• 제목/요약/키워드: rehabilitation treatment

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요통으로 한방병원에 입원한 환자의 병력기간별 호전도에 관한 연구 (The Study on History Period and Treatment Outcomes of Patients Admitted to a Korean Medicine Hospital for Low Back Pain)

  • 조창영;김원우;성익현;이갑수;정재훈;박상원;이진호;하인혁
    • 한방재활의학과학회지
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    • 제24권4호
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    • pp.137-143
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    • 2014
  • Objectives Low back pain causes disability and incurs large socioeconomic burden. Many cases of acute low back pain progress into chronic conditions. As the treatment period extends, burden of socioeconomic expenses also rises. Thus this study is to investigate whether history period influences improvement rate of pain and disability in the patients who receive conservative Korean medicine treatment. Methods 447 inpatients who received conservative Korean Medicine treatment for the management of low back pain have been grouped into acute, sub-acute and chronic according to the length of history period. NRS, ODI and improvement rate of each group were investigated. Treatment every patient has received as follow; acupuncture, herbal medicine, Chuna manipulation, bee venom, and physical treatment. Results Acute patients showed improvement with NRS of $3.98{\pm}2.50$ and ODI of $28.04{\pm}21.54$. The NRS of sub-acute patients showed improvement with NRS of $2.81{\pm}2.07$, ODI also showed improvement with $11.64{\pm}13.94$. Statistically significant difference was observed in NRS, ODI and improvement for acute patients. Improvement in pain and disability was observed to be larger. Conclusions It demonstrated that receiving valid conservative Korean medicine treatment is beneficial for low back pain patients in improvement of their pain and disability.

요추 추간판 탈출증 치료 중 척추 전이가 발생한 대장암 환자 1예 (Detection of Colorectal Cancer with Spine Metastasis During Conservative Treatment for Lumbar Disc Herniation:A Case Report)

  • 권용수;배준효;유재은;김효준;박주언;김국범;이희원;김민균;홍정수
    • 한방재활의학과학회지
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    • 제30권4호
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    • pp.187-194
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    • 2020
  • The objective of this study is to report an accidental detection of colorectal cancer (CRC) metastasis to spine during conservative treatment for lumbar disc herniation. We treated a 65-year-old female who was diagnosed with lumbar disc herniation on September 2019 by acupuncture, pharmacopuncture, cupping treatment, chuna manual therapy, herbal medicine treatment, medicine treatment and physical therapy. After that we analyzed medical record from December 12, 2019 to February 11, 2020. The patient was diagnosed with CRC and received tumor resection in 2014. After 2 times of chemotherapy, she arbitrarily interrupted the treatment. Since she stated that CRC treatment was terminated, we had difficulty in finding connection between symptom and CRC. During the treatment period, compression fracture at L3 body was found, which was caused by CRC metastasis. Rigorous question, appropriate radiological and clinical tests are required to patients who have history of malignant tumor.

뇌졸중환자의 운동기능평가에 대한 연구 (A Study of Motor Functional Evaluation in Stroke Patients)

  • 강점덕
    • 대한정형도수물리치료학회지
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    • 제15권2호
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    • pp.88-92
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    • 2009
  • Purpose: The purpose of this study was to evaluate the effects of exercise on functional status in stroke patients. The understanding of the course of recovery after stroke and factors affecting outcomes are important in planning and evaluation of stroke rehabilitation. Methods: To predict the outcom of stroke patient, we measured in the beginnig of rehabilitation, on 36 patients. The variables were gender, age, duration of rehabilitation treatment, motor assessment scale(MAS). Results: The patient age in 50-59 years was 41.7%. The stroke left side motor weakness were found 55.6%. The duration of rehabilitation treatment in 2-3 months was 50.0%. In the difference 24.63 for motor assessment scale after a rehabilitation treatment had significantly higher than 10.86 for motor assessment scale at initial. Gender by motor assessment scale after a rehabilitation treatment was 25.7 in male and 23.2 in female(P<0.05). Past history by motor assessment scale after a rehabilitation treatment was 26.7 in hypertension, 24.6 in cardiac disorder and 21.8 in diabetes mellitus(P<0.05). Conclusion: The subjective symptoms of motor assessment scale after a rehabilitation treatment was significantly associated with gender.

