• 한방재활의학과학회지
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• 제33권4호
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• pp.109-124
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• 2023

Objectives This study aims to find out effect of Korean medicine treatment on managing thoracolumbar compression fractures through retrospective observational study. Methods Among hospitalized patients at the Department of Korean Medicine Rehabilitation from January 1st, 2018 to February 28th, 2023, a total of 24 inpatients who were diagnosed with thoracolumbar compression fractures and received Korean medicine treatment were included in this study. Numeric rating scale (NRS) was used for pain assessment and clinical variables such as sex, symptoms, age, thoracolumbar injury classification and severity (TLICS) scores were collected. For subgroup analysis to analyze factors affecting treatment response, we divided patients into responders and non-responders according to NRS change. For statistical analysis, we compared before/after hospitalization and analyzed distinct features between two groups. Results Most of the patients were in their 70s and 83.33% were female. Average hospitalization period was 24.54±11.91 days. All patients had back pain as their chief complaint and only 2 patients received surgeries. In TLICS, only 1 patient got score 6, which represented surgery indication. After Korean medicine treatment, NRS of almost every patient got lower significantly at the time of discharge (3.02±1.93) than admission (5.52±1.95). Comparing two groups, responders had lower NRS at the time of discharge and TLICS score of them were lower than non-responders. Conclusions Our results show that Korean medicine treatment for thoracolumbar compression fractures was effective in reducing pain. There were distinct clinical features such as age, past history, surgeries between those with significant improvement in pain scores and those who did not.

• 한국융합학회논문지
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• 제12권7호
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• pp.317-327
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• 2021

본 연구는 빛 요법이 중년여성의 스트레스, 우울, 수면의 질 및 삶의 질에 미치는 효과를 비교하기 위한 무작위 대조군 연구이다. 본 연구의 대상은 I시 소재 일기관에 근무하는 중년여성 56명이며 자료수집 기간은 대조군은 2019년 8월 26일부터 9월 13일까지 실험군은 9월 16일부터 10월 4일까지 각 3주간 이루어졌다. 중년여성의 주관적 스트레스, 우울, 수면의 질 및 삶의 질은 스트레스 측정도구(NRS), 우울 측정도구(CES-D), 수면 측정도구(VHS), 삶의 질 측정도구(WHOQOL-BREF)로 측정하였으며 객관적 스트레스 지수는 Canopy9 RSA (IEMBIO, Gangwondo, Korea) 장비를 이용하여 측정하였다. 자료 분석은 IBM SPSS Statistics version 25.0을 이용하여 평균과 표준편차, 실수와 백분율, χ²-test, t-test, repeated measures ANOVA, ANCOVA로 분석하였다. 연구결과는 빛 요법을 적용한 실험군은 대조군에 비해 주관적 스트레스(F=6.30, p<.001)가 유의하게 낮았고, 삶의 질 (F=2.80, p=.049)이 유의하게 높았다. 객관적 스트레스 지수, 우울, 수면의 질에는 차이가 없는 것으로 나타났다. 결과적으로 빛 요법은 중년여성의 주관적 스트레스, 삶의 질에 부분적으로 효과를 보이고 있어 빛 노출이 제한된 직무환경에서 근무하는 중년여성을 대상으로 한 반복연구가 필요하다고 본다.

• 대한물리의학회지
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• 제19권1호
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• pp.81-94
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• 2024

PURPOSE: This study aimed to investigate the effect of a progressive balance training program with whole-body vibration stimulation on knee joint pain, dysfunction, psychosocial status, and balance ability in individuals aged ≥ 65 years with knee osteoarthritis. METHODS: A total of 40 individuals aged ≥ 65 years with osteoarthritis of the knees participated in the study. Using a randomization program, participants were assigned to an experimental group (n = 20) or a control group (n = 20). Both groups were assigned a knee strength training program, and a progressive balance training program with whole-body vibration stimulation was assigned to the experimental group. All interventions were conducted three times a week for four weeks. Participants were evaluated for the following: pain (numeric rating scale, NRS), knee dysfunction (Korean version of the Western Ontario and McMaster Universities Arthritis Index, K-WOMAC), fall efficacy (Korean Version Falls Efficacy Scale, K-FES), quality of life (Euro Quality of life 5 Dimension, EQ-5D), and advanced balance scale score (Fullerton advanced balance scale, FAB) before and after the intervention, and the effects of the intervention were compared accordingly between groups. RESULTS: Both groups showed significant differences in the results of the NRS, K-WOMAC, K-FES, and EQ-5D assessments before and after the intervention, and there was a significant difference in the amount of change between the two groups (p < .05). There was a significant improvement in FAB in all but items FAB 8 and FAB 9 after the intervention in the experimental group. In the control group, there was a significant improvement in FAB 1, FAB 2, FAB 7, and FAB total after the intervention (p < .05). In addition, there was a significant difference in the amount of change between the two groups in all items except FAB 8 and FAB 9 (p < .05). CONCLUSION: The progressive balance training program with whole body vibration stimulation is an effective intervention method with clinical significance in improving knee joint pain, knee disability index, psychosocial level, and balance ability in adults aged ≥ 65 with osteoarthritis of the knees.

