• 한국콘텐츠학회논문지
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• 제8권11호
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• pp.171-181
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• 2008

최근 의료분야의 많은 발전과 난치성질환에 대한 여러 노력들에도 불구하고 아토피 피부염은 줄어들지 않고 있으며 오히려 그 수가 늘어가고 있다. 또한 아토피로 인한 사회적 이슈는 더 이상 방치할 수 없는 상황에 이르렀으므로 더 다각적인 아토피 피해 감소에 노력하여야 할 것이다. 이에 이 연구에서는 기존 의학체계에서 다루고 있지 않은 직 간접적 아토피 피해사례를 살펴보고 대체의학 중 수기요법을 활용하여 적용할 수 있는 분야들에 대하여 그 방안들을 제언하므로 미래 직 간접적 아토피 피부염 피해 사례를 줄이고 의료서비스 시장을 늘릴 수 있는 방법을 모색코자 하였다.

• Korean Journal of Acupuncture
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• 제29권2호
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• pp.166-178
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• 2012

Objectives : This study was purposed to investigate the possibility of traction therapy as treatment method of scoliosis, of which occurrence rate was increasing with teenagers in Korea. Methods : 63 literatures, history, classification, and effectiveness of traction therapy were reviewed and the occurrences rate of scoliosis with teenagers in Korea was investigated. Results : Traction therapy as a treatment method on scoliosis, was originally developed by Hippocrates(460~385 BC), based on the historical record. Traction therapy is classified according to the tools engaged, the postures, the traction methods, and the areas for traction. The opinions on the effect of traction as treatment method were different depending on whether it is in Korea or outside of the country. Within the country, 75% of reports were positive on the effects of traction therapy, while outside of the country, about 74% of reports were negative. On the other hand, the occurrence rates of scoliosis with teenagers in Korea were increasing from 1.46%(1977) to 11.08%(2008). Conclusions : Unfortunately the effects of traction therapy on scoliosis were unclear but it seems to be different in the effects of manipulative therapy and mechanical or apparatus traction therapy. Systematic studies on traction therapy are needed, because of the increasing rate of scoliosis in Korea with teenagers.

• 국제물리치료학회지
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• 제7권1호
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• pp.925-932
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• 2016

The purpose of this study is to investigate effects of Maitland orthopedic manipulative physiotherapy and stretching on pain, cervical range of motion, and muscle tone of adults with forward neck posture. A total 40 subjects were divided into a Maitland OMPT group(n=20) and a stretching group(n=20), performing joint mobilization exercise and stretching three times per week for six weeks. As for changes in pain, statistically significant decrease were found before and after the exercise within group comparison(p<.01), while no statistically significant difference was observed between-group comparison. In changes in cervical range of motion before and after the exercise, the Maitland OMPT group showed statistically significant increase(p<.01) in flexion, (left lateral flexion(p<.05), extension, left rotation, right rotation, and right lateral flexion, while the stretching group showed statistically significant increase(p<.05) in extension(p<.01), left rotation, left lateral flexion, right rotation, and right lateral flexion. However, no significant differences in between group comparison in flexion, extension, right rotation, left rotation, right lateral flexion and left lateral flexion. The results of measuring muscle tone changes showed that the Maitland OMPT group and the stretching group did not show significance in within and between group comparison(p<.05). In conclusion, the Maitland OMPT and stretching were effective on improving pain and range of motion.

• The Journal of Korean Physical Therapy
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• 제10권1호
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• pp.155-171
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• 1998

Interest in mannual therapy appears to continue to grow among physical therapists. The term 'mannual therapy' has traditionally been associated with physical therapists who examine and treat Patients who have disorders related to the neuro-muscular-articular system.. The manipulative means skilled and specialised use of manual and/or mechanically applied movement techniques, as a part of comprehensive orthopaedic physical therapy for disorders of the moving parts of body. Physical therapists use a large variety of manually applied examination procedures as part of the clincal decision-making process. The purpose of this article is to define and clarify the basic concepts of mannual therapy by comparing the geneal concepts and evaluation schemes of James Cyriax, John McM. Mennell, Geoffrey Maitland, Freddy Kaltenborn, Robin McKenzie, and Ola Grimsby. This article stresses the importance of developing stills in evaluation. Gimsby's approch is presented as a example of modem mannual therapy.

• Applied Microscopy
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• 제45권3호
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• pp.135-143
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• 2015

The aim of this study was to investigate effects on joint mobilization in neurochemical changes of nicotinamide adenine dinucleotide phosphate-diaphorase (NADPH-d) and nitric oxide synthase (NOS) of the spinal cord neurons after right knee joint immobilization (RKJI) and in ultrastructural changes of the femoral nerves innervating the muscles acting on RKJI. A total of 15 guinea pigs were used and divided into 5 groups. Immunohistochemistry was performed to detect NADPH-d and NOS. NADPH-d and NOS were not expressed in the ventral horn of control and experimental groups, but were expressed or not in the dorsal horn according to the duration of release after RKJI and the presence or absence of joint mobilization. Ultrastructures of the femoral nerves in experimental groups had partial demyelination and condensed clumps in axon. Effects on manipulative therapy after RKJI were confirmed from expression of NADPH-d and NOS in the dorsal horn of the lumbosacral spinal cord. Manipulative therapy was more effective against a long-term immobilization than a short-term immobilization.

