• 제목/요약/키워드: manual therapy

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추나요법 건강보험 급여화 이후 추나요법 이용 현황 분석 (2019-2021) (Analysis of Chuna Manual Therapy Usage Status after the Application of Chuna Manual Therapy Health Insurance (2019-2021))

  • 박정식;임형호
    • 한방재활의학과학회지
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    • 제32권4호
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    • pp.61-72
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    • 2022
  • Objectives The purpose of this study was to analyze the Chuna manual therapy usage status after the application of Chuna manual therapy health insurance. Methods This study analyzed the health insurance data (2019-2021). From April 2019 to December 2021, monthly data were collected by simple Chuna, complex Chuna (own expense 50%), complex Chuna (own expense 80%), and special (dislocation) Chuna. Results The major results are as follows. First, in hospital-level medical institutions, simple Chuna and complex Chuna (own expense 50%) occupied a similar proportion. In clinic-level medical institutions, simple Chuna occupies the largest proportion. Second, the amount of use decreased in all medical institutions after September, which is thought to be the result of restrictions on Chuna manual therapy health insurance. Conclusions Therefore, it is necessary to conduct research by receiving more detailed data onr Chuna manual therapy health insurance. Through this, an improved policy of Chuna manual therapy health insurance should be discussed.

이상근 증후근에 대한 수기요법 치료의 효과 연구 (The Effects of Manual Therapy on Piriformis Syndrome)

  • 김대훈;유윤정;김명준;최해훈
    • 대한정형도수물리치료학회지
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    • 제6권1호
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    • pp.5-13
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    • 2000
  • This evaluation was made through 11 persons who discogenic disease and it emergency disease. There was all complains low back. with sustained buttock pain with radiating to the leg due to piriformis syndrome during the period of march 2000 to November 1999 in seoul wooridul hospital. The purpose of this study was to determine the effect of manual therapy through 11 persons. The results were as follow : 1. Right buttock pain group(n = 11). there was significant difference before manual treatment(P<.05). 2. Pain decreased before Tx then after Tx by VAS.

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경비관절에 대한 생역학과 정형물리치료적 고찰 (A Study on Biomechanics and Orthopedic Manual Therapy for Tibiofibular Joints)

  • 김호봉
    • 대한정형도수물리치료학회지
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    • 제9권1호
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    • pp.5-17
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    • 2003
  • 경비관절은 문헌적으로나 임상적으로 소홀히 다루는 관절로써 알려져 왔다. 몇몇 연구자들에 의해 생역학적 원리와 병리학적인 무제가 정립되었고, 평가방법 및 정형도수적 치료방법 등이 개발되어 왔다. 무릎과 족관절부의 병변은 항상 경비관절에 문제를 야기시킬 수 있다는 것을 전제로 평가에서 포함하여 다루어져야 한다. 경비관절에서 유발되는 질환은 대개 정형도수적 치료방법이 매루 효과적으로 적용될 수 있다고 사료된다.

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정형도수물리치료의 문제중심학습 모형에 관한 고찰 (A Study on Problem-based Learning Model of Orthopedic Manual Physical Therapy)

  • 김호봉;방상분
    • 대한정형도수물리치료학회지
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    • 제18권2호
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    • pp.31-39
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    • 2012
  • Background: The purpose of this study was to develop a problem-based learning model for orthopedic manual physical therapy. A problem-based learning (PBL) model for orthopedic manual physical therapy developed from PBL module of Jeju C university (Halla-Newcastle PBL Center). A summary of this study is as follows: 1) PBL model is comprised of a class of 30 students, operated small group as of 4~5 students. 2) PBL is suggested a scenario of clinical case, induced variety reaction through group discussion and presentation. 3) PBL is occurred wide variety learning through group work activity and self-directed learning. 4) The tutor as a facilitator is played a guide for group discussion, work activity and team learning. 5) The evaluation for PBL is performed such as student self-evaluation, group activity evaluation, individual presentation, and practice. This model is considered wide variety learning through team learning and self-directed learning by clinical reasoning and problem solving for musculoskeletal clinical case. We suggest problem based learning for the education of orthopedic manual physical therapy in which the learners are very interested in and has the effective outcome.

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외상후 스트레스 장애를 가진 만성요통 환자에게 도수치료가 외상후 스트레스와 수면 장애 및 통증에 미치는 영향-사례 연구 (A Case Study of the Effect of the Manual Therapy on Patient with Posttraumatic Stress Disorder, Sleep Disturbance and CLBP)

  • 유성훈;강용주;김태원
    • 대한정형도수물리치료학회지
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    • 제20권1호
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    • pp.47-52
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    • 2014
  • Background: This case study is to describe the manual therapy for the patient with posttraumatic stress (PTSD), sleep disturbance, and pain such as chronic low back pain (CLBP). Methods: The patient who participated in this study was a 60 year-old male PTSD patient with CLBP. His CLBP is not from any genetic or family history but a sequelae of torture that he had gone through about 30 years ago. Prior to the intervention, it was assessed that the PDS-K score was 16, PQSI-K was 12, SLR-90-R was low, VAS score was 10, and KODI socre was 25. The intervention was conducted through manual therapy (myofascial release, muscle energy technique, lumbar stabilization) twice a week for eight weeks in total. Results: After eight week-intervention, the PDS-K, SLR-90-R, VAS, and KODI score were improved whereas PQSI-K was not sufficiently fast improved. Conclusions: The manual therapy is substantially effective in dealing with PTSD and CLBP.