• 대한한방내과학회지
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• 제39권4호
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• pp.814-821
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• 2018

Thyroid cancer is one of the most common cancers in Korea, and thyroidectomy is the first-line treatment. Hypoparathyroidism is a common complication of thyroidectomy and can cause symptoms such as numbness, spasm, and anxiety, but these issues have seldom been reported in the Korean medical literature. The present case was a 53-year-old thyroid cancer patient who complained of numbness caused by hypoparathyroidism, general weakness, fatigue, and postoperative pain after total thyroidectomy. The patient was treated with Korean medicine treatment, including herbal medicine, acupuncture, cupping, and moxibustion, and her changes in clinical symptoms were measured with a numeric rating scale (NRS), the Karnofsky performance status scale (KPS), and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30 (EORTC QLQ-C30). After treatment, her clinical symptoms were improved, leading to an improvement in her quality of life. Therefore, Korean medicine may be effective in the treatment of thyroid cancer patients who experience numbness caused by hypoparathyroidism, general weakness and fatigue after total thyroidectomy.

• Journal of Acupuncture Research
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• 제31권4호
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• pp.173-183
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• 2014

Objectives : The purpose of this study is to report the effect of Korean Medicine treatment on a patient with Charcot-Marie-Tooth disease. Methods : A 60-year-old woman who was diagnosed as Charcot-Marie-Tooth disease was admitted with both lower and upper limbs weakness, difficulty in walking, palm pain and neck pain. The patient was treated with acupuncture, electroacupuncture, herbal medicine, cupping therapy and physical treatment from 2th September 2013 to 14th November 2013. Improvement of the patient's symptoms was evaluated by numeric rating scale(NRS), visual analog scale(VAS), SF-36 bodily pain and patient global assessment(PGA). Results : After treatment, pain Intensity evaluated by VAS was significantly decreased(from 7.2 to 2). Increased SF-36 bodily pain score(from 10 to 67.5) showed that patient's quality of life has been improved. Conclusions : These results suggest that Korean medicine treatment may be effective in reducing the symptoms of Charcot-Marie-Tooth disease.

• 대한한방내과학회지
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• 제37권2호
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• pp.156-165
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• 2016

Objectives: This study reports on two cases of the clinical application of traditional Korean medicine on stroke patients with hemi-spatial neglect.Methods: We applied several traditional Korean medicine treatments and then evaluated the patients’ symptoms with Albert’s test, the clock-drawing test (CDT), the Catherine Bergego scale (CBS), and the numeric rating scale (NRS).Results: The scores of all of the scales showed improvement. In case 1, the Albert’s test score decreased from 2.5% to 0%, the CDT score increased from 6 to 10, and the CBS score decreased from 16 to 11. In case 2, the Albert’s test score decreased from 5% to 2.5%, the CDT score increased from 3 to 6, and the CBS score decreased from 23 to 16.Conclusion: We found that acupuncture, moxibustion, herbal medicine, and physical therapy appeared to be effective treatments for hemi-spatial neglect in these two stroke patients.

• Physical Therapy Rehabilitation Science
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• 제11권1호
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• pp.43-48
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• 2022

Objective: In the present study, to determine the extent of academic stress and pain from sitting for a long time, we will use a questionnaire to examine the effects of non-face-to-face stress and back pain on college students who have conducted non-face-to-face lectures. Design: Survey research Methods: A questionnaire was conducted using Naver foam to identify academic stress, attitude and time to listen to lectures, and the extent of back pain for college students who are experiencing non-face-to-face lectures. Outcome measures include the scale of academic stress (SAS), the Numeric rating scale (NRS), the Oswestry Disability Index (ODI Korea version) was implemented. The difference in academic stress was analyzed by t-test and one-way ANOVA, and the correlation between academic stress and back pain was analyzed using the Spearman correlation coefficient. In order to examine the academic stress, consistency, and stability, the reliability of the academic stress items was measured by examining the reliability with the Cron-Bach alpha coefficient. Allstatistical significance levels were α=0.05. Results: According to the general characteristics of the subject, there were no statistically significant results compared to gender (P<0.05), but the higher the grade, the higher the stress index, the higher the level of pain. Conclusions: This study confirmed that non-face-to-face lectures caused by COVID-19 have increased academic stress and the resulting increase in back pain in college students.

