• 제목/요약/키워드: Therapy's Effectiveness

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경추 신경근증 환자에 있어서 봉약침 치료의 효과에 대한 임상적 고찰 (A clinical study on the patient of Cervical radiculopathy by Bee-venom threapy)

  • 이길숭;이건목;염승철
    • Journal of Acupuncture Research
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    • 제22권3호
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    • pp.201-213
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    • 2005
  • 봉약침(蜂藥鍼)을 위주로한 한의학적 치료로 경추 신경근 병변의 3증상(일측의 경부 동통과 상완부의 방사통, 수부나 수지의 지각이상)을 호소하는 환자(患者)들을 치료하면서 시각적상사척도(Visual Analogue Scale, VAS), JOA score 및 Odom의 평가기준에 따른 호전 양상을 측정한 결과 다음과 같은 결론을 얻었다. 1. 객관적 치료 성적을 살펴보면 Excellent인 경우가 7예(50%)로 가장 많았으며, Good이 4례 (28.57%), Fair가 3예(21.43%)의 순이며, 불량으로 평가된 경우는 하나도 없었다. 2. 시술 전 pain rate의 평균 8.82(${\pm}1.27$)에서 시술 후 평균 3.25(${\pm}2.21$)로 평균 차이가 5.57로 매우 유의성 있는 차이를 보였으며(p=0.000), 이는 객관적인 호전율과도 일치하였다. 3. 시술 전 JOA score의 평균이 11.00(${\pm}1.57$)에 서 시술 후 평균 12.79(${\pm}0.58$)로 평균 차이가 1.79로 매우 유의성 있는 차이를 보였다 (p=0.000). 4. 시술 전후의 성별, 나이, 수지비증유무, Disc Type에 따른 pain rate에는 유의한 차이가 없다. (P<0.05) 5. 시술 전후의 성별, 연령별, Disc Type 에 따른 JOA score는 유의한 차이가 없으나 (p<0.05), 수지비증유무에 따른 JOA는 유의한 차이가 있었다(p=.025). 수지비증이 있는 경우 가 좀더 유의하게 증가하였다. 이상의 결과로 보아 봉약침(蜂藥鍼) 위주로 한 한의학적 치료가 경추 신경근 병변을 호소하는 환자에게 유의한 효과가 있었으며 다른 한방적 보존적 요법과 더불어 시행시키면 전반적인 경추의 퇴행성 변화에 대한 치료(治療)에 더욱 더 유익하리라 판단된다.

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뇌신경질환에 사용된 레이저 및 광선치료에 대한 임상 연구 고찰 (Review on Laser or LED Therapy for the Photobiomodulation of Diseases of the Cerebral Nervous System)

  • 이경구;신종훈;이경진;선승호;한창호;장인수
    • 대한한방내과학회지
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    • 제35권4호
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    • pp.546-555
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    • 2014
  • Objectives: Recently, many studies have reported beneficial effects from the application of laser and light-emitting diode (LED) therapy for cerebral nervous disease. Transcranial laser therapy and LED therapy may be an effective method to treat diseases of the cerebral nervous system. This study aims to discuss the possibility of laser and LED therapy for cerebral nervous disease by reviewing literature about its effectiveness. Methods: We searched papers using PubMed, Science Direct, CINAHL, KTKP, Oasis and NDSL, using the keywords "Laser therapy, low-level", "Transcranial laser", "Transcranial light emitting diode" and "stroke", "traumatic brain injury", "dementia", "anxiety", "cognitive", "emotional effects", "psychiatric disorder", "multiple sclerosis", "Parkinson's disease". The search range included randomized controlled trials (RCTs) and clinical case series. Reviews and animal experiments were not included. Studies not matched with inclusion criteria were excluded. Results: A total 1,119 studies were found. 1,100 were excluded from scanning titles and abstracts and finally 9 articles were selected. Among the 9 articles, 5 were RCTs, one was a controlled study, and the other 3 were case reports. They reported that transcranial laser therapy and LED treatment had beneficial effects from photobiomodulation to the cerebral nervous system. Clinical evaluation factors showed favorable trends. Conclusions: Transcranial laser therapy and LED therapy seem to be effective to the cerebral nervous system and they may be a favorable choice for cerebral nervous disease.

