• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권1호
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• pp.42-48
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• 2006

Open reduction and rigid internal fixation is the most popular treatment method for maxillofacial fracture patients, and it is unevitable that postoperative pain can be developed. Many surgeons including oral & maxillofacial surgeons have made constant efforts to decrease postoperative pain. This study is a comparison of postoperative analgesia and intramuscular analgesia in patients with mandibular fractures. In this study, twenty-one patients (Experimental group) were randomly selected and they were injected with IV patient-controlled analgesia (PCA; Walkmed$^{(R)}$, USA). For control group another twenty-one patients were injected with intramusclar non-steroid anti-inflammatory drugs (Rheoma$^{(R)}$, Samsung Pharm. Co.). And then, we measured visual analogue scale (VAS) scores from first postoperative day to second day at regular time interval. The following results were uptained; 1. In patient group who with open reduction and rigid internal fixation, there was significant difference of postoperative analgesic effect during the first postoperative day(p<0.05). 2. In patient group with over 90 minutes surgery time, there was significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p<0.05). 3. In patient group with less than 90 minutes surgery time, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 4. In patient group with surgery of open reduction using rigid internal fixation at single fractured site, there was no significant difference of postoperative analgesic effect during the first and second postoperative day when compared between experimental group and control group(p>0.05). 5. In patient group with surgery at two fractured sites, there was significant difference of postoperative analgesic effect during the first postoperative day when compared between experimental group and control group(p<0.05). As mentioned above, it suggest that patient-controlled analgesia is more effective for postoperative pain relief than intramuscular injection in patients with rigid internal fixation by open reduction after mandibular fracture occurred. Especially, it is considered that in patient with more than 90 minutes surgery time or in cases with multiple fractured sites had more effective results with PCA therapy than conventional intramuscular analgesics.

• 한국융합학회논문지
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• 제9권7호
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• pp.117-124
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• 2018

본 연구의 목적은 고유수용성신경근촉진법의 안정적 반전기법 후에 손목테이핑 적용이 손목통증환자의 통증과 악력에 미치는 영향을 융복합적으로 알아보기 위해 실시하였다. 손목통증환자 20명을 대상으로 안정적 반전기법 후에 손목테이핑을 적용한 실험군(n=10)과 스트레칭 후에 손목테이핑을 적용한 대조군(n=10)으로 무작위 배정하였다. 전체 중재시간은 휴식시간 포함 최대 10분으로 구성, 주 5회 2주간 시행하였다. 통증정도는 시각적상사척도로 측정하였고, 악력은 악력계로 측정하였다. 중재결과, 집단 내 통증과 악력은 두 군 모두 유의한 변화가 있었고(p<0.01), 집단 간 통증과 악력은 실험군이 대조군보다 효과적인 통증의 감소와 악력의 향상을 보였다(p<0.01). 그러므로 고유수용성신경근촉진법의 안정적 반전기법과 손목테이핑 융합은 손목통증환자를 위한 효과적인 중재로 활용될 수 있으며, 다양한 손목통증환자를 위한 지속적인 융합중재개발이 요구된다.

• 턱관절균형의학회지
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• 제9권1호
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• pp.12-17
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• 2019

Objectives: The purpose of this study is to report the effect of Postural Yinyang Correction of Temporomandibular Joint (Functional Cerebrospinal Therapy, FCST) on a patient with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis. Methods: A patient with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis was treated at Dept. of Acupuncture & Moxibustion, ○○ University Korean Medicine Hospital from Nov 8th, 2019 to Dec 6th, 2019 and received a Korean-Western medical treatment mainly managed with FCST. This study was measured with VAS (Visual Analogue Scale), ODI (Oswestry Disability Index) and questionnaire. Results: After treatment, the patient's pain was controlled and gait ability was improved, also VAS, ODI and questionnaire score were improved. Conclusions: Korean-Western Medical Treatment mainly managed with FCST may be helpful in controling pain with Osteoarthritis of the hip caused by Hip dysplasia and Lumbar spinal stenosis, but the further researches are needed.

