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

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The Clinical Observation of Oriental Medicine Treatment and Hominis placenta Pharmacopuncture in 4 Cases of Supraspinatus Tendinosis and Subdeltoid Bursitis (한방 치료와 자하거약침을 병행하여 치료한 극상근건염 및 삼각근하 점액낭염 환자 4례 증례보고)

  • Kim, Min-Yeong;Choi, Young-Il;Choi, Hee-Seung;Jung, Yoon-Gyoo;Choo, Won-Jung;Lee, Cha-Ro;Nam, Hang-Woo
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.17 no.2
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    • pp.1-15
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    • 2011
  • Objectives : The purpose of this case series is to investigate and report the effectiveness of oriental medicine treatment and Hominis placenta pharmacopuncture treatment for supraspinatus tendinosis and subdeltoid bursitis. Methods : 4 patients are admitted at Dept. of Oriental Rehabilitation Medicine, Bu-Cheon Jaseng Oriental Medicine Hospital, diagnosed as supraspinatus tendinosis and subdeltoid bursitis and treated with oriental medicine treatment and Hominis placenta pharmacopuncture. Each case is measured and assessed daily by NRS(Numeric Rating Scale) score and shoulder physical exam. Results : After treatment, patients' shoulder pain are decreased and they showed nearly full ROM(range of movement). In patients with supraspinatus tendinosis and subdeltoid bursitis, oriental medicine treatment and Hominis placenta is good method for pain relief and better movement. Conclusions : As seen in these 4 cases of supraspinatus tendinosis and subdeltoid bursitis, oriental medicine treatment and Hominis placenta pharmacopuncture appears to be effective.

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The Utilization of Physical Therapies in the Korean Medicine Clinics : A Survey for National Health Insurance Planning (한의원의 한방물리요법 이용 현황과 건강보험 급여화에 대한 인식)

  • Shin, Mi-Sook;Shin, Byung-Cheul;Lee, Myeong-Jong;Kim, Ho-Jun;Song, Yoon-Kyung;Song, Mi-Yeon;Shin, Seung-Woo;Lim, Byungmook
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.3
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    • pp.101-109
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    • 2009
  • Objectives : This study aimed to investigate the present status of physical therapies provided in the Korean medicine clinics, and to find out the priorities among and the estimated fees of physical therapies for the National Health Insurance plan. Methods : We administered nationwide survey to Korean medicine doctors using the on-line survey system. 16 physical therapies were listed in the Web-based questionnaires, and responders were asked to mark the therapies they used for their patients, and, for each therapy they marked, to fill in the form including the frequencies of service, service fees, target diseases, and priorities for health insurance coverage, etc. Results : Of 488 respondents, 93.7% provide more than one physical therapy for their patients, and each responder uses 5.9 physical therapies on average. 60-90% of physical therapies are being given to patients for free because they are not covered by the National Health Insurance. There is little evidence that the specialties of Korean medicine doctors are related with the use of physical therapies, but, in some therapies, the doctors with longer career years use the physical therapy more frequently. Most physical therapies are applied to the patients with musculoskeletal diseases, cardiovascular diseases, and nervous diseases, etc. Conclusions : Physical therapies are widely used among Korean medicine doctors without proper compensation. This could be the one of the main factors distorting the profit structure of Korean medicine clinics, and it encourages the National Health Insurance to cover physical therapies provided in the Korean medicine clinics.

