. This division occupying the minimum space in the welfare center has to be expanded. Besides, the space for the volunteers for 'domiciliary welfare' is necessary. This can be administered synthetically along with the room for volunteers in the division of social rehabilitation. 3) It is necessary for the division of medical rehabilitation to have a common waiting area due to its close connection with other treatment rooms. It should be recommended to have it in the water treatment room. It is required to have a parents' waiting area in the treatment room for child rehabilitation. 4) In case of the division of educational rehabilitation, the daytime care center should be closely related to the division of medical rehabilitation. Meanwhile, the classrooms after school have a limited use so that they can be shared with the room for female rehabilitation in the division of social rehabilitation. 5) It is in reality for the division of social rehabilitation to have an expanded area of domiciliary welfare. The room for volunteers for domiciliary welfare should be arranged, too.

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교통사고로 인한 급성 골반 골절 환자에 대한 한의학적 복합치료의 효과: 증례보고 (Effect of Integrative Korean Medicine Treatment for Patient with Acute Pelvic Fracture Caused by Traffic Accident: Case Report)

  • 구승혁;김성현;문현우;안상준;최현진;황보승윤;박현석;이종현
    • 한방재활의학과학회지
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    • 제33권1호
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    • pp.97-108
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    • 2023
  • The purpose of this study is to investigate the effectiveness of integrative Korean medicine treatment for patients who were diagnosed as acute fracture on pelvis. The patients were treated by Korean medicine as conservative management including acupuncture, pharmacopuncture, herbal medication and cupping for hospitalization periods. Numerical rating scale (NRS), EuroQol-5 dimensions (EQ-5D), Oswestry disability index (ODI), patient global impression of change (PGIC), self-walking distance and the changes of symptoms were measured to assess patients' improvement. NRS, ODI scores and EQ-5D definitely improved on 4 patients of 5 cases. NRS decreased from 6~7 to 3~5, ODI scores decreased from 62~75.11 to 40~52 and EQ-5D increased from 0.013~0.331 to 0.47~0.773. PGIC and self-walking distance were also enhanced after treatments. In conclusion, this study suggests that integrative Korean medicine could be effective treatment for acute pelvic fracture.