• 제목/요약/키워드: 재활의학

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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.

한방병원에 입원한 흉곽출구증후군을 동반한 Wrist Drop 환자에 대한 한방 치료 1예 (A Case Report of Korean Medicine Treatment for a Wrist Drop Patient with Thoracic Outlet Syndrome Admitted to Korean Medicine Hospital)

  • 민태운;강도현;안재서;이현준;이한솔;김한결;이성민;조소현;지형욱;고일환;김지원;윤정민;정혁진
    • 한방재활의학과학회지
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    • 제32권4호
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    • pp.89-96
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    • 2022
  • The purpose of this study is to report the effects of Korean medicine treatment in wrist drop patient with thoracic outlet syndrome. We treated the patient for 8 days using Korean medicine treatment such as herbal medicine, acupuncture, Chuna manual therapy and pharmacopuncture. Changes in the numerical rating scale (NRS), EuroQol five dimension (EQ-5D) index, and symptoms were measured for assessment. After 8 days hospitalization, NRS decreased from 5 to 3, EQ-5D index and the symptoms of the patient also were improved. In conclusion, this case shows that Korean medicine treatment can be an effective treatment for wrist drop with thoracic outlet syndrome.

한방병원에 입원한 Baastrup's Disease 환자의 보조자가 있는 동작침법을 포함한 한의학적 치료 효과: 증례보고 (Effect of Korean Medicine Treatment Including Help Motion Style Acupuncture Treatment for a Baastrup's Disease Patient In Korean Medicine Hospital: A Case Report)

  • 김한결;이성민;조소현;지형욱;고일환;김지원;윤정민;정혁진;김시원;박시영;석황우;전준하
    • 한방재활의학과학회지
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    • 제33권4호
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    • pp.235-242
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    • 2023
  • The purpose of this study is to report the effects of Korean medicine treatment in baastrup's disease. We treated the patient for 34 days using Korean medicine treatment such as acupuncture, pharmacopuncture, herbal medicine, Chuna manual therapy and help motion style acupuncture treatment. Numerical rating scale (NRS), EuroQol five dimension (EQ-5D) index, Oswestry disability index (ODI), and lumbar range of motion (ROM) were used as evaluation tools for the state. NRS decrease from 5 to 3, and EQ-5D index, ODI, L-spine ROM were improved by the treatment. In conclusion, this case study shows that Korean medicine treatment can be effective for baastrup's disease.

일차성 두통에서 초음파 유도 하 후두신경 차단술: 해부학적 주사부위에 따른 두 가지 테크닉의 비교 (Ultrasound-Guided Greater Occipital Nerve Block for Primary Headache: Comparison of Two Techniques by Anatomical Injection Site)

  • 유명철;김희상;이종하;유승돈;윤동환;김동환;이승아;소윤수;김용;한영록;권정호;장하늘;전진만
    • Clinical Pain
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    • 제18권1호
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    • pp.24-30
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    • 2019
  • Objective: Greater occipital nerve block (GONB) is a widely accepted treatment of primary headaches. Two ultrasound (US)-guided blockade techniques exist: 1) the classical distal nerve block technique performed medial to the occipital artery at the superior nuchal line, and 2) the new proximal nerve block technique performed at the obliquus capitis inferior muscle at the level of C2. Our study aim was to perform a head-to-head comparative study of these two US-guided techniques. Method: Forty-nine patients with primary headache treated in our university hospital were recruited. Patients were randomized into two groups of the classical nerve block and the new proximal nerve block techniques. The headache questionnaire was made to assess the intensity of the pain of headache attacks, number of days they experience headache, duration of headache, and amount of pain medication they consumed. Results: In both groups, a decrease in the severity and frequency of the headache was observed. There was no measurable difference in outcome between the two groups. Conclusion: Our study showed that the classic and new proximal techniques are equally effective in decreasing the headache severity and frequency.

안면마비 환자에서 표면 근전도 검사와 통상적 근전도 검사간 상관관계 (Correlation between Surface Electromyography and Conventional Electromyography in Facial Nerve Palsy)

  • 장하늘;유승돈;이종하;소윤수;김동환;전진만;이승아;김희상;윤동환;권정호
    • 대한근전도전기진단의학회지
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    • 제20권2호
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    • pp.84-90
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    • 2018
  • Objective: To assess the correlation between surface electromyography (SEMG) and conventional EMG in patients with facial nerve palsy. Additionally, compare the discomfort and the time required by the patients in two methods. Method: 36 patients with facial palsy were given nerve conduction studies (NCS) via conventional EMG. Then, the peak root mean square (RMS) values were obtained from the SEMG. We also recorded visual analogue scale (VAS), House-Brackmann scale, and the time required for the examination. Results: Pearson's correlation coefficient between the amplitude loss ratio of the RMS values obtained by SEMG compared to the unaffected side (RSEMG) and the amplitude loss ratio of CMAP amplitudes compared to the unaffected side (RCMAP) was 0.567 at the frontalis, 0.456 at the orbicularis oculi, 0.393 at the nasalis, and 0.437 at the orbicularis oris. An increase in RSEMG is positively correlated with an increase in RCMAP. The mean VAS score with conventional EMG was $3.55{\pm}1.42$, whereas that experienced when using SEMG was $0.11{\pm}0.52$ and the mean time required for conventional EMG was $610{\pm}103.84$ seconds, while that required for SEMG was $420{\pm}86.32$ seconds. Conclusion: This study demonstrated a significant positive correlation between facial muscle activities as measured by SEMG and conventional EMG in patients with facial nerve palsy. SEMG has the benefits of being more comfortable and faster when diagnosing facial palsy.

베르톨로티 증후군으로 확인된 요추 신경병증 환자에 대한 한의학적 치료 효과: 증례보고 (Effects of Korean Medicine Treatment for a Patient with Lumbar Radiculopathy Diagnosed with Bertolotti's Syndrome: A Case Report)

  • 한정훈;박병학;손재민;이남우;강도현;민태운;안재서;이한솔;이현준;지형욱;조소현;이성민;김한결
    • 한방재활의학과학회지
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    • 제31권4호
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    • pp.203-210
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    • 2021
  • Bertolotti's syndrome is a rare spinal disease and it is known to cause low back pain due to a lumbosacral transitional vertebra. There has been rare study of Bertolotti's syndrome. This study reports the effects of Korean medicine treatment on the patient who was diagnosed on Bertolotti's syndrome. The patient was treated with Korean medicine treatment including acupuncture, pharmacopuncture, herbal medicine, and Chuna manual therapy during 40 days. Numerical rating scale (NRS), Euroqol five dimension (EQ-5D) index, Oswestry disability index (ODI), lumbar range of motion were used for assessment. After treatment, low back pain NRS decreased from 3 to 2, and low limb pain NRS decreased from 5 to 2. EQ-5D index, ODI and lumbar range of motion also were improved. This study shows Korean medicine treatment can be an effective care for Bertolotti's syndrome.