The Domestic Trend of Chuna Treatments on Lumbar Spinal Disorder (요추부 질환에 적용하는 추나 치료에 대한 국내 연구 동향)

  • Choi, Hee-Seung;Choi, Young-Il;Son, Seol-Ki;Choi, Chul-Woo;Im, Han-Bit;Kim, Dong-Hwan;Jeong, Yeon-Jae
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.7 no.2
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    • pp.25-38
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    • 2012
  • Objectives : The present study examines the domestic trend of Chuna treatments on lumbar spinal disorder in Korea. Methods : We investigated the studies on Chuna treatments for lumbar spinal disorder via searching 10 Korean web databases. As a result, 63 research papers were found to be analyzed according to their published year, the titles of journals, the types of study, the techniques of Chuna, the instruments for assessment, the Chuna technique and the number of the treatment trials by the cases of lumbar spinal disorder and ethical approvals. Results : The number of the research papers published tends to increase every year. The studies on Chuna treatments were mainly published in The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. The most frequently adopted technique of Chuna in the examined studies was Cox flexion & distraction technique. Visual analogue scale(VAS), oswestry disability questionnaire(ODI) were used as primary means of assessments. The ethical problems of the examined studies needed to be improved. Conclusion : Reviewing the domestic trend of studies on Chuna treatments for lumbar spinal disorder and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for Chuna in Korean medicine.

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A Study on Correlation between the Axial Section Area in Psoas Major Muscle and Nucleus Discharge Part of HIVD of L-spine (추간판 탈출증의 수핵 탈출부위와 요근의 좌우 단면적 넓이와의 상관관계)

  • Kim, Hyung-Kil;Lee, Dong-Eun;Cho, Woong-Hee;Kim, Doo-Hee;Park, Won-Hyung;Cha, Yun-Yeop;Choi, Ga-Young
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.4
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    • pp.111-118
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    • 2011
  • Objectives: This study was designed to correlation between the axial section area in psoas major muscles and uncleus discharge pat of HIVD(herniated intervertebral disc) of lumbar(L)-spine. Methods: We measured the axial section area in psoas muscles. Then through the medical charts, we investigated nucleus discharge pat of HIVD of L-spine. We analyzed the relationship between them. Results: There was no significant correlation nucleus discharge part and psoas major muscle's axial section area. There was significant correlation aging and psoas major muscle's axial section area with control the sex. Conclusions: According to above results, there was no significant the area of axial section in psoas major muscles and nucleus discharge part of HIVD of L-spine.

The Effects of Aroma Therapy on Sleep Disorder Patients with Musculoskeletal Pain (향기요법이 통증을 주소증으로 입원한 환자의 수면장애에 미치는 영향)

  • Park, Soo-Gon;Yang, Mi-Sung;Kim, Oh-Young;Jo, Hee-Guen;Choi, Jin-Bong;Kim, Sun-Jong;Sul, Jae-Uk
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.4
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    • pp.215-230
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    • 2010
  • Objectives : The purpose of this study is to investigate the effects of aroma therapy on sleep disorder patients with musculoskeletal pain. Methods : The 44 patients were divided into 2 groups: Experimental group(Exp. group) was treated with aroma therapy and control group was treated except aroma therapy. To evaluate the efficiency of aroma therapy, the Korean sleep scale A(Jin-Joo Oh, Mi-Soon Song, Sin-Mi Kim, 1998) and visual analogue scale(VAS) were applied before treatment and after 5 days treatment. Results : 1. The Experimental group has improved statistical significance in sleep disorder score as compare to the control group. 2. The improvement of sleep disorder score of Exp.group has difference according to impression. 3. The improvement of sleep disorder has an effect on pain decrease. Conclusions : Aroma therapy has effects of improvement on sleep disorder with musculoskeletal pain.

Clinical Study for Patients with Lumbar Disc Herniation on Change of Magnetic Resonanse Imaging after Conservative Treatment (요추 추간판 탈출증 환자의 보존적 치료 후 변화된 자기공명영상에 따른 임상적 고찰)

