• Title/Summary/Keyword: PFWD

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Clinical Case Report on the Gait disturbance Patient with Osteoporosis and Lower Limb Fracture Surgery Treated by Chuna Therapy (골다공증을 동반한 하지부골절 수술 후 보행불리 환자 재활에 단순추나요법을 적용한 치험 1례)

  • Lee, Yun-Jin;Park, Na-Ri;Yang, Doo-Hwa;Ahn, Hee-Duk
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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    • pp.77-88
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    • 2019
  • Objectives : The purpose of this study was to show the effectiveness of Chuna Manual Therapy applied to a osteoporosis patient with gait disturbance due to lower limb fracture surgery. Method : We focused on Chuna therapy accompanied with acupuncture, herbal medicine, moxibustion, cupping treatment and rehabilitation exercise. This case was assessed using the Visual Analogue Scale (VAS), Pain Free Walking Distance (PFWD), Berg Balance Scale (BBS), and Modified Barthel Index (MBI). Result : This patient showed improvement on the VAS from 6 to 3, PFWD from 0 m to 2000 m using a walker and 50 m by self-walking, BBS from 2 to 28, and MBI from 56 to 89. Moreover the walking state improved from gait disturbance to self-walking. Conclusion : This study suggests that Chuna therapy could be used to improve gait disturbance in patients with osteoporosis and lower limb fracture surgery.

A Case Report on Conservative Treatments with Chuna manual therapy on patient who has Failed Back Surgery Syndrome owing to herniated intervertebral lumbar disc with scoliosis (측만이 동반된 요추 추간판 탈출증 수술 실패 증후군 환자에 대한 추나요법 병행치료 증례보고)

  • Ryu, Ho-sun;Kim, Mihye
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.13 no.2
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    • pp.65-73
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    • 2018
  • Objectives : To verify Korean Medicinal Combination Treatments for patients who have Failed Back Surgery Syndrome along with scoliosis Methods : We used Acupuncture, Chuna manual therapy, Pharmacoacupuncture, Herbal medication. We measured Numeral Rating Sacle(NRS), Pain-Free walking distance(PFWD) and Oswestry Disability Index(ODI) score to evaluate the treatment effects. Results : Patients' LBP & Rt.leg pain NRS, PFWD and ODI score were improved. Conclusions : Traditional Korean medicine can be effective for FBSS patients along with scoliosis.

4 Cases of Patients That Improved from Traffic Accident Which Caused Lumbar Spine Compression Fracture by Complex Korean Medical Admission Treatment: Retrospective Case Study (교통 사고 이후 발생한 요추부 압박골절에 한방복합입원치료로 호전된 환자 4례: 후향적 증례 연구)

  • Hong, Je-Rak;Kim, Yu-Jong;Kim, Ji-Su;Lee, Jeong-Ryol;Kim, Tae-Gyu;Yoo, Do-Hyun;Choi, In-Seok;Lee, Sang-Won
    • Journal of Korean Medicine Rehabilitation
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    • v.27 no.4
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    • pp.163-170
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    • 2017
  • Objectives The objective of this study is to report 4 patients who had vertebral compression fracture after traffic accident, that had a complex korean medical admission treatment. Methods In this study we collected the data of traffic accident patients that came to receive intense Korean medical treatment, and had compression fracture of the lumbar spine. A total of 4 patients were studied and we compared the Visual Analogue Scale (VAS) score and the Pain-Free Walking Distance (PFWD) at addmission date and 19th day of hospitalization. Results After receiving an average of 22.25 days of admission treatment, all patients showed a significant decrease in VAS scores and increase in PFWD. The median VAS score at date of admission was 6.5 (VAS 6~9) and decreased to 3.5 (VAS 3~5), median PFWD was 37.5 (30~45) m and increased to 435 (420~450) m. Conclusions After complex korean medicine admission treatment, 4 patients with vertebral compression fracture caused by traffic accident showed decrease of pain and increase of walking distance. But there is a need for further studys to be done on treatment methods and evaluation methods.

Mechanical Properties of Controlled Low Strength Materials with Marine Dredged Soil (해양준설토를 이용한 유동성 뒤채움재의 역학적 특성)

  • Kim, Ju-Deuk;Lee, Byung-Sik;Lee, Kwan-Ho
    • Journal of the Korean Society of Hazard Mitigation
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    • v.7 no.2 s.25
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    • pp.35-44
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    • 2007
  • Plowable fill is generally a mixture of sand, fly ash, a small amount of cement and water. Sand is the major component of most flowable fill mixes. Marine dredged soil was adopted for flowable fill instead of fly ash. Natural sea sand and in-situ soil were used for comparison. The flow behavior, hardening characteristics, and ultimate strength behavior of flowable fill were investigated. The unconfined compression test necessary to sustain walkability as the fresh flowble fill hardens was determined and the strength at 3-days appeared to correlate well with the water-to-cement ratio. The strength parameters, like cohesion and internal friction angle, was determined along the curing time. The creep test for settlement potential was conducted. Also, potable falling weight deflectometer(PFWD) test has been carried out for elastic modulus of each controlled low strength materials(CLSM). The data presented show that marine dredged soil and in-situ soil can be successfully used in CLSM.