지역사회에 거주하는 노인을 대상으로 한 한글판 동적보행지수의 타당성 (Validation of the Korean Translated Dynamic Gait Index in Community-Dwelling Elderly)

  • 박소연;황수진
    • 한국전문물리치료학회지
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    • 제17권1호
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    • pp.43-52
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    • 2010
  • The Dynamic Gait Index (DGI) was developed and widely used as a clinical tool to assess balance performance during gait. The purpose of this study was to validate the Korean translated DGI using Rasch analysis. A total of 105 community-dwelling elderly was participated in this study (age range = 65~95 years; mean = 78.0 years). The translated DGI showed sound item psychometric properties, and the 8 items were arranged in order of difficulty for the total participants. The most difficult item was 'Steps' and the easiest item was 'Level surface'. Also, each of the original 4 rating scale categories satisfied the Linacre's essential criteria suggestions for optimal rating scale category effectiveness. Although, thirty eight person (36.2%) showed the maximal high score, but the most of them was no history of fall in the preceding year. For subjects who has falling history, all of the person's ability was arranged within the item's difficulty. The 8-item Korean translated DGI can be used to measure gain in elderly person with balance disorders without compromising important clinical measurement characteristics in Korea.

미국 임상영양치료(MNT)의 법제화 과정 및 수가 체계 (A Review of the Medical Nutrition Therapy (MNT) of the U.S. Medicare System)

  • 박은철;김현아;이해영;이영은;양일선
    • 대한지역사회영양학회지
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    • 제7권6호
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    • pp.852-862
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    • 2002
  • The purposes of this study were 1) to review the Medical Nutrition Therapy (MNT) Act of the United States, 2) to introduce the efforts of the American Dietetic Association (ADA) to expand the Medicare coverage for MNT and 3) to provide information about the reimbursement under Medicare Part B for the cost of MNT. The MNT Act defined MNT services as “the nutritional diagnostic, therapeutic, and counseling services provided by a Registered Dietitian or nutritional professional for the purpose of managing diabetes or renal diseases”. Also, the MNT Act defined “conditions for coverage of MNT”, “limitations on coverage of MNT”, and “qualifications of MNT service provider”. To expand the coverage of Medicare to include MNT, the ADA realized the need for development of a protocol for MNT, as well as studies to evaluate the effectiveness and cost-effectiveness of the MNT protocol developed. Therefore, the ADA supported the studies to develop a strong database of scientific investigations of nutritional services. Furthermore, the ADA needed credible data that could be used by Policy makers, so the ADA contracted with the Lewin Group to if out the study to gather the additional data needed to strengthen the ADA's position. In the report of the Lewin Group, which was entitled, “The Cost of Covering Medical Nutrition Therapy under Medicare : 1998 through 2004”, it was concluded, that if coverage for MNT in the Part B portion of Medicare had begun in 1998, by 2004, approximately $ 2.3 billion would have been saved through reduced hospital spending under Part A of Medicare ($ 1.2 billion) and reduced physician visits under Part B ($ 1.1 billion) Effective January 1 2002, the US Congress extended Medicare coverage to include MNT to beneficiaries with diabetes or renal diseases. The Centers for Medicare and Medicaid Services (CMS) established the duration and frequency for the MNT based on published reports or generally accepted protocols (for example, protocols suggested by the ADA). The number of hours covered by Medicare is 3 hours for the initial MNT and 2 hours for a follow-up MM. In 2002, a Medicare coverage policy was made to define the Physician's Current Procedural Terminology (CPT) codes 97802, 97803, and 97804 for MNT.