  • Kwon, Hyeok-Joon;Jeong, Hae-Chan;Kim, Ho-Jun;Park, Young-Hoi;Keum, Dong-Ho;Lee, Myeong-Jong
    • Journal of Korean Medicine Rehabilitation
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    • v.19 no.3
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    • pp.81-90
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    • 2009
  • Objectives : To analyze the therapeutic outcomes of back pain modalities in patients with disc herniation according to the change of Magnetic Resonanse Imaging(MRI) whom were treated with herbal medicine, chuna, acupuncture, bee-venom acupuncture. Methods : Clinical outcomes of 35 patients diagnosed with lumbar disc herniation by MRI examination, treated conservatively, were analyzed according to MRI follow-up change. Patients underwent MRI examaintion at baseline and after 24th week of treatment. Patients are divided into three groups ; improved, unchanged, worsened. 35 patients with lumbar disc herniation were treated with chuna therapy, acupuncture, bee-venom acupuncture once a week and took herbal medicine after a meal two times daily. The patients' clinical outcomes were assessed at baseline, 12th week, 24th week by Visual analogue scale(VAS), Oswestry disability index(ODI). Results : 1. MRI follow-up exams on regression of disc herniation resulted on 42.86% of cases by conservative treatment. 2. VAS(low back pain and sciatica) and ODI of disability of daily activities showed significant decrease in "improved" and "unchanged" groups compared to "worsened" group(P<0.05). 3. VAS(low back pain and sciatica) and ODI change after treatment did not show any relationship with MRI follow-up change(P<0.05). Conclusions : This study suggests that "improved" and "unchanged" groups compared to "worsened" group on MRI follow-up in patients with lumbar disc herniation were more effective when treated with herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture. MRI follow-up change does not affect clinical changes in patients with lumbar disc herniation.

Effectiveness of Korean Medicine Treatment on Lumbar Intervertebral Disc Herniation Patients' Fear-Avoidance Belief (요추 추간판 탈출증 환자에 적용된 한의학적 치료가 공포-회피 반응에 미치는 효과)

  • Choi, Young-Jun;Moon, Byung-Heon;Ju, Yeung-Guk;Kim, Kil-Hwan;Song, Seong-Bae;Shin, Dong-Jae;Chung, Jai-Hyeon;Lee, Chi-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.3
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    • pp.97-108
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    • 2016
  • Objectives This study is planned to classify effectiveness of Korean medicine treatment on lumbar intervertebral Disc herniation patients' fear-avoidance belief. Methods We measured 84 patients with lumbar intervertebral disc herniation in Jaseng Korean Medicine Hospital. We used numeric rating scale, oswestry disability index, fear-avoidance belief questionaire for evaluating effectiveness of oriental medicine treatment on lumbar intervertebral disc herniation. And We used Magentic Resonance Imaging(MRI) for classifying the patient who has lumbar intervertebral disc or not. Results 1. There was statistical effectiveness of korean medicine treatment on lumbar intervertebral disc herniation patients' fear-avoidance belief (p<0.01). ${\Delta}NRS$ and ${\Delta}ODI$ (r=0.587) was Most statistically correlative. ${\Delta}ODI$ and ${\Delta}FABQ$ had a little of statistically correlation (r=0.313). ${\Delta}NRS$ and ${\Delta}FABQ$ has no statistically correlation (r=0.145). Conclusions This study suggests that screening for the korean medicine treatment reduces fears and negative belief of patients with the lumbar disc herniation and prevents chronic physical symptoms that come from them so that it can be a great help to controlling patients' pain clinically.

The Clinical Study of Muscle Energy Techniques(MET) in Elector Spinae Muscle on Low Back Pain Patients-Through Meridian Electromyography (요통환자의 근에너지 기법 시술 전과 후의 척추기립근 변화-경근전도를 통해)

