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

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Herniated Lumbar Disc in a Patient Who Is Deteriorated by Coughing: A Case Report (기침으로 악화된 요추 추간판 탈출증 환자 1례)

  • Yoon, Hyun-Seok;Kim, Seok;Bahn, Hyo-Jung;Yom, Sun-Kyu;Cho, Hyun-Chol;Jung, Sung-Yub;Lim, Hyung-Ho
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.5 no.2
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    • pp.69-76
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    • 2010
  • The deterioration of neurologic symptoms, like disc rupture or cauda equina syndrome within short time caused by abdominal pressure, seems to be an uncommon event. We experienced a man who had a sudden deterioration to cauda equina syndrome for a day. We presume that the reason is the increase of abdominal pressure by coughing. He had also undergone to repetitive minute damage after degenerative condition. Therefore, doctors and patients should be aware about degenerative state, possibility of minute damage, and be careful to its cause like coughing.

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A Clinical Case of Oriental Medical Treatments for Traumatic Thigh Subcutaneous Hematoma by Traffic Accident (교통사고로 발생한 외상성 대퇴부 피하혈종의 한의학 치료 효과)

  • Jung, Il-Min;Yu, Deok-Seon;Park, Min-Jung;Yeom, Seung-Ryong;Kwon, Young-Dal
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.219-225
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    • 2010
  • Objectives : This study was performed to report the effect of oriental medical treatments in one patient with traumatic thigh subcutaneous hematoma by traffic accident. Methods : The patient was treated by acupuncture, herbal medicine, pharmacopuncture and cupping for 3 months. Results : After treatments, VAS(visual analog scale) score changed from 10 to 0. MR Imaging showed that the size of subcutaneous hematoma has decreased from $5{\times}11{\times}5.8cm$ to $2.4{\times}3.2{\times}2.6cm$. And the palpation results also showed that the size of subcutaneous hematoma has gotten smaller. Conclusions : Our study suggests that oriental medical treatments such as acupuncture, herbal medicine, pharmacopuncture and cupping may be effective in traumatic subcutaneous hematoma. More cases of controlled treatments are needed to define the effect of oriental medical treatments for traumatic subcutaneous hematoma.

Review on Efficacy and Safety of Manipulation Therapy including Chuna Manipulation (추나요법을 포함한 수기치료의 효과 및 안전성에 관한 문헌고찰)

  • Kim, Ki-Byoung;Park, Tae-Yong;Lee, Jeong-Han;Kong, Jae-Cheol;Lee, Su-Kyung;Shin, Byung-Cheul;Kwon, Young-Dal;Song, Yung-Sun
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.4
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    • pp.103-120
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    • 2008
  • Objectives : This study aims to educate clinical doctors of the valuable practice of Manipulative Therapy(MT) as an opportunity for evidence-based medicine. Consequently it also serves to review the effectiveness and safety of MT. Methods : The literature studies of overseas were done by Cochrane Library and Medline website; those of domestic researches were completed by utilizing the sources which are gained from KERIS, KISS, DBpia, Kisti, and domestic institutes related with MT. Results : Eight papers related to the effectiveness of MT were published in South Korea, which concluded with the positive effects of MT. None of them are, however, well-designed randomized controlled trials(RCT). On the other hand, fifteen cases of nine articles indicate the adverse reaction of MT, and numbers of the researches in overseas revealed the side effects of MT in order of cervical, lumbar, and thoracic vertebrae. A vascular adverse reaction such as vertebral and carotid artery dissection was a highly reported cervical adverse reaction; in the thoracic and lumbar regions, neurological adverse reaction in terms of disc hemiation was frequently discovered. Conclusions : Henceforth, highly qualitative studies are required developing the effective outcomes and preventing any possible complications of MT. Therefore, systemic curriculums in institutions and sufficient clinical training in the filed are strongly recommended.