• 대한한의학회지
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• 제28권4호
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• pp.74-85
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• 2007

Objective : In this study we wanted to confirm if proper stimulation and de-Qi of traditional Korean medical acupuncture could increase hot flash relief efficacy. Design : A randomized controlled, single blind study. We used two modalities of acupuncture, one with optimal stimulation [Study group; Korean medical acupuncture (TKMA)] and one with minimal stimulation [Control group; Minimal acupuncture (MA)]. Same acupoints [PC6(內關), HT8(少府), HT7(神門), LI4(合谷), ST36(足三里), SP6(三陰交), Ren4(關元)] were used in both groups. Fifty-two patients were treated twice a week for 8 weeks, and follow up was done after 4 weeks from the last treatment. Patients were checked hot flash VAS (visual analog scale), frequency and duration every time they visited. Results : Hot flash relief efficacy by 100mm hot flash VAS was obvious in both groups. Hot flash VAS scores of study group were smaller than the scores of control group at the early stage (3rd, $4^{th}$ and $8^{th}$ visit), but there wasn't a remarkable difference between study and control group at the end of the trial. Besides, diminution of hot flash VAS was faster and more even in the study group than control group by visualization using 'Box plot'. We compared frequency and duration of hot flash, 100mm sweating, palpitation, sleep disturbance VAS, and Kupperman Index, MENQOL, Patient's global assessment score. Both groups showed definite decrease from the baseline, but the difference was not statistically significant. There wasn't any adverse event. Hot flash relief efficacy was kept in most patients after 4 weeks' follow-up. Conclusion : Acupoint combination by Traditional Korean medical theory is effective on hot flashes and hot flash relief efficacy was faster and more even in optimal stimulation than minimal stimulation.

• Archives of Plastic Surgery
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• 제36권4호
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• pp.432-436
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• 2009

Purpose: Negative pressure therapy has been used in various conditions to promote wound healing. It has also been used to secure a skin graft by improving microcirculation and improving tight adhesion between the graft and the recipient bed. To reduce post burn scar contracture and improve aesthetical result, many types of dermal substitutes have been invented and used widely. The goal of this study was evaluate usefulness of the VAC (Kinetic concepts Inc., San Antonio, TX) in improving the take rate and time to incorporation of Integra$^{(R)}$ in reconstruction of burn scar contracture. Methods: A retrospective study was performed from October, 2006 to December, 2008. The VAC was utilized for 11 patients. The average patient's age was 19.7 years (range 5 - 27) and average surface area was $785cm^2$ (range 24 - 1600). The burn scars were excised deep into normal subcutaneous tissue to achieve complete release of the scar, Integra$^{(R)}$ was sutured in place with skin staple와 Steri - strip$^{(R)}$. Then slit incisions were made on silicone sheet only with No.11 blade for effective drainage. The VAC was used as a bolster dressing over Integra$^{(R)}$. Negative - Pressure ranging from 100 to 125 mm Hg was applied to black polyurethane foam sponge trimmed to the appropriate wound size. An occlusive seal over the black polyurethane foam sponge was maintained by a combination of the occlusive dressing, OP - site$^{(R)}$. The VAC dressing changes were performed every 3 or 4 days until adequate incorporation was obtained. The neodermis appeared slightly yellow to orange color. When the Integra$^{(R)}$ deemed clinically incorporated, The VAC was removed and take was estimated with visual inspection. Very thin STSG(0.006 ~ 0.008 inches) was performed after silicone sheet removal. Result: The mean time for clinically assessed incorporation of Integra$^{(R)}$ was 10.00 days (range 9 - 12). The mean dressing change was 3.5 times until take was obtained. In All patients, Integra$^{(R)}$ had successful incorporation in tissue without serious complications. Conclusion: Integra$^{(R)}$ in combination with Vacuum - Assisted Closure(VAC) may be incorporated earlier than conventional dressing method.