Study on the Appropriateness of Track Maintenance Works through the Evaluation of Trackbed Conditions (도상 및 노반상태 평가를 통한 궤도유지보수작업의 적정성 연구)

  • Kim, Dae-Sang;Kwon, Soon-Sup;Lee, Su-Hyung;Hwang, Seon-Keun;Park, Tae-Soon
    • Journal of the Korean Society for Railway
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    • v.11 no.3
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    • pp.334-341
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    • 2008
  • Ballast track needs maintenance works because it is supported by the compressible trackbed and subgrade layers. Maintenance works are essential to secure riding comfort and extend the life cycle of it. The necessities of maintenance works are determined from track irregularities measured by EM120. Track irregularities is the results of the track deformation. Therefore, it is natural to evaluate the cause of it. This paper focuses on the points the track irregularities come from the trackbed and the subgrade. Nondestructive techniques, such as Ground Penetrating Radar (GPR) and Portable Falling Weight Deflectometer (PFWD) are applied to evaluate the trackbed conditions, ballast layer thickness and vertical track stiffness, in the test section 500m long of Gyungbu line. The trackbed investigation results are compared with the track irregularities measured by EM120 and maintenance works. Conclusively, it was found that some maintenance works were unnecessary on the test section.

Non-operative Korean Medicine Treatment for Four Patients with Failed Back Surgery Syndrome after Spinal Fusion Surgery : A Retrospective Case Series

  • Seo, Young Hoon;Lee, Jeong Ryo;Lee, Sang Min;Kim, Min Chul;Kim, Yu Jong;Hong, Je Rak;Kim, She Young;Seo, Young Woo;Kim, Ji Su;Park, Han Sol;Lee, Min ho;Kim, Tae Hun;Kim, Kiok
    • The Journal of Korean Medicine
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    • v.37 no.2
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    • pp.93-103
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    • 2016
  • Objectives: The purpose of this study was to report Four cases of Failed Back Surgery Syndrome (FBSS) patients after spinal fusion surgery who showed significant improvement in pain and function with Complex Korean medical treatment. Methods: This study was a retrospective observational study. We reviewed medical records of Four patients with lumbar pain or radiating leg pain, who have received spinal fusion surgery in the past. All Four patients took complex treatments of Mokhuri Neck and Back hospital which involes Acupuncture, Pharmaco-acupuncture, Gangchuk herbal medicine, Chuna and Physical therapy during about four-week of admission treatment. Visual Analogue Scale (VAS), Oswestry disability index (ODI), Pain Free Walking Distance (PFWD) scores were assessed before and after treatments. Results: The average of hospitalization period was 28.5 days. Mean VAS scores decreased from 6.5 to 2.3, Oswestry Disability Index (ODI) scores decreased from 56.25 to 38.25 and Pain Free Walking Distance (PFWD) also improved from 10m to 166.6m. Conclusion: This study implies that a combination of Korean medical treatments might be effective in relieving pain, and improving the functional status of FBSS patients. Further studies are needed to fully understand the mechanisms underlying the effects.

Clinical Case Report: Postoperative Rehabilitation Protocol for Spondylolisthesis in Korean Medicine Treatment (후방 요추체간 유합술을 시행한 척추 전위증 환자의 한방 재활치료 프로토콜을 적용한 임상 치료 효과: 증례 보고)

  • Lee, Eun-Byeol;Park, Na-Ri;Lee, Yun-Jin;Kang, Seok-Beom;Woo, Chang-Hoon;Ahn, Hee-Duk;Yang, Doo-Hwa
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.1
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    • pp.165-173
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    • 2021
  • Objectives The objective of this study is to propose postoperative rehabilitation for spondylolisthesis after posterior lumbar interbody fusion (PLIF) in Korean medicine and to report its effectiveness. Methods There were two patients who were received Korean medicine with acupuncture, herbal medicine, cupping and exercise treatment after PLIF. Patients were evaluated numeric rating scale (NRS), Oswestry disability index (ODI), pain free walking distance (PFWD), Korean modified index (K-MBI), EuroQol-5 dimension (EQ-5D) index. Results Case 1 was improved NRS from 7 to 3, Case 2 was improved NRS from 7 to 2. Also, ODI, PFWD, K-MBI, EQ-5D score were improved in both cases. Conclusions This study suggests that Korean medicine rehabilitation could be effective for spondylolisthesis after PLIF.

Korean Medicinal Combination Treatments for Failed Back Surgery Syndrome: A Retrospective Case Series (한의학적 복합치료에 의해 호전된 척추수술실패증후군(Failed Back Surgery Syndrome)환자 10례: 후향적 증례연구)

  • Seo, Young Woo;Park, Han Sol;Kim, Min Chul;Kim, Seh Young;Seo, Young Hoon;Lee, Sang Min;Kim, Yoo Jong;Hong, Je Rak;Kim, Ji Soo;Kim, Ki Ok;Kim, Tae Hun
    • Journal of Acupuncture Research
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    • v.32 no.2
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    • pp.217-227
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    • 2015
  • Objectives : This study is an evaluation of the effectiveness of treatments combined with Korean medical methods, such as relaxative Chuna and Gangchuk herbal medicines, for patients with failed back surgery syndrome. Methods : In this study, medical records of ten patients who experienced failed back surgery syndrome and participated in intensive Korean medical treatment were reviewed. All patients received relaxative Chuna and acupuncture along with Gangchuk herbal medicines during hospitalization. Numeric rating scale(NRS) in the degree of 0 to 10, pain-free walking distance(PFWD) and oswestry disability index(ODI) were measured before and after treatments. Results : The patients were hospitalized for an average of 22 days. The average NRS of lumbar pain in all patients decreased from $7.7{\pm}1.6$ to $3.2{\pm}2.2$ and the average NRS decline of leg pain was from $7.7{\pm}1.7$ to $3.2{\pm}2.2$, both of which indicate statistical significance(p < 0.05). PFWD in all patients increased from 113.3 m to 798.1 m on average. The average ODI in all patients significantly improved from $63.9{\pm}7.0$ to $43.9{\pm}6.9$(p < 0.05). Conclusions : The treatments combined with Korean medical methods for failed back surgery syndrome patients are clinically effective and viable.