• Title/Summary/Keyword: Journal of oriental rehabilitation medicine

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측두하악장애의 수기치료에 관한 국내외 임상 연구 고찰 (A Review of Recent Clinical Studies for Manual Therapy on Temporomandibular Joint Disorder)

  • 노해린;김민영;박소현;정윤규;최영일;김문준
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.129-141
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    • 2013
  • Objectives The aim of this review is to investigate clinical studies for manual therapy on Temporomandibular Joint Disorder and to propose for the better method of studies in the future. Methods We investigated recent clinical studies for manual therapy on Temporomandibular Joint Disorder via searching Pubmed, KISS, KISTI, KERIS, KMBASE and National Assembly Library. 21 domestic and overseas articles were analyzed and the journals, the authors, the published years, countries, methods, periods, techniques of chiropractic, outcome measures, and purpose of those articles were examined. Results Studies on manual therapy were mainly published via Cranio. The diagnostic criteria that most frequently adopted in the overseas articles were research diagnostic criteria for temporomandibular disorders, The technique of chiropractic that most frequently adopted in the articles was passive traction and translation of TMJ. Many of the studies were researched for effectiveness of the manual therapy as the secondary treatment. Conclusions Reviewing the recent clinical studies for manual therapy on temporomandibular joint disorder and figuring out the strong points and weak points of those studies are necessary to future studies. It is anticipated that this review would benefit the in-depth treatments for temporomandibular joint disorder in terms of Korean medicine.

척추측만증의 보존적 치료에 대한 문헌적 고찰 - 국내 발표 논문을 중심으로 - (Review on Conservative Treatment of Spinal Scoliosis)

  • 이문규;이길재;송윤경;임형호
    • 척추신경추나의학회지
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    • 제4권1호
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    • pp.103-117
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    • 2009
  • Objective : The purpose of this study is to research the trend of the theses related to conservative treatment of spinal scoliosis and to establish the direction of futher studies into the spinal scoliosis Methods : We reviewed and analyzed all theses published by Korean research institution. And these theses were classified by field of study, theses type, symptoms and illnesses, evaluation methods, treatment type, clinical outcome. Result and conclusion : 1. Classified by the major field of study, oriental rehabilitation medicine and physical education accounted for 9 papers, followed by 6 in orthopedics medicine. 2. Upon classifying theses according to research method type, clinical trial theses were more than casuistic theses. 3. Upon classifying theses according to symptoms and illnesses in scoliosis, the most was idiopathic scoliosis. 4. Theses used mostly Cobb's angle for evaluating in scoliosis. 5. Some few of theses used chuna therapy for treating in scoliosis. 6. Chuna therapies side by side with correction exercises were the most efficient for treating in scoliosis.

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공진단의 효과에 대한 문헌적 고찰 (A Literature Review of Effectiveness on the Gongjin-dan (Gongchen-dan))

  • 이진현;조동찬;김창곤;문수정;박태용;고연석;송용선;이정한
    • 한방재활의학과학회지
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    • 제23권3호
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    • pp.69-78
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    • 2013
  • Objectives The purpose of this study was to investigate the effectiveness of the Gongjin-dan (Gongchen-dan, here in after GJD) in order to obtain the evidence for clinical application. Methods The GJD-related articles published from 1990 to 2013 were searched using "Korean Traditional Knowledge Portal", "Oriental Medicine Advanced Searching Integrated System (OASIS)", "Korean Association of Medical Journal Edition (Koreamed)", "Research Information Services (RISS4U)", "Korean Medicine Database (KMbase)", "National Discovery for Science Leader (NDSL)", "PubMed", "China National Knowledge Infrastructure (CNKI)". The search keywords were "Gongjin-dan", "Gongchen-dan". Thirty-nine articles were obtained. After excluding the eighteen article which did not meet inclusion criteria, finally twenty-one articles were included; five clinical articles and sixteen experimental articles. Results In clinical studies, GJD has the various effectiveness in cardiovascular diseases, alcoholic hepatitis, mild dementia, anemia. Also experimental studies related to the GJD show a variety of effects, such as anti-oxidative activity, neuroprotective activity, hepatoprotective activity, anti-inflammatory activity, immunological activity, reproductive recovery activity with fewer side-effects. Conclusions It has been suggested that there are various effects of GJD in treating a wide-range disease. However, in order to put GJD to use for many kinds of diseases in more reasonable ways, it is needed to publish well-design clinical trial based on the variety of results of experimental studies.

