• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.28 no.2
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• pp.25-34
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• 2022

Background: Cervical headache (CGH) is a common condition that causes serious damage. Mulligan described a sustained natural apophyseal glides (SNAGs) as a manual therapy approach to treat this dysfunction. Although there have been several case studies to evaluate the effectiveness of SNAG, the efficacy of SNAG for cervical headaches is still controversial. Therefore, this study examined the effects of Mulligan's SNAG technique on cervical headache and pain intensity to present basic clinical data. Methods: Thirty-two subjects participated in this study, 16 each in the experimental and control groups. The experimental group applied Mulligan's SNAGs technique and the control group applied the placebo SNAGs technique. Results: Significant differences (p<.05) in the changes in pain, neck disability index (NDI) and Hamilton rating scale for depression (HRSD) were observed between the two groups. Conclusion: The application of Mulligan's SNAG technique to patients with cervical headaches effectively reduced headache, depression, and neck dysfunction. Based on this study, Mulligan's SNAGs technique can be used as an objective research method for additional studies targeting cervical headache patients in the future.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.18 no.2
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• pp.87-93
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• 2012

Background: Headaches arising from cervical musculoskeletal disorders are common. Conservative therapies are recommended as the choice of first treatment. Evidence to the effects of manual therapy is inconclusive and available only during the short term. There is no evidence to exercise, and no study has investigated the effect of combined therapies for cervicogenic headache. Methods: In this study, 30 participants who met the diagnostic criteria for cervicogenic headache were randomized into two groups: experimental group and control group. The experimental group was performed myofascial release (MFR), Mulligan technique and self stretching exercises. The control group was performed electrical therapy and self stretching exercises. Assessments were performed to 30 participants before and after 4 weeks therapy. The components of assessments were headache intensity(HI), headcahe duration (HD), neck pain (NP) and neck disability index (NDI). Results: After 4 weeks therapy, HI, HD, neck pain and NDI were significantly reduced in both groups (p<.01). The HI, HD, neck pain and NDI were significantly reduced in experimental group more than in the control group (p<.01). Conclusions: Manual therapy could reduce the symptoms of cervicogenic headache.

• 제어로봇시스템학회:학술대회논문집
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• 1988.10a
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• pp.518-523
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• 1988

A Teaching and Operating Expert System (TOES) was designed in order to perform a task effectively which is inaccessible to man. Once an error occurs in the middle of the task operation, the automatic mode is converted into a manual mode. After recovering the error by the manual mode, the manual mode should be converted into the automatic mode. It was necessary to improve the manual mode in order to increase the availability of a man-robot system, a part of the human interface technique. Therefore, the Error Recovery Expert System must be constructed and developed.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.14 no.2
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• pp.147-156
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• 2019

Objectives : This study aimed to report the evidence of difficulty, safety, and frequency of the use of Chuna Manual Therapy. Methods : The survey questions were developed using the consensus from a professor who majored in Rehabilitation Medicine of Korean Medicine (RMKM). November 26th to December 31st 2018, the questionnaire was given to education training members of the Korean Society of Chuna Manual Medicine for Spine & Nerves by paper. Twenty-nine(23%) of the questionnaires were retrieved. Difficulty, safety, and frequency of the use of Chuna Manual Therapy were reported based on the questionnaire. Results : In this study, the more difficult techniques were observed to be less safe. In particular, the adjustment techniques applied to the cervical and lumbar spine was answered with high difficulty. Although these techniques are high difficulty and low safety, the reason for its versatility also suggests that the technique has a high therapeutic effect and necessity. Conclusions : This is the first consensus on experts'opinions on Chuna Manual Therapy for education. We hope that this report is helpful for Korean medicine doctors who operate technique and expected to make clinical evidence of Chuna Manual Therapy.

• The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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• v.20 no.1
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• pp.9-14
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• 2014

Background: Cervical radiculopathy is the result of cervical nerve root pathology that may lead to chronic pain and disability. Although manual therapy interventions including cervical traction and neural mobilization have been advocated to decrease pain and disability caused by cervical radiculopathy, their analgesic effect has been questioned due to the low quality of research evidence. The purpose of this paper is to present the effect of manual therapy on pain, ROM, disability in a patient experiencing cervical radiculopathy. Methods: In this study, 30 participants who met the diagnostic criteria for cervical radiculopathy were randomized into two groups: group I (nerve mobilization group) & group II (Mckenzie exercise group). The experimental group was performed manual cervical traction and neural mobilization technique. The control group was performed manual cervical traction and cervical retraction, extension exercise. Assessments were performed to 30 participants before and after 4 weeks therapy. The components of assessments were pain intensity (PI), cervical rotation ROM (CR) and neck disability index (NDI). Results: After 4 weeks therapy, PI, CR and NDI were significantly reduced in both groups (p<.01). The PI, CR and NDI were no significantly reduced between group I and group II (p>.01). Conclusions: Manual therapy could reduce the symptoms of cervical radiculotpathy.