수지침요법이 중년여성의 비만지표에 미치는 영향 (Influence of the Koryo Hand Acupuncture Therapy on the Obesity Index of Middle-age Women)

  • 차지영
    • 성인간호학회지
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    • 제22권6호
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    • pp.615-623
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    • 2010
  • Purpose: The purpose of this study was to evaluate the influence of the Koryo Hand Acupuncture Therapy on middle-age women s obesity index. Methods: A total of 38 middle-age women were assigned to either a control or an intervention group. The intervention group received Koryo Hand Acupuncture Therapy three times a week for ten weeks. The two sample t-test was used to compare the body mass index, fat mass, and waist-to-hip ratio between the intervention (n=18) and the control group (n=20). Results: In both groups, body mass index did not change significantly following the intervention. The intervention group lost $1.00{\pm}1.10kg$ of fat mass (p=.00) and the decrease was significant between the intervention and control group (p=.00). Both groups had increase in waist-to-hip ratio, however, the increase was only significant for the control group (p=.00). Conclusion: The application of Koryo Hand Acupuncture Therapy influenced the change of fat mass, but not clinically significant. It may be useful to repeat the study and to examine other factors that may have interfered with the effectiveness of the intervention. The use of Koryo hand acupuncture therapy should be further studied.

안침요법(眼鍼療法)에 관(關)한 문헌적(文獻的) 연구(硏究) (The literature Study on Yanzhen Therapy(眼鍼療法))

  • 이정태;이병열
    • Journal of Acupuncture Research
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    • 제18권3호
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    • pp.171-183
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    • 2001
  • Objective : To study the effects and merits of the Yanzhen Therapy(眼針療法), Method : We researched through studying 28 kinds of literature. Result : 1. The Division of Eye Region(眼區分劃), the Position of Yanxue(眼穴定位) and the mutual connection with Internal Organ(臟腑) during the Yanzhen Therapy(眼鍼療法) were made according to Huata's Thesis, and were made by combining Neijing(內經) Theory about eyes, Yinyang and Five Elements(陰陽五行) Theory, Meridian & Zang-Xiang Theory(經絡臟象學說), the Five Circles & Eight Regions(五輪八廓學說) Theory, and the Zhouyi Eight Diagrams(周易八卦) Theory. 2. The assignment between the Internal Organ and Eye-Division(眼區分劃) was formed on the basis of the Five-Circles and Eight-Regions Theory in Ophthalmology(眼科五輪八廓學說) of Zhengzhizhunsheng(證治準繩). 3. The Assignment(排列) & Position(方位) of the Congenital Eight Diagram(先天八卦) and the Acquired Eight Diagram(後天八卦) have influenced the Division of Eight Eye Region(眼鍼八區) and the Position of Yanxue(眼穴定位) significantly. 4. It showed no difference with the Map of Eye Position of Eight-Division(八廓眼位圖) like as Shenshiyaohan(審視瑤函), Yinhaizhinan(銀海指南) and Sanzijing of Ophthalmology(眼科三字經). Conclusion : While combining organically with other methods of acupuncture, the Yanzhen Therapy(眼鍼療法) may have better clinical effectiveness, and is also expect to expand the clinical indication.

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회음혈 봉약침 치료와 팔료혈 자침을 통한 만성전립선염/만성골반통증 증후군 치험 1례 (A Case Report of Chronic Prostatitis/Chronic Pelvic Pain Syndrome Treated with Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment)

  • 박도연;문향란;노희정;전상윤
    • 대한한방내과학회지
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    • 제44권3호
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    • pp.536-543
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    • 2023
  • Objectives: The purpose of this study was to report the effectiveness of Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment in the management of chronic prostatitis/chronic pelvic pain syndrome. Methods: A patient with chronic prostatitis/chronic pelvic pain syndrome underwent Korean medical treatment, including Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment. The severity of symptoms was assessed with a daily visual analog scale (VAS) for orchialgia and lower abdominal pain. In addition, we measured the National Institutes of Health Chronic Prostatitis Symptom Index (NIH-CPSI) on the first and last days of visit. Results: The patient's symptoms were improved after treatment. The severity of orchialgia was reduced from VAS7 to VAS2, and lower abdominal pain was improved from VAS6 to VAS1. NIH-CPSI decreased from 21 to 5. Conclusion: Hoeeum Bee-venom Therapy and Balio Acupuncture Treatment are effective in treating chronic prostatitis/chronic pelvic pain syndrome.