추나의학 용어 표준화 필요성 연구 (A Study for the Necessity of Terminology Standardization in Chuna Medicine)

  • 권정주;김민우;박경무;장건;조현철;남항우;신병철;임형호;송윤경
    • 척추신경추나의학회지
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    • 제7권1호
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    • pp.1-13
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    • 2012
  • Objectives: Although chuna medicine has progressed distinguishingly, yet chuna medical terminology hasn't been standardized. So there are a lot of difficulties in translating chuna related book and their meaning cannot be conveyed properly. For this reason, we could say standardization of chuna medical terminology is very essential. Purpose of our study was to develope a standard database of concept terms for chuna medicine, in addition, we considered establishing fundamental principles of chuna medical terminology. Methods: To select standard chuna medical terms, we sorted important chuna medical index words. Then we sorted those words into a group that has same meanings and united to one single term. In the meantime, we extracted index words from 26 domestic and foreign manual technique related books and sorted them out and based on these word, we translated chuna medical terms to Korean terms. In the case of chuna technique terms, we searched chuna text books for term those were wrongly used, and corrected them by suggesting fundamental principles of terminology. Results: 664 chuna words were selected as standard chuna terms and have been translated to English terms. In the process, adscititious words such as anatomical terms and title of books were exempted and selected only important words that could be used as index of chuna terms. In deciding essential elements of chuna technique terms, patient position, contact point, segmental contact point, malposition, procedure method were selected. Conclusions: Correcting chuna medical terms in a sort period could cause confusion, but in long term perspective, in the aspect of conveying the meaning clearly and education purpose, standardizing of chuna medical terminology must be done. From this study, standardization of chuna medical terms were chosen in large category, but further studies must be followed in order to standardize terms of subdivisional categories.

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두개천골요법(頭蓋薦骨療法)의 임상응용(臨床應用)에 대한 한의학적(韓醫學的) 고찰(考察) (The Study on Oriental-medical Understanding about Clinical Application of Craniosacral Techniques(CST))

  • 정택근;이인선
    • 한방재활의학과학회지
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    • 제18권4호
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    • pp.85-101
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    • 2008
  • Objectives : The purposes of this study are to understand Craniosacral Techniques(CST) from the oriental medical point of view and to apply it clinically. Methods : The similarities of theories and techniques between CST and the oriental medicine were researched. Results : CST is similar to Doin chuna(導引推拿) which is usually used for improving the muscle and joint movement. Conclusions : CST can be applied for not only autism, ADHD, learning disability but also various diseases of the whole body in company with acupuncture, herbal medicines, chuna(推拿), etc.

환측 동기침법을 이용한 경추 추간판 탈출증 환자의 급성 압박성 요골신경마비 치험 1례 (A clinical study of the affected part acupuncture moving treatment on the acute radial nerve palsy patient who has Cervical Herniation)

  • 정훈;조남훈;박지용;박현민;배상은;홍남중
    • 대한한의정보학회지
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    • 제17권2호
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    • pp.73-81
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    • 2011
  • Objectives : The purpose of this study is to evaluate the affected part acupuncture moving treatment for acute radial nerve palsy patient who has Cervical Herniation. Methods : We examined 1 patient with Radial nerve palsy who admitted Jaseng Hospital of Oriental Medicine. The patient was treated by the affected part acupuncture moving treatment including herbal mixture. Results : In this study, in the end of affected part acupuncture moving treatment, patient's condition has improved. Muscle strength was also increased. Conclusions : The affected part acupuncture moving treatment for acute radial nerve palsy was effective in restore of functional activities, but this treatment needs more study.

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한방물리요법 상대가치 산출과 급여 확대 시 재정부담 추계 (Measuring the resource-based relative value scale scores for physical therapies of traditional Korean medicine and estimating the insurer's expenditure in National Health Insurance)

  • 임병묵;신미숙;신병철;송윤경;송미연;신승우;김호준;이명종
    • 대한예방한의학회지
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    • 제14권2호
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    • pp.57-66
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    • 2010
  • Backgrounds : Since December 1, 2009, National Health Insurance began to reimburse for three physical therapies of Korean medicine. The extension of insurance coverage is demanded by Korean medicine societies. Objectives : This study aimed to measure the resource-based relative value scale (RBRVS) scores for thirty four physical therapies of Korean medicine and to estimate the insurer's expenditure for them in National Health Insurance. Methods : To measure the physician's work and the practice expense, the 'magnitude estimation method (MEM)' and the 'fully distributed cost - attributable cost method (FDC-ACM)' were applied respectively. We collected the frequency data of physical therapies from Korean medicine hospitals and clinics to estimate the total expenditure. Results : The resource-based relative value scale scores of physical therapies were measured from 23.44 to 160.66. Total insurer's expenditure was calculated to be 95.5 billion won as of 2009. Conclusions : Based on the result that showed minor increase of total expenditure, most physical therapies of Korean medicine need to be reimbursed in the National Health Insurance.