• 대한한방내과학회지
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• 제44권2호
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• pp.107-116
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• 2023

Objective: This case study reports on the results of the Korean medical treatment of a major aphthous oral ulcer patient. Methods: A 19-year-old male Korean patient with a major aphthous oral ulcer received acupuncture, herbal medicine, and moxibustion for three weeks in a hospital. Results: After treatment, changes were observed in the numeric rating scale (NRS) from 8 to 5, World Health Organization oral toxicity scale (WHO OTS) from grades 3 to 2, oral perception guide from 11 to 15, and Oral Health Impact Profile-14 (OHIP-14) from 19 to 34. Conclusion: It is worth examining the progress of Korean medical treatment for a major aphthous oral ulcer patient.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• 제25권4호
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• pp.390-402
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• 2023

Objective: Chronic subdural hematoma (CSDH) is a neurological complication following clipping surgery. However, the natural course and ideal approach for the treatment of clipping-related-CSDH (CR-CSDH) have not been clearly established. We aimed to investigate the course of CR-CSDH using chronological radiological findings. Methods: We performed a retrospective analysis of 28 (3.8%) patients who developed CSDH among 736 patients who underwent surgical clipping using pterional approach for unruptured aneurysms at our institution between December 2010 and December 2018. Patients underwent follow-up CT scan 6-8 weeks after clipping surgery and decision to pursue surgical intervention rests upon the patient's symptom based on the Markwalder's grading scale (MGS) and numeric rating scale (NRS). Results: Of the 28 patients, 3 patients (10.7%) underwent surgery, while 25 (89.2%) showed spontaneous resolution of CR-CSDH. Eighteen patients (64.2%) had mild headache with MGS of 0-1. The mean maximum hematoma volume was 41.9±30.9 ml (5.8-135 ml), and 26 patients (92.8%) had homogeneous hematoma. The mean time to hematoma resolution was 126.7±52.9 days (46-228 days). Comparing group of CR-CSDH volume ≥43 ml or a midline shift ≥5 mm, the difference in presence of linear low-density area (p=0.002) and age (p=0.026) between the conservative and operative groups were found to be statistically significant. Conclusions: Most CR-CSDH cases spontaneously resolved within 4 months. Therefore, we suggest that close observation should be performed if patient's symptoms are mild and special radiologic findings are present, despite its relatively large volume and midline shifting.

• Korean Journal of Acupuncture
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• 제34권3호
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• pp.164-171
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• 2017

목적 : 본 연구는 음허로 인한 야간발열 환자 2명에 대한 동씨침의 영골 및 대백혈의 치료효과를 알아보고, 이를 경락학적으로 고찰하는데 목적이 있다. 방법 : 음허로 진단된 2명의 환자를 대상으로 영골 및 대백혈에 침 치료를 시행하고, 15분 간 유침하였으며, 치료 전 후에 체온과 맥박을 측정하고, 구갈에 관한 NRS를 치료전에 측정하였다. 결과 : 영골 및 대백혈 자침 1시간 후 체온이 두명의 환자 모두 정상범위로 하강하였으며, Case 1의 경우는 영골 및 대백혈 자침치료를 시작한지 13일후, Case 2의 경우에는 14일 후에 야간발열 증상이 소실되었다. 11 pm에 측정한 맥박수는 Case 1에서 침 치료 시작 전 평균 82.6에서 치료 기간 중에는 75.2, 치료 후 74.8로 변화하였고, Case 2에서는 침 치료 시작전 평균 83.5에서 치료 기간 중에는 78.5, 치료 후 74.3으로 변화하였다. NRS는 Case 1에서 치료 전 평균 4.2에서 치료 기간 중에는 3.2, 치료 후 1.7로 감소하였으나 Case 2에서는 치료 전 평균 3.3에서 치료 기간 중에는 2.3, 치료 후 2.4로 변화하였다. 결론 : 두 가지 Case에서 영골 및 대백혈 자침은 발열증상을 완화하는데 효과적이었다. 이는 영골 및 대백혈이 수양명대장경의 경락 및 경근이 분포하는 영역에 위치하고 있기 때문에 수양명대장경의 열성병 치료효과와 대장주진의 생리학적 관점에서 고찰해 볼 수 있으며, 앞으로 이와 관련한 체계적이고 다양한 연구가 필요하리라 사료된다.