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대퇴신경지각이상증 환자에 대한 한의학적 치료 효과: 증례보고 (Effects of Korean Medicine Treatment for a Meralgia Paresthetica Patient: A Case Report)

  • 안재서;강도현;민태운;이현준;이한솔;김한결;이성민;조소현;지형욱;고일환;김지원;윤정민;정혁진
    • 한방재활의학과학회지
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    • 제32권3호
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    • pp.171-178
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    • 2022
  • Meralgia paresthetica is a rare femoral disease and various symptoms appear such as pain, numbness, and paresthesia in the anterolateral thigh due to entrapment of the lateral femoral cutaneous nerve. We treated the meralgia paresthetica patients with Korean medicine treatment including herbal medicine, acupuncture, Chuna manual therapy and pharmacopuncture during 12 days. Numerical rating scale (NRS), Euroqol five dimension (EQ-5D) index, and the changes of symptoms were measured for assessment. After 12 days inpatient treatment, NRS decreased from 7 to 4, EQ-5D index and the symptoms of the patient also were improved. In conclusion, this case shows Korean medicine treatment might be an effective treatment for Meralgia paresthetica.

Myelin Oligodendrocyte Glycoprotein-Associated Disorder로 진단받은 보행장애 환자에 대한 Motion-Style-Acupuncture-Treatment 요법을 포함한 한의학적 치료 효과: 증례보고 (Effects of Korean Medicine Treatment Including Motion-Style-Acupuncture-Treatment for a Gait Disorder Patient with Myelin Oligodendrocyte Glycoprotein-Associated Disorder: A Case Report)

  • 지형욱;김한결;이성민;이한솔;조소현;고일환;김지원;윤정민;정혁진;김시원;박시영;석황우;전준하
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.215-223
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    • 2023
  • The purpose of this study is to report the effects of Korean medicine treatment on the gait disorder. Patient with myelin oligodendrocyte glycoprotein-associated disorder. We treated the patient using Korean medicine treatment including Motion-Style-Acupuncture-Treatment, pharmacopuncture, acupuncture, and herbal medicine during 30 days. Numerical rating scale (NRS), EuroQol five dimension (EQ-5D) index, Oswestry Disability Index (ODI), Modified Barthel Index (MBI), and the changes of symptoms were measured for assessment. After 30 days inpatient treatment, NRS decreased from 4 to 2, EQ-5D index, ODI, MBI, and the symptoms of the patient also were improved. In conclusion, this case shows Korean medicine treatment might be an effective treatment for gait disorder Patient with MOG-associated disorder.

요추 추간판 탈출증 환자에 적용된 한의학적 치료가 공포-회피 반응에 미치는 효과 (Effectiveness of Korean Medicine Treatment on Lumbar Intervertebral Disc Herniation Patients' Fear-Avoidance Belief)

  • 최영준;문병헌;주영국;김길환;송승배;신동재;정재현;이치호
    • 한방재활의학과학회지
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    • 제26권3호
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    • pp.97-108
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    • 2016
  • Objectives This study is planned to classify effectiveness of Korean medicine treatment on lumbar intervertebral Disc herniation patients' fear-avoidance belief. Methods We measured 84 patients with lumbar intervertebral disc herniation in Jaseng Korean Medicine Hospital. We used numeric rating scale, oswestry disability index, fear-avoidance belief questionaire for evaluating effectiveness of oriental medicine treatment on lumbar intervertebral disc herniation. And We used Magentic Resonance Imaging(MRI) for classifying the patient who has lumbar intervertebral disc or not. Results 1. There was statistical effectiveness of korean medicine treatment on lumbar intervertebral disc herniation patients' fear-avoidance belief (p<0.01). ${\Delta}NRS$ and ${\Delta}ODI$ (r=0.587) was Most statistically correlative. ${\Delta}ODI$ and ${\Delta}FABQ$ had a little of statistically correlation (r=0.313). ${\Delta}NRS$ and ${\Delta}FABQ$ has no statistically correlation (r=0.145). Conclusions This study suggests that screening for the korean medicine treatment reduces fears and negative belief of patients with the lumbar disc herniation and prevents chronic physical symptoms that come from them so that it can be a great help to controlling patients' pain clinically.