• Journal of Preventive Medicine and Public Health
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• 제37권4호
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• pp.381-389
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• 2004

Objective : To compare the efficacy between SKI306X and Diclofenac by using generalized estimating equations (GEE) methodology in the analysis of correlated bivariate binary outcome data in Osteoarthritis (OA) diseases. Methods : A randomized, double-blind, active comparator-controlled, non-inferiority clinical trial was conducted at 5 institutions in Korea with the random assignment of 248 patients aged 35 to 75 years old with OA of the knee and clinical evidence of OA. Patients were enrolled in this study if they had at least moderate pain in the affected knee joint and a score larger than 35mm as assessed by VAS (Visual Analog Scale). The main exposure variable was treatment (SKI 306X vs. Diclofenac) and other covariates were age, sex, BMI, baseline VAS, center, operation history (Yes/No), NSAIDS (Y/N), acupuncture (Y/N), herbal medicine (Y/N), past history of musculoskeletal disease (Y/N), and previous therapy related with OA (Y/N). The main study outcome was the change of VAS pain scores from baseline to the 2nd and 4th weeks after treatment. Pain scores were obtained as baseline, 2nd and 4th weeks after treatment. We applied GEE approach with empirical covariance matrix and independent(or exchangeable) working correlation matrix to evaluate the relation of several risk factors to the change of VAS pain scores with correlated binary bivariate outcomes. Results : While baseline VAS, age, and acupuncture variables had protective effects for reducing the OA pain, its treatment (Joins/Diclofenac) was not statistically significant through GEE methodology (ITT:aOR=1.37, 95% CI=(0.8200, 2.26), PP:aOR=1.47, 95% CI=(0.73, 2.95)). The goodness-of-fit statistic for GEE (6.55, p=0.68) was computed to assess the adequacy of the fitted final model. Conclusions : Both ANCOVA and GEE methods yielded non statistical significance in the evaluation of non-inferiority of the efficacy between SKI306X and Diclofenac. While VAS outcome for each visit was applied in GEE, only VAS outcome for the fourth visit was applied in ANCOVA. So the GEE methodology is more accurate for the analysis of correlated outcomes.

• 한국치위생학회지
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• 제13권1호
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• pp.114-121
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• 2013

Objectives : The purpose of the research is to measure Dental Hygiene students' level of musculoskeletal pain before and after receiving scaling training which involves repetitive operations and examine effects the operations have on the students' grip and pinch strength. Methods : 15 subjects in Dental Hygiene at Y university located in Chungbuk were tested on November 2, 2011. Results : 12 students had a musculoskeletal pain before receiving scaling training. However, all the 15 students had a musculoskeletal pain after the training. Body part the largest number of the students complained of the pain on was shoulders(37.9%) followed by neck(20.8%), waist(13.9%), wrists(10.3%), then back(6.9%) before receiving the training. Then the result showed that shoulders are where the largest number of students(24.1%) felt the pain, followed by neck(17.2%), wrists and fingers(13.8%), waist(12.1%), back and lower arms(6.9%), then palms(5.2%) after the training. Visual Analogue Scale(VAS) increased to $6.35{\pm}2.09$ after receiving the training from $3.31{\pm}3.38$ and this shows statistically significant difference(p<.001). Upon inspection, average grip strength decreased to $23.23{\pm}5.79kg$ from $25.00{\pm}4.51kg$ after receiving the training and this shows statistically significant difference(p<.05). Key pinch was the strongest among the three pinch strengths followed by tripod pinch then tip pinch. Average of all the three pinch strengths showed to have statistically significant difference before and after the training(p<.05); Tip pinch from $6.53{\pm}1.36$ to $5.87{\pm}1.3$, key pinch from $13.47{\pm}2.5$ to $12.53{\pm}2.30$, and tripod pinch from $9.27{\pm}3.04$ to $8.03{\pm}2.72$. Conclusions : The result showed that scaling training has effects on Dental Hygiene students' musculoskeletal subjective symptoms and their grip and pinch strength changes after receiving the training.

