• 한방재활의학과학회지
• /
• 제29권3호
• /
• pp.51-60
• /
• 2019

Objectives Osteoarthritis is hard to manage with both conventional and Korean medicine treatment. The core outcome set (COS) to demonstrate the effectiveness of Korean medicine treatment has not been established yet. We aimed to present preliminary data of COS by performing a literature review on the evaluation indices used in existing clinical research. Methods We examined the literature from 2000 to 2017 in two Korean electronic databases (Korea citation index and oriental medicine advanced searching integrated system) by searching for the following 3 terms 'total knee replacement (Korean)', 'total knee replacement,' and 'knee surgery.' We found 333 articles; among them, 50 duplicates were removed. Finally, we selected 160 articles after complete screening. We then extracted measured indices and clinical outcomes from the selected articles and categorized the relevant criteria. Results According to this study, the hospital for special surgery and knee society, range of movement angle, cross leg, Berg balance scale and balance ability, muscle strength, 6 minutes walking test, visual analogue scale, self-efficacy, the 12-item and 36-item short form survey and self-rated health status are the most commonly used outcomes of knee. Conclusions This study found that the several categories after total knee replacement (TKR) are being evaluated in the literature, and we were able to verify the most frequently used evaluation indices in these categories. The results of this study will be used to establish evaluation indices for the treatment of TKR in the future using Korean medicine.

• 대한한방내과학회지
• /
• 제40권1호
• /
• pp.126-135
• /
• 2019

Background: Because of fear of reoperation and low efficiency, some patients with failed back surgery syndrome (FBSS) opt for Korean medicine treatment. Gold standard treatment is not present for FBSS, therefore both surgical and non-surgical treatment are possible. Studies of Korean conservative medicine for FBSS had a short duration of treatment and mainly pre- and post-treatment comparisons. And case of female patients who have worsened after childbirth is rare. The purpose of this study was to report long-term follow-up and rare cases of FBSS. Case summary: A 33-year-old female patient diagnosed with lumbar disc herniation complained with low back pain and radicular pain in the left leg after surgery in 2011. Acupuncture and decoction (Cheongpa-jeon, GCSB-5) were administered to her twice a day for about 6 years and 6 months. The patient's complaints improved with each hospitalization, and Magnetic Resonance Imaging (MRI) showed a slight decrease in the size of the recurrent disc (L4/5) and a newly developed disc (L5/S1) that had deteriorated after delivery. Conclusion: Korean medicine could be used to manage the pain of lumbar spine FBSS patients for 6-7 years and to alleviate lumbago after delivery.

• The Korean Journal of Pain
• /
• 제35권1호
• /
• pp.97-105
• /
• 2022

Background: Percutaneous transforaminal endoscopic discectomy (PTED) has been widely used in the treatment of lumbar degenerative diseases. Epidural injection of steroids can reduce the incidence and duration of postoperative pain in a short period of time. Although steroids are widely believed to reduce the effect of surgical trauma, the observation indicators are not uniform, especially the long-term effects, so the problem remains controversial. Therefore, the purpose of this paper was to evaluate the efficacy of epidural steroids following PTED. Methods: We searched PubMed, Embase, and the Cochrane Database from 1980 to June 2021 to identify randomized and non-randomized controlled trials comparing epidural steroids and saline alone following PTED. The primary outcomes included postoperative pain at least 6 months as assessed using a visual analogue scale (VAS) and the Oswestry Disability Index (ODI). The secondary outcomes included length of hospital stay and the time of return to work. Results: A total of 451 patients were included in three randomized and two non-randomized controlled trials. The primary outcomes, including VAS and ODI scores, did not differ significantly between epidural steroids following PTED and saline alone. There were no significant intergroup differences in length of hospital stay. Epidural steroids were shown to be superior in terms of the time to return to work (P < 0.001). Conclusions: Intraoperative epidural steroids did not provide significant benefits, leg pain control, improvement in ODI scores, and length of stay in the hospital, but it can enable the patient to return to work faster.

• 한국의상디자인학회지
• /
• 제24권3호
• /
• pp.49-61
• /
• 2022

This study aims to provide upper body shape information by analyzing the measurement data of middle-aged women aged 50-69, including baby boomers, whose economic power and activity have improved compared to the previous generations. In order to provide accurate upper body shape information by analyzing the body type using the 8th Size Korea measurement data, body shapes were classified through factor and cluster analysis using 75 direct measurement items. Upper body type was classified according to the factors, and the associated characteristics were analyzed. As a result of the comparative analysis of the upper body measurements from the 4th to the 8th Size Korea measurement, it was found that in the height item, both the waist height and the hip height increased, making the overall height greater and the leg length longer. The body circumference items tended to increase, but were found to decrease significantly in the 8th Size Korea (2021) measurement. Middle-aged women were classified using five factors. Factor 1 was the upper body obesity factor, and Factor 2 was the trunk vertical factor. Factor 3 was the width of the back shoulder, Factor 4 was the vertical factor behind the back, and Factor 5 was the length factor of the front garment composition. Middle-aged women were classified into four body types through cluster analysis. Type 1 is relatively small and skinny, Type 2 has the most obese upper body and developed back shoulders, and Type 3 is skinny and has a long back and short front. In Type 4, the upper body was relatively long and the shoulders were narrow.