Three Clinical Cases Study on Idiopathic Lumbar Scoliosis with Muscle Energy Techniques and Acupuncture Therapy (근에너지기법(Muscle Energy Techniques)과 침치료를 이용한 특발성 요추부 척추측만증 치험 3례)

  • Eom, Tae-Woong;Moon, Tae-Woong;Kang, Myung-Jin;Kong, Duck-Hyun;Cho, Tae-Young;Lee, Ki-Ha;Yoo, Da-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.173-185
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    • 2008
  • Objectives : This study is designed to evaluate the effectiveness of muscle energy techniques and acupuncture therapy on patients with idiopathic lumbar scoliosis. Methods : We have investigated 3 patients with idiopathic lumbar scoliosis, used muscle energy techniques and acupuncture therapy, measured Cobb's angle before and after treatment. Results : After treatment, One case, the L-spine Cobb's angle correctability was 62.74%, another case was 34.66%, the other case was 45.50%. Conclusions : These results suggest that muscle energy techniques and acupuncture therapy was effective treatment on patients with idiopathic lumbar scoliosis.

A Study on Correlations between Muscle Circumference Ratio, Water Distribution and BMI Obese and Normality (비민인과 정상인의 근육둘레비율 및 수분분포와 BMI의 상관성 연구)

  • Park, Won-Hyung;Kim, Dong-Gun;Cha, Yun-Yeop;Kim, Jin-Yeon;Park, Byung-Cheol;Yoon, Yong-Kwan;Pyun, Ki-Wook;Hwang, Man-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.15 no.2
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    • pp.45-54
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    • 2005
  • Objectives : This study aims to confirm the importance of behavior habit and exercise, especially leg exercise in obese. Methods : Out of 2247 people, we divided 1125 people in normal group(BMI<25) and 122 people in obese group($BMI{\geq}25$). We measured each arm, leg, abdomen muscle circumference and right and left water difference using BLA. We Investigated whether ratio of leg muscle circumference to arm and abdomen has differences by statistics between each groups. And analyzed correlation with BMI. We also investigated right and left water distribution difference of two group's limbs and the correlation with BMI. Statistical analysis was performed by using SPSS program. Results : 1. In obese group, ratio of leg muscle circumference to arm and abdomen is significantly lower than normal group(P<0.001). 2. Ratio of leg muscle circumference to arm and abdomen were negatively correlated with BMI(r-0.461, r=0.462, P<0.001). And partial correlation coefficient controlled for age and sex is -0.528, -0.632(P<0.001). 3. In the case of women, there was right and left water distribution difference as statistical in leg. In the case of Obese, the difference is serious. Conclusions : These results suggest that exercise and activity of lower limbs is more needed in the field of obesity treatment and prevention.

The Correlation Analysis of Low Back Pain, Stress by Event, and Fear-Avoidance Beliefs Caused by Traffic Accidents (교통사고에 의한 요통, 사건 스트레스, 공포-회피 반응 간의 관련성 분석)

  • Choi, Hee-Seung;Kim, Min-Yeong;Kim, Jin-Soo;Ro, Hae-Rin;Jung, Yoon-Gyu;Choi, Young-Il;Shin, Dong-Jae;Eom, Tae-Woong
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.4
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    • pp.203-212
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    • 2013
  • Objectives This study was to investigate the correlation of low back pain, stress by event, and fear-avoidance beliefs caused by traffic accident. Methods We investigated 103 cases of out-patient with traffic accident. The patients answered that Visual Analogue Scale (VAS), Impact of Event Scale Revised Korean Version (IES-R-K), and Fear-Avoidance Beliefs Questionnaire (FABQ) on the first medical examination. We calculated statistical significance with this data. Results VAS, IES-R-K, and FABQ scores of the female patients with the traffic accident were higher than the male patients. VAS, IES-R-K, and FABQ scores showed low significant positive correlation and showed partial correlation between IES-R-K and FABQ, controlled by VAS, had no statistical significance in this research. Conclusions More considerations on pain, stress by event, and fear avoidance belief should be needed in treatment of the traffic accident patients.

상완골 외상과염 환자에 대한 오공약침 치험 2례

  • Park, Jang-Woo;Hwang, Jae-Pil;Kang, Jun-Hyuk;Kim, Hyun-Su;Heo, Dong-Seok;Yoon, Il-Ji;Oh, Min-Seok
    • Journal of Pharmacopuncture
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    • v.9 no.3 s.21
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    • pp.155-160
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    • 2006
  • Objective : The purpose of this study is to examine if scolopendrid acuacupucture may be effective to the lateral epicondylitis. Methods : Using scolopendrid aquacupucture, we injected a small dose of it to the affected area and operated 2 pre and post treatment test; VAS(visual analogue scale), PPT(pressure pain threshold). Results : The scolopendrid aquacupucture treatment led to improvement in the pain and symptom of lateral epicondylitis by all efficacy measures. After scolopendrid aquacupucture treatment, there was improvement in VAS, PPT. Conclusion :This results suggest that scolopendrid aquacupucture is good method for treatment of lateral epicondylitis, so we suggest the possibility to use this new remedy for the lateral epicondylitis.

