• 제목/요약/키워드: lumbar HIVD

검색결과 90건 처리시간 0.025초

추간판 탈출증의 수핵 탈출부위와 요근의 좌우 단면적 넓이와의 상관관계 (A Study on Correlation between the Axial Section Area in Psoas Major Muscle and Nucleus Discharge Part of HIVD of L-spine)

  • 김형길;이동은;조웅희;김두희;박원형;차윤엽;최가영
    • 한방재활의학과학회지
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    • 제21권4호
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    • pp.111-118
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    • 2011
  • Objectives: This study was designed to correlation between the axial section area in psoas major muscles and uncleus discharge pat of HIVD(herniated intervertebral disc) of lumbar(L)-spine. Methods: We measured the axial section area in psoas muscles. Then through the medical charts, we investigated nucleus discharge pat of HIVD of L-spine. We analyzed the relationship between them. Results: There was no significant correlation nucleus discharge part and psoas major muscle's axial section area. There was significant correlation aging and psoas major muscle's axial section area with control the sex. Conclusions: According to above results, there was no significant the area of axial section in psoas major muscles and nucleus discharge part of HIVD of L-spine.

Sacralization를 동반한 급성 요추 추간판탈출증 환자를 요방형근 MST를 비롯한 한방치료를 통하여 치료한 치험 1례 (The Clinical Report of the chronic HIVD Patient with Sacralization Treated with Quadratus Lumborum MST(Motion Style Treatment) & Korean Medicine Treatment)

  • 김문휘;배영현;김호선;김해솔;김재영;김성환;이상건
    • 척추신경추나의학회지
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    • 제9권2호
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    • pp.11-19
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    • 2014
  • Objectives : The Purpose of this study is to investigate the clinical application of conservative treatment including quadratus lumborum MST for lumbar HIVD(Herniated Intervertebral Disc) with sacralization. Methods : We used acupunture, herbal acupuncture, herbal medicine, Quadratus Lumborum MST for this patient. This patient received hospital treatment for 25 days. Results : After conservative treatment, the patient's pain was controlled and NRS score was decreased. ODI and ROM also were improved. Conclusions : Oriental conservative treatment including quadratus lumborum MST has a positive effect to control pain of lumbar HIVD(Herniated Intervertebral Disc) with sacralization.

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Change in Radiating Leg Pain After Traffic Accidents in Patients With and Without Herniated Intervertebral Disc

  • Youn, Deok-Won;Jeong, Hui-Gyeong;Kwon, Oh-Hoon;Choi, Ji-Hoon
    • Journal of Acupuncture Research
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    • 제34권4호
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    • pp.185-189
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    • 2017
  • Background: The aim of this study was to assess the change in radiating leg pain after traffic accidents in patients with and without herniated intervertebral disc (HIVD) and improvement of radiating leg pain after traffic accidents. Methods: This was an retrospective study of 188 patients. Patients who had been admitted to the Hospital of Korean Medicine with the complaint of radiating leg pain after traffic accidents, and who had undergone lumbar spine magnetic resonance imaging to determine the presence or absence of HIVD were observed from April to June 2016. We analyzed sex, age, length of admission, direction (to a single leg or to both legs) and locations, (medial, anterior, lateral or posterior side of the lower limb) of radiating leg pain, presence or absence of HIVD, and number, grade and position of HIVD. The Numeric Rating Scale (NRS) and Oswestry Disability Index (ODI) were used to evaluate the impact of radiating leg pain on patients. Results: Radiating leg pain NRS score decreased significantly in both the HIVD group (from $6.12{\pm}2.39$ to $4.31{\pm}1.87$, p < 0.001) and the no HIVD group (from $5.76{\pm}1.64$ to $3.85{\pm}1.41$, p < 0.001). ODI score also decreased significantly in both groups (HIVD, from $44.67{\pm}17.38$ to $26.83{\pm}13.18$; no HIVD, from $39.24{\pm}15.58$ to $19.69{\pm}12$.; both p < 0.001). Conclusion: There was no significant change in radiating leg pain after traffic accidents in patients with and without HIVD and improvement of radiating leg pain after traffic accidents.

추나요법에서 복와위 요천관절 신연기법에 대한 제언 (Suggestion of Sacral Lumbar joint distraction technic with prone position in Chuna Manual Therapy)

  • 차윤엽
    • 척추신경추나의학회지
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    • 제15권1호
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    • pp.115-119
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    • 2020
  • Objectives : This study aimed to introduce a new sacral lumbar joint distraction technique in the prone position in Chuna manual therapy for effective lumbar distraction. Methods : The patient was placed in the prone position. Next, clinicians contacted the sacrum and L1, L2, L3, L4 and L5 spinal processes. Then they were pulled in the direction of the head and leg respectively while pressing down with 30% force to maintain the lumbar lordosis. This is a more effective and safer lumbar distraction technique according to the latest knowledge. Conclusions : This technique can be used for lumbar disc herniation in addition to relaxing the existing lumbar muscles, and is suggested to be used as a safe and effective Chuna manual therapy.