• The Journal of Korean Physical Therapy
• /
• 제33권1호
• /
• pp.7-15
• /
• 2021

Purpose: This study was examined to improve the standing posture of a scoliosis client using the ICF Tool. Methods: For examination, the study subject was a 16-year-old female student diagnosed with 3curve-pelvic (3CP) type scoliosis. Information about her were collected through a client interview and based on international Classification of Functioning, Disability and Health (ICF). The ICF core set was for post-acute musculoskeletal conditions, and the ICF level 2 items suggested by National Rehabilitation Information Center (NARIC) were added to the recommendations for scoliosis. For evaluation, the ICF assessment sheet was used to identify the interaction among the problems. For the diagnosis, the client's functional problems were described in ICF terms. For the prognosis, the global goals for reaching the client's functional activity and participation level were presented as the long-and short-term goals. For the intervention, a coordinative locomotor training program composed of warm-up, main exercise, and cool-down was applied 3 times a week, 50 minutes a day, for 5 weeks. For the outcome, the differences between before and after the intervention were compared with the ICF qualifier and are shown with the ICF evaluation display. Results: Clinical advantages were observed in body function and structure (7° decrease of thoracic angle, 7 score increase of trunk muscle power, 6.47s improve of one leg standing, 4 score decrease of neck pain). The activity for maintaining the standing posture, in which the client had a primary limitation, was improved. Conclusion: Applying the coordinative locomotor training program is expected to improve scoliosis client's standing posture.

• 대한소아치과학회지
• /
• 제33권1호
• /
• pp.116-121
• /
• 2006

가족성 저인산혈증(famiial hypophosphatemia)은 근위 세뇨관의 인산 재흡수 기전의 결핍으로 혈청 칼슘 농도는 정상이나 혈청 인산 농도가 낮아져 저인산혈증을 나타내는 가장 흔한 유전성 구루병이다. 혈청 인산이 낮음에도 불구하고, 소변으로의 인산 배출이 증가되어 있고 혈청 알칼리성 인산 분해 효소의 상승이 현저하다. 주로 반성 우성 유전이며 보통 남아에서 여아보다 임상 증상이 심하다. 이러한 가족성 저인산혈증 환자의 전신적 소견으로는 앞이마의 돌출, 사각형 머리, 작은 키, 휜 다리가 나타나며, 치과적 소견으로 치조백선과 치낭의 비박, 얇은 법랑질 확장된 치수강과 근관, 치근단 농양과 치주 농양의 높은 발생률, 원인불명의 치근단 희박화 골염이 나타난다. 본 증례는 유치 충치 치료를 위해 내원한 환아가 임상적으로 작은 키와 휜 다리, 방사선적으로 많이 확장된 치수강과 근관이 관찰되어 소아과에 의뢰한 바 가족성 저인산혈증으로 진단받아 그 임상적 소견과 치과적 치료에 대해 보고하는 바이다.

• 한국초지조사료학회지
• /
• 제38권4호
• /
• pp.343-348
• /
• 2018

In this study, the effect of daily short-distance walking exercise on milk production and metabolic status of the lactating dairy cows was investigated. The experiment was conducted with 10 lactating dairy cows comprising 2 groups (5 dairy cows/group), which were walking activity and non-walking activity. The walking activity (WA) group lactating dairy cows walked outdoors for 1 km/d, and the non-walking activity (non-WA) lactating dairy cows were maintained within a cowshed from $18^{th}$ April to $30^{th}$ May. The activity volume of the neck was not significantly different between the groups, but the activity volume of the leg was higher in WA group compared with non-WA (p<0.05). The rectal temperature was higher in the WA group ($38.6^{\circ}C$) compared with non-WA ($38.2^{\circ}C$) (p<0.05). No significant differences in dietary NE intake, milk production and milk composition were found between the groups. The plasma cortisol concentration was higher in WA group ($2.14{\mu}g/dl$) compared to non-WA ($0.95{\mu}g/dl$) (p<0.05). However, plasma cortisol level of WA dairy cows was significantly decreased as compared with non-WA cows. On the contrary, the level of plasma melatonin was increased in WA cows than that of non-WA dairy cows. It may be interpreted as a change in physical fitness. From this study, we suggest that walking activity can be improved energy balance. Further investigation is needed to determine whether different combinations of distance, rate or doing in morning or afternoon will stimulate energy balance.