Case Report of Takayasu's Arteritis (다카야수 동맥염 증례 1례 보고)

  • Yang Jae Sun;Yeom Seung Ryong;Yun Kyoung Hwan;Lee Joung Hun;Yoon Jun Chul;Lee Jong Deok;Song Young Sun;Kwon Young Dal
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.1
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    • pp.301-305
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    • 2004
  • There were a few case reports on the treatment of Takayasu's arteritis. We had a good effect on one patient with Takayasu's arteritis by oriental medicine therapy. We use acupuncture, herbal acupuncture, electro-acupuncture, moxa, negative thrapy, kinesio taping therapy, physical therapy and exercise for 82 days. In this case, Left hemiparesis, dysarthria, pulseless, disturbances of urination, headache, dizziness improved after treatment. We experienced improvement in this symptoms of Takayasu's arteritis by oriental medicine treatment.

Three Clinical Cases on Acute Lumbar Sprain Patients with Limited Range of Motion by Chuna Treatment (Saban-Method Technique) and Oriental Medical Treatments (관절 가동범위 제한을 동반한 급성 요추부 염좌 환자에 요부사반법(腰部斜搬法)과 한방치료를 병행한 치험 3례)

  • Lee, Kyung-Moo;Ahn, Hee-Bin;Lim, Sang-Hoon;Kim, Soon-Joong;Jeong, Su-Hyeon
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.4
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    • pp.189-202
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    • 2009
  • Objectives : This study was performed to evaluate the effects of Chuna treatment (Saban-method technique) on acute lumbar sprain patients with limited range of motion(LOM). Methods : Three patients suffered from acute lumbar sprain with LOM, were treated with Chuna therapy(Saban-method technique), acupuncture, herbal medicine, physical therapy and measured by VAS(Visual Analogue Scale) and ODI(Oswestry Disability Index). Results : After Chuna treatment and oriental medical treatments, we found out a recovery from three patients suffering from acute low back pain with LOM. Conclusions : Through this study, we suggest that Chuna treatment(Saban-method technique) and oriental medical treatments was effective to cure acute lumbar sprain patient with LOM.

A Study on Diagnostic Validity of Spurling Test Compared to Magnetic Resonance Imaging Findings in Diagnosing Herniated Cervical Intervertebral Disc (경추 추간판 탈출증을 진단함에 있어 경추부 자기공명 영상 소견과 비교한 Spurling test의 진단적 타당성에 대한 연구)

  • Moon, Tae-Woong;Kang, Myung-Jin;Kong, Duck-Hyun;Kim, Jun-Su;Yang, Kee-Young;Lee, Jae-Hoon;Eun, Young-Jun;Kim, Ki-Joo
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.2
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    • pp.203-212
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    • 2009
  • Objectives : Spurling test is one of the most widely used physical tests to diagnose herniated cervical intervertebral disc. The purpose of this study is to analyse diagnostic validity of Spurling test. Methods : This study was carried out on 382 subjects who visited Bu-Chun Ja-Seng oriental hospital with the neck pain or radiating pain from neck to upper extremities from November, 2007 to October, 2008. All subjects underwent both Spurling test and cervical magnetic resonance imaging(MRI). The associations between Spurling test and herniated cervical intervertebral disc were analysed. Results : 1. The sensitivity of Spurling test for herniated cervical intervertebral disc was 64%. 2. The specificity of Spurling test for herniated cervical intervertebral disc was 86%. 3. The positive predictive value of Spurling test for herniated cervical intervertebral disc was 93%. 4. The negative predictive value of Spurling test for herniated cervical intervertebral disc was 44%. Conclusions : This study suggests that Spurling test is not useful in screening for herniated cervical intervertebral disc due to the test's relatively low sensitivity. Thus it is necessary to consult advanced tests such as diagnostic imaging to diagnose herniated cervical intervertebral disc.