절개침법을 적용한 자가면역질환 흉터 치료 1례 (A Case Report on Scars from Autoimmune Disorder Treated with Incisional Needle Therapy)

  • 조주연;임태경;김민희
    • 한방안이비인후피부과학회지
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    • 제37권1호
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    • pp.107-112
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    • 2024
  • Objectives : This case report aims to demonstrate the effectiveness of incisional needle therapy in treating facial scars resulting from autoimmune disorder. Methods : A single case of a 29-year-old female patient with facial scars due to systemic sclerosis was treated with incisional needle therapy. The treatment was applied over 14 sessions from February to September 2023. The efficacy of the treatment was evaluated using clinical photographs and the Physician's Global Assessment(PGA). Results : The treatment significantly improved scar appearance and reduced blood vessel visibility. The PGA scores, with an average of 2.66, indicating moderate improvement. Conclusions : Incisional needle therapy demonstrated potential as an effective treatment for scars caused by autoimmune disorders, due to minimal side effects and non-interference with ongoing treatments. It offers a promising alternative to conventional treatments, suggesting a need for further research for wider applications.

Effectiveness of Acceptance and Commitment Therapy on Life Expectancy of Female Cancer Patients at Tehran's Dehshpour Institute in 2015

  • Ghasemi, Farahnaz;Dehghan, Fateme;Farnia, Vahid;Tatari, Faeze;Alikhani, Mostafa
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권8호
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    • pp.4113-4116
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    • 2016
  • Background: Acceptance and commitment therapy (ACT) increases the psychological flexibility of people afflicted with cancer, and consequently improves their adaptability. The present research was conducted with the aim of determining the effectiveness of ACT for people afflicted with cancer. Materials and Methods: The present research was of semi-pilot type with a pre-test and post-test plan for the proof group. The demographics of the community were composed of all the women with cancer who were under treatment in Tehran's Dehshpour therapeutic center in 2015. The sample was composed of 24 people who were selected as available and chosen randomly in two groups of test and proof. All the participants responded to Snyder questionnaire in two pre-test and post-test stages, and the test group participated in treatment sessions after conducting the pre-test. Results: After collecting the information, data analysis was conducted in two description and inferential levels. The test results of covariance analysis showed that the two groups' hope was meaningfully different. Hope in the test group, compared to the proof group, increased meaningfully. Conclusions: The results show that the ACT is effective in increasing hope of patients with cancer.

특수교육지원센터에 기반을 둔 작업치료서비스 전문가의 중재모델 사용 (Using an Intervention Model for Occupational Therapy Service Specialist Based on a Special Education Supporting Center)

  • 김세연;김수정
    • 한국콘텐츠학회논문지
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    • 제11권4호
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    • pp.225-234
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    • 2011
  • 본 연구는 교육기반 작업치료 서비스 전문가가 사용하는 중재모델, 중재장소와 중재시간, 중재모델 선택시 고려사항, 중재모델과 중재 영역 간에 상관관계를 알아보기 위해 특수교육지원센터에 근무하고 있는 작업치료사와 작업치료를 전공한 치료교사를 대상으로 설문지를 발송하고, 회수한 총 46부를 분석에 사용하였다. 연구결과 첫째, 학생의 수행 기술을 향상시키는데 초점을 둔 개별치료 모델을 자주 사용하였다. 둘째, 아동수행을 향상시키는 중재모델과 다른 팀 전문가에게 작업치료의 중요성을 인식시킬 수 있는 모델로 개별 치료를 선택하였다. 셋째, 중재모델을 선택하는 요인으로 수행구성요소의 결함과 팀 책임자의 마인드를 들었다. 넷째, 중재모델의 효과성에 대한 학교작업치료사의 의견과 적용시간, 중재 영역과 중재모델 적용시간 간에 유의한 상관관계는 나타나지 않았다. 연구결과를 종합해 보면 학교기반 작업치료사는 여전히 의료모델에 가까운 중재모델을 사용하는 것으로 나타나 학교기반에 효과적인 중재모델을 개발하고 적용하는 연구가 필요할 것이라 생각된다.