• Title/Summary/Keyword: 척추관협착증

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The Clinical Study on Spinal Stenosis of Lumbar Spine (요추 척추관 협착증 환자 118례에 대한 임상적 고찰)

  • Cho, Jae-Hee;Lee, Hyo-Eun;Moon, Ja-Young;Lim, Myung-Jang;Kang, In;Lee, Han;Jung, Ho-Suk;Kim, Ji-Hyung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.3 no.2
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    • pp.77-85
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    • 2008
  • Object : These studies are designed to make a survey of the effectiveness of the non surgical oriental medicine treatment with Chuna on spinal stenosis of lumbar spine. Methods : The clinical study was done on 118 cases of patients with spinal stenosis of lumbar spine diagnosed by M.R.I, symptoms and physical test who was in the admission in Ja-Seng Oriental Medcine Hospital from October 2006 to October 2008. after treatment we checked VNRS score to estimate the efficacy of treatment. Results : 1. As a Objectivity treatment record, they test excellent 17%, good 69%, fair 8%, poor 6%. 2. The mean NRS score decreased about 3.26 after the treatment. Conclusions : Non surgical oriental medicine treatment with Chuna has on useful effect on spinal stenosis of lumbar spine.

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Effect of Mechanical Thermal Massage Inducing Gradual Spinal Segmentation on the Improvement of Pain (단계적 척추 분절운동을 유도하는 기계식 온열 마사지가 통증 개선에 미치는 영향)

  • Hyeun-Woo, Choi;Do-Hyun, Ahn;Kyung-Mi, Jung;Na-Young, Kim;Ji-Eun, Lee;Jong-Min, Lee
    • Journal of the Korean Society of Radiology
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    • v.16 no.7
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    • pp.879-887
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    • 2022
  • In this study, we tried to confirm whether the mechanical sequential elevation method of the body pressure measuring bed actually induces segmental motion for each part of the spine. To this end, a lateral X-ray examination was performed, and it was confirmed that the sequential pressure device induces a step-wise segmentation of the spine by mechanically lifting each part of the spine vertically. Then, pain, walking ability, and depression scale were measured and analyzed in subjects who were aware of back pain. VAS(p<0.05) and ODI(p<0.05) for 10 days tended to decrease in average after bed use. In the gait ability test(p<0.05), as the number of times of bed use increased, the moving time in the test decreased and the moving distance increased. In addition, GSDDF(p<0.05) decreased after bed use. As a result, it was confirmed that the spinal segmentation caused by the heat and acupressure provided by the bed affected gait and depression as well as pain relief.

A Case Report of Lumbar Spinal Stenosis Improved with Diarrhea-Inducing Treatment by Gamsui-mal and Korean Medicine Treatment (감수말 공하법을 병행한 한방치료로 호전된 요추 척추관 협착증 환자의 증례보고)

  • Nam, Suhyun;Kim, Donghoo;Choi, Hyunmin;Kang, Jun-Hyuk;Hyun, Minkyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.1
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    • pp.67-75
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    • 2017
  • The purpose of this study is to report the effectiveness of diarrhea-inducing treatment by Gamsui-mal for lumbar spinal stenosis. During hospitalization four patients with lumbar spinal stenosis were treated with diarrhea-inducing treatment by Gamsui-mal and acupuncture, herbal medicine, moxibustion, cupping treatment, Bee-venom pharmacopuncture. Before treatment, we explained in detail about diarrhea-inducing treatment by Gamsui-mal and patients agreed with treatment. The symptoms appeared in patients of diarrhea, abdominal pain, and vomiting in the treatment process. We evaluated the degree of improvement by visual analogue scale (VAS), oswestry disability index (ODI). After treatment, we found that pain was reduced and patient's symptoms were improved by visual analogue scale (VAS), oswestry disability index (ODI) score. The results show that diarrhea-inducing treatment by Gamsui-mal was rapidly improving symptoms. Further studies are needed to clarify the effect of diarrhea-inducing treatment by Gamsui-mal.

Anterior Epidural Irrigation in a Lumbar Spinal Stenosis Patient (척추관 협착증 환자에서 전 경막외강 세정요법)

  • Lee, Jun Seok;Kwon, Hong Tae;Park, Chan Hong
    • The Korean Journal of Pain
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    • v.19 no.1
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    • pp.63-67
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    • 2006
  • Background: Pain due to spinal stenosis is one of the major causes of low back pain, and it sometimes does not respond to conservative treatment. We postulated that anterior epidural irrigation could be a good choice for treating lumbar spinal stenosis patients. However, the effects and theoretical basis of anterior epidural irrigation have not been investigated for spinal stenosis. So, this study was designed to identify the clinical efficacy of anterior epidural irrigation for treating lumbar spinal stenosis. Methods: 71 patients with lumbar spinal stenosis underwent anterior epidural irrigation. Anterior epidural irrigation was performed with normal saline and a mixture of local anesthetic with steroid through a catheter under fluoroscopic guidance. The findings were evaluated with using visual analogue scales for low back pain and leg symptoms. Results: Relief from low back pain and leg pain was observed for up to 12 months after anterior epidural irrigation. None of the patients showed any deterioration of their motor or sensory deficits during follow up. Conclusions: Anterior epidural irrigation is effective for the relief of back and leg pain in spinal stenosis patients.