급성기 요추간판탈출증에 있어 봉약침 치료의 효과에 대한 비교 연구 (The Comparison of Effective between Acupuncture and Bee Venom Acupuncture on the Treatment of Acute Lumbar Herniation of Intervertebral Disc)

  • 차정호;장소영;이태호;위종성;이은용
    • 대한약침학회지
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    • 제9권2호
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    • pp.67-71
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    • 2006
  • Objective : Herniation of Intervertebral Disc(HIVD) is the most common disease causing low back pain. Acupuncture and Bee Venom Acupuncture has been us ε d for treatment of HIVD. This study is to investigate the effective of Bee Venom Acupuncture for HIVD. Methods : We researched 18 patients who were diagnosed by CT and MRI as having HIVD, and treated them Acupuncture only or Acupuncture and Bee Venom Acupuncture. We compared the VAS and ROM angle of two groups. Results & Conclusions : 1. In admission date, no significant improvement between Acupuncture group and Bee Venom Acupuncture group 2. In variation of flexion and extension, Bee Venom Acupuncture group shows statistically significant improvement 3. In VAS, Bee Venom Acupuncture group shows statistically significant improvement for 1 week and discharge day

요추간판 탈출증에 동반된 편측 족하수 환자 치험 2례 - 장비골근 침치료 중심으로 (A Clinical Study of Two Foot Drop Patients with Herniated Intervertebral Lumbar Disc treated by Acupuncture Treatment on Peroneus Longus Muscle)

  • 이한;조재희;이효은;정호석;김은석;한경완;양동호;유인식
    • 척추신경추나의학회지
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    • 제4권2호
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    • pp.173-184
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    • 2009
  • Objectives : The purpose of this study is to report clinical effects of oriental medical treatments with acupuncture treatment on peroneus longus muscle for two patients with foot drop by Herniated Intervertebral Lumbar Disc(HIVD). Method : The patients were diagnosed as HIVD, and were treated by oriental medical treatments including acupuncture treatment on peroneus longus muscle. And we measured Visual Analogue Scale(VAS), Range of Motion (ROM) of ankle joint, Manual Muscle testing(MMT) and checked the subject power of ankle joint. Result : After acupuncture treatment on peroneus longus muscle, the movement and power of ankle joint were improved in two cases. Conclusion : Acupuncture treatment on peroneus longus muscle showed significant effect on two patients with foot drop patients by HIVD.

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요추 추간판탈출증 환자에 대한 봉약침과 CS약침을 병행한 한의학적 복합치료 효과에 대한 증례보고 (Case Report of Two Cases on Effect of Combined Bee Venom and CS Pharmacopuncture with Koream Medicine Treatment on HIVD of L-spine)

  • 황지혜;김덕현
    • Korean Journal of Acupuncture
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    • 제35권4호
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    • pp.239-246
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    • 2018
  • 2017년 12월 29일부터 2018년 7월27일까지 가천대 부속 길한방병원에서 MRI상 요추 추간판탈출증 진단 받고 보존적 치료위해 내원하신 요추 추간판탈출증 환자 중에서 요통 및 하지방사통에 대하여 CS약침과 봉약침의 상호보완 치료를 포함한 한의학적 복합치료를 시행한 2건의 증례에 있어서, NRS, ODI, RMDQ의 호전양상을 확인하였다. 그리고 개인마다 차이가 있었지만, CS약침으로 방사통을 유발하는 치료를 통한 요각통에 대한 강한 진통효과를 확인할 수 있었고, 봉약침은 자입시 통증이 거의 없고 제반증상 호전 및 치료후기 관리에 좋은 것으로 사료되었다. 약침반응은 CS약침의 경우 시술시의 뻐근한 느낌, 봉약침의 경우 시술초기 가려움 및 발진 등의 반응이 간헐적으로 발생되었으며, 대부분 수시간~2일 이내에 소실되었다.