고관절 치환술 후 추나치료 효과: 체계적 문헌고찰 및 메타분석 (Effects of Chuna Manual Therapy after Hip Arthroplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials)

  • 이은별;김현지;김채영;안희덕
    • 한방재활의학과학회지
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    • 제32권2호
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    • pp.95-103
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    • 2022
  • Objectives This study was conducted to assess the effect of chuna manual therapy after hip arthroplasty. Methods We searched across 9 electronic databases (PubMed, Cochrane Library, Wangfang data, China National Knowledge Infrastructure [CNKI], Oriental Medicine Advanced Searching Integrated System [OASIS], National Digital Science Library [NDSL], Korean Medical Database [KMBASE], Koreanstudies Information Service System [KISS], Research Information Sharing Service [RISS]) to find randomized controlled clinical trials for chuna manual therapy after hip arthroplasty. Results On inclusion criteria, 11 appropriate studies were included and analyzed. The deep vein thrombosis incidence of the chuna manual therapy group was statistically lower than the conventional treatment group (p=0.0002). Chuna manual therapy significantly improved the Harris hip score compared with conventional treatment (p<0.00001). Also, chuna manual therapy combined with herbal fumigation therapy significantly elevated the hip joint function score of Harris hip score compared with the conventional therapy group (p<0.00001). Conclusions The systematic review showed that chuna manual therapy had significant effects on hip arthroplasty. Nonetheless, considering the high risk of bias and geographic bias, further research with well-designed studies is required to support the effectiveness of chuna manual therapy.

본태성 수전증으로 의심되는 환자에 대한 추나요법 병행치료 증례보고 (A Case Report of Suspected Essential Tremor Treated by Chuna Manual Therapy)

  • 권민구;이은지;김성태;이건영;나은지;김신애;김민성;황춘호;박진우;성인형;설재욱
    • 척추신경추나의학회지
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    • 제11권1호
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    • pp.85-95
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    • 2016
  • Objectives : The purpose of the this study is to report the improvement after Chuna manual therapy about patient with essential tremor. Methods : The patient of essential tremor was treated by Myofascial Release Technique(MRT) and Chuna manual therapy with acupuncture, cupping, Transcutaneous electrical nerve stimulation(TENS), herbal medicine therapy. Results : According to evaluation of Handwriting test and VAS, The patient has shown improvement aftert Chuna Manual Therapy. Conclusions : This study suggest that Chuna manual therapy with other treatment would be effective for patient of essential tremor.

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과민성 장 증후군의 추나 치료에 대한 체계적 문헌 고찰 (Chuna Manual Therapy for Irritable Bowel Syndrome; A Systematic Review)

  • 서하라;이혜윤;황만석
    • 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.

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멀리건 도수치료가 여성 퇴행성 슬관절염 환자의 통증과 근 기능평가에 미치는 효과 (The effect of mulligan manual therapy on pain and muscle assessment questionnaire in female elders with osteoarthritis of the knee)

  • 마상렬
    • Journal of the Korean Data and Information Science Society
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    • 제21권4호
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    • pp.641-650
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    • 2010
  • 본 연구는 퇴행성 슬관절염 여성 30명을 대상으로 물리치료와 멀리건 도수치료를 병용하여 4주간 실시한 후 운동전, 2주 후, 그리고 4주 후에 통증과 근 기능평가 측정에 미치는 효과에 대해 알아보기 위해 실시하였다. 본 연구의 측정은 시각적 상사 척도 검사, 근력 검사, 근 기능 검사, 그리고 협응력/균형감을 검사하였다. 반복측정자료 분산분석 결과, 물리치료와 멀리건 도수치료를 병용한 실험군에서 중재기간에 따라 효과적 이었으며, 시간과 그룹 간 상호작용도 있었다. 퇴행성 슬관절염의 통증과 근 기능평가를 개선시키기 위해 물리치료와 멀리건 도수치료 병용 시 효과적이란 것을 검증하였다.

기능적인 움직임 치료를 위한 경근(經筋)의 임상활용에 대한 연구(I) (The Study of Myofascial Meridian Clinical Application for Functional Exercise and Manual Therapy)

  • 임형호;송윤경
    • 대한추나의학회지
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    • 제3권1호
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    • pp.65-83
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    • 2002
  • We are made a comparison between 12 meridian tendino-musculature and myofascial/locomotor anatomy in which the bodywide connections among the muscles within the fascial net. We consider that these unique 'whole systems' view is of vital importance to understanding the role of fascial in normal movement and postural distortion and to application of manual and movement therapy.

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