  • Choi, Jin-Seo;Ahn, Jae-Min;Kim, Choo-Young;Lee, Jae-Hun;Park, Dong-Su;Jeong, Su-Hyeon;Kim, Soon-Joong
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.1
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    • pp.15-23
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    • 2013
  • Objectives : To evaluate the clinical utility of MET in elector spinae muscle on low back pain patients. Methods : We compared electrical activity between a before MET and a after MET in elector spinae muscle on low back pain patients in same group(n=30) in dynamic flexion-reextension state during five seconds. We analyzed amplitudes and areas of electrical activity and asymmetry index(AI). Results : 1. After MET in elector spinae muscle on low back pain patients were significantly decreased in Visual Analogue Scale(VAS) than before MET in elector spinae muscle on low back pain patients(p<0.05). 2. After MET in elector spinae muscle on low back pain patients were lower electrical activity than before MET in elector spinae muscle on low back pain patients but it is not a pointless observation(p<0.05). 3. AI of the after MET in elector spinae muscle on low back pain patients significantly decreased compared with before MET in elector spinae muscle on low back pain patients(p<0.05). Conclusions : According to above results, there is clinical effect MET on low back pain patients.

Survey of Satisfaction with Oriental Medical Care for Traffic Accident Patients ; 35 Cases Report (교통사고 환자 35예에 대한 한방의료 서비스 만족도 조사)

  • Park, Darn-Seo;Pi, Chien-Hsin;Lee, Jeong-Han;Kong, Jae-Cheol;Baek, Dong-Gi;Song, Yung-Sun;Kwon, Young-Mi
    • Journal of Korean Medicine Rehabilitation
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    • v.18 no.3
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    • pp.99-118
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    • 2008
  • Objectives : This study aimed to understand the satisfaction degree of patients due to traffic accident(TA) in order to provide basic data which would give help not only to improve the quality of services, but also to strengthen the competitiveness of oriental medical hospitals on sequela of TA patients. Methods : The data were collected from inpatients and outpatients who answered a self-report questionnaire. Independent t-test, analysis of variance(ANOVA), $X^2$-test, correlation analysis were used for data analysis. Results : According to the research on medical satisfaction degree, the overall satisfaction degree was 4.141. On each field, satisfaction degree related to the doctor service recorded the highest degree among others(4.474). Satisfaction degree related to the appropriateness of service was the second(4.091). On the other hand, satisfaction degree of using procedure was the lowest degree(3.857). On the difference of degrees of satisfaction by general characteristics, patients who were unemployed houseworker group showed lower doctor service satisfaction degree than that of other groups. However, on the difference of degrees of satisfaction related to other general characteristics, there were no significant differences(p<0.05). Conclusions : The service distribution of oriental medical hospital was almost equal without concentrating on specified social classes.

A Clinical Trial on the Blood Stasis and Efficacy of Kyejibokryong-whan(Guizhifuling-wan) in the Patients with Motor Vehicle Accident (교통사고 환자의 어혈변증과 계지복령환(桂枝茯笭丸) 효과의 임상적 연구)

  • Jo, Hee-Guen;Park, Ae-Ryeon;Kee, Young-Bum;Kang, Dae-Hee;Choi, Jin-Bong;Sul, Jae-Uk
    • Journal of Korean Medicine Rehabilitation
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    • v.21 no.3
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    • pp.45-55
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    • 2011
  • Objectives : The main purpose of this study is to investigate the efficacy of Kyejibokryong-whan(Guizhifuling-wan) and examine the blood stasis for patients with motor vehicle accident. Methods : Of the patients who have visited Dong-Shin university oriental hospital for general pan due to motor vehicle accident from June 2010 to November 2010, we enrolled 29 patients and performed blood stasis diagnosis. Patients were divided into groups according to blood stasis findings. Patients who had more than twenty blood stasis diagnosis point were classified as blood stasis group. Patients who had under twenty blood stasis diagnosis point were classified as non blood stasis group. We administered Kyejibokryong-whan(Guizhifuling-wan) to all group. The effect was assessed by VAS(visual analogue scale), SF-MPQ(short form-McGill pain questionnaire) ODI(Oswestry disability index) & NDI(neck disability index). Results : The pain & function index decreased in both groups after treatment. Conclusions : The difference between blood stasis group and non blood stasis group were not significant at after treatment stage. This data suggested that the method of classifying blood stasis is useful and the Kyejibokryong-whan(Guizhifuling-wan) can be effective means that decrease pain caused by motor vehicle accident.