요통과 하지방사통을 호소하는 요추 추간판 탈출증 환자의 전침 치료 효과 연구 (A Clinical Study on Effect of Electro-acupuncture Treatment for Low Back Pain and Radicular Pain in Patients Diagnosed with Lumbar HIVD)

  • 임수진;박상원;이준석;이슬지;김기원;남지환;이민정;전재윤;송주현
    • 척추신경추나의학회지
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    • 제7권2호
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    • pp.119-129
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    • 2012
  • Objectives : The purpose of this study was to evaluate the effect of electro-acupuncture treatment for low back pain and radicular pain in patients diagnosed with Lumbar HIVD. Methods : This clinical study was carried out on 92 patients with low back pain and radicular pain diagnosed with HIVD, who had been admitted from Mar. 2011 to Dec. 2011. 60 patients were divided into two groups, group A and group B, of 46 patients each. Group A was treated with electro-acupuncture treatment and general acupuncture treatment twice per day for more than 2 weeks. Group B was treated with general acupuncture treatment twice per day for more than 2 weeks. Verbal numerical rating scale(VNRS) and Oswestry disability index(ODI) were used to evaluated the effectiveness of the Oriental medical treatment. Results : In both two groups, VNRS, ODI, patient's condition grade decreased significantly in ststistics as treatment was perfomed. Between the two groups there was no significant difference in the VNRS, patient's condition grade. But there was significant difference in the ODI. Conclusions : These results suggest that both electro-acupuncture and general acupuncture were effective in reducing low back pain and radicular pain caused by HIVD. More systematic clinical stuty on electro-acupuncture is needed.

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이상근 압통을 동반한 요추 추간판 탈출증 환자에 대한 동기침법 효과 비교연구: 후향적 분석연구 (A Comparative Study on the Effect of Dong-qi Acupuncture for Lumbar Herniated Intervertebral Disc Patients with Piriformis Muscle Tenderness: A Retrospective Analysis)

  • 신유빈;김상민;최지훈;이순호;박재홍
    • Journal of Acupuncture Research
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    • 제32권2호
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    • pp.87-96
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    • 2015
  • Objectives : The purpose of this study was to investigate the clinical effects of Dong-qi acupuncture on piriformis for herniated intervertebral disc(HIVD) of lumbar spine patients with piriformis muscles tenderness. Methods : This research was carried out on the 60 inpatients who received treatment for their HIVD of lumbar spine from January 1 to May 31, 2014 in DaeJeon Jaseng Hospital of Korean Medicine. We divided them into two groups ; group A(n=30) : common treatment on HIVD of L-spine without Dong-qi acupuncture on piriformis(acupuncture, pharmacopuncture, herb medication, Chuna and physiotherapy), and group B(n=30) : common treatment on HIVD of L-spine with Dong-qi acupuncture on piriformis. We evaluated the treatment effect of each group on tenderness(checked by Algometer pressure), and with a numeric rating scale(NRS), and oswestry disability index(ODI). The evaluations of tenderness were performed 8 times : admission day, and on the 3rd, 6th, 9th, 12th, 15th, 18th and 21st day after admission. The evaluations of NRS and ODI were performed 3 times : admission day, and on the 12th and 21st day after admission. The statistical significance was evaluated by SPSS 18.0 for Windows. Results : In group B, tenderness was significantly decreased compared with group A. The difference of tenderness from admission day to the 12th day showed significant reduction compared with group A. Conclusions : Dong-qi acupuncture is more effective in reducing piriformis muscle tenderness in the early stages of treatment. We expect that patients who receive Dong-qi acupuncture will be satisfied with Korean medical treatment and trust their doctor.

요추 추간판 탈출증과 대퇴 비구 충돌 증후군 진단 받은 환자를 대상으로 시행한 고관절 부위 봉약침 치료 및 한방 보존적 치료 치험 1례 (A Case Report on a Patient with lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement, Treated by Bee Venom Pharmacopuncture and Conservative Oriental Medical Treatment)

  • 김해솔;이종환;전재윤;임수진;배영현;김호선;송주현;김문휘;조창영;정유화
    • 척추신경추나의학회지
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    • 제9권2호
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    • pp.81-92
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    • 2014
  • Objectives : The Purpose of this study is to investigate the clinical application of Bee venom pharmacopuncture and conservative treatment for lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement. Methods : Patient is hospitalized at Dept. of Oriental Internal Medicine, Jaseng Oriental Medicine Hospital, diagnosed as lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement and treated by Bee venom pharmacopuncture, herbal medicine, acupuncture and moxibustion. This study was measured by NRS(Numerical Rating Scale), ODI and EQ-5D. Results : After Bee venom pharmacopuncture and conservative oriental medical treatment, the patient's pain was controlled and NRS score was decreased. ODI and EQ-5D also were improved. Conclusions : As seen in this one case, Oriental conservative treatment and Bee venom pharmacopuncture have a positive effect to control pain with lumbar HIVD(Herniated Intervertebral Disc) and Femoroacetabular Impingement.

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