• The Journal of Korea CHUNA Manual Medicine
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• v.5 no.1
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• pp.243-249
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• 2004

Objectives : This study is to evaluate the effect of flexion-distraction technique by measuring surface EMG in low back pain groups. Methods : 5 low back pain patients' constact time, power, fatigue, recovery of muscle were measured before and after flexion-distraction technique. Results : The asymmetry ratio of surface EMG in low back pain groups were Increased, but decreased after flexion-distraction technique. Conclusions : Surface EMG might be used for evaluating the effect of flexion-distraction technique.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.2 no.1
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• pp.1-9
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• 2007

Objectives : This report was performed to evaluate the effect of flexion-extension technique in Bertolotti syndrome and scoliosis. Methods : We performed the flexion-extension technique to the patient with scoliosis and Bertolotti syndrome. Results : After flexion-extension technique the result of VAS of lumbago, cobb's angle were improved significantly. Conclusions : It is suggested that flexion-extension technique might be effective for the patient with scoliosis and Bertolotti syndrome.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.1 no.1
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• pp.61-71
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• 2006

Objectives : To introduce Total Body Modification(TBM) technique system developed by Dr. Victor Frank DC, DO, ND through combining chiropractic manipulation with osteopathy, acupuncture meridian system, and naturopathy based on his long-time clinical experiences and insights. Methods : After investigating the art, philosophy and science of TBM thechnique, and applying TBM practice under private clinical situation, we compared It with Chuna Korean manual medicine and oriental medicine system. Results : This system deals with correcting human body's functional physiology to potentiate in a favorable manner. TBM uses a neuromuscular reflex test and body access meridian points to tap into the body's biocomputer and read functional programs. Corrections are usually made by means of special respiratory spinal adjustment, cranial, soft tissue, or specific joint manipulation. Conclusions : We found similarities between TBM and Chuna system in the view of Korean Traditional meridian concept. The special combinations and sequences of various alarm points and associated points have clinical effects on the treatment of chronic spinal subluxation pattern. This suggests TBM has significance In the point of the future evolution of Chuna manual medicine in Korea.

• The Journal of Churna Manual Medicine for Spine and Nerves
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• v.14 no.1
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• pp.61-76
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• 2019

Objectives : The purpose of this study was to report the clinical results of various medical methods (including Chuna joint mobilization) used to treat a single patient with polyneuritis. Methods : We treated a 46 year-old female patient diagnosed with polyneuritis using various methods, including acupuncture, moxibustion, infrared therapy, herbal medication, Western medication, Chuna manual therapy, and physical therapy. We evaluated the results using the numeric rating scale (NRS), manual muscle test (MMT), active range of motion (ROM), modified barthel index (MBI). Other evaluation scale included Deep tendon reflex and thickness of muscle especially forearm and lower leg. Results : Following treatment using a combination of the above methods, the general overall condition of the patients was significantly improved. Furthermore, the NRS, MMT, MBI, and the active ROM scores were numerically improved. Conclusions : In this case, a single patient with polyneuritis was treated using a combination of Korean and Western medical methods. Although this study provides useful insight into treatment methods, further studies are required to determine the treatment effects of Korean medicine, specifically Chuna manual therapy, in patients with polyneuritis.

• Journal of International Academy of Physical Therapy Research
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• v.9 no.3
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• pp.1564-1570
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• 2018

The International Headache Society (IHS) has validated cervicogenic headache (CGH) as a secondary headache type that is hypothesized to originate due to nociception in the cervical area. CGH is a common form of headache and accounts for 15% to 20% of all chronic and recurrent headaches. CGH is commonly treated with manual and exercise therapy. To date, no studies have isolated only one manual intervention in an attempt to determine its effectiveness. In this case study we present a 28-year-old patient with right upper cervical (UC) and occipital pain who responded well to a single manual intervention technique. This technique was applied in isolation for the first three visits and two therapeutic exercises prescribed on the fourth and fifth visit. In total, manual and exercise intervention occurred over 8 visits at which point in time the patient was discharged with no UC motion impairments, an NPRS rating of 0, a NDI and HDI demonstrating a 100% improvement and a 37% improvement in FOTO score. The traction based manual intervention and two therapeutic exercises prescribed for this patient were successful in relieving UC pain and CGH. At six months follow up, the patient was still symptom free.