• 한방재활의학과학회지
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• 제30권4호
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• pp.155-164
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• 2020

Objectives This study is aimed to evaluate the feasibility of further clinical research of warm needle acupuncture as an effective and safe treatment for chronic low back pain. Methods Thirty participants will be randomly assigned to the Warm needle acupuncture group (n=15) and Dry needle acupuncture group (n=15). All patients will receive acupuncture therapy twice a week for 6 weeks, but only the experimental group will receive thermal stimulation. The primary outcome will be measured using the visual analogue scale for bothersomeness of low back pain, and the secondary outcome will be measured using the VAS for pain intensity, Oswestry disability index, 36-Item Short Form Health Survey, Beck's depression inventory, and amount of analgesics used. Conclusions The results of this study will be used to determine the feasibility of a future large-scale randomized controlled trial that provides clinical evidence for the efficacy and safety of warm needle acupuncture in the treatment of patients with chronic low back pain.

• Korean Journal of Acupuncture
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• 제37권1호
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• pp.54-62
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• 2020

2019년 10월 16일부터 2019년 12월 16일까지 동국대학교 일산한방병원에서 요통을 호소하시며 X-ray 상 급성기 이상 소견이 없는 환자 3명을 대상으로 하였다. 한방응급실을 통해 입원한 급성 요통 증후군 환자에 대한 봉독약침요법을 포함한 한의학적 치료를 시행한 증례에 있어서 다양한 치료 효과를 확인하였다. NRS, ODI, EQ-5D, EQ-VAS의 모든 지표에서 임상적 호전의 결과를 관찰할 수 있었으며 환자의 주관적인 호전도에 있어서도 큰 변화를 얻을 수 있었고, 봉독약침에 대한 이상반응은 없었다. 봉독약침요법을 포함한 한의학적 치료를 통해 급성 요통이 완화되었으며 요추 ROM 증진 및 운동기능이 개선되고, 치료 기간을 단축시켜 환자의 삶의 질적인 측면에서 큰 호전을 보였다. 향후 급성 요통 증후군에 대한 봉독약침요법의 치료효과를 확인하기 위해 대규모 전향적 연구뿐만 아니라 대조군 연구가 필요할 것으로 사료된다.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.221-227
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• 2016

본 연구의 목적은 뇌성마비의 아동의 운동기술과 처리기술에 영향을 미치는 감각처리 요인을 증명하여 뇌성마비 아동을 위한 재활 치료 중재 시 임상적 고려 사항을 파악하고자 하였다. 서울시 소재 J 소아발달센터와 N 재활병원 병원에 내원 중인 뇌성마비 아동 36명을 대상으로 운동 및 처리기술 평가와 단축형 감각 프로파일 검사를 실시하였다. Pearson의 상관계수를 이용하여 뇌성마비 아동의 운동기술과 처리기술 및 감각처리능력과의 상관관계를 검증하였고, 위계적 다중회귀분석을 통해 운동기술과 처리기술에 영향을 주는 주된 감각처리 요인들을 검증하였다. 연구 결과, 운동기술은 감각처리 항목 중 청각여과하기, 활력부족/허약, 시/청각 민감성 항목과 유의미한 상관성을 나타내었다. 처리기술은 촉각민감성, 맛/냄새 민감성 항목과 유의미한 상관성을 나타내었다. 위계적 다중회귀 모형에서 운동기술에 영향을 주는 주요 요인은 움직임 민감성, 청각여과하기, 활력부족/허약 항목이었다. 처리기술에 영향을 주는 요인은 본 연구의 모형에서는 확증되지 않았다. 이번 연구는 뇌성마비 아동을 대상으로 일상생활 활동시 운동기술과 처리기술에 영향을 주는 감각처리 요인들의 관련성과 주요 요인을 검증하여 재활치료를 위한 기초자료를 제공하는데 그 의의가 있다. 추후 연구에서는 더 많은 뇌성마비 아동의 집단을 대상으로 연구가 진행되어 본 연구에서 확인되지 못한 처리기술에 영향을 주는 감각처리 요인들을 검증해볼 필요가 있다.