Biomechanical Analysis of Lumbar Interspinous Process Fixators and Design of Miniaturization and Advanced Flexibility (요추부 극돌기간 고정기구의 생체역학적 해석과 소형화 및 유연성 향상 설계)

  • Park, Jung-Hong;Heo, Soon;Lee, Sung-Jae;Son, Kwon
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.30 no.12 s.255
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    • pp.1509-1517
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    • 2006
  • The intervertebral fusion was reported to increase the degeneration of the neighboring region. Recently, a new technique of inserting an interspinous process fixator has been introduced to minimize the degenerative change in the lumbar spine. This study analyzed biomechanical effects of the fixator in the lumbar spine, and designed a new prototype to improve flexibility of the fixator with a reduced size. The evaluation was based on the displacement, stiffness and von-Mises stress obtained from the mechanical test and finite element analysis. A finite element lumbar model of L1 to L5 was constructed. The finite element model was used to analyze intervertebral fusion, insertion of a commercial fixator and a new prototype. The range of motion of intervertebral segments and pressures at vertebral discs were calculated from FEA. The results showed that the stiffness of the prototype was reduced by 32.9% than that of the commercial one.

Correlation between lumbar spinal stenosis and bone mineral density : a clinical survey of 9 cases (요추관 협착증과 골밀도와의 상관성에 관한 임상례 보고)

  • Song, Joo-Hyun;Kang, In;Im, Myung-Jang;Kim, Ha-Neul;Lee, Je-Kyun;Jang, Hyoung-Seok
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.1 no.1
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    • pp.105-111
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    • 2006
  • Objective : The aim of this study was to evaluate association between lumbar spinal stenosis, one of degenerative diseases, and bone mineral density. Methods : We monitored 9 lumbar spinal stenosis patients in women above 50 years, visiting outpatient clinic of the Jaseng Oriental Medicine Hospital between January 5 2006 and March 31, 2006. They were diagnosed by radiologist ist after taking Magnetic Resonance Imaging(MRI). The cases were Investigated the bone mineral density using Dual Energy X-ray Absorptiomerty(DEXA). and then Picture Archiving Communication System(PACS) were used to assess correlation between lumbar spinal stenosis and bone mineral density. Results : 1. In comparison of the spinal canal area and lumbar spine 2 level bone mineral density, the data showed a significant result 2. The data, between spinal canal area and lumbar spine 1-2 level bone mineral density, indicated a significant result. 3. Also, the result of comparison between spinal canal area and the lowest value of bone mineral density showed significance. Conclusions : It showed that there is a statistically significant correlation between lumbar spinal stenosis and bone mineral density.

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A Case Report on Reflux Esophagitis Treated with Korean Medicine in a Patient with Spinal Stenosis (한방병원에 입원한 역류성 식도염을 동반한 척추관협착증 환자에 대한 한방 치료 1례)

  • Kim, So-won;Kong, Geon-sik;Song, Jin-young;Park, Jin-hun;Wang, Yen-min;Kim, Sang-yoon;Lee, Hyung-chul;Eom, Guk-hyeon;Kang, Man-ho;Park, Sung-hwan
    • The Journal of Internal Korean Medicine
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    • v.42 no.5
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    • pp.800-807
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    • 2021
  • Objectives: This study investigated the efficacy of Korean medical treatment for reflux esophagitis. Methods: We used Korean medical treatment (herbal medicines, acupuncture, herbal acupuncture, and therapy) to treat a hospitalized patient with reflux esophagitis. To evaluate the treatment, we measured the symptoms using the Reflux Symptom Index (RSI) and the Visual Analogue Scale (VAS) for heartburn, acid reflux, chest pain, foreign body sensations in the throat, chronic cough, hoarseness, and bronchial asthma. The generic health status was evaluated using the European Quality of Life Five-Dimension (EQ-5d) Scale. Results: The RSI and EQ-5d scores improved following treatment, but the VAS scores showed that only heartburn, acid reflux, and chest pain symptoms were relieved. Conclusions: This study suggests that Korean medicine may be effective for treating reflux esophagitis.