• 동서간호학연구지
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• 제28권2호
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• pp.83-90
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• 2022

Purpose: The purpose of this study was to investigate the educational needs and knowledge level of traditional Korean nursing among nurses in Korean medicine hospitals. Methods: A survey design was used. A total of 180 nurses working for more than six months at 10 Korean medicine participated in this study. Data were collected in September of 2019. All data were analyzed by t-test, ANOVA, Scheffé, and paired t-test using SPSS Statistics 25.0 program. Results: The six sub-areas of educational needs for traditional Korean nursing were knowledge of treatments, direct nursing care, types of acupuncture, manipulative therapy, diagnosis, and herbal medicine in order. Average score of the educational needs for nurses in Korean medicine hospitals was 3.77 points out of 5 points. All six sub-areas of the knowledge level were statistically significant. Average score of knowledge level about Korean medicine among nurses was 3.03 out of 5. Conclusion: As a result of this study, it was found that a high level of knowledge is required or Korean medicine education. Knowledge of Korean medicine should be improved through education on thetypes of acupuncture, manipulative therapy, diagnosis, and treatment with relatively low scores. The results of this study can be used as basic data for preparing an educational system to improve the knowledge level of nurses in Korean medicine hospitals.

• 한방재활의학과학회지
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• 제34권1호
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• pp.11-22
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• 2024

Objectives This study aims to comprehensively review research utilizing ultrasonography for assessing manipulative treatment on spinal diseases, with the goal of promoting the wider integration of ultrasound imaging into clinical practice. Methods A systematic search was conducted on three international databases (Embase, PubMed, Cochrane) up to July 23, 2023. The search included key terms such as ultrasonography, manipulation, and skeletal muscle. The inclusion criteria narrowed down the selection to studies specifically related to lumbar and cervical vertebrae. Results Eleven studies were included in the review, with 10 focusing on lumbar vertebrae and one on cervical vertebrae, all employing spinal manipulation treatment. Among the 11 selected studies, nine primarily focused on ultrasound imaging to measure muscle thickness, while two utilized shear wave elastography to assess muscle stiffness. Also, rigorous measures were taken to ensure the reliability of the ultrasonography data. Conclusions This scoping review highlights the limited but growing evidence supporting the use of ultrasonography to assess manipulative treatment for spinal diseases. Despite a scarcity of studies in South Korea, it is crucial to recognize the potential of ultrasonography in becoming a widely used and practical tool for evaluating the effectiveness of manipulative treatments in the near future.

• Journal of Oral Medicine and Pain
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• 제42권3호
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• pp.53-61
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• 2017

Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, spray-and-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.

• Journal of Acupuncture Research
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• 제35권2호
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• pp.61-68
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• 2018

Background: This study was performed to review the efficacy of national and international randomized controlled trials (RCT) investigating Chuna manipulative treatment for ankle sprains. Methods: Online databases (PubMed, Cochrane, EMBASE, CNKI, NDSL, OASIS), were searched for studies where Chuna treatment was performed for ankle sprains up to October 12th, 2017. Only RCT were selected that fulfilled the inclusion/exclusion criteria. Data were analyzed using the Cochrane risk of bias tool. Results: There were 676 studies retrieved from the databases, resulting in analysis of 24 RCT. There was an average of 7 treatment visits over a 7 day period and the most frequent evaluation tool used was efficacy rate, with drug therapy being the most common control used in the trials. In 15 RCT, several Chuna methods were used in combination, amongst which, the osteopathic technique was most common. Statistically significant improvement in evaluation indices was reported in 19 RCT, and in 3 RCT, statistically significant improvement was reported, but not for all indices. In the remaining 2 RCT, there were no significant differences in any of the evaluation indices. No adverse reactions were reported in any of the RCT, although it was unknown whether all the trial protocols indicated that adverse reactions should be monitored, and for this reason, the risk of bias was unclear. Conclusion: The review of 24 studies suggest that Chuna manipulative treatment for ankle sprains was effective in most cases, although, potential bias in these studies was difficult to evaluate.

• 척추신경추나의학회지
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• 제11권2호
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• pp.1-9
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• 2016

Objectives: To evaluate the effectiveness of Chuna manual therapy for irritable bowel syndrome. Methods: The researcher conducted search across the 3 electronic databases (Pubmed, Wanfang data(included CAJ) and Oasis) to find all of randomized controlled clinical trials(RCTs) that used Chuna manual therapy for irritable bowel syndrome. Results: Eight RCTs met inclusion criteria. The meta-analysis showed positive results for the use of Chuna manual therapy in terms of the therapeutic effects or symptom score compared to west medication, herbal medication, acupucture and moxa treatment alone. Conclusions: The review found encouraging but limited evidence of Chuna manual therapy for irritable bowel syndrome. More highquality clinical trials research is needed on Chuna, manipulative therapy of irritable bowel syndrome.