요추 추간판탈출증 환자의 발병시기에 따른 보존적 치료 결과 비교 연구 (A Comparative Study with Lumbar Disc Herniation under Conservative Treatment according to the Duration)

  • 윤유석;이종수;하인혁;김주원;권혁준
    • 한방재활의학과학회지
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    • 제18권4호
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    • pp.135-145
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    • 2008
  • Objectives : To investigate therapeutic outcomes of back pain modalities in patients with disc herniation according to the duration by treated with herbal medicine, chuna, acupuncture, bee-venom acupuncture. Methods : We separated 36 patients with disc herniation into three group according to duration; acute patients within 4 week, subacute patients within 5-12 week, and chronic group within 13-24 week. 36 patients with lumbar disc herniation were treated with chuna therapy, acupuncture, bee-venom acupuncture one times a week and took herbal medicine after a meal two times daily. The patients' symptoms were assessed 1 week, 2 week, 4 week, 8 week by Visual analogue scale(VAS), Oswestry disability index(ODI), 36-Item short-form health survey(SF-36). Results : 1. ODI of disability of daily activities showed significantly decreased in acute stage group compared to subacute and chronic stage groups(P<0.05). 2. Physical functioning(PF), bodily pain(BP), social functioning(SF) score of SF-36 showed significantly increased in acute stage group compared to subacute and chronic stage groups(P<0.05). Conclusions : This study suggests that acute stage group compared to subacute and chronic stage groups in patients with lumbar disc herniation is the more effective to improve symptoms treated with herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture.

요추 추간판탈출증 환자에 대한 한약, 봉독약침, 침, 추나요법의 유효성 평가 (A Clinical Study on the Effect of Korean Medical Treatments for Patients with Lumbar Disc Herniation)

  • 윤유석;박원상;하인혁;이종수;신현대
    • 한방재활의학과학회지
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    • 제18권1호
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    • pp.153-161
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    • 2008
  • Objectives : To investigate therapeutic outcomes of back pain modalities in patients with disc hemiation; Korean medical treatments(Herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture.). Methods : Operation(OP) recommended 20 patients with lumbar disc hemiation were treated with chuna therapy, acupuncture, bee-venom acupuncture one times a week and took herbal medicine after a meal two times daily. The patients' symptoms were assessed 1 week, 2 week, 4 week, 6 week, 8 week by Visual analogue scale(VAS), Oswestry disability index(ODI), 36-Item short-form health survey(SF-36). Results : 1. VAS(LBP and Sciatica) score was significantly improved after 8 weeks (P<0.05). 2. ODI, SF-36 score was significantly improved after 8 weeks (P<0.05). 3 There were significant changes in physical functioning(PF), bodily pain(BP), social functioning(SF), role emotinal(RE), mental health(MH) score of SF-36 after 8 weeks (P<0.05). Conclusions : This study suggests that Korean medical treatment(Herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture) can be applicable to improve symptoms in patients with lumbar disc herniation.

진피(陳皮)의 염증 억제 효과 (Anti-inflammatory Effect of Citrus Unshiu)

  • 박성혁;윤상학;권영미;염승룡;권영달;신병철
    • 한방재활의학과학회지
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    • 제15권1호
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    • pp.25-37
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    • 2005
  • 목적 : 진피(Citus Unshiu, CU)는 실험적으로 항산화, 항알러지, 항종양 효과 등이 있다고 보고되고 있다. 본 연구에서는 비만세포에서 PMA와 A23187에 의하여 유도된 싸이토카인의 증가에 대한 진피 추출물의 억제 효과와 그 기전을 알아보고자 한다. 방법 : PMA+A23187에 의한 싸이토카인 생성에 대한 진피 추출물의 억제효과 기전을 조사하기 위하여 진피를 처리한 후 $IL-1{\beta}$, IL-8, $TNF-{\alpha}$의 생산 및 혈관내피성장인자 (VEGF), 과립구 대식구 군집 자극 인자 (GM-CSF), 저산소 유도 인자(HIF-1)의 발현을 조사하였다. 결과 : 실험에서 PMA와 A23187을 처리한 경우 대조군에 비하여 $IL-1{\beta}$, IL-8, $TNF-{\alpha}$의 생산을 유의하게 증가시켰으나 진피 추출물을 처리한 군에서는 유의하게 억제되었다. 특히 $IL-1{\beta}$의 생성은 $103.7{\pm}5%$, IL-8 생성은 $34.6{\pm}7%$, $TNF-{\alpha}$의 생성은 $85.9{\pm}4.5%$ 억제되었다. (P<0.05). 또한 진피 추출물은 PMA와 A23187에 의하여 증가한 VEGF, GM-CSF, $HIF-1{\alpha}$의 발현 증가를 억제하였다 (약 90.9%의 VEGF, 61.6%의 GM-CSF). 결론 : 이러한 결과는 진피가 염증반응에 대한 HIF-1의 억제자로 작용할 수 있으면, 진피가 비만세포 매개성 염증 질환 치료제의 후보 물질이 될 것으로 사료된다.