The Value of Additional Cervicothoracic Spine Sagittal T2-weighted Images Included in Routine Lumbar Spine MR Imaging (요추 MR영상에 포함된 경흉추 시상T2강조영상의 효용성 평가)

  • Seo, Jiwoon;Park, So Young;Lee, Joon Woo;Lee, Guen Young;Kang, Heung Sik
    • Investigative Magnetic Resonance Imaging
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    • v.17 no.2
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    • pp.91-100
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    • 2013
  • Purpose : To evaluate the usefulness of cervicothoracic spine sagittal T2-weighted images (CT SAG T2WIs) included in routine lumbar spine MRI. Materials and Methods: Institutional review board approval was obtained and informed consents were waived for this retrospective study. The study group comprised 2,113 patients who underwent lumbar spine MRI from January 2005 to December 2005. CT SAG T2WIs were added in the routine lumbar spine MRIs. Radiologic reports were reviewed retrospectively for pathologic lesions on CT SAG T2WIs by one radiologist. Information of additional cervical or thoracic spine MRI and/or CT for further evaluation of positive findings on CT SAG T2WIs and their treatment were collected by retrospectively reviewing medical records. Results: The CT SAG T2WIs revealed 142 pathologic lesions in 139 (6.58%) of the 2,113 patients. They were easily obtained without positional change in a scan time of less than 2 minutes. Additional cervical or thoracic spine MRI and/or CT for positive findings on CT SAG T2WIs were performed in 13 patients. Seven patients underwent surgical treatment. Conclusion: CT SAG T2WIs included in routine lumbar spine MRI were useful in finding the pathologic lesions in cervicothoracic spine for the patients who assumed to have lesions in lumbar spine.

Acupuncture for Lumbar Spinal Stenosis in Korean Literature: a Systematic Review (요추 척추관 협착증에 대한 침구치료의 국내 임상근거: 체계적 문헌고찰)

  • Kim, Kun-Hyung;Noh, Seung-Hee;Lee, Byung-Ryul;Kim, Jae-Kyu;Yang, Gi-Young
    • Journal of Acupuncture Research
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    • v.28 no.6
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    • pp.93-105
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    • 2011
  • Objectives : This study aims to evaluate currently available clinical evidence for the use of acupuncture in patients with lumbar spinal stenosis in the context of Republic of Korea. Methods : Five Korean databases were searched for all clinical studies employing acupuncture for patients with lumbar spinal stenosis. The exceptions were case reports and series involving less than 10 patients from their inception to September 2011. Only studies reported in Korean databases were searched. Results : Five retrospective audits among 22 initially identified studies were eligible for analysis in this review. There was no randomized controlled trial for this topic. The number of patients varied between 15 and 119 in each audit, and all the patients analyzed were inpatients. In all the included studies, acupuncture was conducted in combination with other concomitant treatments, including moxibustion, cupping, herbal remedies, acupoint injection, Chuna, and various physical therapies. All the included audits reported symptomatic and/or functional improvements compared to baseline. None of the included audits indicated whether any adverse events were reported. Conclusions : Current evidence for the use of acupuncture in patients with lumbar spinal stenosis in the context of South Korea is based solely on five retrospective audits that are very likely prone to a high risk of bias. Thus, further prospective and methodologically sound clinical trials to overcome this huge gap between clinical practice and the available evidence for the use of acupuncture in patients with lumbar spinal stenosis are needed.

Case Report of Patients Diagnosed with Spinal Stenosis Treated by Hominis Placenta Megadose Pharmacopuncture Combined with Korean Medicine Treatment (자하거 대용량 약침 및 한의학적 치료를 적용한 척추관 협착증 증례 보고)

  • Song, Kwang Chan;Seo, Ji Yeon;Cho, Myoung Ui;Song, Seung Bae;Choi, Bong Seok;Ryu, Won Hyung;Kim, Doo Ri;Jeon, Yong Hyun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.32 no.2
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    • pp.141-147
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    • 2018
  • The purpose of this research is to show the effectiveness of spinal stenosis treated by Hominis Placenta Megadose pharmacopuncture combined with Korean medicine treatment. We used Hominis Placenta Megadose pharmacopuncture treatment on patients who received treatment at Bucheon Jaseng Korean medicine hospital from March, 2016 to October, 2016. Also we checked Numeric Rating Scale(NRS), Oswestry low back pain Disability Index(ODI) to follow the scale showing the improvement of the symptoms of the patients. All 4 patients showed the improvement of NRS, ODI scales. This research suggests Hominis Placenta Megadose pharmacopuncture combined with Korean medicine treatment can help treat spinal stenosis.