• 디지털융복합연구
• /
• 제14권5호
• /
• pp.445-457
• /
• 2016

본 연구는 골반변위에 따른 신체 불균형에 대한 톰슨터미널테크닉과 근에너지기법의 교정 효과의 비교분석을 하는 것을 주목적으로 하고 이에 가능하면 효율적인 치료의 방법을 제시하고자 하였다. 연구대상자는 톰슨실험군, 근에너지실험군 및 정상군으로 구성되었으며 각 집단별 남녀 각 5명씩 총 10명이 무작위로 배정되었으며 톰슨실험군은 카이로프랙틱의 톰슨터미널테크닉을 사용하여 교정효과와 교정 후 유지효과를 측정하였다. 톰슨터미널테크닉과 근에너지기법의 경우 43.01%p 정도의 효과 차이가 있다. 골반변위의 교정에는 톰슨터미널테크닉을 활용한 경우가 근에너지기법 및 정상군에 비해 효과가 크다 할 수 있다. 결과적으로 톰슨터미널테크닉과 근에너지기법을 신체 불균형 교정에 사용하는 것은 효과적이며 톰슨터미널테크닉만으로도 효과가 있지만 최대의 효과를 내기 위해 톰슨터미널테크닉 교정 후 근에너지기법을 적용하는 것이 바람직할 것으로 사료된다.

• Korean Journal of Acupuncture
• /
• 제24권2호
• /
• pp.61-76
• /
• 2007

Objectives : Accurate and reproducible location of an acupuncture point (AP) have been considered an essential component of meaningful acupuncture research as well as clinical practice. Several kinds of devices have been developed and widely used for the convenience of locating APs. However, the accuracy and convenience of these devices have not been systematically evaluated. The present study was performed to find out the most suitable tools for the location accuracy and location easiness of APs among the devices respectively. Methods : Twenty subjects attempted to locate APs, including PC5 and SP6 in the arm and leg, using four different AP positioning methods: one Conventional Ruler method and three alternative methods including Cunometer, Transparent AP meter, and Elastic Ruler method. The position marked on each AP was plotted onto a thin, flexible, and transparent plastic film, and the dispersion rate of the positions was determined and recorded. The elapsed time for locating each AP was measured. After that each subject was answered to a short questionnaire regarding the degree of convenience and confidence of use of each method for AP location. Results : All of three alternative methods took less time than Conventional Ruler method did. Among these alternative methods, the accuracy of Elastic Ruler method was markedly higher than others. The degree of convenience of the Cunometer and the confidence of Elastic Ruler method were the highest among these alternative methods. Conclusions : The present study indicates that the Elastic Ruler method was the most compatible for the conventional Ruler methods. However, there are many factors need to be reconsidered. Improved devices for locating AP are imperatively needed for clinical practice.

• 대한한방내과학회지
• /
• 제11권1호
• /
• pp.93-107
• /
• 1990

Studies on diagnosis and treatment of tumor . abscess . ulcer in intestinal carbuncle were carried out. The result of studies were summerized as follows: 1. By Nai-Gyung carbuncle-tumor arose from disharmony between nutrient and defensive because of cold, abscess arose from fever victory between cold and fever, ulcer arose from decreasing function of Bi-Kam year. By latter literature Bi-Kam year could be interpreted that spleen stomach was invaded evil influence from unattainable vital force of the earth. 2. Sites of intestinal carbuncle were large intestine, small intestine, intestinal inside or outside between large and small intestine, Intestinal carbuncle was common name of a disease about large intestinal carbuncle, small intestinal carbuncle, pelvic intestinal carbuncle, shrink leg intestinal carbuncle etc.. Pain appeared Chunchu-Hyul in large intestinal carbuncle, and Gwanweon-Hyul in small intestinal carbuncle. 3. On abdominal diagnosis tumor had indistinct pain of Gwanweon Chunchu, edema and heary feeling in low abdomen, no excessive pain by hand press and intestinal boiling sound. In abscess pain descended from right side of low abdomen to huckle, and there was rejection against press, feeling about fever,water sound with flank movement. In ulcer hand approach was difficult since excessive pain diffuse to whole abdomen, and perforating ulcer sometimes caused a serious symptom of umbilical pus. 4. On fecal and urinary diagnosis in tumor urine was yellowish red pollakiuria like gonorrhoea and occasional constipation. In abscess uncomfortable rough pain short red early urine like gonorrhoea appeared during urination, and constipation with stinging pain appeared during defecation. In ulcer red rough pyuria appeared, and stinging and pain with puruloid blood appeared during defecation. 5. On treatment in tumor Daiwhang-Tang Daisenggi-Tang Dangui-Jun by dissipation method, calming down method, interior reliance maturation method, in abscess Mokdan-San Euiiin-Tang Jeokduiin-Tang by the method of water repelling pus discharge, acute breaking, in ulcer Takridanggui-Tang Paljin-Tang Bojungikki-Tang were each used by the method of interior reliance, virulence astriction, supplement vital force and blood, supplement spleen stomach. 6. On treatment patient may have to be careful of excessive moving and suprising anxiety. Abuse of acupuncture and moxibustion made patient worse, misuse of analgesics purgative intestinal irrigation etc. could provoke difficult diagnosis and perforation. So you must treat after exact diagnosis. 7. Prognosis of ease tumor ease abscess ease ulcer and ease astriction was good. If the intestinal carbuncle were not to promote to abscess and ulcer for a long time, its prognosis was bad and it could metastasize to cancer because of dark purple with hardness. So tumor abscess ulcer in intestinal carbuncle may be significant of precancerous lesion.