대퇴골두 무혈성 괴사의 한의학적 치료에 대한 국내·외 연구동향 분석 (Analysis of Domestic and Foreign Research Trends on the Korean Medical Treatment of Avascular Necrosis of the Femoral Head)

  • 박은상;황현호;박기현;배준효;구지은;황규현;강준혁
    • 한방재활의학과학회지
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    • 제33권1호
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    • pp.47-59
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    • 2023
  • Objectives This paper is an analysis of domestic and foreign trends for the Korean medical treatment of avascular necrosis of the femoral head. Methods Domestic and foreign databases were searched and analyzed for Korean medical treatment interventions, research types, and treatment effects for avascular necrosis of the femoral head. Results There were 10 case reports in Korea, 2 case reports and 3 randomized controlled studies abroad. A total of 12 treatment interventions were used, and the types include acupuncture, herbal medicine, phamacopunture, electroacupuncture, cupping, physical therapy, chuna, acupotomy, moxibustion, warm acupuncture, laser acupuncture, and motion style treatment. As for the evaluation index, visual analogue scale, range of motion and harris hip score were the most common with 7 cases each. Conclusions Through this study, it was possible to understand the trends of domestic and foreign research on the treatment of avascular necrosis of the femoral head with Korean medicine. However, due to the small number of literature and no randomized control studies in Korea, treatment evidence is insufficient. It is considered that further research is needed in the future.

성인 구순구개열 환자에서 Multidisciplinary 치료로 기능성 교합을 형성한 증례 (Multidisciplinary Treatment Approach in a Secondary Cleft Lip and Palate Patient for Functional Occlusal Rehabilitation)

  • 이지나
    • 대한구순구개열학회지
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    • 제15권1호
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    • pp.29-38
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    • 2012
  • A 20 year-old cleft lip and palate patient came for occlusal rehabilitation, but the constricted maxilla and early loss of posterior teeth called for an unusual treatment modalities. Distraction osteogenesis in the edentulous areas followed by artificial bone graft, dental implant along with orthodontic tooth movement were planed. Multidisciplinary treatment enabled both esthetic and functional oral rehabilitation of this patient.

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혈관성 척수병증 환자에 대한 한의 복합 치료의 효과: 증례보고 (The Effect of Combined Korean Medicine Treatment of Patients with Vascular Disease of Spinal Cord: A Case Report)

  • 박현선;박상현;이지호;박서현;금동호
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.225-233
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    • 2023
  • This case study reports the clinical effect of Korean medicine treatment on vascular disease of spinal cord. A 58-year-old female patient was diagnosed as vascular disease of spinal cord and treated with combined Korean medicine treatment such as acupuncture, electro-acupuncture, herbal medication, and physical therapy for 16 days. The patient was assessed for International Standard for Neurological Classification of Spinal Cord Injury (ISNCSCI), Berg Balance Scale (BBS), and Numeral Rating Scale (NRS). After treatment, total scores of ISNCSCI, BBS, and NRS were numerically improved. Also symptoms of neurogenic bladder were improved. This study suggests that Korean medicine treatment could be effective treatment for vascular disease of spinal cord.

전침 및 추나 요법을 병행한 족근관 증후군 증례보고 (A Case Report of Patient with Tarsal Tunnel Syndrome Treated by Korean Medicine Treatment in Combination with Electro-acupuncture and Chuna Manual Treatment)

  • 이형은;허동석
    • 한방재활의학과학회지
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    • 제23권2호
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    • pp.175-184
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    • 2013
  • This study is to observe the effect of Korean medicine treatment combined with electro-acupuncture and chuna manual treatment on tarsal tunnel syndrome inpatient. The patient, diagnosed as tarsal tunnel syndrome, was treated by Korean medicine treatment in combination with electro-acupuncture and chuna manual treatment. We measured visual analogue scale(VAS). Neuropathic pain scale(NPS) was adopted as a method of measuring the treatment results of pain & hypoesthesia. Rt. sole numbness & pain decreased from VAS 10 to VAS 4. Rt. foot paresthesia decreased from VAS 10 to VAS 4 and Rt. ankle pain was disappeared. NPS score decreased from 80 to 62. Korean medicine treatment in combination with electro-acupuncture and chuna manual treatment is proved to be helpful to improve the symptoms of the tarsal tunnel syndrome patient.